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BELC2017-00657 78-495 CALLE TAMPICO - LA QUINTA,-CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application Description: Property Zoning: . Application Valuation: BELC2017-0065 55431 SOUTHERN HILLS 775181026 TAN RESIDENCE / ELECTRICAL MAIN BREAKER $450.00 /EI ,SLA QlrJl N�A,CA b'1ir 4 VOICE (760) 777-7125. FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/2017 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: C10 License No.: 904511 Date: 1 —0 Contractor:. 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).: 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 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 Name: ' ' Lender's Address: 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: CITIZENS INSURANCE COMPANY OF AMERICA Policy Number: WBX9583210 _ 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 Labor Code,'I shall forthwith comply with those provisions. Date: P Y Applicant: 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 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 laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): Applicant: Con\ctoTF��j/ .MENDOZA ELECTRIC MENDOZA ELECTRIC 50-313 CALLE TOLOSA 50-313 CALLE TOLOSA COACHELLA, CA 92236 LOACHELLA, CA 92236 (760)404-7214 . d Llc. No.: 904511 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: C10 License No.: 904511 Date: 1 —0 Contractor:. 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).: 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 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 Name: ' ' Lender's Address: 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: CITIZENS INSURANCE COMPANY OF AMERICA Policy Number: WBX9583210 _ 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 Labor Code,'I shall forthwith comply with those provisions. Date: P Y Applicant: 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 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 laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): .7/17/2017 ' Date: Application Number:., BELC2017=0065 Owner: Property Address: SS431 SOUTHERN HILLS WEI TAN APN: 775181026 55431 SOUTHERN HILLS Application Description: TAN RESIDENCE / ELECTRICAL MAIN BREAKER LA QUINTA, CA 92253 Property. Zoning: Application Valuation: $450.00 Applicant:. Contractor: MENDOZA ELECTRIC,. MENDOZA ELECTRIC 50-313 CALLE TOLOSA i 50-313,CALLE TOLOSA COACHELLA, CA 92236 . ' COACH ELLA, CA 92236 . (760)404-7214 . -------- --- ----.----------------1----- ----- -------------- Llc. No.; 904511 - --------------------- ---- --- --- Detail: REPLACE 200 AMP MAIN BREAKER. PER 2016 CALIFORNIA BUILDING CODE ,-------- ' - 1. n .f •, 1 • . • •• • .,DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1:00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT ' SERVICES 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES PC 101-0000-42600 0 .• $12.67. . Total Paid for ELECTRICAL: $38.00 DESCRIPTION ACCOUNT, CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Tofal Paid for PERMIT ISSUANCE: $96.27 k DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 '$5.00 Bin 1f f City. of, La Quiffs Building &.Safety Division Permit 7ff 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701.2. Building Permit Application and Tracking Sheet Project Address: z�/ S`©� vOwner's Nam e: A. P. Number: Address: Legal Description:ijacen- City, ST, Zip: L A ract r. R oZ . Telephone:honc: 7� fCorienJ bD Address: z 3 [,,4/1 F To /0 f,4- Project Description: R—,e-%Ce City, ST, Zip:.. Telephone: (00 — O y 7a Y State Lic. # : Qp tis- ( City Lic- /i: Arch., Engr., Designer: .Address City, ST, Zip: . Telephone:hone. •O ecu PaneY = Construction n Type: e- one • New A ddn Alter 'Repairaair+: Demo Stote Lic. #: Name of Contact Person: Sq. Ft-: # Stories: #Units: Telephone # of Contact Person:Estimated Value of Project: �( SO t� 0 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rcc'd 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. Title 24 Calcs. Plans picked up Construction Flood plain pian Plans resubmitted Mechanical Grading plan ;' 2°4 Review, ready for correclionsrssue Electrical •SubcontactorList. Called Contact Person Plumbing Grant Deed Plans picked up S.M-I. H.O.A. Approval Plans resubmitted Grading IN If0USE:- ''d Reyiciv, 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 REQUEST FOR PROPOSAL INSTALL POLYURETHANE FOAM ROOF SYSTEM 8 BUILDINGS (30 UNITS) 4 5 -1 Numbers - 55-485,467,449,431 (0 0. 2� 80-575, 587, 599, 611 54-655,639,623,607 Street 55-682, 670, 658, 646 Units 55-070, 060 . Southern Hills 55-27:0,25 8' 246, 234 4 W 54-732,729,708,696 24 54-516,504,492,480 4 17M LOCATIONS• /Listed in prioriril Street Phase Units Bldg Type Southern Hills 17B 4 5M Cherry hills • 11B 4 17M Riviera 31B 4 5M Riviera 35A 4 9M Riviera 37A 2 27M Shoal Creek 14A 4 9M Shoal Creek 18A •4 9M Shoal Creek 20A 4 I.OM SCOPE OF WORK Furnish all labor, materials, equipment and services necessary for completion of all roofing and related work as this document g specified in POLYURETHANE FOAM ROOFING WITH ACRYLIC AND GRAtvrn ES 1) All loose gravel, dust and residue shall be removed using power vacuum equipment; power sweeper, air blowing or other suitable means. 2) Grind all loose paint from Z -bar metal, solvent wipe and prime with metalprimer before foam roofing- Install new Z -bar metal (will be identified at job application of walk) as needed and solvent wipe and prime with metal primer before application of foam roofing. 3) Remove two (2) courses of tile and cut 3" water blocks where slope meets flat roof areas. 4) All surfaces shall be primed with neoprime primer at the rate of not less than % gallop. 100 square feet prior to foam application. . 5) Urethane foam shall be'sprayed — applied to a minimum thicimess of 1.5". Additional.foam. shall be applied In ponding areas to help disperse the standing water. 6) Com shall be applied in a minimum of two (2) separate coats- Acrylic coating to be 55% solids. a) The base coat.shall.be applied at a rate of 2.0 gallons per 100 square feet b) The topcoat shall be applied at the rate of 2.0 gallons per 100 square feet, with a combined coating is wet thickness of 32 total dry mils• Ceramic granules shall be embedded into the final coat while the PGA WEST Residential Association, inc. 2012 Foam Rooting RFp