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BRER2021-0025DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Permit Number: Property Address: APN: Legal Description Property Zoning: Valuation: Re -Roof BRER2021-0025 51040 AVENIDA CARRANZA 773061028 $4,462.00 Declaration / Acknowledgement BUILDING PERMIT Ottigta CALIFORNIA PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 05/07/2021 ISSUED DATE: 05/10/2021 Owner: THEODORE HAMMAM 87 AMOROK WAY, FREMONT, CA 92253 Applicant: FOAMBOND CORPORATION 1717 E VISTA CHINO A7-835, PALM SPRINGS, CA 92262 Contractor: FOAMBOND CORPORATION 1717 E VISTA CHINO A7-835, PALM SPRINGS, CA 92262 PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the WORKERS' COMPENSATION DECLARATION (1, 2 or 3) WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 of this permit. 2) Any permit issued as a result of this application becomes null and void if work is not commenced within 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. 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 upon the above -mentioned property for inspection purposes. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 10/7/24 4:56 pm Page 1 of 4 BUILDING PERMIT Permit Type: Permit Number: Property Address: Re -Roof BRER2021-0025 51040 AVENIDA CARRANZA application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. Printed: 10/7/24 4:56 pm Page 2 of 4 BUILDING PERMIT Permit Type: Re -Roof Permit Number: BRER2021-0025 Property Address: 51040 AVENIDA CARRANZA Use of Permit HAMMAM / GARAGE POLY REROOF '"' REROOF WITH FOAM AT GARAGE ONLY [CRRC: 0770-0001] PER 2019 CALIFORNIA ENERGY CODE. Construction Details Re -Roof Area Square 884 Footage Valuation Details Group Financial Information Invoice No. Fee Fee Amount Amount Paid PERMIT-BRER2021-002 RE -ROOF - FIRST 2,000SF PC $109.48 $109.48 5 RECORDS MANAGEMENT FEE $10.00 $10.00 BSAS SB1473 FEE $1.00 $1.00 RE -ROOF - FIRST 2,000SF $54.74 $54.74 TECHNOLOGY ENHANCEMENT FEE $5.00 $5.00 Total for Invoice PERMIT-BRER2021-0025 $180.22 $180.22 Grand Total for Permit $180.22 $180.22 Workflow / Inspections Workflow Step / Action Name Inspections v.1 FINAL" v.2 FINAL'" v.1 PRE -ROOF v.1 Action Type Inspection Inspection Inspection Start Date End Date 05/07/2021 0:00 Inspections Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. Printed: 10/7/24 4:56 pm Page 3 of 4 BUILDING PERMIT Permit Type: Permit Number: Property Address: Re -Roof BRER2021-0025 51040 AVENIDA CARRANZA Certificate of Occupancy A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. Service Utilities A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Printed: 10/7/24 4:56 pm Page 4 of 4 DocuSign Envelope ID: 7ED21B89-7822-4E78-9EE5-E0C05538E0E6 FOAM ROOFS AND WALL INSULATION PROPOSAL AND CONTRACT 1717 E. Vista Chino A7-835 Palm Springs, CA 92262 Toll Free 1-866-404-5440 Fax (760) 398-5440 Lic. 868171 C-39 Contractor: FoamBond Corp A California Corporation Buyer: Ted & Joyce Hammam Job Address: 51040 Avenida Crranze La Quinta, CA 92253 Telephone: FOAMBOND proposes to install polyurethane foam roofing system in accordance with the following scope of work at the above noted address on app. sq. feet. t-'6"‘/S. POLYURETHANE FOAM OVER EXISTING ROOF Horn �: t!ION;. 1. Clean surface of existing roof of all loose gravel, dirt and debris 2. Buckles, blisters, fish mouths and wrinkles shall be fastened or cut out 3. Replace damaged plywood and dry rot as needed at $3.85 a square foot 4. Cut back perimeter roof 6-8" from edge and drains 1' radius down to substrate 5. Seal overlap transition on existing z-bar overlaps and nail heads with adequate silicone 6. Install all new 24 GA drip edge metal (if applicable) 7. Install blocks under all conduit and water lines 8. Extend roof jacks as required to accommodate new urethane foam roof 9. Prime entire roof deck at 1 gallon per 250 sq. ft. 10. Mask all areas not to receive the foam application (wall's, A/C's, furniture, etc.) U RETHANE FOAM APPLICATION: 11. Spray/apply a minimum of 1" of 2.7 to 3.0 lbs. nominal density uniformly foam to entire roof deck and parapet walls, spray foam will be built up and sloped toward scupper/drains 12. Foam surface will be a smooth monolithic surface orange peel, free of tree bark, bumps, pinholes and ridges 13. Add foam build up in low areas to improve severely pond conditions 14. Grind foam at drains/runoff areas to promote proper drainage r'OATINC PPIIIff:iTION 15. Apply acrylic elastomeric caulking at roof penetrations as a secondary sealant to foam 16. Apply a high solids acrylic elastomeric gray basecoat at 1-1/2 gallons per 100 sq. ft. 17. Apply a high solids acrylic elastomeric white topcoat at 1-1/2 gallons per 100 sq. ft 18. Add fire white ceramic roofing granules at 401b per 100 sq. feet on top of wet coating DocuSign Envelope ID: 7ED21B89-7822-4E78-9EE5-E0C05538E0E6 FINAL WORD: 19. Remove all masking materials and overspray protection 20. Remove all job related trash from job sites and clean up after daily production 21. Perform a final job walk with the Owner or Owner's representative 22. WARRANTY AND EXCLUSION: This application carries a five Year Warranty on labor and manufactures warranty on materials. Note: Foam Bond provides this warranty and is limited to the free repair and replacement of any material and or labor required to maintain the roof in a waterproof condition for the full term of the warranty. This warranty does not cover structural defects, damaged caused by acts of God or damaged caused by third parties. This warranty covers only those materials and that labor supplied by Foam Bond Price and payment terms: 10% upon acceptance of contract and Balance due on job completion. TOTAL PRICE FOR THIS WORK AND MATERIALS IS: 4,462.00 FOAM ROOFS AND WALL INSULATION Approved and Accepted by Owner: DocuSigned by: L DD530F5EAB55415... Homeowner FoamBond Rep. Miguel Terriquez Jr. 4-13-2021 Date • Due to instability of material pricing, this proposal is only good for 30 days. rri; rD 170 rib rD 3 Include Mandatory Measures? 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