RR (12-1118)__ 17*
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: .. .12-00001118
Property Address:
57229 MERION
APN:
762-031-014-'. - -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY. RESIDENTIAL
Application valuation:
1500
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PGA WEST RES.II
39755 BERKEY STE. A
PALM DESERT, CA 9226
Contractor:
WILLIAMS ROOFING
P.O. BOX 391841
ANZA, CA 92539
(760)399-9394'
Lic. No.: 774482-
VOICE (760) e-1
FAX (760) 7
INSPECTIONS (760) 777-7153
OCT Q5,2012
CITY OF U
Date: 9/24/12
LQPERMIT
------------------
' LICENSED'CONTRACTOR'S DECLARATION
----------------------- ----------
- - WORKER'S COMPENSATION DECLARATION- "
I.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: I
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
License Class: C3 9 License o.: 4482
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate ntractor: -I
issued.
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, i4sho d becomesubject5theork s' ompensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Lab�thwithwit tho ep o isions.
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 (5500).:
�/
ate/ plicant:
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
GGGthe �IAIIE
structure is not intended or offered for -sale (Sec. 7044, Business and Professions Code: The
WARNINGSECU E 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
(_) I, 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, 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 building nstruction, and hereby autho representatives
" •
of t s ounty to enter upon the above-mentioned property fog ' sp tion pure es. ,
'
Lender's Name:
'/D
•I
te: ture (Applicant or Agent):
Lender's Address: F
LQPERMIT
Application Number
. . . . . 12-00001118
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
-
Prescriptive Certificate of Compliance: Residential Reroof CF-1R-ALT-ReRoc
Project Address:Climate
mcew cat 6tsi
Product Weight
tons
Permit N
.+
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior root surface to be replaced exceeds 50% of the existing root arra, or 1,000 1Y, whichever is less, the net
rooting area must meet the rooting product "Cool Roof" requirements of §152(b)iHl, 152(b)1Hi1, or 152(b)1H111.
Check applicable alternative or exception below it the roof alteration Is exempt from the roofing product "Cool Roof requirements:.
❑ Cool roofs !1l3S required in Climates Zones 1-12,14, and 18 with.a low sloped roof pitch (less or 2:12 pitch)-
❑ Cod roofs Pgi required in Climates Zones 1-9, and 18 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than SAW
Alternatives to #152(b)1HI and §152(b)Hil, Steep -slops roof (pitch > 2:12)
❑ insulation with a thermal resistance of at least 0.85 heft"•°F/Btu 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 seated according to §151(010; or
❑ In climate zones 10, 12 and 13, with 1 ff2 of free ventilation area of attic ventilation for every 150 iQ of attic floor area, and'
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R-30 ceiling insulation; or _
❑ Building has radiant barrier In the attic meeting the requirements of §151(02; or
❑ Building has no ducts in the attic; or p
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic, r -
Exception to §1152(b)111,11111111, Low -slops roof ( pitch 5 2:12)
❑ Building has no ducts In the attic.
Other Exceptions
E3 Roofing Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria.-
❑ Root constructtans that have thermal mase over the root membrane with at least 26 Iblft2 are exempt fmrn the Cool Roof criteria.
QM It any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
troducts In § 118(1) are not applicable. Do not fill table below. ,
NOTE: When a Cool Root is required, the installing contractor shall complete and submit the CF -BR -ENV -01 for final inspection..
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
Lill_ p
- •E' ,
CRRC Product ID Number'
s 2:12 > 2:12
< 51W a 5lb/fie
T e2
Refiectance3'4
_ Emitta ce
SRIs
❑
❑
❑
❑4
�T3
Note: It 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 Council's Rated Product Directory at www.coolmols.ora4moducts/sean;h.nho
2. indicate the type of product is being used for the roof top, Le, single -ply root, asphalt roof, metal root, arc.
3. if the Aged Reflectance is not available in the Cool Roof 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„ 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 httoJwww.ene=cR-gQyltiijg and enter the resulting value in the SRI Column above and attach
atopy of the SRI- Worksheet to the CF -1 R.
o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or cover
ecommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
Q Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other '
NOTE: When a Cool Root is required, the installing contractor shall complete and submit the CF -BR -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 identif led on this Certificate of Compliance conform to the requirements of Title 24, Part!
1 and 8 of the California CWe of Re ulations•
Name:
Signature:
CompaAN,
Lill_ p
- •E' ,
Addr
- - License:
n
C1tylS t 1 � �, - Phone 39lq -9`�
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772.3300.
MIN P.O. Box 3911841, Anza, Ca.'92539951-763-0769
,4o=855 Weston St. 2.c, # 13o, La Owinta, Ca. gzz� 760-399-93 4 ,
Contract #5o5o
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 115, 20112
Job Addresses: 57-229 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 $81.00 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 $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 11'3-0 SPF Poly Urethane foam roof system as per manufactures
specifications. Install Acrylic roof coating as per manufactures specificationsr,
@ a rate of 112" 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-
:$ 11500.00
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 #
le
Project Address: I C r
Construction Type:
Occupancy;
A. P. Number:
Legal Descri"ti n:
New Add'n Alter Repair Demo
Contractor:
Address:
# Stories:
# Units:
City, ST. Zip:
K
Telephone: W-39 '-1
K
State Lic. #
TRACKING
Arch., Engr., Designer:
Address:
PERMIT FEES
City, ST, Zip:
Plan Check submitted
Ttlrphonc:
Item
State Lic. #:
Name of Contact Person:
�y
T
Telephone tt of Contact Person:
# Submittal
Plan Sets
Structural Cafes.
Truss Calcs.
Title 24 Cales.
Flood plain plan
Grading pian
Subcontactor List
Grant Dccd
II.O.A. Approval
IN HOUSE:.
Planning Approval
Pub. N'ks. Appr
School Fees
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78.495 Calle Tampico
La Ouinta, CA 72253 - (760) 777.7012 N
Building Permit Application and Tracking Sheet t
wrier's Name:
'ity, ST, Zip: ' r u I I —
elephone: 6-5
roject Description:
City Lic. #:
Total Permit Fees
Construction Type:
Occupancy;
Project type (circle one):
New Add'n Alter Repair Demo
".Ft.:
# Stories:
# Units:
_
Estimated Value of Project: f aA
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
2"' Review, reads for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
Plans resubmitted
Grading
Revic%, read• for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees
44
P.O. BOX 1504 No. 07292
Building 78-105 CALLE ESTADO
Address57-229 ftrion L_ A QUINTA, CALIFORNIA 92253,
Owner rI t -f
Mailing
AddresVZ-600 toad' Slyest Suite 200
City Palm Desert Zip 92260 Tei 68-2828
Cont" thional Rortgage > e Lana!
Address .
City 1ZiD I Tel '.
State Lic. I City
& Classif.288130 Lic. #
Arch., Engr.,
Designer
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
700p) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I 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 rile 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 rive 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
or improvement 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.)
0 I, as owner of the property, amexclusively 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
❑ Copy is filed with the city. O 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 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
Date Owner
NOTICE TO APPLICANT., ff. 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.
1 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 Address
City,. State, Zip
BUILDING: -TYPE CONST. OCC: GRP.
A.P. Number PGA
,Legal.Description Fract 24801
Project DescriptionPhase 5H Plat; H3A
Sq. Ft. 2ng No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
stimated Valuation
$214,923
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$ PM.
Const.
1..042.00
Mech.
3.
Electrical
13-.71
Plumbing
168. 50
S.M.I.
1.05 '
Grading
Driveway Enc.
!
Infrastructure
a • 77
MS Credff
49417,8_9...�
<.
.S -Q. .coy
TOTAL
ro.P id
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL SQ. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ, FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. I SQ. FT.
TEMP. POLE
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
MING ✓/D
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
MESH
SQ.FT.GAR ® V4c
HOUSE SEWER
INSULATION/SOUND
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
ROUND PLUM IN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR S�7 ft
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
OUND. REINF / fr�-�
H)
tb,�GfS (ROUG7 Gf A
J vvVV
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.
�FFINAL INSP. /Q�,�
MING ✓/D
FINAL INSP.
00FING - _�-
6/
` v
o/ly ( -��
(/ d
r
_
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
XKTHING "1-6-
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
l