BRER2017-001978-495 CALLE TAMPICO"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/9/2017
Application Number:' BRER2017-0019 Owner: _
Property Address: 48160 CASITAS DR CASITAS AT RANC10 LA QUINTA
APN: 602112040
Application Description: 'CASITAS AT RANCHO LA QUINTA / REROOF
Property Zoning:
Application Valuation: $13,083.00 a
• L
Applicant: o r cto .
ROOF ASSET MANAGEMENT INC O ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B 56 NOJFFgJ g2H�S STE B
THOUSAND PALMS, CA 92276 HOUSAND PALMS, CA 2276
{
(760)813-,@I3WOF LA QUINTA
DEOCN(1NUDLIVELOPP4FNT DEPARTMENT,
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 o' 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: License No.: 677708
oo7=ave
of the work for which this permit is issued.
and will maintain workers' cc•mpensation insurance, as required by
Date, Contractor•
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:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9155203
1 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
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'='700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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 (
Date: Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars l
($500).: It
WARNING: FAILURE TO SECURE WORKERS' CCAAPENSATION 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 FO 3 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
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
44
to construct the project. (Sec. 70, 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 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:
APPLICANT ACKNOWLEDGEMENT L
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on th s application:
1. Each person upon whose behalf this appl',cation is made, each person at whose
request and for whose benefit work is perforned under or pursuant to any permit
issued as a result of this application , the own= -r, 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 :he work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appltation 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 late 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-mentioned property for inspection purposes. �r=�/2 '//. K/ •:
Da e:4/ //� _r`Signature ('Applicant or-Agen /��//
Application Number: BRER2017-0019
Property Address: 48160 CASITAS DR
APN: 602112040
Application Description: CASITAS AT RANCHO LA QUINTA / REROOF
Property Zoning: .
Application Valuation: $13,083.00
Date: 2/9/2017
Owner:
CASITAS AT RANCHO LA QUINTA
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
y 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
1QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$103.36
Total Paid for'RE-ROOF: $167.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENIT FEE: $5.00
Bin #
Permit ;'
Project Address: '
City of La Quinto
Building isr 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:
un�
Address: ZOrC %tom es . 5N
ne•
TeleP ho .t
Project Description:
City, ST, Zip: Usa ,
.r .•+3 C�— 9227C
/
��e,'{lo-� ' e LAW..
Telephon 0 -
6 �I 3 9 Y
State Lic. # : 7 2 70 g
City Lic. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
h one:
OccuP cY
:Con
truction Type:
State ,.
S Lic. L #.
•New Add'n F_Iter
0ProJect type (circle one • ReP
air Demo
Name of Contact Person: "J
�� n �`G
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 76 v — S7 y ZYO 3
Estimated Value of Project:. 2(�
APPLICANT: DO NOT WRITE BELOW THIS LINE
t✓
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check.Balawxe.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical .
SubcontactorList
Called ContactPcrson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.:-
JrO. Review, ready for corrections/issue
Developer Impar Fee
Planning Approval
Called Contact Person
A.I.P.P. '
Pub. Wks. Appr
Date of permit issue
School Fees,
Total I'crmit Fces '
. 70 r74Yo
Casitas @ Rancho La Quinta HOA
January 18, 2017-
Page
017Page 3
092-/
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. i
48075 & 48085Casita Drive $26,166.00
36&
0 481 TQita Drive $26,166.00
48340 &4835�agiive $26,166.00
48405 & 484 Casita Drive $26,166.00 lir
;�)_(Le�-48'190 & 482005 a arta $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.($15,699.60) deposit upon approval of the contract. Invoices to be paid
within 15 days of receipt. No retention is to beheld.
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 Stat= License Board,
P.O. Box 26000, Sacramento, CA 95826 or call 1-(800) 321-CSLB or www.CSLB.CA.GOV fDr more
information.
_ 0
ROOF AS SET
M A N A G EM ENT:::;
LIC k 677708