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RR (06-4146)54055 Avenida Madero 06-4146 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00004146 Property Address: 54055 AVENIDA MADERO APN: 774-192-014-3 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 86.22 - Tiht 4 44" Applicant- Architect or Engineer: l ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I 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 is in full -force -and effect. License Class::y C39 ' nse No.: A28478 te: _ 0 ontractor: OWNER -B DER DECLARATION I hereby affirm under penalty of pert ry 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).: 1 _ 1 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.). 1 _ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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 contractors) 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 Owner: DODSON BRENDA J 54055 AVENIDA MADERO LA QUINTA, CA 92253 FFD VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/30/06 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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 and policy number are: Carrier STATE FUND Policy Number 285000245205 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 Ishow become subject he workers' compensation provisions of Section 37%00 of the Labor Co I shall forthwi omply wi those provisions. ate: 'w scant: WARNING: FAILURE TO SECURE jARKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITI N 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, 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 information is correct. I agree to comply with all city and aunty ordinances and state laws relating to builgfgor, nsspe. ' conuction, a hereb uthorize representatives of, 1, aunty to eenter upon the above-mentioned propertion roses.ate: I (7 Sature (Applicant or Agen 3" No Contractor: U l CASTRO ROOFING INC P O BOX 122 a THOUSAND PAT.MS, CA 9227 (760)343-0042 Lic. No.: 828478 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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 and policy number are: Carrier STATE FUND Policy Number 285000245205 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 Ishow become subject he workers' compensation provisions of Section 37%00 of the Labor Co I shall forthwi omply wi those provisions. ate: 'w scant: WARNING: FAILURE TO SECURE jARKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITI N 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, 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 information is correct. I agree to comply with all city and aunty ordinances and state laws relating to builgfgor, nsspe. ' conuction, a hereb uthorize representatives of, 1, aunty to eenter upon the above-mentioned propertion roses.ate: I (7 Sature (Applicant or Agen Application Number Permit . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . 06-00004146 RE -ROOF 30.00 Plan Check Fee . Valuation . . . 5/29/07 Qty Unit Charge Per Extension BASE FEE 30.00 ------------------------------------ --------------------------------------- Special Notes and Comments RE -ROOF WITH CLASS1 "A" MATERIALS '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 LQPFRMIT BRENDq &DODSON' 54055 AVENIDA-A gDERO LA`,OUINTA, CA 9p253;38Y8 '' Re: Re -roof Estimate oft oil& ; P,O, .Box 1.22, Thousand Palms CA 922`76 (760) 343-0042 * Fax (760) 343-2097 License #828478 Workmen mp. Po yI CI' # 285-0002452-04 License # 82.8478 Slone Roof Section: Over existing three tab roof shingles install new (2X2 dripSgUareS: of #15 felt nailed to hold in place. Over felt install new Pro. 30 -year self -seal' edge metal. Over entire roof install 1 -layer vent flashings nailed to manufactures specification. Install new hip and ridge appearance. All pipe and vent flashings to be painted with rust mg shingles with pipe and Proof paint to match nevi, Tenhance roof Patio Roof Section: Sheet patio with %Z C.D.X.1 p y wood and re -roof with polyurethane foam roof system unregulated. Total Amount: $8,622.00 STING PLYWOOD NAILS DE N THICKNESS OF PENETRATETHROUGH THE PLYWOOD TERMS 00%UPON COMPLETION, UNLESS OTHERWISE SPECIFIED IN C THE CON OUTSIDE OVERHANG. FIVE (5) YEAR GUARANTEE ARANTEE AGAINST LEAKS WILL BE EFFECTIVE UPON FULL PAYMENT. ALL DEBRIS CAUSED FROM ABOVE WORK TO BE DISCARDED AND AREA TO BE LEFT CLEAN. MANNER ACCORDING TO SCHEDULE AND WEATHER PETTING JOB TO BE STARTED IN A TIMELY WE PROPOSE TO FURNISH AND APPLY LABOR MATERIALS OF ROOFING WORK. PERMITS TRANSPORTATION, & TOOLS NECESSARY FOR COMPLETION THIS PROPOSAL WILL BE NULL AND VOID AFTER 15 DAYS FROM DATE SUBMITTED DURING THE ROOFING PROJECT GASTRO ROOFING WILL MAKE ALL ATTEMPTS TO MINIMIZE, BUT FOR DIRT, ROCK, OR DEBRIS THAT MAY FALL INTO LIVING AREAS. DAMAGES TO VENTS CONDUIT PIPES, OR CEILING FIXTURES. WILL NOT BE RESPONSIBLE MOUNTED CONTRACTOR DOES NOT ASSUME ANY RESPONSIBILITY FOR CORRECTION OF EXISTING CODE VIOLATIONS OR FOR THE REPAIR ANY EXISTING STRUCTURAL DEFECTS UNLESS SPECIFIED IN THIS PR ENGINEERING DOES NOT INCLUDE ARCHITECTURAL ENGINEERING OR EXTRA WORK IF REQUIRED BY CITY. IN THE EVENT SUIT IS BROUGHT TO' ENFORCE THE TERMS OF THE CONTRACT, THE PREVAILING PARTY SHALL RECOVER ALL COSTS EXPENDED, INCLUDING ATTORNEY FEES AS AN ELEMENT OF COST. CONTRACTORS ARE REQUIRED BY LAW TO -BE LICENSED AND REGULATED BY THE CONTRACTOR 'S STATE LICENSE BOARD. ANy QUESTIONS REFER TO: CONTRACTOR'S STATE LICENSED BOARD, 1020 "N" STREET, SACRAMENTO, CA 95814. IF THIS ESTIMATE MEETS WITH YOUR APPROVAL, PLEASE INDICATE YOUR ACCEPTANCE BY SIGNING THIS COPY AND RETURNING IT TO OUR OFFICE BY MAIL OR FAX. WE LOOK FORWARD TO WORKING WITH YOU. Submitted by• Ac y' Richard Castro - President Owner gent Submittal Date: October 26, 2006 Acceptance Date: ' Bin If City of La Quinta Building u Safety Division Permit art P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: y_ v ( Owner's Name: A. P. Number. o l n Address: l Ave C, Legal Description: City, ST, Zip: L C Contractor: Contractor: Telephone: Address: 0 ' "T Project Description: City. ST, Zip: ,c /hs G 22 Tele:7phon D) 3_ b o y Z State Lie. # City Lie. #: Arch, Engr., Designer: Address: City,: ST, Zip: Telephone: Construction Type: occupancy: O State Lic. #: Name of Contact Person: - 4n Z A,5 Project type (circle one): New Add'n Alter Repair Demo Sq: FL:E 6(' ( # Stories: #Units: Telephone # of Contact Person: f -- 6 stimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd. Reed TRACKIIYG.. Phis Sets PERMIT FEES Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs Called Contact Person Plan Cheek Balance Energy Cala. Plans picked up Flood plain plan Plans resubmitted Construction Mechanical Grading,plan 2A Review, ready for eorrectiogs/cssue • Electrical Sabcontactor List Called Contact Person Plumbing Grant Deed Plans picked ap $ALL I -LOA. Approval Plans resubmitted. Grading INHOUSE:- 3""Review, ready for corrections/issue Developer Impact Fee, ; Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue. A.LP.P. School Fees ..........:... ..... TotatPcrmit Fees ..• ..