RR (09-0470)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00000470
Property Address:
51440 AVENIDA MENDOZA
APN:
773-102-003-8 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
6700
Ti&t 4 4 4"
Applicant: Architect or Engineer:
ti
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a Professionals Code, and my License is in full force and effect.
License Class: C39 LicenseNo.: 859337
Date: ^ 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 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 _ 1 I am exempt under Sec. , BAP.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:
COULTER LES
51-440 AVENIDA MENDOZA
LA QUINTA, CA 92253
(760)564-3282
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/13/09
Contractor: , i u l :rte 1
ABOVE AND BEYOND ROOFING SY tt
78676 CASCADIA DRIVE PJA -1 @ 00
BERMUDA DUNES, CA 92201--0 1 2t1U9
(760)702-5984
Lic. No.: 859337 Ltd'J7'.1hal�;id�il�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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 3015949
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 o become subject to the workers' compensation laws of California,
and agree that, if I should come subject to the workers' compensation provisions of Section
3 0 of the Labor C rthwith comply with those provisions.
Date: 1 IAppticant:
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.
I certify that I have read this application and state th the above information is correct. I agree to comply with all
city and county ordinances and state laws rel 'n to u"ding construction, and hereby authorize representatives
of this cou y to nter upon the above-mentioned erty spection purposes.
Date: �r ignature (Applicant or Age
Application Number . . . . . 09-00000470
Permit . .
. RE -ROOF
Additional desc .
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation
0
Expiration Date .
. 11/09/09
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
TEAR OFF EXISTING
TILE AND GRAVEL &
INSTALL 30 YR GAF
SHINGLE & GAF TPO.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged Paid
--------------------
Credited
--------------------
Due
Permit Fee Total
30.00
.00 .00
30.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
31.00
.00 .00
31.00
LQPERMIT
ABOVE & BEYOND ROOFING SYSTEMS
PROPOSAL
4/7/2009
To: Les Coulter From: Above and Beyond Roofing Systems
51440 Avenida Mendoza Lic # 859337
La Quinta, CA 92253 78676 Cascadia Dr.
5643282 Bermuda Dunes, CA 92203
p. (760}702-5984 f. (760}200-1676
e-mail: aandbroofing@hotmail.com
Contact Vince Casella
Scope of Work: (Contractor will provide all materials and labor to complete the following)
Complete tear -off of existing roof (l layer). Pound/pull all fasteners. Inspect deck for structural soundness. Flat area:
Install single'y.
'pty torchdown roof with glass base sheet, all new flashings, and metal edge. Pitched sections: Install single
F` ,.:
ply #30 ASTM felt. Install new edge metal and flashings. Install 30 yr, asphalt laminated shingles and ridge. Cut in and
install 6 new attic vents. COLOR: 3 rc_�,vc;o BRAND: Seal and paint all projections
and complete clean-up. Contractor will haul away all debris, pay dump fees, secure permits and manage the inspection
process. ehtaye5iSTfUO5.� C cx,4rr Ct d.tscuss n 6r\y-7-05
Cost and Terms:
Cost of work to be completed: $ 5,800.00
50% Due at commencement of work: $ 2,900.00
50% Due upon,completion of work: $ 2,900.00
10 year workmanship warranty
Schedule of Extras:'
Any damaged plywood will be replaced at; a.cost of $ 1.50/sgft.
Any additional plumbing, HVAC, carpentry, and/or electrical to be billed at $70.00/hr.
All extras to be paid upon completion of additional work.
Option: Accepted, Declined
Install GAF/Elk Lifetime shingle product with matching ridge: $ 900.00
Schedule of Work:
Work to begin approximately O aN al, ina and will take approximately 4 days.
All material guaranteed to be as specified. All work to be 6ompleted in a worlanan like mariner according to standard practices. Any alteration
or deviation from the above specifications involving extra cods will be executed only upon written orders and will become an extra charge. This
proposal is subject to acceptance within 30 days and it is void thereafter at the option of the undersigned.
Notice to buyer. (1) Read this agreement before you sign it. (2) You, the buyer, may render this contract null and void by notifying the seller in
writing within three business days of the signed acceptance of the contract Notice must be in writing and delivered to the address above. In the
event the buyer attempts to cancel this contract after the third day the seller has the right to recover all costs and/or lost profits associated with the
project (3) Mechanic's Lien: In the event the buyer does not make payment in fiill at the completion of the working part of the agreement the
contractor, laborers, and/or materialmen have the right to file a mechanic's lien on your home or the structure where the work was finished. (4)
Contractor will not be. responsible for unavoidable damage to interior of structure due to pre-existing damage to structural members
Accepted:
Date: q— (�- — 091,
Acceptance of Proposal
Signature:
Signature:
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address: 5 1 H kO ����:
Owner's Name:
A
A. P. Number:
Address: Sex-
Legal Description:
City, ST, Zip: g2.ZS 3
Contractor:i C� (�
6,a ve `L � l�a'� S '`�e 5
Telephone: -5(-04 --3 2 8 2 -
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Address:
Address:—75(o(, Cq5 N�r
Project Description:
City, ST, Zip: �'
Telephone: `1 d 2, S'ol� L(; :l;,:•r.:.;<:: '::.;>::::«:%::>:>a<>.s>;:;
State Lic. # : 6'3 c1- 733 -1 City Lie. #: i o ooct ro'Z
Arch., Engr., Designer:
O
Address:
City., ST, Zip:
Telephone: <l»:.<.v»>? '<.>; >'•!:>n{;::::<::<>.
State Lic. #:«<>};::.st <;:;
Construction' Type: , f Occupancy:
project type (circle one)' New. Add'n Alter epair' Demo
Name of Contact Person: . ;,�
Sq. Ft.: (q 00
# Stories: 1
# Units:
Telephone # of Contact Person: 0 'S—0076 K
Estimated Value of Project: G,-100 0 "
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
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
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' 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:-
'"' Reyiew,.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
Total Permit Fees