BRER2014-1037n
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78-495 CALLE TAMPICO
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VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011.
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/7/2014
Application Number: BRER2014-1037
Owner:
Property Address: 77895 AVENIDA MONTEZUMA
MICHAEL FISCHER
APN: 773101005
112E CHAPMAN AVE STE E
Application Description: REROOF - REPLACE UNDERLAYMENT AND RESET -TILE
ORANGE, CA 92253
Property Zoning:
LL,
Application Valuation: $8,635.00
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Applicant:Contractor:
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CASTRO ROOFING INC
CASTRO ROOFING INC
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P O BOX 122
P O BOX 122
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THOUSAND PALMS, CA 92276THOUSAND
PALMS, CA 922 6� CLu
(760)343-0042
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Llc. No.: 828478
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 he Business and Professions Code,
and my Li ense is in full force and effect.
License CI as C39 License No.: 828478
Date Contractor:
u_
OWNER -BUILDER DEC ATION
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 a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 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 Contractors' State License Law does not
apply to an owner 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.).
(_) I, 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.).
(_) 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 constructrion lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Addref
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 Vprkjor which this permit is issued.
_LlI 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 the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as o become subject to the workers'
compensation laws of California, and agree that, i I should become subject to the
workers' compensation provisions of Section 370 of the Labor Code, I shall forthwith
comply with th se pr visions.
It
Applicant':
WARNING: FAILURE TO SECURE WORKERS'.COM NSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 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 tha the above information is correct.
I agree to comply with all city and county ordinances d state laws relating to building
construction, and hereby authorize representatives of is city to enter upon the above.
mentione prop rty for inspection purposes.
Date: Signature (Applicant or Age
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FINANCIAL INFORMATION
bESCRIPTION
" '' A000UNT K, ' , :.
-QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY - -
METHOD !
;, ;RECEIPT # ' : "'
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA:.
$1.00
$0.00
.,DESCRIPTION
ACCOUNT
_QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAID,BY
METHOD..:..;
RECEIPT #.,
CHECK # .
CLTD BY -
DESCRIPTION..
ACCOUNT-
QTY
AMOUNT .
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0:00
" -' :PAID BY
METHOD
RECEIPT # '
CHECK #
CLTD BY
Total Paid for RE -ROOF:
TOTALS:•
$147.93
$0.00
00
0
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_ Pel fi*.DetailS �t PERMIT NUMBER M ��G
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Description: REROOF - REPLACE UNDERLAYMENT AND RESET TILE
CONDITIONS
Type: RE -ROOF Subtype:
Status: SUBMITTED
Applied: 11/7/2014 SKH
Approved:
Parcel No: 773101005 Site Address: 77895 AVENIDA MONTEZUMA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA .Block: 133
Lot: 9
Issued: `
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Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
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Valuation: $8,635.00 Occupancy Type:
Construction Type:
Expired:,
No. Buildings: 0 No. Stories: 0
No. Unites: 0
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Details: REROOF -REPLACE UNDERLAYMENT AND RESET CERAMIC TILE. 2013 CALIFORNIA ENERGY CODE.
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CHRONOLOGY
CONDITIONS
CONTACTS
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ADDRESSl�,MCITY
STATE°
ZIP
PHONE"
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APPLICANT
CASTRO ROOFING INC
P O BOX 122
THOUSAND
CA
92276
•
PALMS
'
CONTRACTOR
- CASTRO ROOFING INC
P O BOX 122
THOUSAND
CA
92276
PALMS
OWNER
MICHAEL FISCHER
112 E CHAPMAN AVE
ORANGE
CA
92253
STE E
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FINANCIAL INFORMATION
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Printed: Friday, November 07, 2014 2:04:41 PM 1 of 2 C SYSTEMS
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PARENT PROJECTS
REVIEWS
_.. ,RETURNED t ., STATUS REMARKS ' `'' a' �:
:REVIEW TYPE ;T"�REVIEWER SENT DATE DUE DATE - 'NOTES
v ,DATE
BOND INFORMATION
ATTACHMENTS
Printed: Friday, November 07, 2014 2:04:41 PM 2 of 2
SYSTEMS
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:DESCRIPTION?;ACCOUNT
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-`.AMOUNT
" PAID f�
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PAID DATE
RECEIPT,#
CHECK #'
METHOD
PAID BY
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BSAS SB1473 FEE
101-0000-20306
0
$1.00'
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
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:
$147.93
$0.00
TOTALS:00
INSPECTIONS
SEQID, "INSPECTION TYPE :S " '-INSPECTOR
SCHEDULED COMPLETED
' ° RESULT
REMARKS
-.. NOTES ' Y
4.
DATj
DATE
3'
PRE -ROOF
FINAL"
•r
PARENT PROJECTS
REVIEWS
_.. ,RETURNED t ., STATUS REMARKS ' `'' a' �:
:REVIEW TYPE ;T"�REVIEWER SENT DATE DUE DATE - 'NOTES
v ,DATE
BOND INFORMATION
ATTACHMENTS
Printed: Friday, November 07, 2014 2:04:41 PM 2 of 2
SYSTEMS
Bin.#
Qty. of La Qujnta
Building 8z Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application'and Tracking Sheet)
Perinit #.
Project Address: JAL
W"�.
Owner's Name: � h f✓ TOW
A P. Number.
Address: LL, Mro 1/'v 'K
Legal Description:
City, ST, Zip:
Contractor.
Telephone: : Y
Project Description: L,J Uh, Jy , Y, (Zo p
Address: 0 �j p `�
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City, ST, Zip: Cl l I
7 "0 rj
Telephone: s? fAa
State Lic. # • g City Lie.
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
a
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo.
Ft.: 600 # Storiesr: #Univ:
Name of Contact Person:Sq.
Telephone # of Contact Person:
1 Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMd
PERMrr 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.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.',
Mechanical
Grading plan
2ad Review, ready for correctionskssne
Electrical
Subcontactor Ust
I Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d 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