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BRES2017-0087Ai 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tiht 4 4� Qum& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRER2017-0087 Property Address: 80115 MERION APN: 762191007 Application Description: DESERT RESORT MGMT / REROOF Property Zoning: Application Valuation: $22,080.00 Applicant: B R S ROOFING INC 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 AUG 2 4 2011 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEF 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 Professions Code, and my License is in full force and effect. License Class: Cc339 License No.: 907600 Date: 2 ` !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).: (_) 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.). (_) 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/24/2017 Owner: DESERT RESORT MANAGEMENT 80155 MERION LA QUINTA, CA 9 253 Contractor: B R S ROOFING I1JC 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 (909)884-8505 Llc. No.: 907600 WORKER'S COMPENSA-ION DECLARATION I hereby affirm under penalty of perjury one af the following declarations: I have and will maintain a certificaL- 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 COMPENSATION INSURANCE FUND Policy Number: 9141962 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner soas 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 X00 of the Labor ode, I shall forthwith comply with those p�oovisions. Date `t iL�~-Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIr, AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOTVLEDG EM ENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on thie 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 owne-, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the 2ity of La Quinta, its officers, agents, and employees for any act or omission related to tB a work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appli©tion 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 cancel ation. 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 ordirances and state laws relating to building construction, and hereby authorize representa: ives of this c' y to enter on t above -m "tion d property for�inspection purposes. Date �� ALL{ �Signature_(Applicant• rAgen Date: 8/24/2017 Application Number: BRER2017-0087 Owner: Property Address: 80115 MERION DESERT RESORT MANAGEMENT APN: 762191007 80155 MERION Application Description: DESERT RESORT MGMT / REROOF LA QUINTA, CA 92253 Property Zoning: .Application Valuation:. $22,080.00 ' Applicant: Contractor: B R S ROOFING INC B R S ROOFING INC 777 SOUTH LUGO AVE 777 SOUTH LUGO AVE SAN BERNARDINO,.CA 92408 SAN BERNARDINO, CA 92408 (909)884-8505 -------------------------------- ---------------------------------------=- Llc. No.: 907600 Detail: PERFORM TILE RAISE AND RESET. INSTALL NEW SYNTHETIC UNDERLAYMENT AND REPLACE TILE AS NEEDED. PER 2016 CALIFORNIA BUILDILNG CODE FINANCIAL ' ' DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 1011-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATIO-N BSA:. $1.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $3.99 Total Paid for Credit Cavd Fee: $3.99 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $60.80 DESCRIPTION ACCOUNT QTY 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: $215.84 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Bin# • City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: r Owner's me: ��so t�-i— Ma a e w► e v►�' A.P. Number Addre s: 11a 3 Legal Description: C* ST 'w' A-- Ca Contraopj 0 r- I Te ephone/ Addres�lU. V Project Description: City, soak: 6?-(- J 1 110, b( pefporm _k l e .(- s e A YLd ce Se_ Telephosteb l %J "SII %'S­oS �• . �ro;�'C.'� � 2u) > � A A2da v►ic n State.Lic. #: City Lie #: d Arch, Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Prej. Type New Add'n Occupancy: Alter Repair Demo State Lie. #: Name of Contact: S O h J 0 v; c Z SgFt: 6-7 #Stories # Units: Telephone of Contact. OEstimated 3 3 3,11-2—& Value of grjecl: -7 -2- l�'r� .CDT APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan Check Balance: Title 24 Calcs Plans Picked Up Construction: Flood Plain Plan Plans Resubmitted Mechanical: Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing: Grant Deed Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading 1N -HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees