BRER2017-001378-49S CALLE TAMPICO ,
LA QUINTA, CALIFORNIA 92253
c&t1t °F 1wQu1Arw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRER2017-0013
Property Address: 48200 VIA VALLARTA
APN: 602111031
Application Description:. CASITAS AT RANCHO LA QUINTA / REROOF
Property Zoning:
Application Valuation: $13,083.00
Applicant:
ROOF ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B
THOUSAND PALMS, CA 92276
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: _ License No.: 677708 //////��JJ A
Date: �I ,Contract rf:,-6"
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
Contra'ctor'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, 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.).
(_) 1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/9/2017
Owner:
CASITAS AT RANCHO LA QUINTA
aC n ract� a
F ASSET MANAGEMENT IN
THOUSA4U SL 99C T91 76
(76o)81VDLOPMENT LA QUINTA
Llc. No.:
DESIGN AND DEPARTMENT
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.
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 COMPENSATION INSURANCE FUND Policy Number: 9155203
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.
RDat/ // %� PER! Mi. _.�:%��/1
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 uponthe
above-mention d property for inspection purposes. r'�'�'��
Date; 2 Signature_(AppLcant or,Agent -.
Date: 2/9/2017
Application Number: BRER2017-0013
Owner:
Property Address: 48200 VIA VALLARTA
CASITAS AT RANCHO LA QUINTA
APN:. 602111031
Application Description: CASITAS.AT RANCHO LA QUINTA % REROOF
Property Zoning:
Application Valuation: $13,083.00
Applicant:
Contractor:
ROOF ASSET MANAGEMENT INC
ROOF ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B
72056 NORTHSHORE STREET STE B
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
(760)813-9999
Uc. No.: 677708
Detail: REROOF - REPLACE UNDERLAYMENT AND RE -INSTALL EXISTING TILE. 2016 CALIFORNIA
BUILDING CODES.
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
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.16
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$51.68
Total Paid for RE -ROOF:
$63.84
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00
$69.84
Bin #
Permit u
Project Address:
...City of La Quints
Building Si• Safety Division
78-495 Calle. Tampico
La Quinta, CA 92253 - (760) 777-701,2
t4uilding Permit Application and Tracking Sheet
7—
Owner's Name:
'A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: 2orc
jtoISJW r 5v.lC
Project Description:
City- ST, Zip: oust
.e m3 �� 92271;.��e,'{10=a
e fir, a
Telephone: one: 7
P -
6 o'
F 3 9 q
State Lic. # : 7 2 70 $
City Lie.
Arch., Fngr., Designer:
Address:
City, ST, Zip:
Telephone:
P o .
Con tructi n T Occupancy:
s o e-
Type:
State L ,.
t to ic. #
Alter Repair.
0Pr Ject type (circle one • New Add'n
Demo.
Name of Contact Person: "i
't
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 76 v — S7 i ZY o 3
Estimated Value of Project:.
APPLICANT: DO NOT WRITE BELOW THIS LINE
tf
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
'Amount
Structural Calcs.
Reviewed, rcadyfor corrections
Plan Check Deposit '
Truss Calcs.
Called Contact Person
Plan Check.Balance.
Title 24 Cates.
Plans picked up
Construction '
Flood plain plan•
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcclionsfissue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval.
Plans resubmitted
Grading
IN IIOUSE:-
Reyietiv, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fecs,
Total Pcrmit Fees
Casitas @ Rancho La Quinta HOA
January 18,.2017
Page 3
a12-%
SCOPE OF WORK (Tile Roof Areas)
I. Remove existing the and set aside.
2. Install two layers of modified underlaym.ent.
3. Install new the pan, roof to wall metal and valley metal.
4. Re -install existing tile.
5. Install mortar at all hip and ridges.
6. Install trim tile.
48075 & 48085 Casita Drive $26,166.00
J� _48%60*&f4817kita Drive $26,166.00
1))00 48340 &:48350 Ca to Drove $26,166.00
'114-��,,� p - 48405 & 484Casita Drive $26,166.00 � Isr
_..
,?_(cf�-48'190 & 4820-- is a—arta $26,166.00
.48225& 4823Via Vallarta $26,166.00
CONTRACT AMOUNT: $156,996.00 (One Hundred Fifty -Six Thousand Nine Hundred Ninety -Six Dollars)
EXCLUSIONS: No items will be supplied nor work to be performed that is not specifically stated herein.
PAYMENT.TERMS: Ten percent ($15,699.60) deposit upon approval of the contract. Invoices to be paid
within 15 days of receipt. No retention is to be held.
WARRANTY
A 10 year Labor and Material warranty will be issued upon completion and final payment is received.
The work will be warranted by Roof Asset Management. Roof Asset Management SHALL NOT BE LIABLE
FOR SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES. The acceptance of this proposal by the
Customer signifies his/her agreement that this warranty shall be and is the exclusive remedy against
Roof Asset Management for all defects in workmanship and materials furnished by Roof Asset
Management.
If you are in accordance with the conditions herein, please execute the agreement below. The contract
amount is subject to change 15 days from the date of this proposal. Thank you for your consideration of
this contract.foryour 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, CA 95826 or call 1-(800) 321-CSLB or www.CSLB.CA.GOV for more
information.
ROOF ASS ET
M A N A G E M E N Ti;,;.
LIC 4 677708