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RR (12-1121)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00001121 Property Address: 57277 MERION APN: 762-031-016- - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: O PGA WEST RES 39755 BER ST PALM DESE T, 92260 O VIA VOICE (760) 77 7012 FAX (760) 777 - INSPECTIONS (760) 777-7153 Date: 9/24/12 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 I, 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 contractor(sl licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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: tU ` QPERMIT 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 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 permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to o ply with all city and county ordinances and state laws relating to buil ' y!7 ruction, d hereby aut z esentatives of hi cou ty to enter upon the above-mentioned grope y f r pection p po/se/s. B'hts_• Signature (Applicant or Agent) 'L90,� OcS` Q Contractor: y�! `9 Applicant: Architect or Engineer: WILLIAMS ROOFI P.O. BOX 391841 OaG ANZA, CA 92539 �'�j��'� (760)399-9394 O Lic. No.: 774482, 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: Section 7000) of Division 3 of the Business and Professionals Code, and License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licen "Class: C3 9 ' ense No.: '7 402 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 atyncractor: (f.. 1 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 _ 1 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 workers' 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 Cod , shall forthwith omply with se visions. 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).: Dat: Plicant:- (_ 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 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.). (_ 1 I, 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 contractor(sl licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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: tU ` QPERMIT 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 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 permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to o ply with all city and county ordinances and state laws relating to buil ' y!7 ruction, d hereby aut z esentatives of hi cou ty to enter upon the above-mentioned grope y f r pection p po/se/s. B'hts_• Signature (Applicant or Agent) Application Number . . . . . 12-00001121 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 y .00 Other Fee Total 1.00 .00 .00 1.00 Grand.Total 31.'00 00 .00 31.00 LQPERMIT - Prescriptive Certificate of Com II n e: Residential Reroof CF -1 R-ALT-ReRoc Project Address:Gq_ Product Weight Product Climate Zone Permit I>i ROOFING PRODUCTS (COOL ROOFS) §151(012 When the am of exterior root surface to be replaced exceeds 50% of the existing root area, or 1,000 Or, whlchever Is less, the net roofing area must meet the roofing product "Coot Roof' requirements of§152(b)1H1, 152(b)1Nll, or 152(b)1N111. Check applicable alternative or exception below it the roof alteration Is exempt from the roofing product "Cool Roof requirements: ❑ Cool roofs M required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cool roofs 01 required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than SAW Altematives to §152(b)1HI and §152(b)HII, Steep -slope roof (pitch.s 2.12) ❑ insulation with a thermal resistance of at least 0.85 hr•fe.''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 seated according to §151(910; or ❑ In climate zones 10, 12 and 13, with 1 tt2 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 rod 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 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 solar Ihermal panels are exempt from the Cool Roof criteria. ❑ Root conetnrctionc that have thermal masa over the root membrane with at least 26 Ibltt2 are exempt from the.Cool Root criteria. Mg if any one of the altematives 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. MM.' When a Cod 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 Addr CRRC Product ID Number' S 2:12 > 2:12 < 5lbiftz 2 516/flz T eZ Reflectance''4 Emitta ce SRI s ❑ ❑ ❑ ❑• R3 ❑ ❑ 1 ❑ ❑4 Note: If no CRRC-1 label Is available, this compliance method cannot be used, use the Performance Approach to show compliance, I. The CRRC Product iD Number can be obtained from the Cod Root Rating Councils RatedproductDireclory at 2. indicate the type of product is being used for the roof top, 1.e, singia-pty root, asphalt roof, metal root etc. 3. 11 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+0.7(p, ,,., - 0.2) 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. Calculate the SRI value by using the SRI- Worksheet at hilaYAgm.eneray.ca.QQy1dt/e24J and enter the resulting value in the SRi Column above and attach acopy of the SRI- Worksheet to the CF -1 R. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof 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 MM.' When a Cod 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 identified on this Certificate of Compliance conform to the requirements of Title 24, Part! 1 and 6 of the California Qbde of Regulations. Name: 1 Signature: Comps D Addr License: Cilyl t i� : �, Phone For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772.3300. IV 4, { �P.O. Box 391841, Anza, Ca. 92539 951-763-0769 hi, So-855 Washington St 2c, # i=3o, La Quinta, Ca. q22� 760-3.939 Contract #So5.3 For: Monarch Management Trust, 39-755 Berkey Suite A, Pdlm Desert, Ca. 9226o Attn: JoAnne Rose Date: July 15, 2012 ._ Job Addresses: 57-277 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 $ iog.00 each and fascia board at $ iz.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 ' am ff Permit g X Project Address: 159r Construction Type: A. P. Number: Legal Descri'ti n: Project type (circle one): Contractor: 1W Address: Sq. Ft.: # Stories: Cit}, ST, Zip: ix Telephone: -3,9q-4 K State Lic. # : � Recd Arch., Engr., Designer: Address: Cite, ST, Zip: Tcicphonc: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Req'd Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Dccd H-O.A. Approval IN HOUSE:. Planning Approval Pub. Wks. Appr School Fees City Of La Quinta Building 8T Safety Division P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777.7012 Building Permit Application and Tracking Sheer wvner's Name:rtA I 1 .-.r^ 1 .S ,f�Birn phone: .(Z� I i;6-5166 I act Description: City Lic. #: Total Permit Fees Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project: i Q0 APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRUCKING PERMIT FEES Plan Check subn.ittcd Item --------------- Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2" Renew, ready for corrections/issue Electrical Called Contact Person Plumbing Pians picked up ------------------- Plans resubmitted Grading Revie%, ready for correctionvissue Developer Impact Fee ::4Culled Contact Person A.I.P.P. Date of permit issue Total Permit Fees P.O. BOX 1504 Building 7&105 CALLE ESTADO Address J%-1773erif�n LA QUINTA, CALIFORNIA 92253 Sunrise Company Mailing Address 42.600 Cook Stt^ee.t Sui¢e 200 CityZip Tel. Palm Desert 92260 ' 568-2828 Contractor .. National Mi rtgage & Land Address . Saida p State Lic. & Classif. M130 Arch., Engr., Designer Address Lic. # City( Zip ( 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 effecI . 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 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). O 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 improvesthereon and who does such work himself or through his own empbyees, provided that such improvements are not intended or offered for sale. lf, however, the budding . 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.) ❑ I, as owner of'the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Bus -mess 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.) 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, ora 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.) - - 1 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: d, 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 ame 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, Address City, State, Zip 07 No. ©7251 BUILDING: TYPE CONST. OCC: GRP. A.P. Number PGA Legal Description Tract -24801 Project Description Prase 514 — Plan X138 Sq. Ft. 9899 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $214,923 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $, Const. 1,,042.00 Mech. 73.00 Electrical 332.71 Plumbing 168.50 S.M.I. 15.05 - Grading Driveway Enc. Infrastructure $410.835, 77 ess credit Z,417.89 Infra. Due $2.417.859 TOTAL 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 2/?8/9 Permit Validated by: Validation:. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS WER OR SE - J' ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® AS (ROUGH)- Q Q/1 ✓ VVV METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation f FRAMING 2� FLOOR DRAIN MECHANICAL FEES _ /-�6�i� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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, 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+/. c SEWAGE DISPOSAL INSULATIONISOUND ;-r SO.FT.GAR ® V4c HOUSE SEWER FINISH GRADING 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 SETBACKROUND PLUMB .av UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS WER OR SE - J' ROUGH WIRING DUCT WORK ROCK STORAGE / OUND. REINF. �Gl .�/� V AS (ROUGH)- Q Q/1 ✓ VVV 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. AL INSP/Z-/;t _.q$ f FRAMING 2� FINAL INSP. ,OOFING .`v _ /-�6�i� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ALATHING MESH INSULATIONISOUND ;-r FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL