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04-3498 (RR)u�l'�tr6v BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 c'�C` OF T'9 78-495 CALLE TAMPICO FAX (760).777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS.(760) 777-7153 BUILDING PERMIT Application Number . . . .04-000034.98— Date 4/15/04 - Property Address . . . . . 7.8190 CALLE _N_O,RTE APN: 770-011-013- - - Application description RE -ROOF Property Zoning . MEDIUM DENSITY RES Application valuation..-. 3730 Owner Contractor WILLIAM DOUGHERTY WESTERN PACIFIC ROOFING CORP 78190. CALLE NORTE 3462 LA CAMPANA WAY LA.QUINTA. CA .92253 : PALM SPRINGS CA 92262 (760). WCC: STATE:FUND .. WC: 0457624 04/01/05 CSLB: 235717' 01/31/05 CCC: B -C39 Permit RE -ROOF Additional desc Permit Fee* 30.00 Plan Check Fee . .00 Issue Date... . . . Valuation 0 Qty Unit Charge Per .Extension BASE FEE 30..00 Special Notes and Comments RE -ROOF WITH POLYURETHANE FOAM SYSTEM Fee summary Charged Paid Credited s Due Permit Fee Total 30.00 - .00 .00 30.00 Plan Check .Total .00 .00 .00 .00 '.'Grand.Total 30.00 .00 .00 30.00 11 -MIU APR 16 2004 CITY OF LA QUIWA FINANCE DEPT. P.O. Box 1504 T4 -df 416�� VOICE (760)777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922534 INSPECTIONS (760) 7.77-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 Applicant: OU47��� Applicant's Mailing Address: Date: Architect or Engineer: Architect or Engineer's Address: N r� Lic. No.: BUILDING PERMIT DECLARATIONS 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 Cod and my Li nse is in full force and effect. �r►.2 3 censG e Class IY 39 9Ucee No. 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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 theieon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.& P.C. for this reason Date Owner. WORKERS' 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 is ned. coo rs' co � pensation inn�s arance carrier and policy n rn� !re: starrierlicy Number �} 6 �5/ _ I certify that, in the performance of the work for which this permit is issifed, 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 Labor Code, I shall forthwith comply with those provisions. 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. CONSTRUCTION LENDING AGENCY 1 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.). Lenders Name Lenders Address 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. 1 certify that I have read this application and state that the above information is cored I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter above-mentioned property for inspection purposes. / Date�l�l� `��/Signature (Applicant or Age WESTE I Since 1949 April 5. 2004 William Dougherty 73190 Calle Norte Ls Quints. CA 92253 PACIFIC Roofing Corporation Lic. 7235717 RE: 73190 Calle Norte. La Quinta, CA 92253 Application of a Polyurethane Foam and Acrvlic Coating Roofing Svstem. Dear Mr. Dougherty: Thank you for the opportunity to submit a proposal for the re -roofing at the above referenced property. We are pleased to submit our recommendations and proposal for the installation of a polyurethane roof system. The recommended scope of work and associated costs are as follows: 1 GENERAL Unless expressly stated to the contmrv. the contmctor shall be responsible for performing the following acts. 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 and specified. The contractor shall provide labor and material customarily included in work of the same nature to give a quality. complete job. C.. II' unexpected conditions are encountered during the work. and the conditions adversely affect tite cost or progress of the work. the contractor will notify the owner immediately, and the owner will negotiate a change -order to resolve the unexpected condition. 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. The Contractor shall not authorize or permit any other person to use said premises for any purpose whatsoever. Western Pacific is to be given all reasonable set-up and staging areas. E. Cuntractors scope of work shall not include the identification, detection. abatement. encapsulation or removal of asbestos or similar hazardous substances includinu mold and or miidew. If Contractor encounters any such products or materials in the course urperformin_ its %york. 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.thejobsite until such products or materials, and any hazards connected therewith, are located and abated. encapsulated 3462 La Campana Way • Palm Springs, CA 92262 • (760) 416-5877 • Fax -(760) 320-8912 www.westpacroof.com • E-mail: wprcps@wesrpacroof.com William Dougherty Apri15. 2004 Page 2 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. With the possible existence of mold from pre-existing conditions, Western Pacific Roufin-' Corp. will not be held responsible fur mold related claims resulting from mold detected at any time in the future. SURFACE PREPARATION A. Surface gravel will be removed by Vacuuming and or power brooming. B. Remove any contaminants that.will interfere with the adhesion of sprayed urethane foam to the substrate. C. Roof deck shall be primed with Neoprime primer at the rate of .33 to .50 gallons per 100 square feet. U. Damaged plywood will be replaced ata rate of 45.00 per sheet or portion thereof. APPLICATION OF POLYURETHANE FOANI AND COATING A. Urethane foam insulation shall 'be sprayed-appiied to a nominal thickness of I" (plus or minus 1/4 inch). Only 3 lbs. density foam will be used in this application. Additional "foam will be added to the low areas to help minimize ponding. Some ponding will remain Q. Coating shall be applied in a minimum of two (2) separate coats. a. The base coat shall be applied at a rate of 1.50 gallons per 100 square feet. b. The "top coat shall be applied at a.rate of 1.50 gallons per 100 square feet. vieldim_ a total system thickness for all coats o(22-24 Total Dry Mils. C. Durin_ the tinal top Will application. size =I I _granules will be embedded into the wet top coat material at a rate of 50 pounds per 100 square feet. Top coat color Light Grey. d. All foam is to be coated. Coating shall extend up and over all foamed vent pipes and terminated a minimum of 2 inches above the foam. creating a neat appearance. self - terminating flashing. CONTRACT AMOUNT 53,730.00 i PAYMENT TERMS 10% deposit upon approval of the contract. Balance due upon completion and paid within 10 days of receipt of the invoice. WARRANTY A Five (5) year labor and material warranty will be issued upon completion of the roof and final payment is received. WESTERN P x�.r �.P.m.. FROM : DF I (� FAX N0. :17807713302 tit 9y: OJESTC-9N PACIFIC ROOFIN3 CORP.; 750 320 8912; Wilhom Dougherty April S.2UO4 Puee Ap-;`-- 05 2004 10 : 57AM P1 Apr 5-04 12:; ?a ,c 3'7 - The price quoted hus bccn structured to mlleci stondares Ire assume ::re mutually Jcsired: yuailry "utallaiiwt. service rcliaWity and Iona-rerrn pertormvx:c. file price m;ly be subjacr to vhancc: I Jay; tom the Jarc ut this proposal. I1'vou sue in accordanta with the conditions herein. please tzxecute tt.c agmelltent bciuw and rc-r .Ilrn bu(i eopiep to this ufllCe. We will, in Iurn, sign thcel and retUM one Cupy to you. ThJnk you for your cooperation in espeWling this contract for your rooting nceds. . NOTICE TO OWNER Conrroctors arc required by taw to be li=uva and rctulated by the Contraetor'cState Licenie.8uartt. An.• quesciowi conccming a.conu'ner rn:iy be reterred to the Rcgiatrar. Contrncror'; State Liceribe 13,)urd. P'0. 9u.x 26000. S"nuflento. California 95826. ACKINOWLF.DCMENT: Ownershat he has tensa iuld 1'Ccsivrd :1 Ithliblc yup% III (i)ia a',"eC111Cn1 illcludin- all terms and stwidsird pruvisiuns bcrury unv Ivork is perrvrm%:U :ntd 111:11 11':11;1., anti recomed u legible copy of evcry othcr Jutlrtnt.-nt that o,.vner h= signt:d durint3 this nc;;uriuiitin. hereby acknowledge under the penalty .Wperjury that I/we atn:zuc the icgal owncrr. and anlage :ulrllunzcd to sign this contract as an agent of the legal owner. ACCEPTANCE: Tho above prices, specifications and couditlORS are satiAfactory and are hereby accepted. You are iuthoriud to do rhQ work as specifted. Payment will be as autllaed above. Yuu.. the huger may cancel this transaction at my time prior to midnight of the third business day -after the unro or this tlnaepaerion, See the Ateached Notice or Cancellation for an explanation (Ir rhis r;ght. Owner hm the right to require contractur to have :) partormance and payment bond at owner'. expanse. WILLIA.,ii•1 DO11C11ERTY WESTERN PACIFIC IIOOPIN(:. (:t)Itl'. Cuntrnctonl License 0 35717 uthortzed Agent RonaldR. Winkle :_Project Managear 'Title _.Aprtl s. 2004 -- U,,le IV F.3rER,N PACIFIC ROOFING HAST'11E MUT TO RF-,sCI.NO TfltS CONTRACT W 1'(7101 F)FTE>ry U,%YN of ACr'EPT,►nCT- THIS AGREEi11ENT L9 NOT BMDLNC t .mL Acrx reo aY THE 0FRCE NAn4CEN1k.1rr.t. T 3401 LA t:.1JIrANA WAY. PAL1f3PWNGk ' 19n6Z NQ CHA.NCFS CIR,%DOMOMTOT111S:1C:REE.1ig."q't' SHALL aE EFFECTIVE UVTI V Eb-l" itN P.�CCIF�IC/yN AcN.%GENILYr. �r:��.u::CitS.u:r:><r'r'.�NCS: o.►TE-��l ! D/ . !•r t .c o s *--------------------------- MetroScan / Riverside Parcel :770 011 013 Pos Int.: Owner :Dougherty Cou Line Rh CoOwner. Site :78190 Calle Norte La Quinta 92253 Mail :78190 Calle Norte La Quinta Ca 92253 Xfered :06/08/1998 Doc# :233229 Price :$220,000 Full Deed :Grant Deed LoanAmt Loan . Lender IntTyp: VestTyp Use :R02 Res,Condominiums Or Pud's Plat Census :Tract:451.11 Block:2 S: T: R: Q: .......... ............. .......... Bedrms :3 Stories :1 Acres :.13 BthFull :3 Fireplace:Yes LotSgFt :5,662 Bth3Qtr Pool :No Bldg SF :2,456 BthHalf RmAddtns :Yes. AddOnSF Cnt1Ht :Yes AddPkgTyp: GarSgFt :718 CntlA/C ':Yes Roof Type:Tile GarType :Attache Ref APN :000 000 000 -* Land :$55,121 Struct• :$187,421' Other Total :$242,542 Exempt Type %-Imprvd.:77 % Owned :100 Tax Area :20-021 03-04Tax :$3,193.64 Map Grid :849 F6 OwnerPh TenantPh Year Built :1984 Street Type :Paved Waterfront Gas Service :Developed Water Source :Developed d Sewer Type :Developed AgriPreserve Information compiled from various sources. Real Estate Solutions makes no representations or warranties as to the accuracy or completeness of information contained in this report.