12-0850 (RR)�6
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000850
Property Address: 80575 CHERRY HILLS
APN: 775 -132 -001-, -
Application description: RE -ROOF -
Property 'Zoning:
E=ROOFProperty'Zoning: LOW `DENSITY RESIDENTIAL
Application valuation: 33675
Ta!t444"
Applicant: Architect or Engineer:.
p lA
----------------- 1.
LICENSED;CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
License ass: C39 ense Nor 907600--
(� ontrsaor .
/ OWNHi-BUILDERMECLARATION
I hereby affirm under penalty of. perjury theta am exempt from the Contrector's;State License.Law for the
following reason (Sec: 7031.5, Business;and Professions Cade; Any city or countytfSat re
guiras'a permit to
construct, alter, Improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the
permit -to filara,signed statement that. he or she`is licensed pursuantto the provisions,of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division3:of.the Business and; Professions Code)•or
that he gr she is exempt therefrom and the basis for the;alleged.exemption. Any violation of Section 7031.5 by
any applicancfora permit subjects the,apptleant to a"civil penalty of na more.than five hundred dollars (8500).:
1, as owner of the property, or my employees wlth,wages as their sale compensation, will do the work, and
the structure is na,intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' -State License Law does not,apply to en 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 ere notiotended or offered for sale. If,.however, the building or Improvement is:sold.within
one year of completion, the owner-builderwill have the burden otproving that he or she did not build. or
improve for the purpose of sale.).
(_) 1, as owner of the property, am exclusively contractingwith licensed -contractors:to construct the project (Sec.
70", Business and Professions Code: The Contractors' State License Law does, not apply to an,ownerof
property`who.builds or improves thereon,,and who oontracts;for the projects with:.a cantractor(s) licensed
.. pursuant to the Contractors' State Ucense Law:).
(_) I' am exempt under Sec. , BAP:C. for this reason
Date:. Owner' -
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjurythat thereie 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:
LQPERMIT
Owner:
PGA WEST HOA RES-. 1
559:40 PGA BLVD.
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/pl/12
Contractor: Iu AUG"10 2012
BRS ROOFING INC
465 S. LUGO i ClTy O6 LA QUINT)
SAN BERNARDINO, CA 9240 l z1VANCEDEP
(909)496-3,113
Lic. No.: 907600
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,Seetion 3700 of the Labor Code, for the performance,of the work forwhichthis 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 forwhich this,permit Is issued., My workers' compensation
insurance carrier _and policy number are:
Carrier COMPANION. PROPT Policy Number CPCA13757
I certify that, -in the performance rot the'work for whlch'thiepermitis Issued,I shall not employ any
me
personin any manner so as,to becosubject to the workers"oompansation Iaws,of California,
and agree that: if. l Should'become subject to'the workers' compensation provisions of, Section'
3700 of the Labor Code, 1` fort ly'with those provisions.
�' 2AI
��E
ant:
WARNING: ECURE WORKERS COMPENSATION COVERAGE (_UNLAWFUL„AND SHALL
SUBJECT ANE MPLOYER 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
SECTIOW3708.OF THE LABOR.CODE, INTEREST, AND ATTORNEY'S FEES..
APPLICANT ACKNOWLEDGEMENT'
IMPORTANT Application is hereby made;tb.the Director of`Building and Safety for aperm(t.subject,to the
conditions and restrictionsset forth on this: application.
1'. Each Onion 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 deferxiJi demnity and hold harmless the City
of'La Quints, its officers, agents and employees'for.any actor omission related to the.work being
performed under or following issuance:of this,permit.
2. Any permit issued as a result of this'.appileation becomes null -and void .if work ds noteommenced
within 180 days from date of Issuance of such,permit or cessation of work for 180 daysewlll subject
permit to cancellation.
I certify that( have read this application and state that theabove Information1vcorrect. 1 agree to comply with`all
city and:county ordinances and state laws relating to building construction', and hereby authorize representatives
of this county to enter upon the above-mentioned property i ction purposes.
pofe: J� 1✓^ � nature (Applicant or Agent)
I .,
Application Number . . . . . 12-00000850
Permit. . . RE -ROOF
Additional desc .
Permit Fee 30_.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date 1/28/13
Qty Unit.Charge Per.
Extension
BASE FEE
30.00
----- Special No _--- --- --
Notes and Comments
t
R -.ROOF WITH POIYTJRFTHANE FOAM
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
.60
1.00
Grand Total 31.00
.00
.00
31.00
-=REOUFST FOR PROPOSAL
INSTALL POLYURETHANE FOAM ROOF SYSTEM
8 BUILDINGS (30 UNITS)
app>� OF WORK
Furnish all labor, materials, equipnicat and services nmesseryfor completion of all roofing and related work as specified in
this document
:POLYU VW3U E,FOAM ROOFING W1TH ACRYLIC AND GRAA,IjLiLRR
1) All loose gravel, dust and residue shall be removed using powervacuimn egtupment, power sweeper,
air blowing or other suitable means.
2) Grind all loose pamt from Z -bar metal, solvent wipe and prime with metal primer bdm application of
foam roofing. Install new Z bar metal (will.be.identified,at job walk) as,0eeded and solvent wipe and
Prime with metal primer before appliaatiomof foam roofing.
3) Remove two (2) caurses.of toe and art 3" water bloc ks'wimm slope meds fiat roof areas.
4) All surfaces shall be primed with moprime primer at the rate of not leas than Wgallon per 100 square
feet prior to foam application.
5) Urethane Roam shall be sprayed - applied to a mia nmmn thio of I.P. AddMenal foam shall be
applied. In ponding arm to help dispense tbestandiag•water.
6) Coating sball.be applied in amiv maum of two (2) separate coats. Acrylic coating to be 55% solids.
a) Tbe-base coatshall.be applied at a rate of 2.0 gallons per 100 square feet.
b) The topcoat shall be applied at the nate of 2.0 gallons per .100 square fief, with a combined
thicknass,of 32 total drymils. Ceramic Pennies sihall be embedded into the final Coat while the
coating; is. wa
PGA. WEST Residaotial Amcistk% for.
2612 Foam Rooft RFP
J,
Numbers..
Street
Phase
Units
Bldg Type
145-1
55-485, 467, 449, 431
Souther Huls
17B
4
5M
(00-0
80-575, 587, 599, 611
Chwy Hills
1111
4
17M
C($--- '3
54-05,639,623,607
.Riviera
31B
4
5M
5,5-68Z670,658,646'
Riviera
35A
4
9M
4 `"
.55-070, 060
Riviera
37A
2
27M
55470, 25$;246, 234
Shoal Creek
14A
4
9M
..�
54-732, 720, 708, 696
Shoal Creek
19A
4-
9M
Z-4 —�
4-516,504,492,490
.`
Shoal Creek
20A
4
IOM-
app>� OF WORK
Furnish all labor, materials, equipnicat and services nmesseryfor completion of all roofing and related work as specified in
this document
:POLYU VW3U E,FOAM ROOFING W1TH ACRYLIC AND GRAA,IjLiLRR
1) All loose gravel, dust and residue shall be removed using powervacuimn egtupment, power sweeper,
air blowing or other suitable means.
2) Grind all loose pamt from Z -bar metal, solvent wipe and prime with metal primer bdm application of
foam roofing. Install new Z bar metal (will.be.identified,at job walk) as,0eeded and solvent wipe and
Prime with metal primer before appliaatiomof foam roofing.
3) Remove two (2) caurses.of toe and art 3" water bloc ks'wimm slope meds fiat roof areas.
4) All surfaces shall be primed with moprime primer at the rate of not leas than Wgallon per 100 square
feet prior to foam application.
5) Urethane Roam shall be sprayed - applied to a mia nmmn thio of I.P. AddMenal foam shall be
applied. In ponding arm to help dispense tbestandiag•water.
6) Coating sball.be applied in amiv maum of two (2) separate coats. Acrylic coating to be 55% solids.
a) Tbe-base coatshall.be applied at a rate of 2.0 gallons per 100 square feet.
b) The topcoat shall be applied at the nate of 2.0 gallons per .100 square fief, with a combined
thicknass,of 32 total drymils. Ceramic Pennies sihall be embedded into the final Coat while the
coating; is. wa
PGA. WEST Residaotial Amcistk% for.
2612 Foam Rooft RFP
J,
,c0611 05:45a
BRS Roofing, Inc.
9098844845 p.3
Prbarpr47uye Car if ocate of'Com iaG: Residential Reroof CM R,ALT-ReRoof
d-Addresx' I Permit #
tvj ✓ ! p I c, 9fd re s s G , 4�'e 54- - - - -
,+oadfrrg,ariea arnst meettheroadAnp w� °�o►aoa�'
�A
chv& applicable arternam orexceMon vow awn TWr ane"mw m mu mp[ num inner ruunnW plo^—.L
Cool roofs o mpined in a n*s Zones l-1 Z.14,.and 16 with a law obped prof oitc h (lessor 212,pilthj.
0 Cool roofs no • mq*ed in Climates Zoos 1A and le vAh'a deep 4oW rods{ ede r plIch ton 2.IZ,and product weight lea tw 51m1R:
Alternatives to §152(b)IFA and $1SXb)M , Steepelope rad (Pft/► > 2:fV
0 Insulation wft a thermal residence of at levet OM hrIPF/Btu or at leed a 3k k dv air-Waoe is added to the roaFdedc corer an atliq' ar
❑ Usting ducts in,the attic are insulated and sealed according to §1151 MIR gar
❑ In dimale zones tQ 12 and 13. with i B2 d free ventilation area of attk ywdation for every 150 fl2 cf attic floor area, and
whereat Wad 30 percent of the free vffd1don area is vANn 2 feet vertical dm 12M ofthe root ridge;, or
.0 Build'eg has at lead,14.30 cerin insulafion; or
D Building has radiant barrier h the atlic meeting the•requkements of 1151(02:.gr
C3 Binding has no duns iii the atliG or
❑ In dimate pones la 11. 13 and U. R13 or greater roof deck ftwWabon above van led attic
Exception to §154b)1141, l owe dope roof. {pkch 5 2 tV
D aMing has nodLcb inthe:aft,
Other Exceptions
0 Rooing.sieais omwW by bumldng Wegmb 4 pfiolovatlaic penels and solar thermal pends are amp( from the Coat Root coterie.-
❑ Roof constrvetiansihat have i wuW,maes amen the roof membrana with at laser 25 bW ar+e eoaenmp ,intim the Cod Roof ail aria.
so °Darty ane ar the a[emat4nsQ or exoeptyort a ameaoso e►re a®ea solar t4ehbrxatrce amid Thr3rina►erreeesnos tegwmerrternslar rvarrng
prodriots in §118(0 are note ObnoHID tabu bebw.
gM When a toot Roof Is mgwred, the xratating oontrador st>:aPcorn *Se and saftl Me f-01 for frndhalow*n.
Declaration S+tallonent
Roof Slope
Product Welt..
Prodt�d
• � Solar
Thermal
-'^j i-► .
CRRC Pro&W) ID Knrhber�
92:1 > 2:12 ,
< 5we Z 54>/ft�: ;
°err m
pA&Ctane4
eM ter=
Stile
0 '7 01-0pOZ
11,
D
12
0' d
12
D
13
O'
Noft- lfno CRRC-1 label hr avaBlsbl+e, Wa emgphnos method cannotbe naso we the Perllainie "Igpplvech lv show car#nce, '
t. 7lrurCAl4C Ptaalrcf D 11Wnrbercarr be oDrrattadtlaar the CoollaonlAles6�tg anadtrRated Oire�olbrr ar
2 A Mete the IMM dpradrct is bWng-mW k rNie roOSPA I& Slh9 goer asp! O R94 taef AXC
Ilthe Aged /aelledange b not aN9tTabAe ori ohs lbal RbafRarE�g CoancBJr RaledPs9dWW Di dzy tlten nee rhe &%WP a wAv tier time some
ttlreoeary and use Me egrr tfi 1a2fa?(ohtaen a cabktAMadAg+sd m►agre Vfts►s p Al rtie 6vSlet SblerRrmftfterM
4. CherlrbaaITftApedRelfttarrom►bacabuMedvabeaft tttesq&ft R'ebme
CaUdade ode SR? lWae 0 daft tris WW- VAx1vsWdtWhftAnw&ww unser the reetedvg vaAt0'61 veer SW C*JUW0 BbOW and edWh
a0my wrap &%P Yvahatteetk0o CF•tR
o -appy LiigWd'igeld Appftd Coatings, the coaling naut be appliied'aCman the entire rodsurface and mast the dry mll thialmse orcoverage
mended by the, costings manufacturer -and meet n**nmatm pubmanoa raquiremente limed im§11" Seled tha appiicable coaling
Al mhxnA"enledAsphalt Rod Coaling C1 Cement$aeaditd.Coding B'Other
gM When a toot Roof Is mgwred, the xratating oontrador st>:aPcorn *Se and saftl Me f-01 for frndhalow*n.
Declaration S+tallonent
• 1 Gerdy under pauarty of Perjury, under the INS af*e Stale of CWVbrote, Uma infonnatlen Provided an hole farm is mourde and CWTOW.
• 1 ori" MAIM energy faatcuss and pedonnarroe moans UG MMled ort this CeFS09e d.Cornplbnoe oonfon.) to time recluber a nts OFT* 24..Parin
I aw 0 dun CalAirnia Cad
Name:COMW
-'^j i-► .
1ZSF=t ► �� ,��t/G-�-�l
PA
/ 7-
:Address: 7&S L-. v p
°err m
For mWstanee or questions regarrdfng the Energy &Mdardie, ratfact the EnergyWbWne st I-W&7/243M.
0611 05:45a BRS Roofing, Inc.
Coot Roof Rating Council
9098844845
p.4
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Prmdt # (�
projectAdetess: Rk r10 U 15
City of La Quints
MkOng a Safety DMsion
P.O. Bax ISO4, 78495GAe Tampko
4.QuInta, CA 92233 -,(760) 7777012
Building Permit Application' and. Tracking Sheet
LoC Owaer'sNm=.. MA w s -f iiDA Re.s
A.T. Number:
Address:
Lc&
c= % sr, tin: Le. Qv 1 rr f e- Cp,
TelepGone:
Project l)e=iption: Y I'a.�/Q
Qmtramc 60-6!,v%c-
Ad&cw.(�
O Z gag
n - I(
C"Y. $T. tip: (� DV d 1 r O
Tdeplroac'v (-
State l;ia �% 6 Q MY Li_c.
�--q
,.
d I v r tn-�glvt . cin d
Atrfi. Pam., Designer;
Address:
City. ST. Zip:
Telephm:
Slime uc. is
Name.of CooWerson:Sq.
Cw dtrucdm Typo OCCUIMry:
Project type (oirde ones New Add'n . Abu Repair Demo
Ft:
lEsfi-,0od
Sloties: 1i Units
TdVboae of Contact Paaon: g $1= 3 2 3 = 97- S'Z
value of Project
APPLICANY: DO NOT`WRITE BELOW THIS LINE
p
sotioltal
Plan esti
Wd
Recd
TRACit'INIG PESM[rFBFS
Plan Check sabattted Eton Amount
Stradual Cdes.
Reviewed, ready for cwrmdoos Plan Cbcdc Deposit
Tram Cala.
QUed Contact Penn Plan Cheek'Sdance.
Twe 24 Caiei.
Pion pidied up Cousuvedes
Flood Wwn Wan
Pl1es caubmilted Idtd aakal
Gmdla3 pian
V Rowkw, ready for eorrectioasfasue mesial
Sub000metor Lbrt
Called contact Person Pleosb�
Groot Deed
Mos'pIdm ap . SUN
H.O.A. Approval
Plan: reslbmllkd craalo�
w HOW&-
'"` Review, ready for eormdom issue oc"wper 1091st Fee
n6'APP rd
Colied Contaet Peraoa A"..P.
Pub. alta. Appr
Date of permit issue
Sriool Fea
.
Total Permit Ft"