13-0274 (RR).�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00000274
55245 LAUREL
775 -181 -080 -
RE -ROOF
LOW DENSITY
5775
Tihf
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VALLEY
RESIDENTIAL
Architect or Engineer:
�A
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.
License Class: C39 License No.: 774$82
XDate�-1y-/1 Contractor:1�)�i/,Qrs..t-C ��Z�j-(!/l�
OWNER -BUILDER DECLARATION
I 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).:
(_) 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 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(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:
SUNRISE DESERT PARTNERS
G KELLEY
76375 COUNTRY CLUB DR
PALM DESERT, CA 92211
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: 3/13/13
e
LIAR 14 2013
1
C Ty Cir :.A i�1,WA
RNANCE !)EPI
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
_ 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor de, shall fort ith comply ' h t 65e provisions.
Date:�Applicant:
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, indemnity 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.
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
buil 'ng c struction, and hereby authori re resentatives
of this county to enter upon the above-mentioned prope for spection purpos4s.
y
Dat -// -/ Signature (Applicant or Agent): «'
LQPERMIT
Application Number . . . . . 13-00000274
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 9/09/13
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
REROOF FLAT ROOF AREAS ONLY WITH SPF
ROOFING SYSTEM - BRIGHT WHITE COLOR WITH
WHITE EMBEDDED GRANULES [CRRC:
0620-00291 2010 CALIFORNIA ENERGY CODE.
March 13, 2013 1:30:56 PM AORTEGA
7 ----------------------------------------------------------------
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
ee /
7&C - SByo
Bin.#
Permit #
e2��
Project Add A5
City 0f Lel Qultltd
Btddng a Safety Division
P.O. Box 1504,78-495 Calle Tampico
Ia.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: .
A. P. Number.
571
Address: ,p
(�
Legal Des ii tion:
Contractor.
City, ST, Zip.
Telephone: —
Address:
GL4 I
.
Project Description:
City, ST, Zip:0
C L L
Telephone: _q3q
State Lie. #:
qMjjffjjM
City Lia 0,
Arch-, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Construction Type:. Occupancy:
Project type (cucle one): New Add'n Alter Repair Dano
Sq. Ft.: # Stories: # Unit;:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
8
Submittal
Req'd
Reed
TRACKMG PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amount
StructuW Coles.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Calces
Plane picked up
Construction
Flood plain plan
Plans resubmitted
Mechasiinl
Ghding plan
2' Rtvlew, ready for correctionemue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review; ready for cormcdonallssue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Q
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoc
Project Address:
(552-151 5. 1-552-35 LAAZ(
Climate Zone
Permit li
va lvoq , LH Oul01-1 (59. 9ai9,53
I ROOFING PRODUCTS (COOL ROOFS) §151012
When the area of exterior root surface to be replaced exceeds 50% of the existing roof area, or 1,000 fe, whichever Is less, the nei
roofing area must meet the roofing product "Cool Roof 'requirements of §152(b)1H1, 152(b)1H/1, or 152(b)1H111.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" requirements::
❑ Coot roofs not required In Climates Zones 1-12,14, and 16 with a low sloped roof pitch (lessor 2:12 pitch).
❑ Cod roofs no required In Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than SAW
Alternatives to §152(b)1HI and 1152(b)HIi, Steep -slope roof (pitch> 2.12)
❑ Insulation with a thermal resistance of at least 0.85 hr•te•°F/Btu or at least a 314 Inch air -space Is added to the roof deck over an attic; or
O Existing ducts in the attic are Insulated and sealed according to §151(910; or
❑ In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 fl2 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 barter in the attic meeting the requirements of §151(92; or
O Building has no ducts in the attic; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater rod deck Insulation above vented attic.
Exception to §152(b)1 Hill, Low -slope roof ( pitch S 2:12)
O Building has no ducts in the attic.
Other Exceptions
❑ Roofing area Is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cod Roof criteria.
O Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the Cod Roof criteria.
NOTE, If any one of the alternatives dr 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.
NOTE: When a Cool Roof 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
ate:
AV
CRRC Product ID Number'
s 2:12 > 2:12
< 5lb/fe a 5lb/ft2
T e2
Reflectance 3A
Emitt nce
SRI
s
c3❑
❑
��4
,
1 O
13
❑
13❑4
Note. It no CRRC-1 label /s available, this compliance method cannot be used, use the Performance Approach to show compliance,
1. The CRRC Product /D Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.onstroducts&earrh.DhD
2. Indicate the type of product is being used for the roof top, l.a. single -ply roof, asphalt root, metal roof, etc.
3. 11 the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial Reflectance value horn 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.
5. Calculate the SRi value by using the SRI- Worksheet at hM%M ww.enerw.ca.00v/tltle2Nand 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 covert
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
NOTE: When a Cool Roof Is required, the installing contractor shall complete and submit the CF -6R -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 8 of the California Code of Regulations.
Name:
Signature:
Compan
ate:
AV
AdoreLicense:
City/Stat Phone:
r ,
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.772-3300.
M98MOP.O. Box 391841, Anza, Ca. 92539 951-763-0769
50-855 Washington St. 2c,# 130, La >; ta, Ca 92253 760-399-9394
Contract/Proposal Contract #6344
For: Monarch Management, 39755 Berkey Dr. Palm Desert, Ca. 92211
Job Address: PGA West Residential II, Palo. Verdes units, 55-295, 55-285,
55-275, 55-265, 55-245 & 55-235 Laurel Valley, La Quinta Ca. 92253
Date: February 1, 2013
Schedule of extras if applicable:
During the repair process, if any asbestos is discovered, the removal and disposal cost would be bome by owner. Any dry rot will
be replaced for an additional charge based on $81.00 per hour labor and lx6 or 1x8 materials at
$ 2.50 per foot. Any damaged rafter ends will be replaced for an additional charge based on $109.00 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; Palo Verdes Project -
Williams Roofing to re roof the above said address as follows; 3 Duplexes (Three
Buildings) 6 addresses on flat decks only.
• Remove loose rock on existing roof system, Power broom, clean and prep
roof deck to accept new materials. .
• Apply new edge metals as needed, nailed at 3" — 6" on center, staggered, per
manufacture$ specifications, with 850 lap sealant.
• 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 receive 3 gallons per every 100 Sq. ft., per
manufactures specifications, Applied in two coats, embedding small white
granules on final coat for superior performance.
For a complete Title 24 compliant re roof on all the above said addresses.
Contract Price: $ 34,650.00
Payment to be made as follows: As Billed.
Williams Roofing to leave jobsite clean and free of debris.
Williams Roofing only
1� C)
ate -
ate
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