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13-1350 (RR)Epi P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00�0"O1350 Applicant: Property Address: �5'S265 LAUREL APN: � 775 -181 -081 - Application description: RE -ROOF Property Zoning: LOW DENSITY Application valuation: 13800 VALLEY RESIDENTIAL Architect or Engineer: �JI � • �W BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. Lice�eClass: C39 Licens� 74µ48� Dat ��'� 7 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).: (_ 1 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.). (_ 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.). I—) 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: LQPERMIT Owner: PGA WEST RESIDENTIAL II 39755 BERKEY DRIVE PALM DESERT, CA 92260 (760)776-5100 Contractor: WILLIAMS ROOFING P.O. BOX 391841 ANZA, CA 92539 (760)399-9394 Lic. No.: 774482 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/22/13 � 1 D OCT 22 �01� CITY Of: LA QUINTA "CPT. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: t _ 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 STATE FUND Poli`' -'y Number�1890178-2012 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 sh uld become subject to the workers' compensation provisions of Section 3700 of the Labor o e, hall forth ith comply it those provisions. Date:Cd ' '1 '/ �tpplica nt: 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 0100,0001. 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 build' construction, and hereby autho i representatives of this county to enter upon the above-mentioned propert r i Pact purpgses. Date: ,�� �f Signature_IApplic_ a3gentl: Application Number . . . . .13-00001350 'a 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 --------------------------------------------------------------------------- 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. Fee summary Charged Paid Credited Due Permit Fee Total 60.06 .00 00 60.06 Plan Check Total .00 .00 .00 .00 Grand Total 60.06 .00 .00 60.06 LQPERMIT P.O. Box 391841, Anza, Ca. 92539 951-763-0769 50-855 Washinoon St. 2c, # 130, La •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 arnilicable: 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 the 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 weatlger 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 warrant 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* /. Page 1 of 2 pin rt Permit # J( Project Address: —� C Occupancy: A. P. Number: Project type (circle one): Legal Description: Contractor: WMMA. < # Address: # Units: City, ST,Zip: Azw Estimated Value of Project: a I t Telephone: Q�- x State Lic. # : h TRACKING Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed II.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ' wner's Name: Address:3q q65 bQeL RA Cit}, ST, Zip: L9 r�� Telephone: n�+p� Project Description:�� A S7[ ✓1 rel �%✓�-� City Lic. #: Q � F Total Permit Fees Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:�00 # Stories: # Units: 1 t'J Estimated Value of Project: a I t APPLICANT: DO NOT WRITE BELOW THIS LINE TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2w' Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S 11 1 Plans resubmitted Grading Jrd Review, ready for corrections/issue Developer Impact Fee Called Contact Person A. I P P Date of permit issue Total Permit Fees