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BLDG (0312-083)54190 Avenida Martinez 0312-083 LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ;hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class . Ezp-Date C39 A46070? o8/31,17(1 /Date 7- 0 -4 -4 Signature of Contractor. / `, OWNER -BUILDER DECLARATION _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner < 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 & policy no. are: Carrier .F,.TE, FUNIT.? Policy No. 1594628.41 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 thaf if I should become subject to the workers' compensation p ovisions of Section 3706 of the Labor Code, I shall forthwith comply with thos6 provisions'." r Date: / r' !.S Applicant_ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct/.1 agree to comply with all City, and Statellaws relating to the building construction, and hereby authorize representatives of Is City to enter upon the above-mentioned property or instpection.pu .oses. Signature (Owner/Agent) Date,/Z' w BUILDING PERMIT ' ' RMI / DATE VALUATION LOT- "'" / TRACT JOB SITE APN ADDRESS -Y.? t Hims lA d 11v°1*7 r . OWNER CONTRACTOR / DESIGNER / EN INEER 'ADM MART' 54-190 Ai%iNWA laTM., 3,,AQU A CIA 9221"? USE OF PERMIT GE N:.ERAL.ki,lILDINO P MRONMAROOFWO Y 68.31.4 3C.%KEY 321.7, CATBWRAL WY CA 92234 (160)324.5482 Oxfj$ 5230 MOOF'COMPOSITION Sti°r` OLES.'I'•k PS "A" MA`f'Zi'JAL> tyWLY. 2001 i CDC. 1EROOF 5,000,00 u Pyl v all vr= i1FX9t' REROOF ".9 101-O00-•418-000 00.go DEC 0 8 2003 OF LA -TOTAI. C.0NMRUC:T40W,,%14D PLAN CHECK $30.00 LESS PRE -PAM VM $0.00 TOTAL PX "MT.F.T78 01YE NOW $".00 t' I RECEIPT I DATE _:. . ) I BY INSPECTION RECORD OPERATION I DATE I INSPECTOR OPERATION I DATE I INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck p Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wail Firewall Eyt��*r Lath Lath �-Int. Final Final Q POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances - Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole nderground Conduit ` Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) E R..ER.00FIIiTG SP "Since 1980" I" L _<-..IFFA / L`/, amu+ : J_+ CI.ALISTS, INC. V R 0 0 F I ff e Corporate Office: Desert Office: 2626 Newport Blvd. 68-314 Kieley Road Costa Mesa, CA 92627 Cathedral City, CA 92234 949.548.1645 / Fax: 949.548-2617 License #460707 760.324.5482 / Fax: 760.328.4612 PETRONELLA ROOFING hercinalicr called "Contractor" and/or "Seller' agrees to provide the following listed lahor nlatcriids and conslruclioll: NAME/ OWNER: TOM MARTIN PHONE NO.: 777.8616 REROOF PROJECT ADDRESS: 54190 AVENIDA MARTINEZ CITY, STATE & ZIP CODE: LA QUINTA, CA 92253 BILLING ADDRESS: CITY, STATE & ZIP CODE: ADDITIONAL PHONE NUMBER: FAX NUMBER: 777.8397 1)G.C("121PTIf)1V !1C r w nlln rR mnrr . . Petronella Roofing will furnish all labor and materials for re -roofing as per revised proposal dated November 10, 2003. TEAR OFF AND RE -ROOF WITH 30 -YEAR COMPOSITION SHINGLE ROOFING SYSTEM Torch on Flat Areas T 10 Year Contractor "Weathershield" Warranty 30 Year Manufacturer Warranty Cost............................:............................................:...:...........$ 5,280.00 .:-:.._;CIAL INSTRUCTIONS: COI SCHEDULE -OF EXTRAS 10% Deposit: $ 528.00 A/C related work at an additional extra charge: • Lift a/c............................................................................................$100.00 40% at Tear Off.$ 2,112.00 • New platform and pan..........:......................................................$275.00 50% Final: $ 2,640.00 • Duct Modifying g......................................................:...................... $175.00 • Any electrical work will be billed at $67.50 per man per hour and materials plus 10%. • Any deteriorated or damaged plywood will be billed at $2.00 per S.F. • Install three (3) wind turbines at ............................................ $50.00 ea. • Solar panels will be taken off and put back on by others. POR STARLING AND COMPIA,' I`ING Pli(),II::C'-I: Work Shall continence wilhin ten ( Itl) clays lion the dale of' sale unless specified otherwise and be substantially completed in approximately ten (10) working days wilh additional time lu be as detailed in Paragraph 9. ofthe terms. conditions and "Notice to Owner' on the back hereof. Substantial Commencement of work shall he defined as.the installation of anv materials and/or labor. Contractors failure to substantially commence work. without la vlid excuse, wilhin thvenhy (20) days Isom the dale specified. above is a. violation of the C'nnrr ctnrc t.icensc I_tnc. NO ICI- TO RI IVI-R• (I 1 n„ :,f.t i fL. ................. ...:._ ...... -.:.. P.O. BOX 1504 N Q . 11007 78-105 CALLE ESTADO Address 54-190 Martinez LA QUINTA, CALIFORNIA 92253 Owner Thomas Bower BUILDING: TYPE CONST. Mailing OCC: GRP. Address same A.P. Number. City Zip Tel. La Quint.4 92253 564-9166 Legal Description owner/Builder State Lic.I City & Classif. Lic. # Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOWS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section t. 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effec _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 of the Business and Professions Code• or mat. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit sub ects the applicant to a civil penalty of not more Man five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that' such improvements are not intended or offered for safe. M, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of safe.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason /) Date Own WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or acertified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE' (This section need not be completed it the permit is for one hundred dollars ($ 100) valuation or less.) I certify that in the performance of thF 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. Date Ow hej' NOTICE TO APPLICANT.' f, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civr7Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above-. mentioned property for inspection purposes. Signature of applicant -Date Mailing Address City, State, Zip Description Lath & Plaste_- overhanq & add bay window Sq. Ft. No. Size Stories New ❑ Add ❑ Alter ❑ Itstlmatea valuation n 00 No. Dw. Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. . Plan Chk. Bal. Const. 30.00 Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 30. pQ REMARKS t t I tqts4f, #it'd f ft (it .. 14 r - : Z 't) .Chi} ti 4 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear.Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR, Issued by: Date Permit Validated by: Validation: i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FFER 1ST FL. SQ. FT. ® $ 2ND FL SQ. FT. ® POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET r YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER .BOILER. B.T.U. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REIN F. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING C ` FINAL INSP. ROOFING C REMARKS: VENTILATION n ct 444 t'j V A FIRE ZONE ROOFING! FIREPLACE SPARK ARRESTOR GAR L HING C4 MESH INSULATION/SOUND 5 FINISH GRADING FINAL INSPECTIOINO—(/ 9 L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL TdY 78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 :- (619) 564-2246 FAX (619) 564-5617 May 26, 1993 Thomas Bower 54-190 Martinez La Quinta, CA 92253 Dear Mr. Bower: It has come to the attention of the City of La Quinta Department of Building and Safety that your building permit number 11007 at 54- 190 Martinez has expired. According to the Uniform Building Code, Section 303(d), no further work shall be performed on the above permitted .job -site until .a new _permit has. -been issued or -an --extension• granted. An extension ,of. --this-permit can :be requested in writing.within .14•-days..of the'date of this letter. If a final inspection -has not been requested due to an oversight by either yourself or your contractor, please schedule that final inspection within 14 days to resolve this matter. Failure to do so will result in further action'by the City. Please contact me at your earliest convenience. We appreciate your immediate attention to this matter. Sincerely, BUILDING AND SAFETY DEPARTMENT Lonnie Day Building Inspector k Attachment MAILING ADDRESS P.O. BOX 1504 - .LA QUINTA, CALIFORNIA 92253