RR (08-0571)51371 Avenida Martinez
08-0571
4 P.O. BOX 1504 ^' VOICE(760) 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA,: CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/08/08
Application Number: 08-00000571 Owner:
Property Address: 51371 AVENIDA MARTINEZ DAVID STEINER
APN: 773-092-008-2 -000000- 51-371 AVENIDA MARTIN
Application description: RE -ROOF LA QUINTA, CA 92253 4
Property Zoning: COVE RESIDENTIAL
Application valuation: 7850 Oj
0
Contractor:
Applicant Architect or Engineer: WILLIAMS ROOFING
P.O. BOX 391841
C ANZA, CA 92539
(760)399-4394 \9
Lic. No.: 774482
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 the Business and Professionals Code, and my License is in full force and effect.
License Class: C39 }1 J )Licen 6'N r. 774482
Date: " w Contractor:
TTOWNER-BUILDER DECLARATION
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).:
(_ 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.).
(_) 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.).
1 1 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:
LQPERIIIIT
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 and policy number are:
Carrier STATE FUND Policy Number 1890178
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 sho d become subject to the work tse
'ompensation provisions of Section
3 7]0 0 of the Labor Co e, I s I forthwith c ply witp visions.
Date: 1—OV Applicant:
WARNING: 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.
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.
certify that I have read this application and state that the above information is correct. I agreetto comply with all
city and county ordinances and state laws relating to build construction, and hereby authpner
zepresentatives
of this county to enter upon the above-mentioned property f' ni 'pectian pure es..
Date: Signature (Applicant or Agentl
L
. 47
LQPERn4IT
Application Number . . . . . 08-00000571
Permit . . . RE -ROOF
Additional desc .
Permit Fee 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 10/05/08
Qty Unit Charge Per
Extension
BASE
FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
RE -ROOF TEAR OFF EXISTING AND RE
-ROOF
WITH SAME 2008 -CODES
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
Apr -04-2008 07:52ae From-IWTG LEGAL
A.+6: D We
760-200-8441
T-257 P.001/002 F-492
Williams ams Roofmg
P.O. Box 391841, Anza, Ca. 92539
760-399-9394 951.-763-0769 877-777-U599 T611 Nee i f celnse# 774482
Residential Re roof
Aftentlon: Dave Stamen
51-371 Avenida Martinez
La Quinta, Co. 92253
Binding Type. One dory reekWdlal
Job site: 51-371 Avenida Martinez, La Quints, Co. 92253
Contract #1439
Page 1 of 2
Salespersons $*Yen Williams
Date: Marsh 28, 2009
Phone: 760-799-0735
WI MA$ ROOFING SHALL FURNISH IABOR, MAT ERIMS AND WILL PEWORM IN A WORKMANSHIP UKE MANNER M
STRICT ACCORDANCE WITH THE PLAN AND SPKIFICATIONS AS FOLLOWS:
kkft DuriM &LAMADS RMPM d 01 asbasks is d' ed and ftMl cad yell hq home by owner.
Dry nal will be replaced lar an oelCi #aml dwp baserd as $01.00 per haw labor and 1x6 or UB aKferW 0 $2.30 per fact:
Daivaged mPw eta will be mpivoad for = addifi W dxarp based an $109.W each ane! fa mda b*W @ $12.00 per foot.
Dain, oged CDX plywood vv l be replaced for on qdd tike d dtorge based an $2.00 per squore foot, labor Included.
Toar off irk one layer only, vv cddMonal layer will be an addihaaal aW ab 0.39 am* per sq. ff.
Tear off one tater of exiling roof system, and haul away.
* Re roof as follows, With hot mop BUR rP4 slum;
* lrWaN ane layer #28 base sheet, mec hanicmlly fa0awd.
Install two layers #11 type 4 ply sheet, solid moped with 25lbs. Per square per layer.
Flood coat roof membrane with 601b. Type 4 Qq)hait per 100 square ft, and embed ermahed rock.
For a complete re rnof at said address.
"Csletax roof deck wilt be remav+ed and neplaaed at a vast of $400 per 2 x 8 It AW, if codomer requests."
( Othar option would be remova and replace with plywood and 3 % inch insulation. Cast Is $ 2.75 per sq. ff.)
Williams Roo{ing will Nm the 16 site neat and clean of all our matesrrals.
CONTRACT PRKE : $ 7,850.00
( Sam dxgwind eight iiurrd"id fifty and 00/100)
Payment fo be mode as follow= $ 5,000.00 due upon Cwnmeroent of work/ Morlerial Delivery.
$ 2,850.00 due upon comple eon.
"Five year guarantee on w+u+oaicr a ip'l
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Bin#
City of La. Quinta
Building U Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
1
51 \
g
La Quitita, CA 92253 - (760) 777-7012
Building Permit
Application and Tracking Sheet
Project Address:' S~1— 3 /
I i1 .uP R WAr1Gt(/
wner's Name:
•
A. P. Number:
Address:
Legal Description: 00
K7City,
ST, Zip:
Contractor: i 6 1 S
6A J— (t-
Telephone:
k
Address: = s R .y.v
Project Description: r ,
City, ST, Zip: Cv
(/ 3
Telephone: _
r
.
State Lie. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City,' ST, Zip:
Telephone:
Construction Type: ,( Occu an S
I ` O f P cY -
State Lit..
. #'
_
Project type (circle one): New Add'n 'Alter epair Demo
Name of Contact Person:
Sq. Ft : aQ
#Stories:. J#
Units:
Telephone # of Contact Person:
Estimated Value of Project. 0 G=
APPLICANT:
DO NOT WRITE BELOW THIS LINE ..
. # Submittal Req'd Recd
TRACKING
PERMIT 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
Energy Calcs.
Plans picked up
Construction
Flood plain plan,
Plans resubmitted
Mechanical
Grading, plan
ri Review, ready for corrections/issue
Electrical . .
Subcontactor List
Called'Contact Person
Plumbing
Grant Deed
Plans. picked up
S.M.I.
H O.A. Approval
Plans resubmitted
Grading
. INHOUSE:-
7rd Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees