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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): ��s-� t � �v =✓� � �.�-���.�� o Q�� <,:� SAS � 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 Page 1 of 1