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11-1049 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-0000104-9_7> Property Address: 54.511-RIVI-ERAS APN: 775-031-025- - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13000 Applicant: 4 • �ue�� sy-�9s � Ss�• f�75 �^' VOICE (760) 777-7012 4 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/28/11 Owner: PGA HOA---�f�- 54320 SOUTHERN HILLS LA QUINTA CA 92253 iU I eICr 03 2011 Contractor: CITY OFt-Ai- 4 H Architect. or Engineer: BRS ROOFING INC Ffl.MA:-E'4PT 465 S. LUGO SAN BERNARDINO, CA 92408 (909)496-3113 LiC. No.: 907600 ------------------ LICENSED CONTRACTOR'S DECLARATION 1 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 Professiorg ode, and my License is in full force and effect. LicenseClass:�C39 License : 907600 actor: 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).: 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 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.). (_) 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 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: A Lender's Address: LQPERMIT ----------------------------------------------- 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. 1 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 238403010 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, and agree that, if I should become ub'ect to the workers' compensation provisions of Section 3700 of the b Code, I shall for wit with those provisions. te: _( PPlicant: —� 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 will subject permit to cancellation. 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 con ion, and hereby authorize representatives of is county to enter upon the above-mentioned property for inspection - ,"Date? -3 _ / l' nature (Applicant or Agent): Application Number . . . . . 11-00001049 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation_ 0 Expiration Date 3/26/12 Qty ."Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments SWEEP GRAVEL THEN APPLY COOL ROOF RATED POLYURETHANE FOAM ROOF.SYSTEM. 2010 CODES. INCLUDES ADDRESSES 54-495 & 54-479.. ------------------------------------------------------------ ---------------------------------------------- Other 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 . uts �__ M_,w 2011 AGREEMENT for INSTALLATION of r POLYURETHANE FOAM ROOF SYSTEM PGA WEST. / F&SMENMLASSOC14TM ,— This Agreement is made this 21' day- of September, 2011, by and between PGA WEST ' RESIDENTIAL ASSOCIATION, INC., a California Non -Profit Mutual Benefit Corporation ("Association"), .and BRS Roofing, Inc., a California Corporation, Contractor License 907600 ("Contractor"). RECITALS A. Pursuant to the Association's Declaration of Covenants, Conditions and Restrictions ("Declaration"), the -Association is responsible for, among other things, the maintenance, repair and operation of all common areas and common facilities within the Association. In addition, certain other incidental obligations are imposed upon the Association pursuant to the Declaration. B. The Board of Directors of the Association has been granted the power and authority, pursuant to the Declaration, Articles of Incorporation and Bylaws of the Association, to contract for all services and ' maintenance functions imposed upon the Association, pursuant to the Declaration, with such contractor or other personnel as the Board of Directors of the Association shall, in its discretion, determine. NOW THEREFORE, in consideration of the mutual covenants and agreements contained herein, Association and Contractor agree as follows: Section 1. PURPOSE OF AGREEMENT. The purpose of this Agreement is to state the terms and conditions under which Contractor will provide the materials and labor necessary to perform the foam roofing and related work to: Numbers 1 54-511,495, 479 2 54-745,721 3 54-857, 853, 849, 845 4 54-492, 508, 524,540 5 54-856, 860, 864, 868 6 54-709, 705, 701,'697 7 54-808, 812, 816, 820 8 54-621, 603, 585, 567 9 54-123 10 80-719, 721, 733 11 54-744, 756, 768, 780 12 54-600, 612, 624, 636 13 .54432,444,456,468 Street Riviera Riviera Inverness Inverness Inverness Inverness Inverness Southern Hills Southern Hills Cherry Hills Shoal Creek Shoal Creek Shoal Creek Phase 31B 30B 22B 26B 26A 28A 26A 19B IE 11B 18A 18A 20A Units 3 2 4 4 4 4 4 4 1 3 4 4 4 Bldg Type 15M 14M 7M �/ " /0 53 5 10XM 12M 1 l M / l 10 5M 1 E ' 1058 G313. ' �QSQ 18M /I' /U Z V 10M 91yL11 10M 10&5 . These units are located within Association asset forth. in Exhibit "A" attached hereto and incorporated by this reference.Exhibit "A" is comprised, of Association's Request for Proposal to Install Polyurethane Foam Roof System and BRS Roofing, Inc. Bid Proposal dated August 11, 2011' (collectively, "Contract Documents..). It is specifically understood and agreed that the work is to include all specified items as detailed in Exhibit "A" Contract . Documents. SEP 27 oil 2011.Vitialitila� PGA WEST Residential Association, Inc. 2011 Foam Roofing Contract 1 of 33 s Cool Roof Rating Council Page 1 of 1 f Rated Products 'Directory: Search Results [ new search ] [ print friendl61 y view (last updated 16 Sep 2011 16:05 CDT)f r Showing Search Results for: product id: "0770.0002" select " from products where crrc__prod_id Ake '%0770-0002%' order by company_name asc previous .1 1 I next jshowing records 1 - 1of 1) Fs: 25.Records per Page previous 11 I next (showing records 1 : 1 of 1) 25 Records.per Page About the CRRC [Product Rating Program .1 Rated .Products Directory I CRRC Members I CRRC News Become a Member I How Do II Contact Us 1. Cool Roof Links I Home t,t�r•/l�rnxn.a� rn�'lrrinfc.nro/r,m�,;c tc/Tecultcnhn?kevtilirase=8cseleCt iV.pe=a11&market .type:.:. 9/21/20:11 Man.ufacturer Solas Reflect. Therm Emit. SRI ® Note CRRC Prod, I. Brand Model Color Gategory Slope Application about Ratings information (sorted +) Product. Type init. init init 0770-0002 LAP011a LaPOHa TF- Bright Field- 0.86 0.71 0,90 0.91 109 :88 Low/Steep industries, Coatings 751 White Applied Inc. Coating Steve Williams : : (281-219- 4100) previous 11 I next (showing records 1 : 1 of 1) 25 Records.per Page About the CRRC [Product Rating Program .1 Rated .Products Directory I CRRC Members I CRRC News Become a Member I How Do II Contact Us 1. Cool Roof Links I Home t,t�r•/l�rnxn.a� rn�'lrrinfc.nro/r,m�,;c tc/Tecultcnhn?kevtilirase=8cseleCt iV.pe=a11&market .type:.:. 9/21/20:11 Bfn.# City. 0f Quinta Buttdtng a Safety Divfston P.O. Box 1504,78-495 Calle Tamptco la.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: ID 1,�VJ O C �$S Owner's Name:. �4 A A. P. Number Address:.. 5 ZID5 t9 OTk� l Its Legal Description: Contactor. 3 Z ,0 r 1' City, ST � Zip: aft [1 . f lid Q2. 13?j Ci : Telephone: Q 07 Address: �j�j 9 G, v • 10 Project Description: escripon: � t [[ City, ST, Zip: �R cit lJ�lnC.d'�tv1el Telephone: State Lic. # : ��.� l7 Z7 City Lie. #; Arch., Engr., Designer Address: City., ST, Zip: Telephone: Construction Type: , Occupancy: . Project type (circle one): New Add'n Alter Repair Demo Sq. Ft,: # Stories: #Univ: State Lie. #: ~ ." Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: 13,C00, C -4L_ APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd Recd TRACKING PERMIT FEES Plan Check submitted item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Cons"cdon Flood plain plan Pians resubmitted.. Mechanical Grading plan 2`! Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Great Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3" Review, ready for correcdonsftue Developer Impact Fee Planning Approval Called Contact Person AXP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees