BRER2017-0012(A
78-495 CALLE TAMPICO ;
LA QUINTA, CALIFORNIA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
. I BUILDING PERMIT .
Application Number:
BRER2017-0012
Property Address:
, 48235 VIA VALLARTA
APN:
602111001
Application Description:
CASITAS AT RANCHO LA QUINTA / REROOF
Property Zoning:
I hereby affirm under penalty of perjury one of the following declarations:
Application Valuation:.
$13,083.00
Applicant:
ROOF ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B
THOUSAND PALMS, CA 92276
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CASITAS AT RANCHO LA QUINTA
Pctor: CGpp n�22nnii��
SSEF6pSA MIB INC
NORTHSHORE STREET STE
Date: 2/9/2017
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DMONA IREVELOPMENT DEPARTMENT .
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t Llc. No.: 677708
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: I License No.: 677708
of the k for which this permit is issued.
�
! have and will maintain workers' compensation insurance, as required by
Date: Contractor: .�
Sellctiovn"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:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9155203
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
A I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
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
comply with those pr visions.
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basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for aC
Date: _►� Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
yrf
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting. with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit J
State License Law does not apply to an owner of property who builds or improves '
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner: +'
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for
I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
construction, and hereby authorize representatives of this city to enter upon the
above-menpon?d property for inspection purposes.
Lender's Name: _
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Date; ( Signature (Applicant or Agent):
A
en er s rens.
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Date: 2/9/2017
Application Number: BRER2017-0012
Owner:
Property Address: 48235 VIA VALLARTA
CASITAS AT RANCHO LA QUINTA
APN: 602111001
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
---------------------------------------------------------------------------------------------
Llc. No.: 677708
Detail: REROOF - REPLACE UNDERLAYMENT AND RE -INSTALL EXISTING TILE. 2016 CALIFORNIA
BUILDING CODES.
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Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
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FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
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: $5.00
TOTALS:
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Bin #-
Permit '
Project Address:
...City of La Quinta
Building 8i• Safety Division
78-495 Calle. Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address:
Legal Description:
City; ST, Zip: .
Contractor:
n
TeleP hon c:
Address: -G
X. i&61.r 5,h 4r 6
Project Description:
City- ST, Zip: oUsc, .c i►�3 �A' 92Z%�
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TeleP hone : 6 F
7 3 q q
State Lic. 672708,
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: h
one:
Occupancy:
Cantructi ecu ane
s o n T Y:
Type: P
State ,.
t to Lic- tr .
Demo type (circle one): New Add'n Alter Re air
Name of Contact Person:
�lG
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760 — S7 Y Z9 o 3
Estimated Value of Project:
•e
APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correclionsrssue .
Electrical .
SubcontaetorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jr0 Review, 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,
I
.
Total Permit Fees
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Casitas @ Rancho 1a Quinta HOA
January 18, 2017.
Page 3
912-i
SCOPE OF WORK (Tile Roof Areas)
1. Remove existing the and set aside.
2. Install two layers of modified underlayment.
3. Install new tile.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 Ca-�sita Drive $26,166.00
�)15 60�&r4817d2id?;ita Drive $26,166.00
,11)00 48340 &:483W'_C to Drive $26,166.00.
48405 & 484rS Casita Drive $26,166.00 rs�
pct 48.190 & 48204820 w is a—arty�$26,166.00 -
48225&4823 Via 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 ($1S,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 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, CA 95826 or call 1-(800) 321-CSLB or www.CSLB.CA.GOV for -more
information.
ROOF A.SSET
M A N A G EM ENTi,:.
LIC 4 677705