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09-0071 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: e0'9 -. 0 0�0 0`0'0�T1 5-3'S3'5'AVENIDA OBREGON 774-114-017-7' -000000- RE-ROOF. COVE RESIDENTIAL 9900' Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm undecpenalty of perjury that I•am licensed under provisions of Chapter 9 (commencing with Section 70001 of 61Viiion 3 of the Business s and Professionals Code, and my License is in full force and effect. License Class: ,C39 ense No.: 409619 Date /-: � 0-'9�� Com- o� tor. - OWNER -BUILDER DECLARATION hereby affirm under penalty of,perjurythat l am exempt from the Contractor's State License Law for the, following reason ISec. 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 to7file a signed statement that he or sheds licensed pursuant to the provisions of thdContractor'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 a permit subjects the applicant to a civilpenalty of not more than five hundred dollars ($ 500).: (_ 1 I, as owner of the property, or my employeeswith 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 amowner: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 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.). ' 1 _ 1 1, as owner of the property, am exclusively contracting with 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.). (_ 1 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: LQPERMIT Owner: RILEY, DAWN 53635 AVENIDA OBREGON LA QUINTA, CA 92253 Contractor: DEW ROOFING, INC. P.,.O. BOX 914 PALM SPRINGS,,CA 92263 (760)327-3393 Lic. No.: 409619 VOICE (760) 777-7012 FAX (760) 7.77-7011 INSPECTIONS (760) 777-7153 Date: 1/29/09 WORKER'S COMPENSATION DECLARATION I hereby 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. 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 0003766-2008 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 1 should become subject to the workers' compensation provisions of.Sectiori 3700 of -the Labor Code, I -shall forthwithtbtn . _ A— i / ' . ff �� �� 11ply with those provisions. " WARNING:FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL . SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES "AND '61VIL' FINESIUP 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 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. 1. agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of thi�tynto enter upon the above-mentioned property for '✓ns/pecti(onn purr Date:" � �T '� Signature a-IApp i antY o��t�; [�% �G� Application Number . . . Permit . . . . . RE -ROOF Additional desc . . Permit Fee . . . . 30.00 Issue Date . . . . Expiration Date . . 7/28/09 09-00000071 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF WITH CLASS "A" MATERIALS 2008 CODES" 30 YEAR SHINGLES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid. Credited -------------------- Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00. Grand Total 31.00 .00 .00 31.00 LQPERI%IIT License No. 409619 CONTRACT PROPOSAL DEW ROOFING, INC. 640 Williams Road - P. O. Box 914 PALM SPRINGS, CALIFORNIA 92263 Phone (769) 327-3393 Contractors are required by law to be' licensed and regulated by the Contractors' State License Board. Any questions con- cerning a contractor may be referred to the registrar of the board whose address Is: Contractors' State License Board 1020 "N" Street Sacramento, California 05814 Contractor: D & R Select Construction Address: 741 Eugene Rd., Palm Springs, CA.92264 Owner: Job Site: 53635 Ave Obregon, La Quint a, CA. WE PROPOSE AND AGREE to furnish ..required labor and material for SEE BELOW NEEDS A NEW ROOF for the above named building using n accordance with submitted plans and specifications, for the sum of SEE BELOW ($ ) Dollars Bid #1 - Remove old roof & re -roof using'l layer 30# felt & 30•.year fiberglass _shingles.. 3 Year Guarantee $ 91900.000 Bid #2 - Repair wind damage to garage. Roof area approx. 250 sq. ft. $ 850.00 Replace 2 sheets plywood X00 ALL PAYMENTS TO BE 100% ON COMPLETION UNLESS OTHERWISE SPECIFIED ABOVE. NOTICE "Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 et seq.), any contractor, subcontractor, laborer, supplier or other person who helps to improve your property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court hearing, your property could be sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. This can happen even if you have paid your own contractor in full, if the subcontractor, laborer, or supplier remains unpaid." $ 80.00 This agreement shall become binding only upon. the Contractor's written acceptance hereof or upon the Contractor's commencing performance and upon such acceptance or commencement of performance this shall constitute the entire contract and be binding upon the parties hereto, there being no covenants, promises or agreements, written or oral, except as herein set forth. It if further understood that: (A) The Contractor shall not be responsible for damage or delay due to strikes, fires, accidents or other causes beyond his reasonable control. m (B) The proposal is limited to days acceptance frnm nava hornnf (C) The Purchaser is dealing with the Contractor as principal and that the Contractor is not acting hereunder as the agent or representative of any person, firm, or corporation. PRICE SUBJECT TO CHANGE AT ANY TIME TO REFLECT INCREASED MATERIAL PRICES. Date_ 1/21/09. accept the above proposal. DEW ROOFING, INC. By: Salesman ��.o . ASM Bin # City. of La Quinta; Building eI Safety Division. P.O. Box 1504; 78-4.95 Calle Tampico La Quinta,- CA 92253 - (760) 777-7012 Building Permit.Applicatic4 and Tracking Sheet Permit # Project Address: • 6 o O'wrier's Name: ' e')e A. P. Number: Address: — Legal Description: f City, ST, Zip ontractor:& J` . Telephone: 0, o? Address: Project'Description: dd City, ST, Zip: I• .+ Telephone: T 3 L�'3` :. . 'S 0 State Lic. # : l City 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: P Estimated Value of Project:• APPLICANT: DO',NOT`WRITEtBELOW THIS INE. . # Submittal Req'd RecdKI TRACNG..:• PERMIT FEES Plan Sets Plan Check submitted Item.; Amount Structural Calcs. Reviewed, ready'foe corrections Plan Check Deposit Truss Calcs. Called Contact Pers"on Plan Check Balance Energy Calcs. Plans picked up CConstruction Flood plain plan Plans resubmitted Mecfianical Grading plan 2nd Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval i..Plans.resubinitted,Grading IN HOUSE:- ''d 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