12-0197 (RR)17
P.O. BOX 1504 4
u�W
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: !r7 2=0=0:000_197 Owner:
Property Address: 68-044-8—RIVIERA PGA WEST RES. 2
APN: 762-200-031- - 80448 RIVIERA
Application description: RE -ROOF LA QUINTA, CA 92253
Property, Zoning: LOW DENSITY RESIDENTIAL
Application valuation: ' 21000 1O
1 (�
Contractor: �
Applicant: Architect or Engineer: WILLIAMS ROOFING
P.O. BOX 391841 f
ANZA, CA 92539`
(760)399-9394
Lic. No.: 774482
t
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LICENSED CONTRACTOR'S DECLARATION '
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with
Section 7000) of Division 3 of the Business and Professionals Code 7d my License is in full force and effect.
License Class: C39 Licen IN^ 774482 .
ontractor:
6 ,
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.pursuanf to the provisions of the C.ontractnr'g 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).: j
( 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 _ 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—) 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
VOICE (760) 777-7012
FAX (760) '777-7011
INSPECTIONS (760) 777-7153
Date: 3/05/12
MAR 2012
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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 1890178-2011
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 cubjoct to the workcr3' o pen�sion provisions of Section
_ 3700 of the Labor Codi 1 sV17 forthwith Domply with os proWns.
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. 1 agree to com y with all
city and county ordinances and state laws relating to buildin onstruction, and hereby authorize rep s n ryes
oft county to enter upon he above-mentioned property o in coon purposes.
atet S' ature (Applicant or Agent):
Application Number . . . . . 12-00000197
Permit RE -ROOF
Additional desc .
Permit Fee . . . . 30.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 9/01/12
Qty Unit Charge Per
Extension
BASE FEE
-
30.00
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Special Notes and Comments
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TILE ROOF RESET: REMOVE EXISTING & SET
ASIDE FOR REUSE. INSTALL OVER EXISTING
.2 LAYERS UDL SRS UNDERLAYMENT. 2010
CODES.
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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
7
_ 741;82
50-855 Washutgion St. 2C, Box#I30, La Quhtta, Ca. 92253 760-399-9394
P.O. Box 391841, Anna, Ca 92539 951-763-0769.
Contradfflwposal ,
Contract # 4017
Date, February 22, 2012
For. PGA West Residential H, 39-755 Berkey Dr. Suite A, Palm Desert, Ca. 92260
Aft, JoAnne Rose
Job Addresses, Franey, 80-448 Riviera, La Quinta, Ca. 92253
Phone,760-776-5100
I Schedule of extras if amitcable
Note. During the repair process, if any asbestos is discovered• the removal and disposal cost to be borne by owner. Any dry rot will
be replaced for an additional charge based ori $81.00 -per hour labor and 1x6 or lx8 materials at $2.80 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. foot. Any CDX/OSB
plywood to be replaced at an additional charge based on $ 2.00 per sq. ft., labor included
Williams Roofing recommends the following should be completed as follows; Main House and casitas.
Remove existing tiles and set aside for reuse.
Clean and prep roof decks to accept new materials, and haul away any debris on roof deck
Install two layers UDL SBS base sheet, mechanically fastened, with.no exposed fasteners.
Install hip and ridge boards.
Wrap ridge boards with UDL underlayment.
Snap all horizontal and vertical chalk lines. ,
Reinstall existing tiles and any new tiles as needed; per manufactures specifications.
Install weather block on all hip and ridge boards.
Install cement bird stop to match existing homes ni i area.
Install ridge caps, mechanically fastened, with secure sealant for superior wind uplift performance.
Contract Price $ 21,000.00
Payments to be made as follows;
$21,000.00 due upon completion.
Five year workmanship warranty on work performed by Williams Roofing only
Page 1 of 2
50-858 Washtt4Stan St. ZC, Box# 130, La Qainta, Ca 92283
P.O. Bog 391841, Anna. (fit. 92539 Ia Quinta- 760-399-9394 " Anza.- 951-763-0769 License#774482
For, 80-448 Riviera. La Quints, Ca. 92263
PRICES QUOTED DO NOT INCLUDE CORRE =G ANY ORIGINAL OR CURRENT CONS1RucnoN DEEEcTs OR THE COSI'
OF REWCATING ANY PLUMBING LIVES, HEATING OR AIR CONDITIONING EQUIPME TT, SOLAR EQUIPMMENT, TV ANIVOW
OR ELECTRICAL LINES UNLESS ERY10-SSLY STATED ABOVE.
Notice, Do not sign this agreement before you read it in its entirety. You are entitled to a completely filed copy of the
Agreement. You acknowledge that you have read and received a legible copy of this Agreement signed by Williams Roofing
(Hereafter "Contractor"), including all terms and conditions, before any work was done and that you have read and received a
legible copy of every document that you have signed during negotiation If you cancel the Agreement after any rights of
rescission have expired, and before commencement of construction you shall pay contractor the amount of expenses incurred
to that date plus loss of profits.
Tate charges, If azW payment is tot received wiihhu five (9) days atter such amount is due, you shall pay to the compactor a lube
charge equal to ten percent (10%) of such overdue amount The parties hez*y agree first such lata chop repro a ito and
reasonable estimate of the oasts the contractor will incur by reason of such lata payment: and are ther+deore deemed to be
liquidated damages. Interest on past due obligations, Atp amount due oontmetox not paid when due" bear interest at the
ma nmr tato then allowable by law from the date duq but in no event shall such inteest be less than ten percent (10%6
-Such int shall not ba payable on lots obm gm
CONTRACTORS ARE REQUIRED TO BE LICENSED AND REGULATED BY THE CONTRACTORS STATE LICENSE BOARD, ANY
QUESTIONS CONCERNING A CONTRACTOR MAYBE REFERRED TO THE REGISTRAR OF THE BOARD WHOSE ADDRESS IS,
CONTRACTORS STATE LICENSE BOARD, 1020 N STREET, SACRAMENTO. CA. 95814.
°"NOTICE TO OWNER'"+
Under the mechanics' liar law, arty Conhuctor, Subcontractor. laborer, material man or other person who helps to improve
your property and is not paid for his labor, services or material, has a tight to enforce his claim against your property. Under
the taw, you may protect yourself against such elmms by film& before Commencing such work or improvement of a
modification themaot: in rho office of the courtly recorder of the county where the property is situated and requift that a
Contractor's payment bond be recorded m such office. Said bond shall be m an amount not less than fifty (80%) of the conknot
price and shall in addition to any ctamditions for the perft=w ce of tate co tatct be conditioned for the payment in fall of the
claims of all pentons fturniahing labor, services, equipment or materials for the work described in said contract.
IF THIS WORK IS PEBFORMW ON RESIDENIYAL PROPERTY, TM OWNER MAY CANCEL THIS TRANSACTION AT ANYTIME
PRIOR TO MIDNIGHT OF THE TWRD BUSINESS DAY AFM THE DATE OF THIS TRANSACTION.
have read _Ote complete contea t and agree m the speoificationa
`2,- L2 =?.�D) Z
C tractor signatum Data
Page 2 of 2
Bin tg.
`
QtY 0f La'—.
Bufidiltg BiSafety Divfsioti , , . �<,.._.
P.O. Bor1504,:78-495,61te Tampko
La..Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Perirlit#
1
Project Address: 0 Ole-
Owner's Name: Lpi. / �g
A. P. Number.
Address: '
t vi.�Y
Legal Description: (I
City. ST, Zip: U t AjA J�3
Contractor..44 wt
Telephone:
Address:
Project Description: • ,moo :,- r
City. ST. Zip: .v tQ
Telephone:? O _
State Lia #: City Lic, tI:
Ard , EW.. Designer.L
Address:
City, ST, Zip:
Telephone: Construction Type: 1, Occupancy:
State Lia #: Project type (circle one): New Add 'a Alter Repair Demo
Name of Contact Person: Sq. # SWries: #Units:
Telephone # of Contact Person: Estimated Value of Project —'
APPLICANT: DO NOT WRITE BELOW THIS. UNE
!R
Submittal
Plan Sets
Req'd
Reed
TRACMG PERMI'P.FEES
Pian Check submitted Item Amount
filmdrftl CaIca
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cala.
Called Contact Person Plan Cheek Solana
Titre 24 Cates.
Plana picked up Construction
I409d pWn pian
Plans resubmitted.'. Mechanical
Grading plan
Z'! Review, ready for corrutionslissae Electrical
Subeontactor List
Called Contact Person Plwnbing
Grant Deed
Plans picked up S.MJL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE-,Review;
ready for torreetlooslisme Developer Impact Fee
Planning Approval.
Called Contact Person A.%P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees