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RR (05-0704)53160 Avenida Madero 05-0704 I BUILDING & SAFETY DEPARTMENT. 504 (760).777=7'012 . LE TAMPICO FAX (760) 777-7011 CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT p1Qgber . . . _05-00000704 Date 3/01/05 r6 e _ . . 53160 AVENIDA MADERO APN: 774-032-023-17 -0000001-. Application description,. RE -ROOF Property Zoning . . . . .. COVE RESIDENTIAL Application valuation . . . 9927 Owner Contractor ----------------- M/M SLEZAK CASTRO ROOFING INC 53160 AVENIDA MADERO- P O BOX 122 LA QUINTA CA 92253 THOUSAND PALMS CA 92276 (760) .343-0042 WCC: STATE FUND WC: 285000245204 12/01/05 CSLB: 828478 12/31/05 CCC: C-39 Permit . . . RE -ROOF Additional desc Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation' 0 Qty Unit Charge Per Extension BASE.FEE .30.00 Special Notes and Comments REROOF WITH LIGHT WEIGHT TILE PER ICBO ES #4660 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 . ..• P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 %a t Date: Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License S in full force and effect. License Class 3 -- License Noy= 7 O D Date 3 Contractd NJ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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 ' wor e[s' compensation insurance carrier and pQI' -number are: Camer Ke—J-) Policy'.Number - 12- S C!0O % 5 ZO _/—'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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Da e 3//A5_ WARNI FAILURE TO SECURE WORKERS' 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. 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 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 inforation is correct. I agree to comply with all city and county ordinances and state laws relating to building construction[ad hereby authorize representatives of this county to ter upon th e- tinned property for inspection purposes. Date. 1 t ._ Signature (Applicant or Agent): - / ,EA_Q LE_ RDOFI-N Capistrano Tiles per 100 sq ft. 88 5 with 3° headlap Approximate Installed weight field 570 lbs file per 100 sq ft. t Ponderosa Tiles per 100 sq ft. U08.5 with W headlap Approximate Installed weight field 720 lbs file per 100 sq ft. Malibu Tiles per per 100 sq ft. a8 with 3" headlap Approximate Installed weight field 550 lbs file per 100 sq ft. A word about color Natural shade variations in' raw materials used during the manufacturing process affect tile coloring. Notice . Never order tiles from a description or picture. Your EAGLE representative will be happy to . provide actual samples. ._ .ta.<' i= S:y!.Iis...,.rj f L_`..7x.A!Kk •.7 f .ROD.U.CTS TECH A L_ I N F OR MAIM O N r.. - 9• O. \ 12%' \ / NNE HOLE "OLE Anchor Lugs 17"` \\ 12 %' n•• e \/ • 9• Approvals International Conference of Building Officials I.C.B.O.E.S. Report #4660, and City of Los Angeles Research Report # 25021 Fire Resistance EAGLE tiles easily exceed the resistance require- ments for burning brands and spread of flame listed in A.S:T.M, Class A fire test criteria. Cold Weather Resistance All EAGLE the products surpass the freeze -thaw test requirements of all known building code development agencies. Installation Detailed Installation recommendations can be found in the Installation Manual for Moderate Climate Regions published by the Roof Tile Institute. For further information please visit: www.rooftile.org I.C.B.O.E.S. Report #6034P upon request, or visit: www.icboes.org Warranty Limited lifetime product warranty available. Note: EAGLE warrants the performance of tiles only. Workmanship and accessory materials must be warranted by others. Efflorescence Temporary light patterning may appear on darker tiles. This is caused by efflorescence and occurs naturally as seen on sidewalks, and brick walls when alkaline deposits gravitate to surfaces exposed to moisture. The surface of every EAGLE the has been treated to minimize efflorescence. If it should occur,on your roof, it will disappear completely after additional exposure to rain. , Disclaimer The printed colors shown in this brochure may vary from actual the colors. Before making a final.selection, be sure to review current the samples and roof installations. EAGLE1. ' ROOFING PRODUCTS , AMERICAN MADE BIR Building Industry ,•• •• -Better BBB \ . - Associati 11SlrleSS BTILE ROOFING — —Bureau® - WSRCAofso AMERICAN OWNED Califo tat California I N S T I T U T E- 'Western states Roofing Contractors Association 12 Dec 08 04 06:_1Op Re.x_&—J.a.c.k.1_ine—S-Le.z.ak (_7.60_)___7_7_7-1.32__4_ 11l ZW Zurl4 00: 31 /00}VOOU4L lAa7I mm nue a,w P.O. Boa 122. Thousand Palms, CA 92276 (76013434U2 a fax (960) 343 Z097 lrte= 0=473 . Rex Sleiak 53160 Avenida Madero .La Quinta, CA 92253 Re.- Estimate Re -roof Workmens Comp. Policy # 285-0002452-04 License # 828478 Squares: 02,2' Tear off bath flat and sloped roof systems and haul away_ Substrate to be inspected for dry rot or defective Plywood ,panels and any found to be in need of replacement will be replaced ata rate of $45.00 per sheet (4 X 8 X V), upon approval of owner or agents. Substrate to be inspected .for loosened or non -flush to deck sheathing nails. any found will be driven flush, or completely pulled out, and re -nailed -using a new nail ata new location. Substrate to be cleaned and free ofall debris, prior to new•roof installation. On ettt sections install a built-up GAS four ply specification (or equal), consisting of i0.gW1ing cant strip on all rtza roof to wall nsitions and tapered edge cant strip on all crickets as needed and one layer of #Z8 bas nailed to hold in place. Over base install 34aycrs #11 ply shot individually me sheet opped with hot asphalt. e s top of new membrane, install new metal trim as needed and set in plastic cement staggered nar7cd a0=' oerttats_ Seal top of metal with two layers of #11 ply sheet; and hot asphalt. All corner$ to be sealed with, Irish flax felt saturated with hot asphalt In all antes m taU one layer of #72 fiberglass Capp sheets, back *sopped and set in. trot asphalt Over catirc watertight membrane install one layer of 972 fiberglass cap sheet set in hot asphalt. On sloped roof Over sheathing install new metal trim an perimeter as Deeded. At roof. valleys install one layer #40 fiat. Over felt instal new valley metal. Over sbcathireg on sloped roof install one layer #40 felt with primary pith flashings nailed.to secure, Over Over membrane install new Malibu Tile standard weight and colors, with secondary pryer flashing to manufacttues Specifications. Mortar all hip and ridges as needed and install Ile trim. Paint all pipe and vert flashings to match roof tile. . Total AmOunt: S 9,527.00 +400 = `t Z } , % -i-fes'► nLi o2 rERMS:.100%UPON COMPIRTION UNLESS OTHE-RWISE SPECIFIED iN THE CONIRACr, FIVE (3) YEAR GUARANTEE AGAINST LEAKS W11L, BE EFFECM%UPON FULL PAYMENT. THIS PROPOSAL WTU BE NUT.L AND VOID AFTER 13 BAYS V ROM DATE 9LMMMM, AU DRiiRns CAUSED FROM ABOVE WORK TO DE ]DISCARDED MANNER ACCORDING TD SCarFDULi. AND AND AREA TO DE r;EFT C AN, JOB TO BE STARTED IM A TIMELY WEATHM PERMrMNG, WE PROPOSE TO EURNWI AND APPLY LABOR MATERIALS. PFRMiTS, 77RANSPORTATION, A TODT,S NECESSARY FOR COMPLPrION OF ROOFINCI WORK, TKsRING THE ROOFING PROIRCT CASTRO ROOFING WILL MAKE ALL ATTEMM 7O MiAQMI71, DitT Wn,L NOT BE RESPONSIBLE FOR DIRT, ROCK OR DEDRIS THAT MAY FALI, INTO IIViNG AREAS. DAMAGES TO VENTS WM.. qT Wjj N(TOR B RNCI MON V FTXR7RES. TED CONTRACTOR DOES NOT ASSUME ANY "'SPONSiBi M FOR CORRECTION OF: EJUSTW. CODE VIOLATIONS OR Ft)it 771E REPAIR . OF ANY FNRALE 04EFJ GOR DrIFEEXTRA iS UNLr SPECIFIED IN THE PROPOSAL CONTRACT. DOES NOT INCLUDE ARCfDTE(,-IURAL ENOLNEFJt1NG OR EXTRA WORK W. RFgUIRED BY CTIY. iIN THE KVCNT SUIT iS BROUGHT TO ENFORCE 77tH TERMS OF TM CONTRACT_ THF PREVAILING PARTY SHALL, RECOVr.R ALi. COSTS P-NMDED. DQCL UDING ATr Mgy FEES As AN ELEMENT OF COST, CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND RFGULATF,p BY THB CONTRACTOR •S STATE UCEbSE BOARD. ANY Q1IE87TON9 REFErR TO: CONTRACTOR'S STATE LiCENSED BOARD, 1020 -N- 9TRrj. SACRAMQt'ib. CA 95914.TF IF 7711C F,4TI11dATE METS Wjrr" Y APPROVAL, PLEASE INDICATE- YOUR ACCEPTA5zor RL7tiRTtINOITTO(ptti0 RFAX.WELOOKPORWARDTUwORtQNC;WITHYOt COPY AND Submitted by: Richard Castro - President Accepted By:agent Submittal Date: vember 30 2004 Acceptance Date: 1 Z ' (3"