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0107-0156 (ROOF)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ChaF"If� 9 .(cC.-tmencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force -and effect. License # t\ Lic. Class Exp. Date Date t t j• Signature of Contr ctor " OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner 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. ( ) 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 & policy no. are: Carrier Policy No. . IAMAOIN 1101SSJRANCR Wtl'Sia21171q (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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�agreejthat if Lshould become•-• subject to, the workers' compensation provisions of Section -3700 of the Labor Code"hsh lI forthwith comply with those provisions. Date' e.4 Applicant ) Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 withlall City, and State laws relating to the building construction, and hereby authorize, representatives of this City to ginter upon the"above-mentioned property for inspection purposes. Signature (Owner/Agent) Dae BUILDING PERMIT PERMIT# DATE VALUATION LOT {� j `( TRACT JOB SITE APN ADDRESS e1�•� �. 9 pp� 'y9�,.rp qqrr f� �y ayytr "D�""+4+�JI. A275,�.4f.JJ,GH.�'��• �+15.�Yitr .. . OWNER CONTRACTOR / DESIGNER / ENGINEER 1,iy�X0Ifpm�oaAwy+�d�1l',a9�gygy `!' -1011 d �"5i.�ELT WP,�I�UM, ry�9"�1[���!�«g�ip.,�gr'�`p�q��A°�.O�.1�XT y�[a P^�'980- ,T.ti'LA.i�it3VtlAY DAt V.F. u, QUINTIk CA 922S3 REMUDADIMES CA 92211 (7f,q)200-0811 CMA, 1420 USE OF PERMIT GEWI r'A.N MI Zi 9G 1+: T f�kl�rAt, ✓KJ �' ."1. fi.Q�3C,f >�iy s)p AMD INSTALL- 40 VLZ ,1..1184, SHR,�r. R #?Y'fLYAT ROOF '#OWMff. ft,40TION0,ROO F1rNWINON;Y`I'AL1, MAY LICHT ROOF TILS 61MM1,M) COST OXr CONUMUMOV ke ; .liFy Me MANIARY krMoor+ PRE F';37rr TCAL C",LRS`LRUM.ION >�-D PLAN I ,�,�'{ECK $30.00 UMS .1JRR ?aA10 S?_r,," °.V J.4J[3 IIIIIIIIIIIIIIIIVIIIIIII 63 IE RECEIPT DATE >7 V,� BY A I DATE FINALED INSPECTOR a _ -i- INSPECTION RECORD am OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR V„ BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts t rms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Ai!pliances Final ... COMMENTS: f + Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) __I CONTRACTORS STATE LICENSE # 636394 P.O. BOX 11257 Palm Desert CA 92255 760-200-0811 A proposal submitted to: JOE DOLAN CONSTRUCTION Mailing Address: 74315 BUTTONWOOD PALM DESERT, CA 92260 Job Address: 49811 ADELITO LA QUINTA, CA 92253 Phone: Description of Work to Be Performed: REMOVE EXISTING ROOF TILE AND DISPOSE. INSTALL NEW 40# TILE LINER. INSTALL NEW SHEET METAL AT ROOF TO WALL TRANSITIONS. INSTALL NEW ROOF FLASHING AT ALL H.V.A.C. AND PLUMBING PENETRATIONS. INSTALL CLAY LIGHT ROOF TILE TO MANUFACTURES SPECIFICATIONS. IF NOT ACCEPTED IN 30 DAYS THIS PROPOSAL IS NULL AND VOID Notes: In Keeping with Industry standards: 1. This guarantee does not cover any damage to the interior or exte- rior on which the roof is applied or damage to any contents therein. This guarantee does not cover damage to roof due to any cause beyond our control, including, but not limited to: fire, lightning, windstorm, hailstorm, an- tennas or other equipment, foot traffic on roof, structural fault or settlement, cracking or other failure of the roof deck, walls or foundation of the building on which the roof is applied. 2. Should it become necessary for the roof- ing contractor to remove and/or reinstall any antennas, cooling or heating appliances or other equipment, whether or not an additional charge is made for such work, the customer understands that neither Roof Tile Specialty nor the installer assumes any responsibility for the performance of said equipment. 3. Roof Tile Specialty does not assume any responsibility for corrections of existing code violations or for the repair of any existing defects un- less specified in estimate and proposal. Total Cost: $ 13,250.00 Terms paid on completion unless otherwise specified in the contract. If not acceptance in thirty days this proposal is invalid. Extra $35.00 per sheet of plywood if needed. Acceptance: You are hereby authorized to furnish all contents written in the contract to complete work mentioned in the proposal contract for which I/we agree to pay the amount mentioned, in said proposal, and according to terms thereof, . (Initial). If a leakage, caused by defects in workmanship, occurs within TEN years from date of application, we will repair it free of charge. Installation: it is understood that by the acceptance of this proposal you authorize Roof Tile Specialty to make the installation; to issue work order with specifications shown herein and to pay our charge for such installation. You agree to pay the amount the specified herein, which will cover the price of said materials and labor charge. This estimate is based on a complete job and any surplus material remains property of Roof Tile Specialty. Verbal understanding and agreements with representatives shall not be binding unless set forth herein. There shall be no liabilities for delays in, or failure to complete, deliver or installation of all or any of the herein mentioned mer- chandise, if due to fire, strikes, war, government regulations, or any cause beyond our contract. Any changes made by you in specifications herein, necessitating additional materials or labor shall not be included or covered by this proposal, but shall be provided for under separate and additional order from you. ( Initial). Arbitration of disputes: Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitrator in accordance with the applicable Construction Industry Arbitrator Rules of the American Arbitration Association which are in effect at the time the demand for arbitration is filed. A judgement upon the award rendered by the arbitrator(s) maybe entered in court having jurisdiction thereof. Any arbitration award shall be subject to correction and/or vacation for the reasons stated in the code of civil Procedure. The ar- bitration shall award reasonable attorneys fees and expenses to the prevailing party. After being given due notice, should any party fail to appear at or participate in the arbitrator proceedings, the arbitrator shall make an award based upon the evidence presented by the party(ies) who do (does) appear and. participate. Notwithstanding Con- tractor's right to arbitrate, contractor does not waive any of its lien rights. In the event of default by client in payment of the amount due hereunder, client agrees to pay reasonable attofneys' fee's and cost incurred in con- nection with collection of said amounts whether or not suit is filed: 1.5% per month and/or an annual percentage of 18.0% will be charged on all past due accounts. Contractor's are required by law to be licensed and regulated by the Contractor's State Board. Any question concerning a contractor may be referred to the register of the board whose address is: Contractors State Licenses Board, 9835 Goathe Road, Sacramento, Ca., 95827. Mailing Address: P. O. Box 26000, Sacramento, CA., 95826. The above prices, specifications and conditions are satisfactory and are hereby accepted. Owner's Signature (or authorized representative) Contractor's Signature Date: Date: "Notice" (Section 7019 - Contractors License Law) "Under the Mechanics' Lien Law, any contractor, subcontractor, laborer, material man or/other person who helps to improve your property and is not paid for his labor, service or material, has a right to enforce his claim against your property. Under the law you may protect yourself against such claims by filing before com- mencing such work of improvement, an original contract for the work of improvements of a modification, thereof, in the office of the county where the property is situated and requiring that a con- tractor's payment bond be recorded in such office. Said bond shall be in an amount not less than fifty percent (50%) of the con- tract price and shall, in addition to any conditions for the perfor- mance of the contract, be conditioned for the payment in full of the claims of all persons furnishing labor, service, equipment or materials for the work described in said contract. "Notice" "Under the Mechanics Lien law any conb- tractor, subcontractor, laborer, supplier or other persons 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 subcon- tractor, laborer, or supplier remains un- paid." Buyer's Right to Cancel You may cancel the agreement or offer referred to above anytime prior to midnight of the third day (excluding Sunday) after the day you signed the agreement or offer. If you cancel and you have already made some payment to the seller, the seller is entitled to retain out of the payment, as a cancellation fee. Five percent (51/o) of the cash price of the goods or service, but in no event may the seller retain more than fifteen dollars ($15). You may give notice of cancellation by mailing a signed and dated statement to the seller at the address indicated. In order to have proof of the mailing. it is recommended that you mail the statement by registered or certified mail. If you Notice to Owner Under the California Mechanics Lien Law, any contractor, subcontractor, laborer, supplier or other persons 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. To preserve your right to file a claim or lien against your property certain claims such as subcontractors, or mate- rial supplies are required to provide you with a document entitled "Preliminary Notice" Original (or Prime) con- tractors and labors for wages do not have to provide this notice. A preliminary Notice is not a lien against your property, its purpose is to notify you of persons who may have a right to file a lien against your property if they are not paid. (Generally, the maximum time allowed for filing a claim or lien against your property is ninety (90) days after completion of your project.) To Insure Extra Protection For Yourself and Your Property You May Wish To take One Or More Of The Following Steps: 1. Require that payments be made directly to subcontractors and material suppliers through a joint control. Any joint control agreement should include the addendum approved by the Register of Contractors. 2. Issue Joint for payments, made out to both your contractor and subcontractors or material suppliers involved in the project. This will help to insure that all person due payment are actually paid. 3. After making payments on any completed phase of the project, and before making any further payments, re- quire your Contractor to provide you with unconditional lien release signed by each material supplier, subcontrac- tor and laborer involved in that portion of the work for which payment was made. On projects involving, the per- sons signing these releases lose the right to file a claim against your property. In other types of construction this protection may still be important, but may not be as complete. Applicable Law: This agreement, and all the rights and obligations of the parties under this Agreement, shall be governed by the law of the State of California. Consequential Damages: Buyer shall not be entitled to recover any incident or consequential damages as that term is defined in Commer- cial Code Section 2715. Attorneys Fees: In the event of litigation arising out of this agreement, or the performance or interpretation thereof, the court will award reasonable attorney's fees to the prevailing party. No Other Agreement: This Agreement is full and final Agreement of the parities, and no written or oral communication between the parties before the execution of the Agreement will modify or amend the Agreement. The Agreement may be modified only be a written document signed by both parties. Liquidated Damages: ( 1.5% per month service charge annual percentage of 18.0% on all past due.) In the event of a breach of the payment terms of this agreement, it is agreed that the seller's Contractors/Subcon- tractors/Suppliers) actual damages caused by such a breach are difficult and impractical to determine and include, among other things, administrative costs for billing, accounting for and collecting past due payments accordingly, buyer agrees to pay seller liquidated past damages as delinquency/service charges on all accounts past due at the rate of 1.5% percent per month, annual percentage of 18.0% until paid in full. This agreement to be a reasonable method for fixing seller's damage so rising.