05-5004 (RR)54001 Madison St
05-5004
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application -description
Property Zoning:
Application valuation:
Applicant:
05-00005004--_`
54001--MADISON-'8T
775-100-004- -
RE -ROOF
MAJOR COMMUNITY FACILITY
22071
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CITY OF LA QUINTA
P O BOX 1504
LA"QUINTA, CA 92253
Contractor:
Architect or Engineer: ROOF TILE SPECIALTY, INC.
P.O. BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Lic. No.: 810537
LICENS N RAC OR'S DECLARATION -
I hereby affirm; under penalty of perjury hat a ;can d nde rovisions of Chapter 9 (commencing with
Section 7000 f Di ision 3 of the B ess n ;can
i als de, and my ' is in II force and effect.
License/ s . c se 0537
a/ Contractor.
fessions
R-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I apt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and PCode: 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 1, 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.).
1 _ 1 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
Date: 11/14/05
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 d
issued. -
Ihave and will maintain workers' compe tion insurance, as required by Section 3700 of the Labor
Code, for the performance of the w k or which this permit is issued. My workers' compensation
insurance carrier and po cy numb ar
Carrier RISK CO lic Number WC47817
certify that in the perfor nc o the ark for which rmit is i ued, I shall not employ any
erson in ny manner as t eco a sub' a workers' comp nsation laws of California,
nd ree t, i h Id be to the workers' compens ion provisions of Section
3 of the La erf=s I f hwith comply with those pr ions.
Date: Applican
WARNING: FAILURE TO SECURE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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, indemni and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omissi r l.ted to the work being -
performed under or following issuance of this permit.
2. Any permit issued as a result of this application bec as It and v id if ork is not commenced
within 180 days from date of issuance of such p mit, o sati of w rk for 180 days will subjec
permit to cancellation.
I certify that I have read this application and state that the o e i o ati s corr t. I a comply with all
city and untyVordinFces and state laws relating to buil c r ction, h. r uthorize representativ
of this co enupon the above-mentioned prope r sp ion -p pos
Date: / iSignature (Applicant or Agentl:
Application Number . . 05-00005004
Permit RE -ROOF
Additional desc .
Permit Fee .00 Plan Check Fee .00
Issue Date 11/14/05. Valuation 0
Expiration Date 5/14/06
-- - --- -- -- - --- - - --
Special Notes and Comments
REROOF PER ATTACHED CONTRACT. CLASS "A"
MATERIALS ONLY.
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
i
h •
Bin #
City of La Quinta ,.
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permitir#
Ir, 4f
`;j i
Project !Address: _
Owner's Name: L
A. P. Number:
Address:
t
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
r
Address:
Project Description:
ii
City, ST, Zip:
Telephone:
h
State laic. # : City Lic. #:
i
Arch.,1Engr., Designer:
Address:
it
City, ST, Zip:
.11
Telep ,pne:
Construction Type: Occupancy:
State l;,ic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name !of Contact Person:
Sq. Ft.:
# Stories:
# Units:
i
Telephone # of Contact Person: -
Estimated Value of Project: Z 2 07/
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
iSubmittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
11
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
ii
Truss Cates.
Called Contact Person
Plan Check Balance
(i
Energy Calcs.
Plans picked up
Construction
i
Flood plain plan`
Plans resubmitted
Mechanical
H
Y
Grading plan
2"d Review, ready for corrections/issue
Electrical
'$ubcontactor List
Called Contact Person
Plumbing
HlY.Oi
Grant Deed
Plans picked up
S.M.L.,
C
.A.Approval
Plans resubmitted
Grading
I IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
HJ
Pub. Wks. Appr
Date of permit issue
e
"School Fees
i
Total Permit Fees
"A propoW §dbiriitted'to: CI:TY OF LAQUINTA/ FIRE STATION° # 7U
.
1vlalhng Address: 78495 CALLS TAMPICO,'LA Q A, CA 92253'
:,.
.Yob Address: 5440-1 MADISON, LA QUINTA, CA 92253. ,
Phone:
}Description of work to be performed
'REMOVE EXISTING TAR AND GRAVEL, ROOF AND DISPOSE .FINSTALL NEW.CAN'T
,
P,AND TAPERED.CAN'T.AT ALL ROOF TO, WALL,TRA tSITIONS. NAIL 1;LAYER. ,
(3-LA-SS,BASE OVER .PREPARED'SURFACE FOLLOWED BY 3 :LAYERS.GLASS:PLY 6.
frO'fSURFACE: INSTAL`•L NEW ROOF JACKS', ATTIC VENTS -AND' ANY'.:.....:
PERIIVMTER METAL PRRAER ALL METAL SURFACES FOLLOWED BY 2 LAYERS
GLASS PLY6HOS IvI( PPED TO EXPOSEI) EIS.GtES SEALING TO ROOF HOT MOP
J 1)t / - t t tr s 1 r r v ,
. LAIRS, M CAP TO, ALL WA ,L TRANSITIONS .AND MECHANICAL: PLAT FORMS
;rIvIASTTC ANDI WEBp,ALL:TERMINATIONS FOLLOWED BY:FLO.OD~COAT OP HOT
3 SP. ` ,T,TO'ROOF SURFACEEMBEDDING,ROCK°FOR',F INISWSURFACE:ROOF
E -D'POE'EPlA'CED WI'ORST°IlZONI OCOVERDRA XS EA
s;
iF NOS ACCIpTED
-W:3 THIS PROPOSAL IS NULL AND .VOID.
Note: In keeping with industry standards: 1. This guarantee. does not cover any damage to the interior, or exterior;ori"which the:foof_is-•
applied o.- 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; antennas or. other equipment;• footitrafc on roof, structural fault or
settlement, cracking or other failure ofd roofdeck.4alls.ok foundation•of•the building'oh.wtiich the roof is applied. 2. Should it
become necessary: forrthe roofingiccontrsctor;to remove: andl&.,reinstall -any antennas; cooling: or liftft- appliances .or•;other'equipment,
whether.or not an additional charge is made for such work,,lbie<customer understands., that neither RTS,(Roofmaispecialt)Ono:):nor the
installer..Pssumes!any responsibility forsthepecfonmance.)of said,equipment:. 3:.RTS (Rodf•,'ile Speeialry;<Tnc)'does.not-,usume any
responsibility for corrections of existing code violationsor for the repair.'of any;existing defects uriless specified in estimate and; ,
proposal:..
To'fal Cost' 071:00 Tenors paiii'on com lehori unless otherwise specified m tlie'confracE If not acc ted in da s}this
proposttl' s m +alid. `Extra5 0.0 per' gbeet of ply vood`if needed' y
Acceptance FYou'gre{'>iereby.audiorize'c .b fin iish'a l':con"tents written in the contract'to compete work mentioned in the proposal
contract ibr which Uwe agree to pay the amount mentioned, in said proposal, and according to terms thereof;
leakage,. caused by defectsin. workmanship, occurs within TEN._,years ftin date of application, we will repair defects free of charge.
Installation: It is; under3pood:that by;the acceptance,of this proposal,you authorize RT.S,MMf Tile Specialty, Inc):to make the.installation,
to issue work orders with specifications shown herein and to pay our charge for such installation. You agree to pay the amount..
specified herein, which will cover the price of said materials and labor charge. This estimate is based on a complete job and any
surphis material remains property. of RTS (Roof Tile speciatt inc:): , Yecbkd understanding and agreements withrepresentatives shall not
be bindingtwiless,set forth herein ;;There:shall be:no:liabilites for delays in;. or failure -to complete,.deliyer or instailation:of all or any
of the herein mentioned merchandise, 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
proPow , but•shall;be;provided.for:u>ider•.-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 settled by
arbitrator in accordance with the applicable Construction;Industry Arbitrator Rules'of the American Arbitration Association which are
in effect ;it:the time tho demand for wbitration li filed: •A judgment:award based upon the.evidence presented..by the party(ies);who: do.
(does) appear-.and..paxticipate Notwithstanding Contractor's- right to arbitrate, contractor does. not: waive any of its. lien rights. - In the.
event ofdefault by client in payment of the amount due hereund"e% client agrees to pay reasonable attorneys' fee's and cost :incurred in
connection with collection of said amounts whether or not.su t is filed. 1.5% per month and/or an annual percentage of 18.0% will be
charged on all past due accounts. Comractor'.s are required •by i<ayv?torte licensed.and regulated :by the Contractor's State Board. Any
question;;concerning:a:contractor maybW:re;feired;to:theregister;ofthe; board. whoseaddressis: ContractorsState.Licenses,Board,:.
9835 Garble:Road,,Sacramento .;CAc9S87 •.,.,Mailing address:::P.O: •Box 26000; Sa&u&ento, CA, 9.5826::..
The above prices;;spe. 04cations and;eonditions.are saris ry and are hereby accepted.-,
Owner's Signature .:Date: -3 4
(or authorized representative) /
Contractor's Signature Date:06—
Notice Notice
(Section 70 19 - Contractors License Law.) "Under the Mechanics Lien -law any contractors,
"Under the. Mechanics' Lien Law, any contractor, subcontractor, laborer, subcontractor, laborer, supplier or other persons
material man or/other person who helps to improve your property and is not paid who helps to improve your property but is not
for this labor, service or material, has a right to enforce::his claim against your paid for his work or supplies, has a right to
property. Under the law you may protect yourself -against such'claiiiis `liy filing , .!.*-enforce a claim against your property. This
before commencing such work of improvement, ari'oi7ginal`coiitract fol tiie work 'means that, after a court hearing, your property
of improvements of a modification, thereof, in the office of the county where the could be sold by a court officer and the proceeds
propertyis,situated and requiring.that a contractor's_payment bond be recorded of the sale used to.satisfy_the indebtedness. This
in such office. Said bond shall be in an -Mount not less than fifty percent (50%) can,happen even if you have.,paid.you own.
of the contract price and shall, in addition to:any conditions -for. the: performance. contractor in full; cif the subcontractor,, laborer, or
of the contract, be conditioned for the payment in full of the claims of all'persons supplier remainsyunpaid ''
furnishing labor service, equipment or materials for the work described in said
contract."'
Buyer's Right to Cancel .:
You my cancel. the Agreement.or offer referred to above anytime prior to,midmght of the third day (excluding Sunday) after. the flay
you signed the agreement or offer If you cancel and' you have alfeady made sbme`payment to the seller, the'seller is entttled to retain
out of the: payment, as a cancellation fee. Fiver ent 5"% of the cash price'of the goods or service but in no'event ma 'the seller
1 .. i.. ) p g Y
retain more than fiffieen ilollais ($15): `You inlay. gi've.nohce of cancellation 6y mailing a sigiied:and dafed statement td the. seller :at the
address nidicated. In order-tomhave proof, of the mailing it is recommended that you mail'the statement by regist=d-:0 certified mail.
l Notice to Owner ,
z
Underthe California Ivleclianics Lien Law, any'contractor, subcontractor, laborer,'suppher or}otht r peisoiss who help to nnprove; your
property but isnot paid "for his work."or sPuP1Si>'es; has a right to en%rce a claim against your property. This-means^ttist, a$er a court
hearing, your propeity:could be soldibya count:•officer. and/the`prdceeds'oftheFsale used tosat sfy:the indebtedness..:Th s•eairhappen
even if you have paid .your own cpntractor in full, ithe ¢ubcontractou laborer; or supplier remains unpaid;i To preserve your.right to
file a.claim or .lien againJst your.proi ty erttimyclaams such as, subcontractors, or msterial^suppjies are requiredtto pmvxde,yo i with a
document entitled "Preliminary Notice," Onginal (oi Prime) contractors and laborers forkwages do not haveto provide this notice. A
Prelimin,uy Notice is riot a lien zigainst your p%¢e rty, xts..purpose is'tA notifyyou, of persons. vvlzo may. have `a nghf.to: file alien;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..afte.r completionof:.our o'ect.)-,:
:'poInsate Egtr$;Protection..For Yourself and YourPiroperty You, May
s• ` a ' .. ; Wish-To:Take One-orMore of the Folloveiog`Steps =
1.-Recpiimithatpayments be;made:direetly;to:subcontractors and material suppliers,thmugh.a joint.contiol.. Any jointcontrol
afire=mt.-should:includethe::addendumapproved;by,,the.,Reg6ter.ofC,ontractors.:: ;
2. Issw, joint!paymentsmade.out4.to:bothyouureontraetor andsubcontractois.ormatenal suppliers involved in•the-project, This Will
help:ta 9nsure:,tltatall:persons due.;payment ai+e_actually paid.. .. .... ..... • .. ..... .. . ... . ... . .
3. Aftermaking payments on any. completed.phase.ofthe project, and before making any further payments, require your Contractor~r
to;povide.you withunconditional.lied Jeage signed by: each material suppi;errsubcontractornnd laborer involved m that portionY
of tb ow6rlc for which payment was. ma e. On protects. Vivolvimg unconditional ken releases, the,petsozls sigi idfg,thes¢ releasee. ,
lose the fight to file a claiiti agaiyqur property In other types ofconstruchon.tliis proecEion may stl be iinpoitant,,luttnga}r,.
not h as'complete: r s • . s
Appllcable',Law r
This Agttenient, an&all-the•rigl is and obligations of the parties under' this'Agre'ement, shall -lie governed bythe law of the State oft
. Consequential Damages
Buyer roll notbe' tled•to recover -'any incident or' consequential damages: a : that'term is defined in Commeicial Code-Sectionn 2715.
Attorney's Fees
In the event of litigation arising out of -this Agreement, or the performance or interpretation thereof :the court wily award reasonable
attorney's fees to the prevailing party.,
4.1
° No Other Agreement
ThisAgreenient is fdI and f3nalAgreement:of the:parties and no,writtenv ar'-oml,communication betweeii`.the parties befote the , '
execution ofthe Agreembnt,.will fi od or,,whend-th4 ,A.gmmeziL. The',Agreement' nay be thodifieii only by awritten document signed`
by both parfies. .
..,, . .. ... . ... •- , .;, .. -= Liquated,.Damages, : • . ,.. .. ,.. ,
In the event ofa bmkh.ofthe:paythefrt terins of this3agreement;, itis agreed.that-the seller's (Contractors/Subcontractors/Suppliers)
actual.&unages caused by such:a,Sii ch.:a*retdiffcult,and+ir ptactiW to'determme and includes 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 dueaat`the-late of 1.5%v 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: