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05-2487 (RR)P.O. BOX 1504 78495 CALLE TAMPICO LA, QUINTA, CALIFORNIA 92253 Application Number: 05-00002487 Property Address: 47610 EISENHOWER DR. APN: 646-1SO-0.25- - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9393 Applicant: CON T/ �A c -10 e - Architect or Engineer: IVA M .BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed -•under provisions of Chapter 9 (commencing with. ion 7000) of Div11'sion 3 of the Business and ProfessionalsCode, and Li rise is in full force. and effect. License Class:, C_ 7 Lic�nse/�Not�� .L?� �d OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Lioense Law for the following reason (Sec. 7031.5, Business,and;Professions Code: Any city or county that requires a.permltao construct, after, improve, demolish, or repair any structure, prior to its'issuenoe,,alsorequires the epplicant•forthe permitto file a.signed statementMat 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 forthe alleged exemption. Anywiolation of Section 7031.5 by anymapplicant for a permit subjects the applicant to a civil penalty of rimmore than:five'hundred dollars (5500).: d 1 1, as owner of the property, or my employees with wages astheirsote 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 Lew dees'not apply to. an owner of property who builds or'jmproves 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 Cleanse Law does not apply to an owner, of property.who builds or improves thereon, and1who 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 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for Which,this permit is issued (Sec. 3097, Civ. C.), Lender's Name: _ Lender's Address: LQPSRMIT VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760) 777-7153 Date: 6/21/05 Owner: HATFIELD ROBERT 47-610 EISENHOWER DRIVE LA QUINTA, CA 92253 Contractor: WESTERN PACIFIC ROOFING CORP WCC: STATE FUND WC: 0457624-2005 04/01/06 CSLB: 23.571.7 0.1/31/07 WORKER'S COMPENSATION DECLARATION I hereby afftrm,underpenalty ofperjury 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 theperformance:of the, work for which this permit is issued. �( I have and will maintain workers' compensation insurance, asrequired 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, B C39 Policy Number - - - - - - - - - - - - - -- _ I certify that, in the performance of the work for which this permit is issued, I shall not employ person to any manner so as to become subject to the workers' compensation laws of.Califomia, and agree that, if 1 should' become subject to the workers' compensation provisions of Section - 700of theilabor/Code, Ishall rthwi£h c ply�wi provisio ns: at..�atD�(" 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.ADOITION 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,end'Safety for a permitsubject to,the conditions and restrictions set forth omthis application. 1. Each person upon whose behalf this:applieation 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 Ouinta, its,offtoirs, 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 ,andwoidif, work is not commenced within 180 days from date of issuance of.suchtpermit, or cessation.ofwork for 180 days will subject permit to cancellation: 1 certifythahaveread this application and state that the above information is'correct. I agree to comply with ail city and untyordinances and state'lews relating to buildi9liconstruction, andherebyau horize representatives - af thi a; y enter upon the. above-mentioned props or ecti n,pu oses. O� Signature (Applicant. or Age _ Application Number . . . . : 05-00002487 Permit RE -ROOF Additional desc . Permit. Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Expiration Date.. . 12/18/05 Qty Unit Charge Per Extension BASE FEE 30.700 Special Notes and Comments RE -ROOF POLYURETHANE FOAM CLASS A. MATERIALS ONLY. Fee summary Charged Paid Credited Due Permit Fee Total - 30.00 .00 .00 30.00 Plan Check Total .00 ao .00 .00 Grand Total 30-00 .0.0 :00 30.00 LQMRMrr WESTERN IFft Since .1949 May 17, 2005 .Robert Hatfield 47610 Eisenhower Dr. La Quinta, CA 92253 PACIFIC Roofing Corporation Lic. #235717 RE: 47610 Eisenhower Dr., La Quinta, CA 92253 Application of a Polyurethane Foam and Acrylic Coating, Roofing System. Dear Mr. Hatfield: ,Thank you for the opportunity to submit a proposal for the re -roofing at the above ?referenced property. We are pleased to submit our proposal for the installation of a polyurethane roof system. The scope of work and associated costs are as follows: GENERAL Unless expressly stated to the contrary, the contractor 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. If unexpected conditions are encountered during the work, and the conditions adversely affect the 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. 3462 La Campana Way - Palm Springs, CA 92262 • (760) 416-5877 - Fax (760) 320-8912 www.westpacroof.com - E-mail: wprcps@westpacroof.com Robert Hatfield May 17, 2005 Page 2 E. Contractor's scope of work shall not include the identification, detection. abatement, encapsulation or removal of asbestos or similar hazardous substances including mold and or mildew. If Contractor encounters any such products or materials in the course of performing its work, 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 the jobsite until such products or materials, and any hazards .connected therewith, are located and abated, encapsulated 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. Due to the possibility of mold or mildew being present before, during or after our work, Contractor's scope of work shall not include the 'identification, detection or the removal of mold or mildew. Owner agrees to hold. Contractor harmless, and shall indemnify Contractor harmless for any mold related claims in the future: SURFACE PREPARATION A. The loose gravel will be vacuumed off of the existing roof system. B. Remove any contaminants that will interfere with the. adhesion ofsprayed 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. D. Damaged plywood will be replaced at a rate of $85.00 per sheet or portion thereof. APPLICATION OF POLYURETHANE FOAM AND COATING A. Urethane foam insulation shall .be ,sprayed -applied to a nominal thickness of 1 (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. B. Coating shall be applied in a.minimum of two :(2) separate coats. a. The base coat shall be applied at a rate of 1.5.0 gallons per 100 square feet. b. The top coat shall be applied at a rate of .1.50 gallons per 100 square feet, yielding a total system thickness for all coats of 22-24 Total Dry Mils. WESTERN PACIFIC gas i Robert Hatfield May 17, 2005 Page 3 C. During the final top coat application, size #11, granules will be embedded into the wet top coat material at a rate of 5.0 pounds per 100 square feet. Top coat color Light Grev. 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 $9,393.00 NOTE #1: The skylights will be removed during the re -roofing process. Care will be taken while removing the skylights, however,. damage may occur to the interior finish. No repair to the interior will be made. Any repair work is the Building. Owner's responsibility. Debris will fall through the openings when the skylights -are removed. We suggest covering the area beneath the openings with a sheet or plastic sheeting. PAYMENT TERMS A Ten percent (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 root: and final payment is received. The price quoted has been structured to reflect standards we assume are mutually desired. quality installation, service reliability and long-term performance. The price may be subject to change 15 days from the date of this proposal. If you are in accordance with the conditions herein, please execute the agreement below and return both copies to this office. We will, in turn, sign them and return one copy to you. Thank you for your cooperation in expediting this contract for your roofing needs. NOTICE TO OWNER. Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any questions concerning a contract may be referred. to the Registrar, Contractor's State License Board, P.O. Box 26000, Sacramento, California 95826. WESTERN PACIFIC RooJlig Cwpa� Smcd 1919 Sent By. VIESTERN PACIFIC ROOFING CORP.; 780 =a w2; pAbdwt amram May 17,2W P*jp4 w May -17 -OS 13:01; Pap 13/17 ACKNOVILFMGbKoff..Owner admov,lcdpw,ft4hc:has rcodnndirmp I ',akgibk copy of this agrouvion fiWodium all teaems md,nbmdwd pmvnm'aw ', -6 p p mw work in pectmommimw that ,bobw zadnd nmdwd a tomme copy orclay other w=ma that ,wna bas Apwd &.ing 1196 nWftfiM Ym bm* a*m-iWp WdW the T=Wty of that Yvve amfm ft kpi a I, id =An mdhucimd to sign this coidrm as an amu of the: legal owner. ACCMANCE: The mbvw Friges', MWG�s and =mff9fmm we mfimaMm" I• raymmut wM be = oumma aborta Vqm, the bayor aw anal dkb hamwdm at =Y time prior to,mbloW of at UWd bm"aw day alter tie data of 96b &=MdiomL Smf1w attached phdime of CamwJWI= for = a*1 a o dee of Mb d9bL Owner his ft 690 to oupm onnf io a paw sod 019=1 hQud 2t-GvMWs CKPMW- R013LRT WaYEELD Title -MO,A- a 3 / 2 Daft VM-qTTM PACMCFMWM-1, MIM c4shmims IAo #23:5717 ZZ -0-1-1040 A-2 Fjo,-14"'.0 -R�UR.,Vrn&k —.PUY 17, zqqs�— PACU W."nWW. HAS THE RXWrID REMM TI MM"'RACT Wirr"M IrWrMDAYS WACCUTA10M TM AGRUMSKi 18 NOT MKDM EM*UJ- Accirm my =g on= YAAmAGzmm 4T ma LA cawmA wAY, PAIm grauocxs, CA422ML MOCRAMM(WAgOrf%NWTOTMAGMXXRtEPCTSHALL IMEFFECIWR UNTIL APPROVED BY MALVACKM 4ru\mmv-m1 FFR -1-1999 THU 8810FM M: :13 NOTICE: THIS IS NOT A BUILDING PERMIT APPLICA=TION TO CONSTRUCT DEPARTMENT- OF .BUILDING- AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199 9/74 9 CANARY—FILE, PINK—APPLICANT Owner Architect Contractor' Address./ "&dresc Address City City- o l Phone Phone Phone a ,41� W 1. (we) the undersigned, hereby:tertify and acknowledge-, that I (we) ,have read the application and agree that if Curb and Gutter, and Z Paving, ,and/or Dedication of right: of .way is required by the County of Riverside, the Riverside County Department' of Building and Safety 3 shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W O without an encroachment permit. NOW, therefore, it is agreed that 1 (we) will not occupy said property and will not cause said property to be occupied until I (we) have 'complied with all laws' of the" County of Riverside and the State of Calitomia governing said property. DATE SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the. Issuing of a Construction Permit. n I,SPACE NO. T, �f I USE OF STRUCTURE 'T JOB ADDRESS %���% L /�SPAIh7Qi�1�/G� I - SINGLE-FAMILY Ej" DUPL'EX;_,._,_ Z t- LEG DESCRIPTION.OF PROPERTY w �' APARTMENTS 0 AGRIC. W COMMERCIAL.• INDUSTRI.' - C COMMUNITY ALTERATIONS [� Z NO. OF SUBMITTED'PLANS USE OF PERMIT {' CASE NO; F p z NO. OF PARKING SPACES REQUIRED NO. OF BUI=LDINGS NOW _ rSTING " Q J ZONE ,Cf Z SETBACKS- FRONT SIDE /'0 y-'1 REAR E m GRADING PERMIT REQUIRED? YES ,❑ NO ❑ LOT Sf.ZE SETBACK ORDINANCE # OF FEET REQUIRED ON STREET DATE ` SIGNATURE' OF LAND. USE OFFICIAL -_ f, DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET zCURB .AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t- a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W ' HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ °L DATE— SIGNATURE OF ROAD DEPT. OFFICIAL H SWIMMING POOLS PUBLIC .JI SE)IIAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS r�t FLOOD CONTROL— z AIR POLLUTION W DIV OF HWY c _ YOUR PROPERTY MAY BE SUBJECT TO o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 9 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY - APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT q Effective July 1,, 1980, Chapter 1301, Section 19825 of the Health and Safety Code requires the execu- tion of -the following applicable declarations prior to the issuance of a building permit. Please print or type and sign below.. [� LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division,3 of the Busi ss and Professions Code and my license is in full force and effect. License�Class_� license No. 25 2 © U Date r- -A . _ir r� Contractor OWNER -BUILDER DELL RATIO I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: [� 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 oroffered for sale. If I. sell within one ,year of completion, I understand I will have the burden'of proving I did not build or improve for the purpose of sale (Sec. 7031.5; B..&R. C.). [] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). [:I I am exempt under Section Date B.&P.C. for this reason,: [] WORKERS' COMPENSATION DECLARATION I. hereby affirm that.I have a certificate of consent to self -insure, or. a Certificate of Workers' Compensation Insurance, or a.certified copy thereof (Se 8c00, Lab. Jod'e). Policy No." Insurance Q Certified copy is hereby furnished. Certified copy is filed with the County of Riverside,, Department of Building and Safety. Date Applicant [� CERTIFICAT.E OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not.be completed if permit valuation is for $100..00 or less.) 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. I further understand that if after maki.ng this Certificate of Exemption, I. should become subject to the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Date Applicant CONSTRUCTION LENDING AGENCY' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit :is issued (Sec. .3097, Civ. Code). Lender's Name Lender's Address DLV.ISIO.N OF INDUSTRIAL SAFETY PERMIT CERTIFICATION Q I hereby certify that no excavation five (5) or more feet in depth into which a person is re- quired to descend, will be made in. connection with work aut'hori'zed by this permit, and that no building, structure;, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2; Grp 2, Art 2;; Sec.341, Title 8, C.A.C.')l [� As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above„ unless such person has a permit to do; such work. from that divi`si,on. [] Divis'i.op of Industrial Safety Permit No. Date. Applicant CERTI(FICAT.E'OF COMPLIANCE AND AUTHORIZATION QF ENTRY I certify I 'have read this application and state that the information given is correct., I agree to comply with all' state haws and county ordinances .relating to buildi.ng construction; and authorize a representative of the County of�Ri'verside, Department of Building and Safety to enter upon the pro- perty 6r' which I have •applied fo,r..t .permit for the purpose of making inspectioV§. Signature of App 1'cant/Agent. Date Print Applicant/,gent Name .2844000 7/80 Rs - _ _ 1 1 1 _ 1 21. , _ [ I loA G� EL Fla%� I GL Q�- — T ,'LOT AREA DATE RECORDED T YARD I f DE YARD ATE REAR YARD- ,_ PARKING' �1 LOADING APPROVED BY LAND -USE DIVISION f-►� o ;►� _ ��Fr2 r9�E,C� .. _ �®s rn � m � � 1 ,. � _ 1 � SmV / ,'LOT AREA DATE RECORDED T YARD I f DE YARD ATE REAR YARD- ,_ PARKING' �1 LOADING APPROVED BY LAND -USE DIVISION ,: 1P a it_ 'S''- ■ - f� tialr a 49,4 �"volt � i v,'� a s WW2'- � T_ 12" 1r 12' i LEISURe SPAK INC. SXME, TOM X CORPORATE OFFICE 2941 WILLOW LANE THOUSAND OAKS, CALIFORNIA 91360 FORM NO. LSQ-5050 9.75 SPECIFICATION SHEET SPECIFICATIONS—Therapy spa to be Leisure Spa "MONTEGO" model LSG-5050 constructed of Leisure Spa's stain and acid resistant fiberglass reinforced construction. Seamless one-piece construction with integral contoured benches, steps, anti-skid surfaces throughout. Air ducts and main -drain Installed and pressure tested. Floating weir -type skimmer ( supplied) Single Inlet return with hydro -Jet unit provided. Color to be (specify blue, or Leisure Spa decorator color.) THERAPY SPA: Leisure Spa "MONTEGO" Model No. LSG-5050 one- piece reinforced fiberglass construction with integral Y NOTE:E: BUILT-IN B contoured seats, air ducts TILE LINE AROUND installed and tested. Anti - INTERIOR (PARTIAL) , P 9 skid surface on to flange, PERIMETER OF SPA.. and steps. Single inlet/ hydro -jet, floating weir - type skimmer. SIZE: LIGHT: 34 EQUIPMEN FITTINGS COLOR: CAPACITY: 6'6" x 6'6" x 35" deep Operating.. -D. DISTRIBUTED BY: HAMIL70" P.O. Bot 1593 71'7-660 ". III Palm Desert, (;:Aj',:.rnin 92260 714-3464 804 COPYRIGHT C LE16URE SPA. INC. 1978 niJ 1411 f18` WA"VdN