RR (12-1123)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �� 12-00001123
Property Address: 57205 MERION
APN: 762-031-013- -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1500
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PGA WEST RES II
39755 BERKEY STE. A
PALM DESERT, CA 92260 -
VOICE (760) 77 012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/12
• Contractor. I — __'s fV
Applicant: Architect or Engineer: WILLIAMS ROOFING C&7
P . O. BOX 391841 LA FINANCE E DE T
ANZA, CA 92539
(760)399-9394
l'� LiC. No.: 774482
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
_ Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Lip nse Class: C39 A License No.: 774482
Dara,"�ontractor:
• OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the -
permit to file a signed statement that he ;or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or.
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).:
(_ 1 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, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the.
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
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.).
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct, the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does.not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.)•
Lender's Name:
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
issued.
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
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1890178-2011
I certify that, in the performance of the 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor C,,offd(S/!e 1 shall forthwilt/� comply wit h e provisions.
at/ licant: -/ 1�, 1r
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
.. 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. -
2. Any permit issued as a result of•.th)s application becomes null andvoid if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that theabov information is correct: I agree to comply with all
city and county ordinances and state laws relating to building ' nst ction, and hereby author! presentatives
oft unty to` enter upon the above-mentioned property f r 'its ction purpo s.
`^`
gnature (Applicant or Agen
� t):
LQPERMIT - Ak
Application Number
. . . . . 12-00001123
Permit . .
. RE -ROOF
Additional desc .
Permit Fee . . .
. 30.00Plan 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
P.O. Box 391841, Anza, Ca.
92539 -951-7 63-0769
wo-ft; Washington St. 2c, # 1io, La Ouinta, Ca. o=rn -760--Aou-o1od
'Contract #5o49
For: Monarch Management Trust, 39.755 Berkey 5uite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 57-205 Merion, La Quinta, Ca. 92.253
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 S&oo 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 $ 1og.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 lop square feet as per
manufactures specifications. (This roof system is Title 24 Compliant)
Contract Price: $1,500.00
Payment to be made as follows: Tobe 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**
1 .
Owner/Agent Contractor y
Prescriptive Certificate of Compliance: Residential Reroof CF-IR-ALT-ReRoc
Project Address:
Climate Zone
Permit 0
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior root surface to be replaced exceeds 50% of the existing root area, or 1,000 le, whichever Is less, the net
rooting area must meet the rooting product "Coot Roof" requlnetnents of §152(b)iHl, 152(b)11411, or 152(b)MIll.
Check applicable alternative or exception below if the roof alteration Is exempt from the roofing product "Cool Roof requirements:
❑ Cod roofs M required In Climates Zones 1-12,14, and 16 with a low sloped roof pitch (lessor 2:12 pitch).
❑ Cool roofs ng required In Climates Zones i -9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than 5/Ib/i
Altematives to §162(b)1Hi and §162(b)Hii, Steep -slope roof (pitch > 2:12)
0 Insulation with a thermal resistance of at least 0.85 hr•fe.'F/Btu or at least a 3(4 inch air -space Is added to the roof deck over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to §151010; or
❑ In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 tt2 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, 19-3 or greater root deck Insulation above vented attic.
Exception to §152(b)l Hill, 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 sdar thermal panels are exempt from the Cod Roof criteria.
❑ Root constriction that have lhemnal mase over the root membrane with at least 26 IbM are exempt from the Cod Roof criteria.
• It any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in § 118(1) are not applicable. Do not fill table below.
M: 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
Compa
CRRC Product ID Number
s 2:12 > 2:12
< 51bife t 51bile
T eZ
Reflectance3'4
Emitta ce
s
SRI
❑
❑
❑
1
.13
❑
❑
❑
1.❑4
❑
❑4 I
IF
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 Cad Root Rating Council's Ra fed Product Directory at
2. indicate the type of product is being used for the roof top, 1.e. singWpty root, asphalt root, metal root: etc.
3. if the Aged Reflectance is not available in the Cool Root Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+0.7(p„,,., - a2) to obtain a calculated aged value. Where p is 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- Workshest at hft;A M eneray.ca.00v/dtle24/ 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 root surface and meet the dry mil thickness or coven
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
M: When a Cool Root is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form Is accurate and complete.
• 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Pan!
1 and 6 of the California Code of Regulations,
Name:
1
Signature:
Compa
Dkir _1
lit,
a
Addr
license:
Cityl t iz !i Phone LA_/
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772.3300.
tim tr
Permit #
X
Project Address:�
Construction Type:
Occupancy:
A. P. Number:
Legal Descri'ti n: ,
New Add'n Alter Repair Demo
Contractor:
1W
Address:
#! Stories:
d Units:
City, ST, Zip:
K
Telephone: 3 l �I
K
State Lic. tt :
Recd
Arch., Engr., Designer:
Address:
City, ST, Zip:
Teicphone:
State Lie. #:
Name of Contact Person:
Telephone h of Contact Person:
N Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Dccd
111.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building 8i: Safely Division
P.O. Box 1504, 78-495 011e Tampico
La Quinta, CA 72253 - (760) 777.7012
Building Permit Application and Tracking Sheet
nbJ , ner's Name: TIM -7-7--=
ST, Zip: Hfilvm( U
Dhone:711AA %In�iiAA
Description:
Citv Lic.:
Total Permit Fees I —
Construction Type:
Occupancy:
Project type (circle one):
New Add'n Alter Repair Demo
Sq. 11:
#! Stories:
d Units:
Estimated Value of Project: a�
APPLICANT:
DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Pians picked up
SALL
Plans resubmitted
Grading
Review, ready for corrections/issue
Impact Fee
Called Contact Person
#Developer
,I,P.P.
Date of permit issue
Total Permit Fees I —