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RR (12-1126)Qum& ti P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO _ FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/24/12 Application Number: -12=00.0011-26-1` Owner: Property Address: 57136 MERION PGA WEST RES II - E APN: 762-031-025-, - - 39755 BERKEY STE. P, ; Application description: RE -ROOF PALM DESERT, CA 92260 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 , Contractor: Applicant: Architect or Engineer: WILLIAMS ROOFING t P.O. BOX 391841 ANZA, CA 92539 (760) 399-9394 LiC. No.: 774482 4_ WORKER'S COMPENSATION DECLARATION _ _ hereby affirm under penalty of perjury that I -am licensed under provisions of Chapter 9 (commencing with t LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION _ _ hereby affirm under penalty of perjury that I -am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided - Lice se Class: C39 - Lice N � 7eT4482 _ for by Section 3700 of"the Labor Code, for the performance of the work for which this permit is at J ontractor: issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor F Code, for the performance of the work for which this permit is issued. 'My workers' compensation ,_... OWNER -BUILDER DECLARATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1890178-2011 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ ariy• construct, alter, improve, demolish, or repair any structure, prior to itsissuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - - and agree that, if I s3ho become 'subject to the rkers' compensation provisions of Section - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or • 3700 of the Labor C d , I all fort with comp . th t ose provisions. - - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ' • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te:D Iicant: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and r the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL • Contractors' State License Law does not apply to an owner of property who builds or improves thereon, - _ SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own. employees, provided that the DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or , improve for the purpose of sale.). s APPLICANT ACKNOWLEDGEMENT .. r (_ 1 1, as owner of the, property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License. Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a'contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for• _ pursuant to'the Contractors' State License Law.)• whose benefit work isperformedunder or pursuant to any permit issued as aresult of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City - ' of La Quinta, its officers, agents and employees for any act or omission related to the work being ' performed under or following issuance of this permit. Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced , • - - within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject ' > CONSTRUCTION LENDING AGENCY - permit to cancellation. - - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to buildi co struction, and hereby authorize representatives - of th' county to enter upon the above-mentioned properttl f r i pection rposes. ad p Lender's Name: ©- � ateG gnature (Applicant or Ag Lender's Address: 'LQPERMIT �, r Application Number . . . . . 12-00001126 Permit RE -ROOF ' Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 • Issue Date, Valuation 0 Expiration Date 3/23/13 ; Qty Unit Charge Per Extension BASE FEE 30.00 ' Special Notes and Comments RE -ROOF REAR PATIO FLAT DECK WITH URETHANE FOAM ROOF SYSTEM. 2010 CODES. -- Other Fees . . . . - ----- . . . . . BLDG STDS ADMIN.(SB1473) ----------- 1.00 > - Fee summary Charged Paid-- Credited Due Permit Fee Total 30.00 .00 .00 30.00 { Plan Check Total .00, 00 .00 .00 Other Fee Total 1.00 .00 .00 1.00. Grand Total 31:00 .00 .00 31.00 ` LQPERMIT Y\0 - ,{ _ } •,i'. 1. - . 00n, aw. P.O. Box 391841, Anza, Ca. 92539 951-763-o769 , 5-0-855 Washin on St. 2c # 130 La uinta, Ca. 22 60- 5-5- � Q �5� 7 399-439.4 ` Contract #5o44 For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o Attn: JoAnne Rose Date: July 15, 2012 Job Addresses: 57-136 Merion, La Quinta, Ca. 92253 Schedule of extras if applicable: During the repair process, if any asbestos is discovered, the removal and disposal cost would be borne by owner. Any dry rot will be replaced for an additional charge based on s81.00 per hour labor and ix6 or 1x8 materials at $ 2.50 per foot. Any damaged rafter ends will be replaced for an additional charge based on $ ioq.00 each and fascia board at $12.00 per lin. Ft. Any CDX/OSB plywood to be replaced at an additional charge based on s 2.00 per sq. foot, labor included. Scope of Work as follows; Urethane foam roof system as follows on the above rear patio flat deck only: Clean and prep roof decks to accept new materials. Install new edge metals as needed. Wipe down and prime edge metals. Install 1" 3.0 SPF Poly Urethane foam roof system as per manufactures specifications. Install Acrylic roof coating as per manufactures specifications @ a rate of 12" on perimeter and to receive 4 gallons per every ioo square feet. Remainder of roof system to receive 3 gallons per every loo square feet as per . manufactures specifications. (This roof system is Title 24 Compliant) Contract Price: $ 1,500.00 A • . Payment to'be made as follows: To be paid upon regular billing -cycle. (As completed) Williams Roofing to leave jobsite clean and free of debris. **Ten year workmanship warranty on all work performed by Williams Roofing only** Owner/Agent Contractor Prescriptive Certificate of Compliance: Residential Reroof CF-iR-ALT-ReRoc Project Address: L al Product Weight Product Climate Zone Permit 0 ' ROOFING PRODUCTS (COOL ROOFS) §151012 When the area of exterior root surface to be replaced exceeds 509E of the existing root area, or 1,000 fe, whichever Is less, the net rooting ares must meet the roofing product "Cool Roof" requirements of §152(b)1H1, 152(b)1Hll, or 152(b)1HIIL Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof* requirements:: ❑ Cool roofs ra required in Climates Zones 1-12,14, and 18 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cool roofs agi required in Climates Zones 1-9, and 18 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/lbit Altematives to §152(b)1 HI and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft-°F/Btu or at least a 314 inch air -space Is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(910: or ❑ In climate zones 10, 12 and 13, with 111:2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the root ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(92; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1 Hilt, Low -slope roof ( pitch S 2.12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑ Roof constnxtione that have thermal mass over the root membrane with at teast 26 Ib/tt2 are exempt from the Cool Roof criteria. NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittence requirements for rooting products in § 118(1) are not applicable. Do not fill table below. am: When a Cool Root is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Solar Thermal p _ _ a lici CRRC Product Ip Numbers 5 2:12 > 2:12 < 51b/te Z 51bile T eZ Reflectance3'4 Emitta ce SRIS _06400 0 0 ❑4 ,13 o o o 0 04 Note: If no CRRC-1 label Is available, this compliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Councils Rat Product Directory at www.coolroots.oralmoducts/seanch.nho 2. Indicate the type of product is being used for the roof top, 1, e. single -ply root, asphalt roof, metal roof, etc. 3. It the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Rellectance value from the same directory and use the equation (0.2+0.7ip..w - 0,2) to obtain a calculated aged value. Where pis the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at hffyY vww. eneray.ca. /tifle24/ and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF- i R. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or cover recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: D Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating (3 Other am: When a Cool Root is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is.accurate and complete. • I certify that the energy features and performance specifications ideniif led on this Certificate of Compliance conform to the requirements of Title 24, Part! 1 and 8 of the California COde of Regulations. Name: Signature: Compa p _ _ a lici Addr License: CltylS t ! . Phone%-�-3 n For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800.772.3300. JIM ff Permit # Je Project Address: I A. P. Number: Submittal Plan Sets Structural CaIcs. Truss CaIcs. Title 24 CaICS. Flood plain plan Grading plan Subcontactor List Grant Deed ILO.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees U City of La Quints Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Ouinta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet Vwner's Name: M. 'itv Lic, #: 'ity. ST, Zip: . M I ibcAelL r. a -I elephone: roject Description: Contractor: 1W Address: MW ... w.. City, ST, Zip: 7 6 New Add'n Alter Repair Demo Telephone: 4j-1 jC State Lic. # Sq. Ft.. Arch., Engr., Designer: Units: Address: City, ST, Zip: Telephone: State Lic. —Rec'd Name Of Contact Person: '#LTelephone M of Contact Person: Submittal Plan Sets Structural CaIcs. Truss CaIcs. Title 24 CaICS. Flood plain plan Grading plan Subcontactor List Grant Deed ILO.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees U City of La Quints Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Ouinta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet Vwner's Name: M. 'itv Lic, #: 'ity. ST, Zip: . M I ibcAelL r. a -I elephone: roject Description: Total Permit Fees . . ... Construction Type: Occupanc}: ... w.. Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.. 4 Stories: Units: Estimated Value of Project.' APPLICANT: 00 NOT WRITE BELOW THIS LINE 'd —Rec'd TRACKING PERIMIT FEES PIQU Check submitted Item Item Amount Reviewed, ready for corrections P1 Plan Check Deposit Called Contact Person PI Plan Check Balance Plans picked up Construction ruction Plans resubmitted -------------------- Mechanical 2" Review, ready for corrections/issue Electrical — Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted — Grading Review, ready for corrections/issue — Developer Impact Fee --------------- C-1l.d:(:.:n Contact Called Contact Per A.I.P.P. P. Date Date o(permit issue of permit issue Total Permit Fees T4tyl 4 4Qumrw Building Address Owner Si#13Ti se company Mailing Address -500 , took te 200 ' City Zip Tel. P.O. BOX 1504 78-105 CALLE ESTADO .LA QUINTA, CALIFORNIA 92253 Rail" f*sw L 1 92260 1 568 -2m - Contractor City """ Zip Tel. State Lic. City & Classif. 2MI30 Lic. # 328 Arch., Engr., Designer Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby,affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.` SIGNATORE r' ,- OWNER -BUILDER DECLAgATION I hereby affirm that I'am exempt from the Contra tors License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefro)n, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, Provided that such improvements are not intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec: 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date ' Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I'have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i1 the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ. any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives .of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant —Date— Mailing ateMailing Address City, State, Zip 7-9 No. 07ss2 BUILDING: TYPE CONST:. OCC: GRP.- A.P. Number Legal Description Tract 25499-I Project Description phago 7H Plan H1A ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. 2353 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 4123L Permit Validated by: Validation: Estimated Valuation $170,70 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 720.04 Const.' 888.00 Mech. 70.50 Electrical 113.47 Plumbing M.50 S.M.I. 11.9.7 Grading Driveway Enc. Infrastructure ' 835.60, a9- -RO F TOTAL 1 13.978IJ 1 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 4123L Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ, FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation STORAGE TANK FLOOR DRAIN MECHANICAL FEES DUCTWORK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REINF. STEEL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSP. KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL FIRE ZONE ROOFING ' SO.FT.GAR ® 34c HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK OUND PLUMB15vi PLUMB/e UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK 04 FORMS ER 0R�tPTI ROUGH WIRING, ho DUCTWORK ROCK STORAGE ` ✓✓✓yyy LIND. REINF. '1 (� v� \J ` W AS (ROUGFI-�/V) METER LOOP [ HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP% RAMINGn FINAL INSP. P%OOFING . L G. //� `_'. _ A A F\W ,[ -6 V v �- REMARKS VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL QfjJ� ALATHING O � v V MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL