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BRER2016-002778-495 CALLE TAMPICO U LA QUINTA, CALIFORNIA 92253 COMMUNITY. DEVELOPMENT DEPARTMENT . BUILDING PERMIT Application Number: BRER2016-0027 Owner: Property Address:' 52862 EISENHOWER DR 1USTINE LYNCH APN: 773331006 P 0 BOX 7708 Application Description: SETH HOTTMAN / RE -ROOF MENLO P' Property Zoning: Application Valuation: $4,826.00 11D Applicant: FOAMBOND CORPORATION 255 N EL CIELO RD STE 140-656 PALM SPRINGS, CA 92262 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 Professions Code, and my License is in full force and effect. License Class: C39 License No.: 868171 Date: al'`1 Contrao1 Gym 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 ) 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.). (� 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Date: 4/19/2016 ZIONZ1Co 255 N E CIELO WSTf-140-65.6--„_,__j PALM Sf RINGS, CA 07VOFA QUINTA (866)40T3T4 DEVELOPMENTDEPART_ MEM Llc. No.: 868171 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' compensatio , as provided for by Section 3700 of the Labor Code, for the performance o�w ti for which this permit is issued. �lihave, 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:— Policy Number: _ 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 s to the workers' compensation laws of California, and agree that, if I should co subject to the workers' compensation provisions of Section 3700 of the bor de, I shall forthwith comply with those �provisions. Dater► t//J ` / L 1,16 Annlirant� WARNING: FAILURE TO SECURE WORKERS' COMPENSATICN•t:6VERAGE 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 Building Official 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 lavjs4plating to building construction, and hereby authorize representatives of this cityt enter Pon the above-mentioned property for inspection purposes. . Da —( b Signature (Applic- ant o gent): DESCRIPTION FINANCIAL •• ACCOUNT li CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FOAMBOND CORPORATION DEBIT R14857 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $49.31 4/19/16 PAID BY METHOD , RECEIPT # CHECK # CLTD BY FOAMBOND CORPORATION DEBIT R14857 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $98.62 4/19/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FOAMBOND CORPORATION DEBIT R14857 RSE Total Paid for RE -ROOF: TOTALS: $147.93 $148.93 $147.93 $148.93 Permit Details PERMIT NUMBER City of La Quinta BRER201(6!0027 e Description: SETH HOTTMAN / RE -ROOF CONDITIONS NAME TYPE Type: RE -ROOF Subtype: Status: APPROVED Applied: 4/19/2016 RSE Approved: 4/19/2016 RSE Parcel No: 773331006 Site Address: 52862 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 145 Lot: 21 Issued: UNIT 15 FOAMBOND CORPORATION 255 N EL CIELO RD STE 140-656 PALM SPRINGS Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $4,826.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CA Details: REROOF WITH SAME TILE -CALIFORNIA MISSION BLEND COLOR .2013 CALIFORNIA ENERGY CODE. NEW UNDERLAYMENT CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT FOAMBOND CORPORATION 255 N EL CIELO RD STE 140-656 PALM SPRINGS CA 92262 CONTRACTOR FOAMBOND CORPORATION 25S N EL CIELO RD STE 140-656 PALM SPRINGS CA 92262 OWNER JUSTINE LYNCH P 0 BOX 7708 MENLO PARK CA 92253 FINANCIAL INFORMATION Printed: Tuesday, April 19, 2016 10:22:01 AM 1 of 2 C sysrrrns DESCRIPTION ACCOUNT QTY AMOUNT PAID PAIDdDATERECEIPT # CHECK # METHOD PAIDBY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/1R14857 DEBIT FOAMBOND .RSE CORPORATION Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: RE -ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $49.31 4/19/16 R14857 DEBIT FOAMBOND RSE SF CORPORATION RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $98.62 4/19/16 R14857 DEBIT FOAMBOND RSE SF PC CORPORATION Total Paid for RE -ROOF: $147.93 $147.93 TOTALS:4:$148.93 INSPECTIONS Printed: Tuesday, April 19, 2016 10:22:01 AM 2 of 2 Cf? SYS TENTS 13rn # - Permit #78-495 Projeof ct Address: S. 6 t Qty of La Quints Building & Safety Division Cafe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Perinit-Application and Tracking Sheet o �,Wc , Owner's Namc: A. P. Number: " Address: �a� 6 kaLee I, Legal Dcscripiian: • City, ST, Zip: PIP, j 3 Contractor:. Address: - i Cf, .r=/o (�C -6 Project Description:YYu;VP toe 1✓15}.I 'City, ST, Zip. 1 a 6 -; h<- w Telephone: Cl6 — L.( I 06 7 x rM �y� \ „f�\ State Lic. 9: City Lie. if '- t Arch., Engr., Designer: . Address: City, ST, Zip: Telephone: • - �`• \ f MF K Y C l 1 �' �" �� . Construction Type: i Occupancy: State Lic. Project type (circle one): 'New Add'n Alter epair Demo Name of Contact Person: 'q ;._. S ]?t.; # Stonier.: Telephone # of Contact Person: -! C) C7 Estimated Value of Project: �ri N OD APPLICANT: DO NOT WRITE BELOW THIS LINE ' N Submittal Rcq'd Ree'dTRACKING PERMIT FEES Plan Sets Plan Check submitted _ Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cal cs.. Calked Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain pian Plans resubmitted Mechanical Grading plan 2"° Review, ready for corrections/issue Electrical Subcoutactor List Called Contact Person Plumbing r Grani Decd Plans picked up = S.M.I. M.O.A. Approval Plans resubmitted Grading IN MOUSE:- Re.view, ready for corrections/issue Developer Impact Pee Planning Approval Called Contact Person A.I.P.P, Pub. Wks. Appr Date of permit issue Schaaf - ... Total Permit fees 1 Li 88 8371 PROPOSAL AND CONTRACT Contractor: Foambond Roofing Corporation Buyer: Seth Hoffman Job Address: 52862 Eisenhower La Quinta, CA 92253 Telephone: 255 N. El Cielo Ste 140-656 Palm Springs, CA 92262 Phone(909)841-0676 Fax(760)398-5440 Lie. 868171 C-39 FOAMBOND proposes to remove tile install new underlayment with necessary repairs and material and place existing tile back on roof TILE R&R ON EXISTING ROOF PREPARATION & INSTALLATION: 1. Remove existing tile down to existing underlayment (app 1100 sq feet) 2. Clean plywood surface of existing roof from underlayment, dirt and debris 3. Inspect all vents and pipe flashings, install new ones if damaged or missing (base Flashings as well as aluminum flashings) 4. Replace damaged wood as needed ($2.00 a linear foot) 5. Replace 2x2 edge metal if necessary and also inspect chimney and secure saddle metal, tile, pan and z -bar metal 6. Remove 2x4 from ridge to cross new underlayment and install back over new -felt 7. Install new 40 lb. underlayment on entire surface 8. Install new valley metal on all valleys (no existing metal) 9. Install existing two piece clay tile back on roof 10. Replace all damaged tiles, to match as close as possible to existing tile 11. Add mastic and nails as needed 12. Two piece tile will have cement added as needed FINAL WORK: 13. Paint all flashings and pipes to match roof 14. Remove all job related trash from job site 15. Perform a final job walk with the Owner or Owner's representative WARRANTY: 16. This installation will carry a five year labor warranty Price and payment terms: 10% upon contract acceptance. Balance due on job completion. TOTAL PRICE FOR THIS SCOPE OF WORK IS: $ 4,826.00 O Am OND FOAM ROOFS AND WALL INSULATION Approved and Accepted by Owner: . L�k o eowner �,q Date