HomeMy WebLinkAboutROOF18-0173City of Palm Desert
PERMIT NUMBER:
ISSUE DATE:
Building and Safety Department
ROOF18-0173
73510 Fred Waring Drive
5/14/2018
Palm Desert, CA 92260
Permit Type: RE -ROOF
Appl. Date: 5/14/2018
Permit RESIDENTIAL
Appr. Date: 511412018
Subtype:
Job Valuation: $7,900.00
Exp, Date: 11/10/2018
Project Address: 74091 ASTER DR
Project Description: CRRC 0770 0001
APN/Tract/Lot No:
Owner:
Contractor:
Applicant:
624203009
CHEERS MANAGEMENT INC
RANCHO MIRAGE ROOFING
RANCHO MIRAGE ROOFING
SHADOW VILLAGE 1
934 VELLA RD
P 0 BOX 206
P 0 BOX 206
60
PALM SPRINGS CA, 92264
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
(760)832-2013
(760)832-2013
Licensed Contractor Declaration
Fee Summary
I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9
ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-1100000-3411600 $0.14
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
-
and my license is in full force and effect.
GREEN BI.DG FEE S81473 GL-61000OO-2281000 $1.00
Initial
MINIMUM INSPECTION FEE GL-1100D(10-3221100 $159.00
PERM IT ISSUANCE FEE GL-11CODOO-3411400 $105.00
Qwner-Builder Declaration
1 hereby affirm under penalty of penury that I am exempt from the Contractors' State
Total Fees Paid: $265,14
f hereby affirm under the penalty of perjury that there is a construction lending agencyfor the
License Law for the reason(s) indicated below by the checkmark(s) I have placed next
to the applicable item(s} Section 7031.5 Business and Professions Code: Any city or
performance of the work for which this permit is issued (Sec 3097, Civil Code)
county which requires a permit to construct, alter, improve, demolish, or repair any
tenders Name and address
structure, prior to 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 Contraclors' State
Asbestos Declaration
License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt and the basis for the alleged
exemption. Any violation of TOILS any applicant for a permit subjects the
Written asbestos notification pursuant to Pat 61 of Title 40 of the Code of Federal Regulations is required
f rot m five
applicant to a civil penalty of not more than five hundred dollars ($500}.J
when asbestos exists in buildings, or portions thereof, undergoing demolition. I herebydeclare that
g g
I, as owner of the property, or my employees with wages as their sale compensation,
demolition authorized by this permit is from construction that does or oes not contain
asbestos, or that no demolition is authorized by this permit.
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
NOTICE: You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020
an owner of property who builds or improves the property, provided that the
(a). The protest must satisfy the requirements of Gov. Code See.6602D(a) and must be filed within 90
improvements are not intended or offered for sale. If, however, the building or
days of the date of this notice. In addition, you must tender payment of the protested fees at the time of
improvement is sold within one year of completion, the Owner -Builder will have the
the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they
burden of proving that it was not built or improved for the purpose of sale.)
are due if they are not already due.
i, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a licensed contractor pursuant to the
Contractors' State License Law.)
I am exempt from Licensure under the Contractors' Stale License Law for the
fallowing reason;
Date/Signature of properly owner or agent
Workers' Comoensation Declaration
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFULAND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP To ONE HUNDRED THOUSAND
DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR 1N
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES,
1 hereby affirm under the Penalty of eeriury ONE of the fallowing declarations:
n
[Y
I have 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 Coda, for the performance of the work for which this permit issued.
Initial
Policy No.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of the work forwhich this permit is
Issued. My workers' compensation insurance carrier and policy number are:
_
Initial
Carrier& Policy Number
Expiration Date
I certify that in the performance of the work forwhich this permit is issued, I shall not
employ any person in any manner so as to become subject to the workers'
7�
compensation laws of California and agree that if I should became subject to the
v
workers' compensation provisions of Section 370D of ih Lab ode, I shall forthwith
comply wi thos rovisions.
pale 5 t� Applicant - rlY
_
Initial
City of Palm Desert
Department of Building and Safety
Building Permit Application
(For Office Use Only)
JOB ID: OKIK_ D �3
PLANS FILED:
Project Address: 709 c A S --�iZ d(Z, Ve__ Suite #
Total Value of work: $ "+' Note: Plan Review Fees maybe adjusted after Plan Review
Project Description (be specific):
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r'9 R C o>7(-)--000 4
Contractor Business Name
ARAM oW K .e' o ',V 5
Property Owner Name
A R. (V L_
Address
.J 0\06
Address S
c1
Ci
Zip
ty Zip
Phone
Phone
Fax
Fax
E-mail
E-mail
Contractor License No. 533
❑Architect Name
010esigner Name
Engineer Name
Address
Address
City
Zip
city Zip
Phone
Phone
Fax
Fax
E-mail
E-mail
License No.
License No.
Applicant Name
10/14 Jam( 9f-k& 5
Signature
t�
Date
Contact Telephone Number
�5q- � � z— 2oi r3
E-Mail.
PLEASE COMPLETE THE REVERSE SIDE
73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax - www.cityofpalmdesert.org
RANCHO MIRAGE ROOFING
State Lie. No. 938533
P.O BOX 206 RANCHO MIRAGE CA, 92270
MAN] 1F:1 r)PTFr_A l MAlkir-0
ROOFING
BID -PROPOSAL
IM PHONE: (760) 832-2013 —
ran chomirageroofing@aol.com
DATE
�5 l
PAGE OF TOTAL PGS,
OWNER'S NAME
k/ A L�f K), � -I-
PROJECT NAME
'A9
OWNER'S CITY, STATE & ZIP CODE
PROJECT CITY. STATE & ZIP CODE
q _ 0 q 1 AS .uVE.
f} I el 416-e-
OWNER'S HOME PHONE
OWNER'S WORK PHONE
PROJECT PHONE
PROJECT CONTACT
A. SCOPE OF WORK. We hereby submit the following specifications and complete estimates for:
1. Roof Type: 'Gable ❑ Hip []Flat Other 10. ❑ Install New Gutters, type/style VID 4 4/
2. Roof Measurements: Width Length 11.'Olnstall New Edging, typelstylelcolorZx _wr'p
Eave Height: Pitch: 112 12, ❑ Install New Pipe Flashings
3. Roof Area APP06e ri 5 ,'� 13. ❑ Install New Flashings ❑ Membrane ❑ Sheet. Metal
4. Existing Roof Covering: ;Z�)a� ❑ Tile B.U. . 14.I.Install Other Flashing (specify)
Other. AAA/ Nett fa4ec {�-(8,5.1i,`lLg�
5. ❑ Tear Off Existing Roof 6. 0 Go Over Existing Roof 15. 9Seal and Paint Pipes (specify)
7. ❑ New Roof Covering (specify) 16.g Remove and Dispose of all Debris from Job Site
f ftW 6AI M {? o �wl�°L�Sk�� l^'Z �.n�f-I 17. Obtain and Provide all Necessary City Permits
8. ❑ New Ridge (specify) 18.d;a'Warraniy on all Wormanship and Labor5 yrs.
19. Warranty Against Leaks_yrs.
9. ❑ Install New Sheathing ❑ Plywood ❑ OSB in. 20. ❑ Other (specify)
❑ Other ❑ Quantity_ } kj 6 IP41C W.- Ir sf. 21. ❑ Other (specify)
Additional work specifications:
c�' P
s+"4-1 OJ-e-yf
G Di7L?
S.-WE PROPOSE: To furnish material and labor-- complete in accordance with specified above, according to the terms and
conditions as stated,. for the sum of:
Q
�e Vt,,Y VoLJ 7 00
-Dollars $
Payment is to be made as follows:
W 6 0 o e �- POA C'om
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard
practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written
orders, and will become an extra charge over and above the estimate.
This proposal is open for acceptance until: —
Date v_! � /./.(g
c
_ _— Authorized Signature
C. NOT INCLUDED: This Proposal does not include:
D. ACCEPTANCE OF PROPOSAL: The above prices, specifications, conditions and payment terms reby accepted.
You are authorized to proceed and do the work as specified. Payments will be made as outlined e.
,5 ~ 1_ '-
Date _ k _,... Authorized Signature
Date Authorized Signature
O 19F2-SV➢R_mgd6�p(, s
AC"R" CERTIFICATE OF LIABILITY INSURANCE
lik.�
DATE(MM,DDlYYYY)
02/16/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENT] OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
NAME: BRETT HOSKINS
ACW GROUP, LLC dba: AKAMINE CHRISTMAN WALL INSURANCE
79-220 CORPORATE CENTER DR., SUITE 102-F
��"�"E 760-485-3710 FAX No. 760-262-3673
E-MAIL
ADDRESS: gp• bhoskins acw rou com
LA QUINTA, CA 92253
INSURERS AFFORDING COVERAGE
NAIC #
INsuRERA: Capitol Specialty Insurance Corporation
INSURED
INSURERB: STATE COMPENSATION INS FUND
Rancho Mirage Roofng & Valley Painting & Elastomeric Coatings Inc.
83-081 Tourmaline
wSURERC:
INSURER D
INSURER E :
Indio CA 92201
INSURER F:
I Ell
COVERAGES CERTIFICATE, NUMBER: REVISION NUMBER -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMIDDNYYY
POLICY EXP
MMIDD[YYYY
LIMITS
A
TCOMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X� OCCUR
CT20172205-01
11/19/17
11/19/18
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED-
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'LAGGREGATE
LIMIT APPLIES PER:
POLICY ❑ JECT LOC
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMPlOP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ -
ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident
( )
$
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
S
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DIED RETENTION$
$
B
AND WORKERSCOMPEN
L AT ON YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDED?
FYI
NIA
9070803 - 2016
09/06/17
09/06/18
X STER
ATUTE DEREMPLH
E.L. EACH ACCIDENT
$ 1,000,000
--- ---'......_..--.—._--
_—_ .------....-_ --
E.L. DISEASE- EA EMPLOYEE
(Mandatory in NH)
IT yes, describe under
DESCRIPTION OF OPERATIONS below
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Address: 68-195 Terrace Rd., Cathedral City, CA 92234
Momentum Concepts, LLC., has been issued as an additional insured per the attached endorsement (UCISG-BAI-3)'For
work performed on behalf of the named insured at location specified under written contract.
Note: Additional Insured status is subject to all policy terms, conditions and exclusions
iv�►vs In Lvmv■iwJ� Imo.,
MOMENTUM CONCEPTS LLC
P.O BOX 1677
CHINO HILLS, CA 91709
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
U 19B5-2U14 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
CITY OF PALM DESERT
Building & Safety Department
PERMIT # L2F49 - 0
73-510 Fred Waring, Palm Desert, CA (760) 776-6420
SMOKE & CARBON MONOXIDE ALARM RETROFIT
2016 California Residential Code sections R314.8 and R315.2
Where a permit is required for alterations, repairs or additions exceeding $1,000, including exterior work, i.e. roofing,
HVAC change -outs, electrical panel upgrades, windows, etc. existing dwelling or sleeping units that have attached
garages or fuel burning appliances including fireplaces shall have a carbon monoxide alarm.
Smoke and Carbon monoxide alarms shall be installed in the following manner:
• In each sleeping room (only require Smoke Alarms unless bedrooms contain a gas appliance then a carbon
monoxide alarm is required as well)
• Outside each separate sleeping area in the immediate vicinity of the bedrooms. (require Smoke and Carbon
Monoxide Alarms)
• In each story level of the dwelling, including basements and habitable attic rooms (require Smoke and Carbon
Monoxide Alarms)
• Smoke alarms and smoke detectors shall not be located where ambient conditions, including humidity and
temperature are outside the limits specified by the manufacturer's published instructions
• Installation near bathrooms. Smoke alarms shall be installed not less than a 3 ft. horizontal distance from the door
or opening of a bathroom that contains a bathtub or shower unless this would prevent placement of a smoke alarm
required by other sections of the code
• Smoke alarms and smoke detectors shall not be installed within 36 in. horizontal path from the supply registers of a
forced air heating or cooling system and shall be installed outside of the direct airflow from those registers
• Smoke alarms and smoke detectors shall not be installed within a 36 in. horizontal path from the tip of the blade of
a ceiling -suspended (paddle) fan
• Smoke Detectors shall be within 10 years of manufacture marked date and/or replaced if such date does not exist
• Conventional Ionization smoke alarms must be installed with a ten year battery
Interconnection:
Where more than one carbon monoxide alarm is required to be installed within the dwelling unit or within a sleeping unit
the alarm shall be interconnected in a manner that activation of one alarm shall activate all of the alarms. Exception:
Interconnection is not required in existing dwelling units where repairs do not result in the removal of wall and ceiling
finishes, or there is no access by means of attic, basement or crawl space.
The Building Inspector will verify the installation of the smoke and carbon monoxide alarms during the
inspection process or the owner can complete and sign under the penalty of perjury the following:
I understand the above requirements and certify that we now have smoke alarms and carbon monoxide alarms
instal[ed that comply. 1 agree to comply with th CRC in re ards to 76f)l.�,_
ke alarms and carbon monoxide alarms.
1, K � 1 and I,who own and/or live in the
(Property Owner's name) enant's nam ame)
Dwelling located at:-7-1-4 0 Y1 A 5
Signature of Owner
Date
of
*This is a voluntary smoke and carbon monoxide alarm verification procedure. If you prefer a building i
perform the verification, you must arrange to have an adult present at the time of inspection.
*Note, this verification is only used when normal access to the interior of the dwelling is not achieved during the course
of project construction. it is normally used for projects such as re -roofing, re -siding, patio covers or swimming pools.
4/11/2017
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