11-0783 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: -11-00000783
Property Address: 76905 AVENIDA FERNANDO
APN: 658-240-027- -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: . 15975
Applicant:
c&t!t 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/20/11
Owner:
DEBORAH YEDLIN
76905 AVENIDA FERNANDO
LA QUINTA, CA 92253
' D
Contractor: C�0 TO
WESTERN PACIFIC ROOFING
3462 LA CAMPANA WAY UU O C�G�f
PALM SPRINGS, CA 92262
(760)416-5877
I:r LiC. No.: 235717
-------------------------------------------------------------------------------------------------
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.
Licens Class: B C39 - icenseNo• 22335717
ate: % ontractor
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.).
(_) 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. , BAP.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: f
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.
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 ZURICH AMERICAN Policy Number WC672422800
_ 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 subject to the workers' compensation provisions of Section
3700 of the L or Code, l��h com y with those Prov' 'ons.
ate: 1,4Vr licant:
i
WARNIN : FAIL E 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 ouinta, 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 construction, andherebyhereby authori a representatives
of t4i�co ty [ enter upo a above-mentioned property for , s� n purp ses.
D/ate:, ( ignature (Applicant or Age
T—'
Application Number . . . . 11-00000783
Permit . .
. RE -ROOF
Additional desc .
Permit Fee . . .
. 30.00
Plan Check Fee'.
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date
1/16/12
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
RE -ROOF WITH POLYURETHANE FOAM SYSTEM.
2010 CODES.
-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
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rip\VVES'I'E1�1 Pt�CIFIC
� Roofing Corporation
February `�b,11J611 Lic.#235717
Deborah Yedlin
76905 Avenida Fernando
La Quinta, CA 92253
Subject: 76905 Avenida Fernando, La Quinta, CA 92253
Installation of a polyurethane foam and coating system.
Dear Ms. Yedlin:
Thank you for the opportunity to submit a proposal for the re -roofing at the above referenced
property. We are pleased to submit our proposal for the work as described below. The scope of
work and associated costs are as follows:
GENERAL
This proposal and contract is made between Western Pacific Roofing Corp. (Contractor) and the
person (s) or entity named above (Owner). Unless expressly stated to the contrary, the contractor
shall be responsible for performing the following:
DESCRIPTION
A. The general conditions of this standard construction contract shall form a part of these
specifications with the same force and effort as though repeated herein.
B. The Contractor shall furnish all labor, materials, equipment, permits, contractor's licenses
and insurance certifications to perform all operations required as specified. The contractor
shall provide labor and material customarily included in work of the same nature to give a
quality, complete job.
C. If any unforeseen or unexpected conditions are encountered during the work, and the
conditions adversely affect the cost or progress of the work, the contractor will notify the
owner immediately, and the owner will negotiate a written change -order to resolve the
unexpected condition be it for an increase or decrease to the contract amount.
D. The Contractor shall occupy, use, and permit others to use the premises only for the purpose
of completing the work to be performed under this contract with the Owner. Contractor is to
be given all reasonable set-up and staging areas. Due to the limited access, some driveways
or parking areas may be blocked during this construction process.
3462 La Campana Way • Palm Springs, CA 92262 • (760) 416-5877 • Fax (760) 320-8912
www.westpacroof.com • E-mail: wprcps@westpacroof.com
Deborah Yedlin
February 28, 2011
Page 2
E. Contractor's scope of work shall not include the identification, detection, abatement,
encapsulation or removal of asbestos or similar hazardous substances including mold,
mildew and infestation of rodents. If Contractor encounters any such products, materials or
conditions in the course of performing its work, or if such hazardous materials are
encountered by any other firm performing work at the jobsite and contractor determines that
such materials present a hazard to its employees, contractor shall have the right to
discontinue its work and remove its employees from the jobsite until such products or
materials, and any hazards connected therewith, are located and abated, encapsulated or
removed, or it is determined that no hazard exists ( as the case may require), and contractor
shall receive an extension of time to complete its work hereunder and compensation for
delays encountered as a result of such situation and correction. Due to the possibility of
mold, mildew and rodents being present before, during or after our work, Contractor's
scope of work shall not include the identification, detection or the removal of mold, mildew
and rodents. Owner agrees to hold, Contractor harmless, and shall indemnify Contractor
harmless for any mold or rodent related claims in the future.
F. If a dispute shall arise between Contractor and Owner with respect to any matters or
questions arising out of or relating to this contract or the breach thereof, such dispute
shall be decided by arbitration administered by and in accordance with the Construction
Industry Arbitration Rules of the American Arbitration. Association or through such
arbitration procedures as the parties may agree. This contract shall be specifically
enforceable under the prevailing arbitration law. The award rendered by the arbitrators
shall be final, and judgment may be entered upon it in any Court having jurisdiction
thereof.
G. Should suit be brought to enforce or interpret any part of this Agreement, the "prevailing
party" shall be entitled to recover, as an element of costs of suit and not as damages,
reasonable attorneys' fees to be fixed by the Court. The "prevailing party" shall be entitled
to recover its costs of suit, regardless of whether such suit proceeds to final judgment.
SURFACE PREPARATION
A. Remove loose gravel by vacuuming.
B. Damaged sheathing will be replaced at a rate of $65.00 per sheet or portion thereof.
C. Prime roof deck with neoprime primer.
D. Grind paint off existing z -bar metal.
APPLICATION OF POLYURETHANE FOAM AND COATING
A. Urethane shall be insulation shall be spray -applied to a minimal thickness of 1" (plus
or minus '/4") Additional foam will be added to the low areas to help minimize
ponding. Some ponding will remain.
B. Coating shall be applied in a minimum of two separate coats.
1. The base coat shall be applied at a rate of 1.50 gallons per 100 square feet.
2. The top coat shall be applied at a rate of 1.50 gallons per 100 square feet,
yielding a total system thickness for all coats of 22-24 TOTAL DRY MILS.
Top coat color to be WHITE.
3. Embed ceramic granu ^r Vp �1IRMps per 100 square feet.
�Y:� Roofing C-p—d-
5-19.... LkS235712
Deborah Yedlin
February 28, 2011
Page 3
4. All foam is to be coated. Coating shall extend up and over all foamed vent
pipes and terminated a minimum of 2" above the foam, creating a neat
appearance, self -terminating flashing.
CONTRACT AMOUNT: $15,975.00 (Fifteen Thousand Nine Hundred Seventy Five Dollars)
NOTE #1: The HVAC ducts must be disconnected and re -installed during the re -roofing
process. New metal platforms should be installed over the HVAC platforms. This work IS
included in the contract amount.
EXCLUSIONS: No items will be supplied nor work performed that is not specifically stated
herein.
PAYMENT TERMS: A One Thousand Dollar ($1,000.00) deposit upon approval of the
contract. Twice -monthly payments until completion of contract. Invoices to be paid with 10 days of
receipt. No retention to be held. Any remaining balance due following completion to be paid within
15 days of receipt of the invoice.
WARRANTY
A Five (5) year labor and material warranty will be issued by Western Pacific Roofing upon
completion of the roof and final payment is received. Contractor's work will be warranted by
Contractor in accordance with its standard warranty, which is made a part of this proposal and
contract and incorporated by reference. A copy of the Contractor's standard warranty is attached
or, if not, will be furnished upon request. Contractor SHALL NOT BE LIABLE FOR SPECIAL,
INCIDENTAL OR CONSEQUENTIAL DAMAGES. The acceptance of this proposal by the
Customer signifies his agreement that this warranty shall be and is the exclusive remedy against
Contractor for all defects in workmanship furnished by Contractor.
The price quoted has been structured to reflect standards we assume are mutually desired: quality
installation, service reliability and long -term performance. The price may be subject to change 15
days from the date of this proposal.
WESTERN PACIFIC
Iia RoofnB Corpomfio
Sire. 1W Lu.1235717
Jul 13 11 10:12a Marilyn Hazan
UL/ GO/ 4041 1L. JY IOUJLuc7lz
Deborah Yedlin
February 28, 2011
Page 4
17606740251 p.1
W'i tK N rAU1 r lt; NUUt- PAGE 85/ 69
NOTICE, TO OWNER
Contractors are required by law to be licensed and regulated by the Contractor's State .License
Board. Any questions concerning a contract may be referred to the Registrar, Contractor's Statc
License Board, P.O. Box 26000, Sacramento, CA 95826 or call 1-800-321-CSLB or
www.CSLB.C4...GOVforzmore information
LAW REQUi.RES ANYONE WHO CONTRACTS TO DO CONSTRUCTION WORK TO BE LICENSED BY
TRE CONTRACTORS STATE LICENSE BOARD IN THE LICENSE CATEGORY IN WHICH THE
CONTRACTOR IS GOING TO BE WORKING IF THE TOTAL PRICE OF THE JOIj IS S500 OR MORE
(INCLUDING LABOR AND MATERIALS).
"LICENSED CONTRACTORS ARE REGULATED BY LAWS DESIGNED TO PROTECT THE PUBLIC, IF
YOU CONTRACT WITH SOMEONE WHO DOES NOT HAVE A LICENSE, THE CONTRACTORS STATE
LICENSE BOARD MAY BE UNABLE TO ASSIST YOU WITTI A COMPLAINT. YOUR ONLY REMEDY
AGAINST AN U LiCENSED CONTRACTOR MAY BE IN CIVIL COURT, AND YOU MAY BE LIABLE,
FOR DAMAGES ARISING OUT OF ANY INJURIES TO THE CONTRACTOR OR EUS OR HER
EMPLOYEES.
"YOGI MAY CONTACT THE CONTRACTORS STATE LICENSE BOARD TO FIND OUT IF TIES
CONTRACTOR I4AS A VALID LICENSE. THE BOARD HAS COMPLETE INFORMATION ON THE
HISTORY OF LICENSED CONTRACTORS, INCLUDING ANY POSSIBLE SUSPENSIONS,
REVOCATIONS, JUDGMENTS, AND CITATIONS. THE BOARD HAS OFFICES THROUGHOUT
CALWORNIA. PLEASE CHECK THF GOVERNMENT PAGES OF THE WHITE .PAGES FOR THE
OFFICE .NEAREST YOU OR CALL 1-800-321-CSLB OR WWR!CSLa.CA.GOV FOR MORE
INFORMATION."
ACKNOWLEDG]KENT: Owner acknowledges that he/she has read and Deceived a legible copy of
this agreement including all terms and standard provisions before any work is performed and that
he/she has read and received a legible copy of every other document that owner has signed during
this negotiation. Uwe hereby acknowledge under the penalty of perjury that Uwe am/are the legal
owners and am/are authorized to sign this contract as an agent of the legal owner.
ACCEPTANCE: The above prices, specifications and conditions are satisfactory and an hereby
accepted. You are authorized to do the work as spccifed. Payment Will be as outlined above. You,
the buyer may cancel this transaction at any time prior to midnight of the third business day after the
date of this transaction. See the attached Notice of Cancellation for an explanation of this right.
Owner has the right to require contractor to have a performance and payment bond at Owner's
expense.
DEBORAH YEDLIN
Owner or Own Agent
WESTERN PACI>t'iC ROOFING, CORP.
Contractors License #
�1,pr/ -
Ronald R. Winkle
1 A 2-, -zw _February 28, 2011
�Date
WESTERN PACIFIC ROOFING IRAs THE RIGHT TO RESCINn THIS CONTRACT WrrHTN FJFT.ELIY DA13 OFACCtrrANCE.
THIS AGREEMENT IS NOT BINDING UNTIL, ACCEPTED BY THE OFFICE MANAGEMENT AT 3461 LA CAMPANA WAY. PALM
SPRINGS, CA 91262. NO CHANGi^S OR AaDT7?ONS TO Tii15 AME T ALL DE EF".CTrVE UNTIL APPROVED BY
wEs7C1kN PAcnrim IANAr.EMENT. AIANAGF.AS ACCEPTANCE,
V/EMRN PACIFIC
Ifaf.�x Cwr,p.-w..
Jul 13 11 10:12a Marilyn Hazan 17606740251
ver cor cui 1 t c. ✓v roUJ00071 L WCn I GKN rWl;lr ll; KUUr
WESTERN PACIFIC ROOFING CORPORATION
NOT106 OF RIGHT TO CANCEL
Notice of Cancellation
Transaction Datc: � 2-12-01 l (Date Co�atract signed)
p.2
HAUL ab/by
You may cancel this transaction, without penalty or obligation, within three business days from the above date.
1f you cancel, any property traded in, any payments made by you under the contract or sale and any negotiable
instrument executed by you will be returned within 10 days following receipt by the seller of your cancellation
notice, and any security interest arising out of the transaction will be canceled.
If you cancel, you must make available to the seller at your residence, in substantially as good condition as when
reecived, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the
instructions of the seller regarding the return shipment of the goods at the seller's expense and risk.
If you do make goods available to the seller and the seller does not pick them up within 20 days of the date of your
notice of cancellation, you may return or dispose of the goods without further obligation. If you fail to make the
goods available to the seller, ox if you agree to retum the goods to the seller and fail. to do so soon, then you remain
liable for performance of. all obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice, or any other written
notice, or send a telegram to, not .later than midnight of the third business day (excluding Sundays and holidays)
after the date of this transaction:
If contracted with the Palm Springs Office:
Western Pacific Roofing Corporation
3462 La Campana Way
Palm Springs, CA 92262
Name
Address
City, St, Zip
Jf. contracted with the Palmdale Office:
Western Pacific Roofing Corporation
2229 East Avenue Q
Palmdale, CA 93350
I hereby cancel this transaction.
X
(.Buyer's Signature)
Date
cl may be waived.
WE3rErtri P q
CHECK REQUEST
COMPANY NAME: WESTERN PACIFIC - PS
REQESTED BY: RON WINKLE
DATE REQUESTED:: 7/19%2011
APPROVAL:
JOB #:
JOB NAME: !DEBORAH YEDLIN
P.O. REFERENCE:
DATE REQUIRED: 7/20/2011
INVOICE
ACC. X PRO X SALES X
COMPANY NUMBER:
PAYABLE TO:
CITY OF LA QUINTA
DEPOSITION OF CHECK (MARK ONE)
X RETURN TC RON W AT
MAIL TO
DESCRIPTION ACCOUNT CODING
TOTAL CHECK AMOUNT:
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1�
Project Address: �,,C(0
Owner's Name: GG /
A. P. Number:
Address:
Legal Description:
City, $T, Zip:
Contractor: s 4�.1 P �, �
Telephone:
�;>>:}.:iso'�i�:�:k.:'>:;:•:}:.,:t�...:;>
Address: 3,l6 Z
Project Description:
City, ST, Zip: 4Ing /..� J C 2Z.6Z.
fil�.cf"i�.. oA !� a� fi�c��f-•e /dole
Telephone:
State Lic. # : L?j-571�7 City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
q^:;::.}:;rit}.?C:i'vii;':.'".'"•'•::$:;:?:.4';.':' ?':°
���>�;.':t::%:>:::.f:;;:«.;;.;:;:;;;.:..<:...:::.:
.l,.:v,..r::. �::+J:tt!riri'F,.::.'•i':: ••r
Construction Type: Occupancy:
State Lic.'#:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: S 7
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
20° Review, ready for corrections/issue
Electrical
Subcontactor List
Called. Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees