BRER2017-007978-495 • CALLEJAM P..ICO
LA QUINTA, CALIFORNIA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2017-0079
Property Address:
80155 MERION�
APN:
Application Description:
762191005` -
DESERT RESORT MGMT /.REC ROOF\
Property Zoning:
Application Valuation:
$22,080.00
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Applicant:
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B R S ROOFING INC
777 SOUTH LUGO AVE
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SAN BERNARDINQ, CA 92408
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 ClKRA
s: C39 License No.: 9076
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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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/14/2017
Owner:
DESERT RESORT MANAGEMENT
80155 MERION
LA QUINTA, CA 94253
Contractor:
B R S ROOFING IMC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA,92408
(909)884-8505'
Llc. No.: 907600
WORKER'S COMPENSA70N DECLARATION
I hereby affirm under penalty of perjury one o the following declarations:
I have and will maintain a certificat a of consent to self -insure for workers'
compensation, as provided for by Section 370D of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' cc mpensation 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 insuranc2 carrier and polity number are:
Carrier: STATE COMPENSATION INSURANCE FL ND Policy. Number: 9141962
I certify that in the performance of :he 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 thst, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply wits tho*e provisions. A (\ n
Date: `�/xltq
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS )&AWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,009). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to th? 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 owne-, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the =ity 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 ordirances and state laws relating to building
construction, and hereby authorize representatfives of this city to enter upon he
above-r*ntigred property for inspection purp.3ses. n* j\ '
Owner:.
DESERT RESORT MANAGEMENT
80155 MERION
LA QUINTA, CA 92253
Date: 8/14/2017
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
LIc. No.: 907600
-----------------------------------•----------------------------------------------------------
Detail: INSTALL NEW SYNTHETIC UNDERLAYMENT AND RESET SAME TILE. REPLACE -nLE AS NEEDED. NO ENERGY FORMS NEEDED. PER 2016 CALIFORNIA
BUILDING CODE
Application..Number_: ..:
-,BRER2017�0079
Property Address:
'80155 MERION
APN:
762191005
Application Description:
DESERT RESORT MGMT / REROOF
Property Zoning: .
Application Valuation:
$22,080.00
Owner:.
DESERT RESORT MANAGEMENT
80155 MERION
LA QUINTA, CA 92253
Date: 8/14/2017
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
LIc. No.: 907600
-----------------------------------•----------------------------------------------------------
Detail: INSTALL NEW SYNTHETIC UNDERLAYMENT AND RESET SAME TILE. REPLACE -nLE AS NEEDED. NO ENERGY FORMS NEEDED. PER 2016 CALIFORNIA
BUILDING CODE
FINANCIAL INFORMATION
; ;DESCRIPTION: "' ACCOUNT QTY 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
$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
Total Paid for TECHNOLOGY ENHANCEMENT FEE: . $5.00
sin.;
Submittal
. 0 utnta
Of La Q 0:
Qt�r6
RAft 8E Safety Division
KO. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application, and Tracking Sheet
Permit #
ProjectAddress, &Oj55 tAe_V%6yl
PERMITFEES-
Owner's Name:. oi.--Ser� RP -5 c` -
A. P. Number.
I'City,
Address: Me-ci:on
Legal Description:
Stories:
ST, Zip: LAQU11QTf\--C-A 97 -2 -S -3 -
Contractor. 0 F I 1 J 8,
Estimated Value Of Project: 1110- t 0 0
Telephone:
Address: L 0 GO
Reviewed, ready for corrections
Project Description: PaLo( Yq. TO Q cot 15 r- oo
Plan ChccL Deposit.
Telephone: sos Za (OlC-,L e— O,AS
I q 0� si-H FS P41-1 WIN 0111
State Lie. #: (0. (2,C) -city Lie. M
Submittal
Arch., Engr., Designer.
F11'd
Address:
PERMITFEES-
City., ST, Zip:
Telephone:
State Lie. #:
Construction Type•. Occupancy:
Project rype (circle one): New Add'a. Alter Repair Demo
Name of Contact Person: -30-e— JVq,re-z-
Sq. Ft-: (010 % 7
Stories:
units:
Telephone# of Contact Person: '760333 11,26
Estimated Value Of Project: 1110- t 0 0
APPLICANT.- DO NOT WRITF RFLOW THIS UNE
Submittal
Reqvd
F11'd
TRACENG
PERMITFEES-
Plan Sets
Plan Check submitted.
item Amount
Structural CaIes.
Reviewed, ready for corrections
Plan ChccL Deposit.
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construc6.,39
Flood plain plan
Plans resubmitted.'.
Mechafilcall
Grading plan
21! Review, ready for correctionslissue
Electrical
Subcontactor IAA
Called Contact Person
Plumbing
GrantDeedPlans
picked up
S3U
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE--
3"d Review; ready for corrections/Issue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr'
Date of permit issue
School Fees
Total Permit Fees