Loading...
06-2835 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:6;6r--,�6&0068r35; Property Address: 52400 AVENIDA OBREGON APN: 773-255-006-6 -000000- Application description: RE -ROOF, Property Zoning: COVE RESIDENTIAL Application valuation: 12550 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'SDECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. - License Class: C39 License No.: 843464 ate: t r: OWNER -BUILDER DECLARATION I hereby.affirm under penalty,of perjury thatam 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 asigned 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 sheds 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 I, 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 an_d,Professions Code: The Contractors' State License Law does not apply to an-ownei 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 improvementis 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.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coder 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 Phis 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: LQPERDIIT Owner: PLASCENCIA GUDELIA S 52400 AVENIDA OBREGON LA QUINTA, CA 92253 Contractor: ADVANCED ROOFING SYSTEMS INC 543 N. MONTEREY ROAD PALM SPRINGS, -CA 92262 (760)329-7310 1FD Lic. No.; 843464 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/06 U' JUL 2 8 2006 JLu WORKER'S COMPENSATION DEC RAEIO I hereby affirm under penalty of perjury one of the following 0eclarati ns: CITY OF LA CNINTA I have and will maintain a certificate of consent to self -Ir sure for worifoopftst's provided for by Section 3700 of the Labor Code, for the perfor an f -MU wortofor°whi hisytermttlis—�- 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'STATE FUND ' Policy Number 285-0001780 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 Section 3700 of the Labor Code, I shall forfhw' h comply with those provisions. Oates C Appi an�J� 0 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND, SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND 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 Director of Building and Safety 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 followingissuance 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 -16 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 authorise representatives of this county to enter upon the above-mentioned property for inspection pu9>9ses_._--7 r Application Number 06-00002835 Permit . . . RE -ROOF Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/24/07 Qty Unit Charge Per Extension BASE FEE 30.00 -----------------------------------------------------7---------------------- Special Notes and Comments REMOVE EXISTING ROOFING/INSTALL EAGLELITE TILE PER ICBO #4660 Fee summary Charged --------------------------- Paid Credited Due ---------- Permit Fee Total 30.00 ---------- .00 ---------- .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 LQPERMIT ROM ADVANCED ROOFING SYSTEMS FAX NO. 3207310 Jun. 08 2006 02:11PM P1 P.R0P0SAL AND : CONTRACT , . AD�/AI�IC�C� .R13DFING SYSTEMS,-INC.-,. POST OFFICE:.50X 1544, LICENSE NO. 843464 -.PALM SPRINGS, CALIFORNIA 9220-1544 .,".. (760) 320 7310 Proposal Submitted To • rWork Tu lie Performed. AL � N?Lm'e:.GuM.14 lR ncia 1,i�P11G ascenCIQ Addiess: 52400 eObrigog^ A�l�t�1lC1G''0�r1" ,©� Address 52400 Avg ObTigon Ja 0uintar CA. La Uinta. CA i Phone: �..J�0-220-7299 We-Propose to fu;rniAxall thG.materials and perform all the labor necessary to"roof the aliobe location.. \i: Tear off and haul away, existing shingle roof: :.:. 2, Install Eagle Lite:Tile per malnufacttires�.s."pecification arid•induStry standaids.. : 3. Permit i icluded_'If engineering is required by•city, o"erto;pcovide all;engiiaeeringfor pertpit.• All material is guaranteed. to he as specif ed,'=d,the above work to be performed iii a sub�ntial worloi►anlike mann r for the sum of: TWELVE THOUSAND FIVE H' U.NDK)✓brFIFFY ****,**r�r**4++-R• : wrm� r+ +++a: xama�as 'Dollars ($%2,550.00) tit th.payments'io be made as followsi $4,oito rinwn:for epecis7. girder. materiial. Szdaiice due on completion my alteration or do viauon from above cpecifL otts involving eztc4t c6sCs; wil) be ezecuteil only u ori written orders, and will •become an extra charge oNerand above the estimate- All agrcemetits.connrtgentvlx+n S[cikes, accidents oi;c elays.hcyot►d oiircontroL' Qwner to carry fire; tornado and other . . ,. n ary insurance upon above.work. Workman's Corltiiena3ficrii�and'Pubfic Law *'tyinsutance ori abo4e work to be taken'out by A(IvHnwd Roofing Systems, Inc ACCEPT -T] ' T] a above pric&q, specifications And conditions-are satisfnanry. And amhereby u=pted:.You are, authorized to do the work as'spcciticd. Payment will be mitde as oudinod above. ' e ACCEPTED: (print) .DATE;. 0�✓ " Signaturce r ryb�D: Owner to read and-approve other terms.aad'cupditions on opposite 'Qage d!'NO'OWN9' TICEYOT1C! 1;0 - •...:' • .i . .:. Weden 7oA9 • Goa M. Alai, LiM) . • • • Vnder rte Merao�la t/en Lav, . .'i„�:ace.r...eobo- ;to.,,.�.eer .er,e.u.aa u, aleer Pciarp, Ma.Myv !u Ivq.nic iaa PRy.-:y:.oi • .��� • nor yb.M n4Li.v,.m ics. m, nu.era++�L n:: a.�yn+u iaagalm !Oa^N A_•P.�^ . r<M �'m•, �• - .. . .. .. ' gi+,rflr'itnurt ltiyriuL7ei�rP�YewJE Eo,eWyaewrioQea aeA ilie PweoM, nfNe wk'u<cdd w �� .. .: •, .• . ,nGtty'm�iad.W dM;L'm:, Fan happen even d).h6:e emd•y?aroaoeomiacftild ume mtkcmu cwr 1M1Iohttel,L: U$te Pri;3tdent•' .. . 19b m. of mpp kr rami 6wd aapald.' .. - •,.: .. ' License Nb.' '.843464 ' .. UM,+li.el.w.w.na71`�a,!wrvU a�,ain„nm`a dai.nA E�n�q.irin�a mn6Coei16di �cEeuc for payment iu roN � an P...ew, F'^"+r1eC InA..r, rn'vat aghipaun+ er nuteKeh tM rah veR daer(aM Ui aald eoateao. .: � ..�++ c . bate: `©b eSSCit c ydrti T''F 4 [�e 7�I "l r�' �;; :;.:- •- �e•Y� Bin,# City of La QuInta Building u Safety.D,ivision. P.O. Box 1504;.78-495 Calle Tampico La Quinta, CA 92253 - (760) 77.7-7012 Building Permit Ap.pli- tion and Tracking Sheet Permit # g� Project Address: Q �. Owner's Name:.. A. P. Number: Address:2 1r 9 Legal Description: Contractor: City,. ST Zip- p- � -1o, Telephone: Address: Project Description: City, ST, Zip: tea✓ d . Telephone:4- City Lic. #: 4 /G d <_ 14� it�tL. A Y State Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone:` State Lic. #: Name of Contact Person: Construction Type:: Occupancy: '.Project type (circle one): New Add'n Alter Repair Demo :,Sq.' Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of=Project: APPLICANT: DO NOT,WRITEI-BELOW THIS LINE* # Submittal Req'd Recd, TRACKING PERMIT FEES Plan Sets Plan Check submitted 'item Amount Structural Calcs. 'Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan 2n1 Review, ready for correctionsfissue Electrical Subcontactor List Called'Contact Person Plumbing Grant Deed Plansicked u t P�. P' . S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '•" Review, ready for corrections/issue Developer Impact Fee Planning Approval.. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue` School Fees Total Permit Fees Bin # City. ofLa •!Quinta Building,U Safety'Division P, 0. Box 1504, 78-495 Calle Tampico. La Quinta,CA 92253 = (760) 777-7012 , Building Periiiit Application and .Tracking Sheet Permit # -Project Address: n/ �`r« A L D' Z "'"' 1 „�Owner,s Name: • �- 0 N A f,G.. � �—t i A. P.. Number:. Address ..Y .�.. oo (D Legal Description:" City, ST;'Zip �. I ALC.-A 9Lz o Conte ra Telephone:-% $LOQ ares 3 — }6 A Project Description: it3;.ST; Zip: =LNeii a �� � . 2-2-0 j ?&.D (STS ANaG Telepho3 y } - O 3 y 4^ -- C j Cf Stat# : q 22 .9 -7-j-.3 . Arch., Engr., Designer: City-Lic #; r/O f 0 Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: `Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:. Estimate&Value of,ect a, . QED , APPLICANT:' DO NOT4 WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets :Plan Check submitted 7� Item Amount Structural Calcs. Reviewed, ready for.corrections - Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted .Mechanical Grading plan 2., Review,'ready for corrections/issue Electrical Subcontactor List Called Contact Person II.Plumbing Grant Deed Plans picked up S.M.I. ' H.O.A. Approval Plans resubmitted Grading; IN HOUSE:- ''" Review, ready for corrections/issue ., + Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 3^�