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BRER2019-012278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: B R S ROOFING INC 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 T-^uv 4lwRu;Nrw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT RE -ROOF/ BRER2019-0122 56105 RIVIERA 762021017 PGA WEST HOA / REROOF ENTIRE DWELLING WITH EXISTING TILE $12,423.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: CHRISTOPHER & KATHY STAHL 56105 RIVIERA LA QUINTA, CA 92253 I I Contractor: Il..li B R S ROOFING INC 777 SOUTH LUGO AVE 20,11 9 SAN BERNARDINO, CA 92408 G (909)884-8505 Llc. No.: 907600 1,I k0"l R I`�r^. j`- (wr-, , r,: •.P�` ., r, Apr.;. t 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: C39 (� License No.: Date: A Z� s - \ Contractor: - OWNER -BUILDER ECLARATION 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).: (_) 1, 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: Date: 6/13/2019 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 t ork for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Sect 3700 of the tabor Cade, for the performance of the work for which this permit is issued My workers' compensation insurance carrier and policy number are: Carrier: C&IEQRNIA INSURANCE COMPANY Policy Number: 8289927301Q2 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 Sectica 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: LI ' Applica WARNING: FAILURE TO SECURE WORKERS' C MPENS TION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL 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 ofthis permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 190 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 (S�ty to �[ r upon the above - mentioned property for inspection purposes. l Date: r�' I Signature (Applicant or Agent}: Date: 6/13/2019 Application Number: BRER2019-0122 Property Address: 56105 RIVIERA APN: 762021017 Application Description: PGA WEST HOA / REROOF ENTIRE DWELLING WITH EXISTING TILE Property Zoning: Application Valuation: $12,423.00 Applicant: B R S ROOFING INC 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 Owner: CHRISTOPHER & KATHY STAHL 56105 RIVIERA LA QUINTA, CA 92253 Contractor: B R S ROOFING INC 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 (909)884-8505 Llc. No.: 907600 Detail: REROOF 4100SF SINGLE FAMILY DWELLING. RAISE TILE AND RESET WITH NEW DUAL SB5 UNDERLAYMENT. REROOF WITH EXISTING CLAY TILE AT SLOPED AREAS ONLY. ANY FLAT ROOFED PORTIONS ARE NOT INCLUDED WITH THIS PERMIT. PER 2016 CALIFORNIA ENERGY CODE. DESCRIPTION BSAS SB1473 FEE DESCRIPTION RE -ROOF - EA ADDITIONAL 1,000 SF DESCRIPTION RE -ROOF - FIRST 2,000 SF DESCRIPTION RE -ROOF - FIRST 2,000 SF PC DESCRIPTION TECHNOLOGY ENHANCEMENT FEE ACCOUNT CITY AMOUNT 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 ACCOUNT CITY AMOUNT 101-0000-42404 0 $38.43 ACCOUNT CITY AMOUNT 101-0000-42404 0 $54.43 ACCOUNT CITY AMOUNT 101-0000-42600 0 $108.87 Total Paid for RE -ROOF: $201.73 ACCOUNT CITY AMOUNT 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 c& Quiara cs-, yJz;Ae DST .._..... Project Address: 5told s R1 t f APN: Applicant Name: Address: L_ U Cry] city, ST, zip: b F7'{t,i a z� Telephone:JL2b1, Email: oe bra ,rock„J0 , Co nn Contractor Name:�/- C� Address: .1 1 7 5 , L City, St, Zip YlE� C10.(�q� t Yl © LA, Qz�oF� Telephone: Email: 36'e-9 [1Sr00 yft corA State Lie: CA D� b 0 O City Bus Lie: Arch/Eng Name: Address: City, St, Zip Telephone: Email: State Lie: City Bus Lie: Property Owner's Name: Address: • )-�A 5 n , t P 1 �► c� �� City, ST, Zip Telephone: Z O q I �P E:naii: mE 1T * 3" el011- 012Z PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mecb t -e-r "U f YY1 -�- 1 P� C t $ -2 ct A J e�- I.v t TY1 r� ew O v a l S. S U n err g y m eA _- z ok0-e- As ALe_de,� . 41MSF Valuation of Project S 12-H 2.3 , h O JF y! New SFD Construction: Conditioned Space SF Garage SF Patio/Porch SF Fire Sprinklers SF Construction Type: Occupancy: P cy: Grading: Bedrooms: Stories: Units: tew Commercial / Tenant Improvements: Total Building SF ---------------- Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA; CA 92253 760-777-7000 '- PGA WEST. II Residential Association June 10, 2019 Dear City of La Quinta Permit Department, The Board of Directors voted to contract with BRS Roofing to reroof the following homes: • 54-595 Winged Foot • 54-575 Winged Foot ■ 79-993 Riviera • 56-105 Riviera 0 56-565 Riviera 0 56-745 Merion ■ 56-665 Merion • Also, four Medalist Buildings 55-301 to 55-331 Winged Foot, 55-581 to 55-611 Winged Foot, 55-290 to 55-320 Laurel Valley and 55-440 to 55-470 Laurel Valley. I have included a copy of the CC & R's with the Maintenance Matrix for your refrence. There are only 6 homes within our Association that the HOA does not Maintain or Re -roof. Should you need a copy of that list please let me know and I'll send it to you. Should you have any questions or concerns, please feel free to contact me, 1peterson@drminternet.com. Sincerely, Loni Peterson, CCAM-LS, CMCA, AMS, PCAM General Manager PGA WEST II Residential Association