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13-1458 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1-3­000027475'8—� Property Address: 552.0-5—PGA—BLVD APN: ii5-160-002- Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17200 Applicant- T4ht 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 410— LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury th I ficen:s�,d n�deovisions of Chapter 9 (commencing with P" vs' S Or " a I at am ' of. u I Pro Section 7000) of Division 3 of the Business and 1, on r de, an my7License is in full force and effect. my L'c LicenseClass: C39 L 7744 8 2 Contr—actor:) OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I 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—) 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 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project JSec. 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(s) -licensed pursuant to the Contractors' State License Law.). 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: LQPERMIT Owner: PGA WEST MASTER ASSOC INC P 0 BOX 1578 LA QUINTA, CA 92253 Contractor: WILLIAMS ROOFING P.O. BOX 391841 ANZA, CA 92539 (760)399-9394 Lic. No.: 774482 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/18/13 20,3 Nov 13 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 1890178-2012 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 becimeescutbitieo ct , � Workers' compensation laws of California, and agree that, if I Id/beco me ub th or kers' compensation provisions of Section I fo t de/l/shall fo, thwith d6m A>ilf3hose p,ovisio s. 370 WIU 709 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.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 witl subject permit to cancellation. I certify that I have read this application and state th t the abov information is correct. I eae to cqWply with all a oov city and county ordinances and state laws relat ng 0 bu kngstruc , tion, 56d hereby aul o of this county to enter upon the -above-mentioned prope fo i spection p4poses. 10,Z` ignature JApplicant or Agent):,% Application Number Permit . . . . . . Additional desc - - Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . . 13-00001458 RE -ROOF 48.62 Plan Check Fee . . Valuation . . . . 5/17/14 i 0 1 No Qty Unit Charge Per Extension 1.00 48.6200 LS MISC RE -ROOF, 1ST 2000 SF 48.62 ----------------- 7 ---------------------------------------------------------- Special Notes and Comments RE-RbOF PERMIT CRRC 0620-0029 PER 2010 CALIFORNIA ENERGY CODE APPROVED PER JJ. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, RE -ROOF 97.24 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 48.62 .00 .00 .00 98.24 .00 146.86* .00 Credited Due .00 48.62 .00 .00 .00 98.24 .00 146.86 Total Permit Fees tsin ff QY Of La Quinta Building 8C Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 .E BUilding Pe rmit Application and Tracking Sheet Project Address -ST L_�o —_ _�KA I wner's Name: I - 1A A. P. Number: ddress: EP 0 44 Legal Description: Contractor: )Wrelephone: Address: �Iproject Descrip ion: City, Teleph State Lic. # rl q City Lic. #:7 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: a Occupancy: State Lic, #: Name of Contact Perso�n�: Project type (circle one): New Add'n Alter Repair Demo 'S� All Sq. �Ft.: # Stories: L V' # Units: Telephone # of Contact Person: Estmatd �Vale or Proiect: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd &Rec'd TRRACKING Plan Sets PERMIT FEES Plan Check submitted Item Structural Calcs. Amount Reviewed, ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan Check Balance Title 24 CaIcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Review, readv for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up II.O.A. Approval Plans resubmitted Grading IN HOUSE:- J�� Review, ready for corrections/issuc Developer impact Pee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees z P.O. Box 391841, Anza, Ca. 92539 951-763-0769 50-855 Washington St. 2c, # 130, La Quinta, Ca. 92253 760-399-9394. Contract #7133 For: PGA West Masters Association job Address: Palmer gate house/ Command Center, PGA West, La Quinta, Ca. 92253 Phone: 760-564-3858 Date: October 17, 2013 Attn: Rosie Galla �*Chv , 'I, Attic of extr if amflicable: b%, uwiw�r. Am, dln' vd, the 1-4:-.1ooval all"I Ji'sposal o.'st N'.!oldd bc 5-1 - I 0i n -,'I ter i. -I 1 's at " the Topair if ally )'!sto'i is di..'Cove.1 and 1%,6 ot rot that wrAild nced to be i:cplacei he MI ildditiO1131 C111J."o base�d on'$S.1.00 LVI I '-Ililr�e )asec e -id fa�ria boai' I at $ 2.50 pe.r fott. A ny d� "),100d rafter -ends ,%:ill be replaced for 111 Ad 11601101 L -och m - - '0SI5 PIVW00-1 1-0 IX! 2.00 --r fc.)(A, labor rc 14.00 i5c.l. 1 i r). F�. A i) V CM. I at 410 addifional b--.Ised on :W.dudod. Scope of Work: New foam re roof on Palmer gate house/Command center as follows; Re roof over existing roof system. Power broom, clean and prep roof deck to accept new materials. Prep . and prime Z bar flashings as needed. Install 1" 3.0. SPF Poly Urethane foam roof system per manufactures specifications. Install Henrys Permax Acrylic roof coating ' as per manufactures specifications @ a rate of 12" on perimeter, and to receive 4 gallons per every 100 square feet. Remainder of roof system to recei . ve 3 gallons per every 100 Sq. ft. as per manufactures specifications. Sprinkle and embed Artic White roof granules in final roof coat for superior performance. (This roof system is Title,24 Compliant) Contract Price: $ 17,200.00 (Seventeen thousand two hundred and 00/100) Payment to be made as follows: $ 17,200.00 due upon completion. "Williams Roofing to leave jobsite clean and free of debris. STANDARD WARRANTY: All work shall be warranted, subject to the general conditions included herein, for a period of Ten (10) years from the date of completion. This shall warrant the owner that the roof membrane shall be free of defects and shall obligate Williams Roofing to repair without cost to the owner, any defects which are discovered during the term of the warranty. All work to be completed in a reasonabl& amount of time and in a workmanlike manner. Roof membrane splitting caused by severe structural or seismic movement of the building, acts'of God, abuse by other trades or tenants is specifically excluded from this warranty* Date Owner Contractor Date Page I of 2 Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReR=00f Project Addrg4s- Clim t Fone Permit # T- Ig I ROOFING PRODUCTS (COOL ROOFS) §151(012 1 When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fe, whichever is less, the new roofing area must meet the roofing product "Coot Roof " requirements of §152(b)lHi, 152(b)MY, or 152(b)lHiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" requirements:, • Cool roofs. not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (lessor 2:12 pitch). • Cool roofs not required in Climates Zones 1-9, and 16 with a stee"foped roofs (greater pitch than 2:12) and product weightless than 5AMe. Alternatives to §152(b)lHi and §152(b)Hii, Steep -slope roof (pitch> 2:12) • 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 §151 (Q1 0; or • In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 fe 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 • In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)lHiii, Low -slope roof (pitch:5 2:12) 0 Building *has no ducts in the attic. Other * Exceptions 0 Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. 0 Roof constructions that have thermal mass over the roof membrane with at least 25 INV are exempt from the Cool Roof criteria. NOTE. If any one of the afternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in § I 18(i) are not applicable. Do not fill table below. NOTE. When a Cool Roof is required, the installing contractor.shalf complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Solar Thermal to the requirements of Title 24, Parts CRRC Product ID Number :5 2:12 > 2:12 < 51bfie 'a 516fie Type 2 Reflectance 3,4 Emittance SRI 5 06 2c) — Date: 11 0 13 o4 -7 7 7' - - ity/State/Zip. Phone: 0 11 o4 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 ran be obtained from the cool Roof Rating councirs Rated Product Directory at www.coolroofs.oralproductslsearch. 2. Indicate the Ow of product is being used for the roof top, i.e. single -ply roof asphalt roof metal roof etc. 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 --directo"nd-use-the quatiorr(O-24:0.77(phte — Vrz) To Main a catculated.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- Worksheet at httpYAvww.eneray.r-a.govlWtle241ar?d enterthe resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF- 1R. T -o apply Liquid Field Applied Coatings, the coating must be applied -across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §11 8(i)4. Select the applicable coating: 0 Aluminum -Pigmented Asphalt Roof Coating 11 Cement -Based Roof Coating 0 Other NOTE. When a Cool Roof is required, the installing contractor.shalf complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement • I certify under penalty of pequry, 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 Ce at I of Co7pliance co7nt to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. Nam?�) 1-7c-7. . __79 nat Companye7 I Date: Address P 6 418 QJ License: 7 7' - - ity/State/Zip. Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.