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13-1348 (RR)P.O. BOX 1504 44 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/22/13 Application Number: 13-'00001348 Owner: Property Address: 79685 NORTHWOOD PGA WEST RESIDENTIAL II APN: 762-022-032- 39755 BERKEY DRIVE Application description: RE -ROOF PALM DESERT, CA 92211 Property Zoning: LOW DENSITY RESIDENTIAL (760)776-5100 Application valuation: 10300 Contractor: Applicant: Architect or Engineer: WILLIAMS ROOFING P.O. BOX 391841 ANZA, CA 92539 (760)399-9394 Lic No.: 774482 OCT. 2 2 2013 C OF IX(' QUINTA F1 A CE DEPT ---------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License'Class: C39 Licen o.: 774482 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Zz issued. Date:9 lontractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor � I Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State . License Law for the Carrier STATE FUND — Policy Number 1890178-2012 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to bec subject the workers' compensation laws of California, om ON permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shc�ld becom bject t t or rs' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess - ions Code) or 3700 of )�4, 1 shall I hwith com ly ' h',�hose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by Date/ -:r %-rSp. tXA any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Irt U I— 1 1, 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 WARNING: FAILURE TO SECURE WORKERS* COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN. improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed I . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, I am exempt under Sec. BAP.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and ta e abovein'o' a" on is correct I �e to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws re ns"uct on , and hereby o"ze representatives s rispecumon p pos.s t t at 'at' ng to bu ng of this county to enter upon the above -menti 0 ned op.r I. Lender's Name: Dat '5�jnature (Applicant or g ent). Lender's Address: LQPERMIT Application Number . . . . . . 13-00001348 Permit RE -ROOF Additional desc . . Permit Fee . . . . 48.62 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/20/14 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC RE -ROOF, 1ST 2000 SF 48.62 ---------------------------------------------------------------------------- Special Notes and Comments RE ROOF -STACK EXISTING ROOF TILE, INSTALL 2 NEW LAYERS'SBS,UDL TILE UNDERLAYMENT, REPLACE TILE TO 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, RE -ROOF 97.24 Fee summary Charged Paid Credited ---------- ---------- ---------- ---------- Due ----------------- Permit Fee Total 48.62 .00 .00 48.62 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.24 .00 .00 98.24, Grand Total 146.86 .00 .00 146.86 LQPERMIT 11� P.O. Box 391841, Anza, Ca. 92539 951-763-0769 50-855 Washing!on St. 2c, # 130, La Quinta, Ca. 92253 760-399-9394 For: PGA West Residential II C6ntract # 7125 job Addresses: 79-685 Northwood, La Quinta, Ca. 92253 Phone: 760-776-5100 Date: October 13, 2013 Attn: JoAnne Rose Schedule of extras if app�cable: During the repair process, if any asbestos is discovered, the removal and disposal cost would be bome by owner. Any dry rot wiU be replaced for an additional charge based on $81.00 per hour labor and U6 or 1x8 materials at $ 2.50 per foot. Any damaged rafter ends wiU be replaced for an additional charge based on $ 109.00 each and fascia board at $ 12.00 per Un. Ft. Any CDX/OSB plywood to be replaced at an additional charge based on $ 2.00 per sq. foot, labor included. Scope of Work: Partial tile reset. One west deck, two east decks only, on above said units. East fairway tile deck is a shared roof deck. Must be done at same time. Remove existing roof tiles, set aside for reuse. Install two layers of SBS, UDL tile underlayment, mechanically fastened.. Install roof tile pan flashings at parapet walls. Install valley metals over third layer bleeder sheet. Snap in chalk lines, re install roof tiles, nailing each one Mi place using approved fasteners. Install weather block at ridge boards and roof to wall, as needed. Install ridge caps, mechanically fastened with secondary seal (Guest Bedroom and garage tile decks not included. These decks can be reset with neighboring Units when needed.) Contract Price: $ 10,300.00 Payment to be made as follows: $ 10,300.00 due upon completion. *Wilhams Roofing to leave jobsite clean and free of debris. STANDARD WARRANTY: All work shaU be warranted, subject to the,general conditions included herein, for a period of Ten (10) years from the date of completion. This shaH warrant C� h_e�er that the roof shaU be free of defects. Wiffiams Roofing to repair without cost to the owner, roof membrane ects, which are discovered during the term of the warranty. AH work to be completed in a reasonable amount of tim d i�n a workmanlike manner. Roof membrane splitting caused by ctse severe structural or seisn-Lic movement of the bufl acts of God, and abuse by other trades or tenants is specificafly excluded from this warranty* Owner - Date -Date (0 ) -!:> Pagel of 2 Total Permit Fees bin ff GO( of La Quinta Building & Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico LJ Quinta, CA 9225J - (760) 777-7012 -Building Permit Application and Tracking Sheet Project Address: wner's Name: A. P. Number: Ir ddress39 Legal Description:. ity ST, Zip: Contractor: elephonc: Addre s: Project Description: padAl -pie, Cit)% ST, Zip: ZA q Teleph q3qq ............ . .... ...... State Lic. # -1 q14 9-a City Lic. -44 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction T pe: Occupancy: A -U. State Lic. #: Proi ect type (circle one): New- Add'n Alter Name of Contact Person: Telephone # of Contact rs Sq. Ft.: #Stories: # Units: 'V S'or ;, -711) 7745(MO JEstimat2edValueof Project: in, Nroo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd kec'd TRACKING Plan Sets PERMIT FEES Plan Check submitted Item Structural CaIcs. ------------Amount Reviewed. ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan Check Balance — Title 24 Calcs. Plans picked up Construction — Flood plain plan Plans resubmitted Mechanical Grading plan ""Review, readv for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing — Grant Deed Plans picked up S.M.I., — II.O.A. Approval Plans resubmitted Grading IN HOUSE:- - Jd - - Review, ready for corrections/issue Developer impact Fee P P'a n ni g A pprova' tanning Approval Called Contact Person A.I.P.P. 'ks Pub. Wnks. Appr Date of permit issue School Fees Total Permit Fees