RR (12-1119)1
•
4
P.O. BOX 1504 VOICE (760) 7 -7012
78-495 CALLE TAMPICO FAX (760) 777- 1
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT' INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/24/12
Application Number 12-0 0 0 01119 Owner:
Property Address: 57188 MERION PGA WEST RES II
APN: 762-031-027- - - 39755 BERKEY STE. A
Application description: RE -ROOF PALM DESERT, CA 92260
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1500 D
1 Contractor: OCT O 5
Applicant: Architect or Engineer: WILLIAMS ROOFING
P.O. BOX 391841
ANZA , CA 92539 CITY OF LA QUINTA
(760)399-9394 FINANCEDEPT
Lic. No.: 774482
---------------
----------------------
LICENSEDCONTRACTOR'S DECLARATION. WORKER'S COMPENSATION DECLARATION _
hereby affirm under penalty of perjury that 1 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, an , y License is in full force and effect. - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C39 License No. 7 4 82 • - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�{ issued.
at(Y ontractor. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
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 any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, 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 a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the work-�=peasation.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 , "WI I forthwit , on4�p'�Gi
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� pplicant:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
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 ($100,000)• 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.). - APPLICANT ACKNOWLEDGEMENT
(_) 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 is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason • the owner, and the applicant, each agrees to, and shall defend, indemnity 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:.` 1.
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 buildin nstruaion, and hereby auth F 9 representatives
of ' county to enter upon the above-mentioned property or pection p oses.
Lender's Name: _ / -
/1 ate: �+` ignature (Applicant or Agent):
Lender's Address: �J Pi
LQPERMIT
Application Number
. . . . . 12-00001119
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
Prescriptive Certificate of CompileIa: Residential Reroof CF-iR-ALT-R®Roc
Project Address:
+ it
C lim ate Zone r
-
Permit b
- -
ROOFING PRODUCTS (COOL ROOFS) §151(1)12 .
When the area of exterfor root surface to be replaced exceeds 50% of the existing roof ansa, or 1,000 ft, whichever Is less, the net
monng area must meet the roofing product "Cool Roof" requirements of §152(b)1441, 152(b)1H/l, or 152(b)1Hl11.
Check applicable alternative or exception below it the root alteration Is exempt from the roofing product "Cool Roof" requirements:.
❑ Cool roofs W 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 5Abil
Alternatives to §152(b)1Hi and 5152(b)HII, Steep -slope roof (pitch > 2:12)
❑ insulation with a thermal resistance of at least heft=•°F/Stu or at least a 34 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(1)10: or
❑ In climate zones 10, 12 and 13, with 1 112 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 - • L -
❑ Building has radiant barrier in the attic meeting the requirements of §151(92; or-
❑ Building has no ducts in the aft; or
Y � 1
(3 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.
❑ . Root conatructtons that have thermal mass over the coat membrane with at least 26 Iblft2 are exempt from the Coot Roof Criteria.
NOTE: if any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in § f 18(1) are not applicable. Do not fill table below. :
NO When a Cool Roof 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
, •V DkW
-4
t
CRRC Product ID Number'
5 2:12 > 2:12
< 5lblfe a 5lb/fe
T 92-
Reflectance''°
.
Emitta ce
SRIS
AU
13,
_13.
E3
134
13 -
❑
❑
❑
❑
❑4
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 Root Rating Council's Rat Product Directory at www,goolroofs.ofy W"tVsearch.aha
2. Indicate the type of product is being used for the roof top, 1. e. single•ply roof, asphalt roof, inetal root, etc. •
3. If the Aged Reflectance is not available in the Coot Root Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+a 7(p•,,,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.
Calculate the SRi value by using the SRI- Worksheet at htfQ://www.eneryy rifle and enter the resulting value in the SRI Column above and attach
atopy 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:
C3 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
NO When a Cool Roof 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.
• t certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part!
1 and 6 of the California rode of Regulations. r '
(Name:I ' I ..
I . - ,
hftm,,�,
re:
[ Signatu1A
Compo
, •V DkW
-4
t
Addr
- • z License:
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CitylSW11Phone•q �y
l
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.772.3300.. .
\� P.O. Box 3918+L, Anza, Ca. 92539 951-763-0769
So -855 Washington St. zc, # 130, La Quinta, Ca. 92253 760-399-939
Contract #5o51'L
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 57-188 Merion, La Quinta, Ca. 92253
Schedule of extras if annlicable:
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 $8i.00 per hour labor and 1x6 or ix8 materials at $ 2.50 per foot. Any
damaged rafter ends will be replaced for an additional charge based on $1o4.00 each and fascia board at $12.00 per lin. Ft' Any
CDX/OSB plywood to be replaced at an additional charge based on $ 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 loo 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 _.
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
Permit #
Ile
Project Address:
PERMIT FEES
A. P. Number:
Item Amount
Legal Descri'ti n: ,
Plan Check Deposit
Contractor:
i
Address:
City. ST, Zip:
iti
Telephone: I -3,9'—(
K
State Lic. #
.arch., Engr., Designer:
Address:
Cit)•, ST, Zip:
Tcicphonc:
State Lic.
Name of Contact Person:
Telephone 4 of Contact Person:
9 Submittal
Plan Sets
Structural Calcs,
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City Of La Quinta
Building 81r S3fetY Division
P.O. Box 1504, 78.495 Calle Tampico
La Quinta, CA 92253 • (760) 777.7012
Permit Application and Tracking SheeC
wner's Name: IDt., I i
phone: �D/ J �+
ect Description:
City Lic. #:
Construction Type: Occupane}
Project type (circle one): New Add'n Alter Repair Demo
S9• Ft. # Stories: ii Units:
AINTEstimated Value of Project: f as
AJ
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
Plan Check submit,
Reviewed, ready to
Called Contact Peri
Plans picked up
Plans resubmitted
Review, ready fa
Called Contact Pers
Plans picked up
Plans resubmitted
t'' Review, ready fa
Called Contact Pers
Date of permit issue
TRACKING
PERMIT FEES
Cd
Item Amount
corrections
Plan Check Deposit
on
Plan Check Balance
Construction
Mechanicat
r corrections/issue
Electrical
)n
Plumbing
Grading
corrections/issue
Developer impact Fee
A.I.P.P.
Total Permit Fees
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address S7-.188 ftrion LA QUINTA, CALIFORNIA 92253
Owner
Sunrise Grey _ .-
Address
� _ -
Address42„600 Cook St. Suite 200
City lZip Tel.
ractor
Address
Zip I Tel.
State Lia City
& Classif. 2=30 Lic. # 328
Arch., Engr.,
Designer
Address Tel.
City ( Zip( State
Lic. #
{/ LICENSED CONTRACTOR'S DECLARATION
I herebty�aiffirm that I am licensed under provisions of Chapter 9 (commencing with Section
! 7000) 0 ivision 3 of the Business and Professions Code, and my license is in full force and
1� effect,-` I , , e°.! .",, / n
#
-OWNER-BUILDER DECLARATION
I hereby affirm that'l am exempt from the Contractor's 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 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not 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.)
❑ I, 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 or property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. If, after . making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for Inspection purposes.
Signature of applicantDate
Mailing Address
City, State, Zip
BUILDING: TYPE CONST
A.P. Number
Legal Description Tmet. 2540-1
Project Description 'PRAa;o R7 Plan € 7-A
No 07655
/-t G�
— /
_OCC. GRP.
Sq. Ft. 2145 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
3
AMOUNT
Plan Chk. Dep.
Front Setback from Center Line
Plan Chk. Bal.
"8.40
Const.
Side Setback from Property Line
961.50
Mech.
INSPECTOR
8 .00
Electrical
Issued by:
123.19
Plumbing
I62.50
S.M.I.
13.44
Grading
Driveway Enc.
Infrastructure
4J07.60
ass Credit
2 1 83
1"fra
2.1 go
TOTAL
4.270 83
--et '3-Irlr '
REMARKS -----------
A
� s j�
`--" _42
*WL
:i.-10
-Tit), tl.$
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
4/23/30
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES NO.
PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SO. FT. ®
DUCT WORK
ROCK STORAGE
OUND. REINF. � ! O
MOBILEHOME SVC.
BAR SINK
POR. SO. FT.
REINF. STEEL
GAS (FINAL) TEMP. POLE
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
CAR P. SO. FT. @
LUMBER GR.
ANAL INSP.
W RAMING !%lo
FINAL INSP.
DRINKING FOUNTAIN.
WALL SO. FT.
REMARKS:
URINAL
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ILAUNDRYTRAY
AIR HANDLING UNIT CFM
MESH
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
CERT. OCC.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
INSPECTOR'S SIGNATURESIINITIALS
SO.FT.GAR ® 3/ic
HOUSE SEWER
GARDEN WALL FINAL
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE MECH.FEE
PL.CK.FEE 7
ONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING
ELECTRICAL HEATING & AIR COND.
SOLAR
SETBACK
ROUND PLUMBIN`(� S UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
AANER OR ROUGH WIRING
DUCT WORK
ROCK STORAGE
OUND. REINF. � ! O
S (ROUG -7y-?o METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
ANAL INSP.
W RAMING !%lo
FINAL INSP.
j OOFING
NJ V O
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
fej//ATHING
MESH
NSULATION/SOUNdF S2043"6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL