RR (06-1618)53523 Avenida Martinez
06-1618
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/21/06
'06-00001618 Owner:
53523 AVENIDA MARTINEZ REDEVELOPMENT AGENCY CITY OF L
774-131-013-1 -000000- 78495 CALLE TAMPICO
RE -ROOF LA QUINTA, CA 92253
COVE RESIDENTIAL o d
7522
APR2 g 1og Contractor:
Architect or En ine [U 0 ROOF TILE SPECIALTY, INC.
Ci1'r P:O. BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Lic. No.: 810537
-----------------
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.
LicenseCCl4sy 39 L'lenseNo 8110537 r
Date: lt Contractor:
OWNER -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 _ 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, 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 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
-------------------7---------------------------
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.
1 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 RISK CO Policy Number WC4781792
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 Ishould come subject to the workers' compensation provisions of Section
0 of the Labor Co ha rthwith comply with those provis'
Date: Applicant:
WARNING: FAIRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,(AND^SK LL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City'
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance rmit, or cessation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state ha t above infor 'on is correct—.Jagree to comply with all
city and co4o,,ditnances and state laws relating o uil 'ng construction, orize representatives
of tt
er upon the above-mentioned p n for inspection purposes.
Dat$ignature (Applicant or Agent): '
J
1i)
Application Number . . . . 06-00001618'
Permit . . . RE -ROOF
Additional desc . .
Permit Fee . . . . 30.00
P1an.Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 10/18/06
Qty Unit Charge Per
Extension
BASE FEE
30.00
--------=-------------------------------------------------------------------
Special Notes and Comments
REMOVE EXISTING TILE/REROOF & REPLACE
TILE.
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
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:' s J 2 ` e
Owner's Name: 'n
A. P. Number:
Address: i 1 l.V it
Legal Descript n:
Contractor:
City, ST, Zip: l
Telephone: --
Address: `\
Project Description:
City, ST, Zip: V 1 v 79—
Telephone:
State Lie. # : City Lic. #:
Arch., Engr., Designer:
'
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: 00- CD t5
Estimated Value of Project:
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 Cales.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2nd 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
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
1
Total Permit Fees
04/06/2006 10:43 7605640344 LA (AJINTA PALMS PAGE 01
IfA
-T S Roof Tile Specialty, Inc.
Contractors State License 9810537
P.O.Box 11257 Palm Desert, CA 92255
Phone 760-200-0811 Fax 760-200-0301
A proposal submitted to: LA QUINTA PALMS REALTY
Mailing address: 51001 EISENHOWER DR. LA QUANTA, CA 92253
Job Address: CITY OF LA QUIN'TA4'M AVE MARTINEZ LA QUINTA, CA 92253
Pte: 535.3
Description of work to be perPormad: REMOVE EXISTING TILE AND STACK CLEAN ROOF'SURFACE OF
DEBRIS. INSTALL NEW VALLEY METAL AND TILE P,illy FLASfDNGS. INSTALL NEW ROOF JACKS FOR
PRIMAREY AND SECONDARY PAD TED TO MATCH ROOF. INSTALL NEW 40(1 TILE LINER FOLLOWED BY
EXISTING TILE REINSTALLED TO MANUFACTURES SPEC'S. USE NEW TILE ON REAR OF ROUSE (CLOSE
MATCH) M LEW OF BREAKAGE.
W NOT ACCEPTED E4 30 DAYS TWS PROPOSAL IS NULL AND VOID
Note: in keeping with Inustry standards: 1. this guarantee does not cover any damage to the interior or exterior on which
the roof is applied or damage to nay contents therein. This guarantee does not cover damage to roof due to any cause
beyond our control, including, but not limited to: Tire, lightning, windstorm, hailstorm, antennas or other equipment, foot
traffic on roof; structural faun or settlement, cracking or other failure of roof deck, walls or f milation of the building on
which the roof is apptied. 2. Should it become necessary for the roofing contractor to remove and/ or reinstall any
antennas, cooling or heating appliances or other equipment, whether or not an additional charge is trade for such work,
the customer undetstaads that neither RTS (1tenfTile Specialty. Inc.) nor the installer assumes any responsibility for the
performance of said equipment -3. RTS (hoof Tiae specialty. Ina) does not assume any responsibility for corrections of
existing code violations or for the repairs of arty existing defects unless specified in estimate and proposal.
Tota) Cost: S 7,522.00 Terms paid on completion unless otborwise specified in the contract If not accepted in thirty
days this proposal is invalid. Extra $55.00 per sheet of plywood if needed.
Acceptance: You are here by authorized to furnish all contents written in the contract to cbmplete work mentioned in the
cataract for which Uwe agree to pay the amount mentioned, in said proposal, and according to terms thereof,
(Mlal If a leakage, caused by defects in workmanship, occurs within E'EN years fienr date of application, we
wn repair defects free of charge.
Installation: It is understood that by the acceptance of this proposal you authorize RTS (hoof'Mc Specialty, inc.) to make
the installation; to issue work orders with specifications shown herein and to pay our ebnrge for such installation You
agree to pay the amount specified herein, which will cover the price of said material and labor charge. This estimate is
based on a complete job and any surplus material remains property of RTS (Roof lite Speciahy, Inc.). Verbal understanding
and agreements with representatives shall not be binding unless set forth herein There shall be no liabilities for delays in,
or failure to complete, deliver or installation of all or ay 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 laborshall be included or covered by this proposal, but shall be provided for
under separate and additional order from you. (initial)
Arbitration of Disputes: Any controversy orclaimarising 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 at the time the demand for arbitration is Bled. A judgment award based upon the evidence
presented by the party (es) who do (docs) appear and participate. Notwitbstanding Contractor's right to arbitrate, contractor
does not waive any of its lien rights. In the event of default by client in payment of the amount due hereunder, cliart
agrees to pay reasonable attoflieys' fees And con incurred in wanection with collection of said amounts whether or not
suit is field. 1.5% per month and/or an annual percentage of 19.0% will be charged on all past due acconmts. Contractors
are required by taw to be licensed and regulated by the Contractor's State Board. Any questions concerning a contractor
may be referred to the register of the board whose address is: Contractus State Licenses Board, 9635 Goatbe road,
Sacramento, CA 95827. Mailing address: P.O. Box 26000, Sacramento, CA 95826. .
The above prices, specificatiom specific.'and oaditions arosaati sfactory and are hereby a ted.
Owner's Signature a ! /vw. Date [ b O -
(or authorized nepres v
r
tt ,
Contractor's Signator bate 3 Zc', 1 CPQ