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06-0898 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 a Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 4 A Applicant: . .y vie C06-00000898 54625 AVENIDA OBREGON 774-273-018-6 -000000- RE-ROOF COVE RESIDENTIAL 9325 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------------------------------------- --------------------- - - - - -- c� - --- - - - -_- © LICENSED CONTRACTOR'S DECLARATION Date: 3/06/06 Owner: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations. `q - POLLOCK ALAN R _ I have and will maintain a certificate of consent to self -insure fo' orkers' comp nsation, as provided License Class: - - - - - - - - - - ense No.: C39 P O BOX 491 for by Section 3700 of the Labor Code, for the performance of . e work f which this permit is Date: 3-6'a C ractor: ' LA QUINTA, CA 92253 Code, for the performance of the work for which this permit is issued. My workers' compensation Contractor: insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the DEW. ROOFING, INC. O following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to P.O. BOX 914 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the, applicant for the person in any manner so as to become subject to the workers' compensation laws of California, PALM SPRINGS, CA 9 3 and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or WCC: STATE F 3700 of the La Code, I�ahall fortith ply with those provisions. 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 civil penalty of not more than five hundred dollars ($500).: Lic. No.. C39 ( I 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 and Professions Code: The 06'x® Contractors' State License Law does not apply to an owner of property who builds or improves thereon, ------------------------------------------------- --------------------- - - - - -- c� - --- - - - -_- © LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATIO N - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations. `q - Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure fo' orkers' comp nsation, as provided License Class: - - - - - - - - - - ense No.: C39 for by Section 3700 of the Labor Code, for the performance of . e work f which this permit is Date: 3-6'a C ractor: ' ssued. 1I have and will maintain workers' compensation insurance, as required by ection 3700 of the Labor , Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier 150901905 12/01 OgolicyNumber 409619 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the, applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the La Code, I�ahall fortith ply with those provisions. 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 civil penalty of not more than five hundred dollars ($500).: . ta: '� t: plicant: ( I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ' and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($ 100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF,THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions. Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed ' 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 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 ' CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read -this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). _ city anq county ordinances and state laws relating to building construction, and hereby authorize representatives Lender's Name: �` of county to enter up the above-mentioned property for inspec Dat.. 410 Signature (Applicant or Agent): ' p es. ' Lender's Address: ' LQPERMIT LQPERMIT Application Number . . . . . 06-00000898 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 9%02/06 Qty Unit Charge Per. Extension BASE FEE 30.00 ------------------------------------- Special Notes and Comments -------------------------------------- RE -ROOF WITH LIGHT WEIGHT CONCRETE TILE 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 Bin # City of. La Quinta Building & Safety Division P.O. Box 15041 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: A. P. Number: Owner's Name: f,4 4'/1/ Pel - Address: e Qr o» City, ST, Zip: T Telephone: Project Description: Legal Description: Contractor: /� ,0e%,) �� o iY Address: 6 v City, ST, Zip: Telephone: ; j .. 9 3 ' State Lic. # : 0 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: V I 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 WRITE 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 Flood plain plan Plans resubmitted Mechanical Grading. plan 2°" Review, ready for correctionsrissue Electrical Subcontactor List Person Plumbing Grant Deed FCalledontact cked up S.M.I. H.O.A. Approval submitted 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 I -Total Permit Fees License No. 409619 CONTRACT PROPOSAL Contractors are required by law to be licensed and regulated by the Contractors' DEW ROOFING, INC Slate License Bonrd. Any recon- � referred cerntng a contractor may bp relerred to the registrar of the board whose address is: 640 Williams Road - P. O. Box 914 Contractors' Slate License Board PALM SPRINGS CALIFORNIA 922631020 "N" Strenl Sacramento, California 95814 Phone (760) 327-3393 Contractor: Address: -P.O.-Box 491, La Quinta, CA. 92247-0491 Owner: Alan Pollock 333-2404 Job Site: 54625 Ave. Obregon, La QUi.nti, CA. 564-1670 WE PROPOSE AND AGREE to furnish required labor and material for Remove old roof & re -roof for the above named building using SEE BELOW in accordance with submitted plans and specifications, for the sum of SEE BELOW ($ ) Dollars Bid #1 - Re -roof slope sectio .using 1 laver. 4011 fell & liahl concrete tile. Re -roof flat section using 1 layer glass base .& 2 layers ply & 7211 glass cap. ;r 3 Year. Guarantee $ 9,.325.00 �' - , e r no ' -Re_1 1 � � res- �•-� ,••��--i r� �r�a n t � , - - - - - � e-�- 3 Year Guaranteew5 00 ANY BAT) SHEETING DISCOVERED WILL BE REPLACED AT OWNERS EXPENSE. NOT INCLUDED IN THIS BID. IF YOU WISH THE WORK TO BE DONE, SIGN THE CONTRACT PROPOSAL BELOW THE DATE AND ALSO ON THE BACK OF THE SECOND SHEET, WHICH IS THE "NOTICE TO OWNER." WE ARE SENDING TWO (2) COPIES EACH OF THE CONTRACT PROPOSAL AND NOTICE TO OWNER. PLEASE RETURN ONE (1) COMPLETE SET TO US. Approximate starting date:. Approximate completion elate: ALL PAYMENTS TO BE 100% ON COMPLETION UNLESS OTHERWISE SPECIFIED ABOVE:' NOTICE "Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 el 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 clahn against your property. This means that, alter. 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." 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 Conlraclor shall not be responsible for damage or delay due to strikes, Ilres, accidents or other causes beyond his reasunable cuntrol. (B) The proposal is limited to days acceptance from date hereof. (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 TINIti TO REFLECT INCREASED MATERIAL PRICES. Date 2/24/06 .DEW ROOFING, INC.. accept the above proposal. By: Salesman A nnrn,,rnrl h"-