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BRER2014-104278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT- DEPARTMENT BUILDING PERMIT Application Number: BRER2014-1042 Property Address: 52050 AVENIDA OBREGON APN: 773215003 Application Description: REROOF REPLACE UNDERLAYME Property Zoning: Application Valuation: `7Z -6;K:1 Applicant: DOVE ROOFING AND CONSTRUCTION 6402 SUNBURST JOSHUA TREE, CA 92252 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 Class: B. C39, C36, C35 License No.: 1103 Date: A? Ztll c{ contractor: OWNER -BUILDER DECLARATION 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 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 o( improves thereon, and who does the work himself or herself through his or her owd 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 wifh 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/8/2014 Owner: DONNA MCCUNE 52050 AVENIDA OBREGON LA QUINTA CA 92253 Contractor: DOVE ROOFING AND CONSTRUCTION 6402 SUNBURST JOSHUA TREE, CA 92252 (760)366-3252 Llc. No.: 871103 WORKER'S COMPENSATION DECLARATION fhereby 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 the work for which this permit is issued. I have 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: My'workers' compensation insurance carrier and policy number are: Carrier:' - ,Policy Number:_ I certify that in 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 sh Id become subject to the workers' compensation provisions of Section 3700 o t e Labor Code, I shall forthwith comply with those provisions. f Wte: /2 b Applicant: U. 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. 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 isperformed 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 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 ordinances and statela//�s relating to building construction, and hereby authorize representatives of this city t6/enter upon the above- mentioned property for inspection purposes. r /� Date:'_'�I y Signature (Applicant or Agent) 1111 jj� ill, • ' • oils li, 1�Y. " a. 1 MINE �aA'N*iggii'8'¢:�ndt7,[�h.3'^u;�".'f?..d f'G'SFK" :�7 �.y«Vffidf} II v�'t f:' .4fi'.'�`sYJv"(x4":�•r.�.�v... ' ?� DESCRIPTION , AINE �ACCOU.NTy`• ��'�iF �QTpY� AMOUNT , :y PAID syt. � r �SPAIDpkDATE -.x:16:+i*M.,.ilrll.X=fl.�..:5 :i'. ..F<srgt-, 't Ph t�315±:..: r.M � Lac :4Y,rs t`Nz7_�Kfia2.'ff .xs RE -ROOF - EA ADDITIONAL 1,000 SF 101 0000=42404, .. -0 $11.60 $0.00 •w . �'!. +c'M-i.''�"4 'Y:3 '�haX$ 'S ii'i�' ?'..h! l M. �a k;iyCw; R ?.tt� d ;. PAlt) UYt��� ; �n } ��, ; , .. , < METHOD u tA.'S�'�exYfik`u+L fYx...'F:-9•. riX •...};:6..Y�3 ;hdx;Nd.. .< �J'.' ^ 3r41L"^l'gi` 5'3s;.Y.3'4E $ .RECEIPT # .i j CHECK # ��CLTD WIN c •r amort: M. ACCOUNT"q1�ry�� X� W x {.��' �,3+€A�:; mi+xu"r,ctttK %�+Ye tr._?.�- ^'. i;.'' 1 d "•k "r�N�F', ;at %»%rk e+V' ! ?��a{ 5�''�i Q'TYy {',.y:c1f AI1ll0 ME MMS tPAIDDATEtg •w�ni. YatY llCSS. `ia.;.��i :M.:. T3�.. sa✓e)iP�.A.?Gk«''»:a:NA RE-ROOF -FIRST 2,000 SF 101 0000, 42404 `> _, 0 . $49:31 $0.00 x METHODS''' e t Y PAID°B eZ���i�,4z. _--.• ..�" 0 'll: _ r�;tfYe�fi'1a£ ie�. wy .0 ai"i�=:. s;C CK # t CL�TU BY `.. RECEIPT« , �3 a�R�"&F.erE+cyaw`r'.:w F, '�rei �. r.%#w»„ata— �.. S3x? �! r 3'�sXti4..�A.,Y.:rc X+Fk s. �...f�� 1' �+SdP `�? "iS•(,�`'t i }W �:a'p.3rr �?: ,x �t �. � :,<._,aPi� IP �� b .' ;r' . .. A000YrU T xa � Oil �+s6•K5� �:�a.: NSx ttks�ni.MSTjt*"3 •i4„'-, 3� ;A!.61YYR4'• 't” ." �'F�,,,��.}� MOUNT: s' MMM DA„T;E RE-ROOF FIR5T.2,000lSF PC ... '” 101 0000=42600 < 0 $98;62. $0.00 x aqa:h yc~� S'tf_y,cw# � AID;BYrtw ' 4 _ METHOO WN rE K# CCLTDBY v RECEIPTr � C C ,t :,.:Tr••:r,;as,c,n-".v.:kC,..uw:m.;cVc.u..;..'!';.i'.ra:s,.z:.�sn;rx�.+:r• 4 Total Paid:forRE ROOF $159 53 $0.00 � i - .� e . .u:•.. ... .: �F....J'NFiJ. • Description: REROOF REPLACE UNDERLAYMENT Type: RE -ROOF Subtype: Status: SUBMITTED Applied: 12/8/2014 PJU Approved: Parcel No: 773215003 Site Address: 52050 AVENIDA OBREGON LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 1 Lot: 3 Issued: UNIT 1 ...£... .f-Y.W.y.�i.�"_.an .. ,. <:....'��>"+w _ S, a:'Wf�� .... `i� 44, "�ri 7` Et�gi':.: �. ,�, `J � , ADDRESSi_� �...�;xa ,_.:CITY.._„�;�;` '�� � �»..w. � :<. my.. 'b, ...'..J.ex '�` �:c ESTATE � ..,.E::: .c. Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 92252 Details: REPLACE ROOF UNDERLAYMENT REMOVE AND REPLACE EXISTING TILE. 2013CBC. CONDITIONS CONTACTS :y.t. _-. -!'�}.'r.aarr.srr: P::w. ZX�` :, ,, _NAMETXPE.:�,�.�,�.,-; ,h. v �.:��:.� .X �, ...: �.-YiY��.:Eal�. ¢f:d�w%i..�.-,�c ?iea.. .4 �. Al'M'�`., �-?.,� ";' �- nt%F, ;�'L{�.�'.^'�-�q4 Pr _ NAME,. ."�; :...�'.icV����'K�'� <.. ,f w:�a "i7 3�`. � ...£... .f-Y.W.y.�i.�"_.an .. ,. <:....'��>"+w _ S, a:'Wf�� .... `i� 44, "�ri 7` Et�gi':.: �. ,�, `J � , ADDRESSi_� �...�;xa ,_.:CITY.._„�;�;` '�� � �»..w. � :<. my.. 'b, ...'..J.ex '�` �:c ESTATE � ..,.E::: .c. :iy- t... �� �i, _.s-f}v...e:.".��e'. �:11.•�� �S;�p4 �+�T:n� i ,� ZIP, , ��,� PHONE ;.... !�• : -..:it .. ..�,.....r.. 1i ': .. ; � �; hR FAX='.*� �.k ,,.:`.i�,Y-..u-•.-'�` �.�. aa.-�• � ^`nTtiia t. .. �.: rtk. d*: H.�n �. ��'�EMAIL,, •+ --�-:r.: #�..�. . �� .,a APPLICANT DOVE ROOFING AND CONSTRUCTION 6402 SUNBURST JOSHUA TREE CA 92252 (760)564-6495 CONTRACTOR DOVE ROOFING AND CONSTRUCTION 6402 SUNBURST JOSHUA TREE CA 92252 (760)564-6495 OWNER DONNA MCCUNE 52050 AVENIDA OBREGON LA QUINTA CA 92253 (760)564-6495 Printed: Monday, December 08, 2014 8:16:03 AM 1 of 2 SYSTEMS -'a YDESCRIPTION T RESULT REMARKS NOTES.' r . FINAL" PRE -ROOF CLTD ACCOUNT QTYAMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $0.00 SF PC Total Paid for RE -ROOF: $159.53 $0.00 TOTALS:•• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE. DATE RESULT REMARKS NOTES.' r . FINAL" PRE -ROOF PARENT PROJECTS Printed: Monday, December 08, 2014 8:16:03 AM 2 of 2 N?WYS TEMS Bin # Cray �f Ld QCiln�a. . . 1=b �::.:.�. a•.. Building � Safe tyDivision \ P.O. Box 1504, 78-495 Calle Tampico . Quinta, CA 92253':- (760) 777-7012 Building. Permit Application and Tracking Sheet Per it # VLa Project Address: S�-�S� d Q �. Owner's Name. fgge? J n � A. P. Number: Address: S ©Sp 0 e2 ki Legal Description: City, ST, Zip: La Contractor: vNe lKOdd-rte Telephone: ao s(o �j 6 cj i r<:'•.ss:» ;;:> <»>s> :;:>>« >::::::<:: Address: Project Description: a e_• Od v VL J.- ., City, ST, Zip:. ' C �'�2r2 o,e- a etc ' - fa As4n, IL ex i A. Tele hone-. P 6�6 2 :�2 e State Lic. # : 7110 3 City Lie. #: _ Arch., Engr., Designer: Address: City., ST, Zip: ne: Telephone: State Lic. # Cons rcti Occupancy: Type: • nTYP NiAdd'n Alter Repair Demo Proect type (circle one): w Name of Contact Person: e�,i✓t1'e� Sq. Ft.: •7 #.Stones:. F# Units: Telephone # of Contact Person:: p'• G Z Estimated Value of P.roject..'%2Q c'2 APPLICANT: 601NOT WRITE BELOW THIS.LINE tJ ' Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Clieck Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cal cs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans. resubmitted Grading IN I10USE:- 'rd Review, ready for correctionsCssue Developer Impact Fee Planning Approval . Called Cont act .Person A.1.P.P: Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees