13-1349 (RR)-r % ,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001349
Property Address: 55275 LAUREL
APN: 775 -181 -082 -
Application description: RE -ROOF
Property Zoning: LOW DENSITY
Application valuation: 13800
Applicant:
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
VALLEY PGA WEST RESIDENTIAL II
- - 39755 BERKEY DRIVE
PALM DESERT, CA 92260
RESIDENTIAL (760)776-5100
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/22/13
Contractor: D 0
Architect or Engineer: WILLIAMS ROOFING
j P.O. BOX 391841
V\ I ANZA, CA 92539 OCT 22 2013
(760)399-9394
Lic. No.: 774482 CITY OFL.AQUINTA
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.
License Class: C39 I _ License No.: 774482
Datte�T2'}��J'Contracto
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 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
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
1 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.).
(_ 1 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.).
(_ 1 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.). r
Lender's Name:
Lender's Address:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
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 STATE FUND Policy Number 1890178-2012
_ 1 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 Co , I all fort wit comply with a ovisions.
fDa iii -� i74pplic,
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 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. -
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 au onz epresentatives
of this county to enter upon the above-mentioned propett for ' pection pur oses.
Dates /5ignature (Applicant or Agentk��
Application Number . . . . . 13-00001349
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 60.06
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
1.00 11.4400 EA MISC RE
:
-ROOF, ADDL 1000 SF
11.44
----------------------------------------
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 60.06
.00 .00
60.06
Plan Check Total .00
.00 .00
.00
Other Fee Total 98.24
.00 .00
98.24
~ - Grand Total 158.30
.00 .00
158.30
LQPERMIT
,Ism ff
Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
ILO.A. Approval
LV HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
'd $Rec'd TRACKING
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2wd Review, ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
" Review, ready for corrections/issue
Called Contact Person
Date of permit issue
PERMIT FEES
Item Amount
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.At.I.
Grading
Developer Impact Fee
A. 1. P.P.
Total Permit Fees
City of La Quinta
Building M Safety Division
Permit
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building
Permit Application and Tracking Sheet
X
Project Address: "Z
wner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
_
�izw
�
elephone:
Address:
City.
Project Description:
-
ST, Zip:
Tele hone:
P
State Lic. # :
C yi 1.2L/LTG( YJ
City Lica #.
—CI.R/
Arch., Engr., Designer:
Address:
f:
City, ST, Zip:
Telephone:
Construction struct
'
t on e.
Type: Occupancy:
anc Y•
State e Lic
Name of Contact Person:
Project ro ect (circle type ( e one): New Add'n Alter Repair Demo
p
Telephone # of Contact Person:
Sq. Ft.:
#Stories:
# Units:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
ILO.A. Approval
LV HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
'd $Rec'd TRACKING
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2wd Review, ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
" Review, ready for corrections/issue
Called Contact Person
Date of permit issue
PERMIT FEES
Item Amount
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.At.I.
Grading
Developer Impact Fee
A. 1. P.P.
Total Permit Fees
MR!
P.O. Box 391841, Anza, Ca. 92539 951-763-076950-855 Washingfton St. 2c, # 130, La Quinta, Ca. 92253 760-399-9394
For: PGA West Residential H Contract # 7123
Job Addresses: 55-265 & 55-275 Laurel Valley, La Quinta, Ca. 92253
Phone: 760-776-5100
Date: October 13, 2013
Attn: JoAnne Rose
Schedule of extras if applicable:
During the repair process, if any asbestos is discovered, the removal and disposal cost would be borne by owner. Any dry
rot will be replaced for an additional charge based on $81.00 per hour labor and 1x6 or 1x8 materials at $ 2.50 per foot. Any
damaged rafter ends will be replaced for an additional charge based on $109.00 each and fascia board at $12.00 per lin Ft.
Any CDX/OSB plywood to be replaced at an additional charge based on $ 2.00 per sq. foot, labor included.
Scope of Work: Complete tile reset. Two Palo Verde units listed above.
Remove existing roof tiles, set aside for reuse.
Install two layers of SBS, UDL file 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 in place using approved fasteners.
Install weatl-Wr block at ridge boards and roof to wall, as needed.
Install ridge caps, mechanically fastened with secondary seal.
For a complete roof tile reset.
Contract Price: $ 27,600.00.
Payment to be made as follows: $ 27,600.00 due upon completion.
*Williams Roofing to leave jobsite clean and free of debris.
STANDARD WARRANTY: All work shall be warranted, subject -to the general conditions included herein, for a period of
Ten (10) years from the date of completion This shall wan -ant the owner that the roof shall be free of defects. Williams
Roofing to repair without cost to the owner, roof membrane defects, which are discovered during the term of the warranty.
All work to be completed in a reasonable amount of time and in a workmanlike manner. Roof membrane splitting caused by
severe structural or seismic movement of the building, acts of God, and abuse by other trades or tenants is specifically
excluded from this warranty*
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