RR (09-0557)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
09-00000557
51551 AVENIDA MENDOZA
773-142-016-4 -000000-
RE-ROOF
COVE RESIDENTIAL
6000
T-vy 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
Licefise Claps: C39 License No.: 810537
'LAate: U U1.11fr--ctor:
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 155001:
(_ 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
Owner:
PROCKNOW CLETUS
51551 AVENIDA MENDOZA
LA QUINTA, CA 92253
Contractor:
ROOF TILE SPECIALTY INA
P.O. BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Lic. No.: 810537
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
bA/ 02 2009
6/02/09
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.
rV 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 238-0009889-09
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 1 should become subject to the workers' compensation provisions of Section
Fr<'if�9�0 of the Labor Code, I sflall forth�ih comply with those provisions.
icanr.
WARNING: FA URE TO SECURE WORKERS' COMPENSATION COVERAGE`IS=UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNbRED THOUSAND
DOLLARS- 1$ 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 that the above information is correct. I agree to comply with all
city a d ctre� inances and -state laws relating to building construction, and hereby authorize representatives
of thi cter above-m\oned property for inspection purposes.
e: gnature (Applicant or Agent):
Application Number . . . . .. 09-00000557
Permit . .
. RE -ROOF
Additional desc .
.
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date
11/29/09
Qty Unit Charge
Per
Extension
BASE
FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
RE -ROOF WITH LIGHT
WEIGHT TILE
----------------------------------------------------------------------------
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
RTS
Roof Tile Specialty, Inc. .
Contractors State License # 810537
P.O. Box 11257 Palm Desert, CA 92255
PHONE 760-200-0811 FAX 760-200-0801
A proposal submitted to: BUTCH PROCKNOW
Mailing Address: 51-551 MENDOZA AVE LA QUINTA, CA 92253
Job Address: SAME AS ABOVE
Description of work to be performed:
REMOVE EXISTING ROOF AND DISPOSE.
INSATLL ONEW LAYER 40# TILE LAYER FOLLOWED BY NEW PRIMARY ROOF JACKS FOR
ALL H.V.A.C. AND PLUNBING PENETRATIONS.
INSTALL SECONDARY ALUMINUM FLASHINGS OVER GALVINIZED.ROOF JACKS PAINTED
TO MATCH ROOF.
INSTALL NEW DRIP EDGE METAL AND NEW SHEET METAL AT ALL ROOF TO WALL
TRANSITIONS.
INSTALL NEW EAGLE LITE ROOF TILE LHC8710TO MANUFACTURES SPECIFICATIONS.
DISPOSE OF ALL ROOFING DEBRIS.
BID INCLUDES CITY PERMIT.
70% Upon dry in and loading /30% upon completion
If not accepted in 7 days this proposal is null and void
Note: Roofing is not warranted and/or guaranteed until 100% complete. Please note Roof Tile Specialty, Inc. is not responsible for delays in
roofing materials or delivery dates. All debris caused from above work to be discarded and area to be left clean.
In keeping with industry standards: 1. This guarantee does not cover any damage to the interior or exterior on which the roof is applied or
damage to any contents therein. This guarantee does not cover damage to roof due to any cause beyond our control, including, but not
limited to: fire, lightning, windstorm, hailstorm, antennas or other equipment, foot traffic on roof, structural fault or settlement, cracking or
other failure of the roof deck, walls or foundation of the building on which the roof is applied. 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
made for such work, the customer understands that neither RTS (Roof Tile Specialty, Inc.) nor the installer assumes any responsibility for the
performance of said equipment. 3. RTS (Roof Tile Specialty, Inc.) does not assume any responsibility for corrections of existing code
violations or for the repair of any existing defects unless specified in estimate and proposal.
Total Cost: $6000.00 Terms paid on completion unless otherwise specified in the contract. If not accepted in thirty days this proposal
is invalid. Extra $55.00 per sheet of plywood if needed. In the event of any increase in material price(s), said price increase shall be passed
directly onto the client. At client's request Roof Tile Specialty shall provide written documentation of the increase in material price(s) to
client and client shall pay the actual increase in the material price in additional to any sum client agreed to pay Roof Tile Specialty for work
to be performed under this agreement. Roof Tile Specialty shall add no markup or profit to any increase in material prices.
Acceptance: You are hereby authorized to furnish all contents written in the contract to complete work mentioned in the proposal contract
for which I/we agree to pay the amount mentioned, in said proposal, and according to terms. thereof, (initial). If a leakage, caused
by defects in workmanship, occurs within TEN years from date of application, we will repair defects free of charge.lt is the owners
responsibility to properly maintain your roof system. Guidelines and proposed budget for annual maintenance will be provided upon request.
Installation: It is understood that by the acceptance of this proposal you authorize RTS (Roof Tile Specialty, Inc.) to make the installation; to
issue work orders with specifications shown herein and to pay our charge for such installation. You agree to pay the amount specified
herein, which will cover the price of said materials and labor charge. This estimate is based on a complete job and any surplus material
remains property of RTS (Roof Tile Specialty, 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 any 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 labor shall not 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 or claim arising 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 filed. A judgment award based upon the evidence presented by the party(ies) who do (does) appear and
participate. Notwithstanding 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, client agrees to pay reasonable attorneys' fee's and cost incurred in connection with collection of
said amounts whether or not suit is filed. 1.5% per month and/or an annual percentage of 18.0% will be charged on all past due accounts.
Contractor's are required by law 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: Contractors State Licenses Board, 9835 Goathe Road, Sacramento, CA 95827.
Mailing address: P.O. Box 260.00, Sacramento, CA, 95826.
The above prices, specifications:and conditions are satisfactory and are hereby accepted.
Owner's Signature
(or authorized representative)
Date:
Contractor's Signature Date:
Notice
(Section 7019 - Contractors License Law)
"Under the Mechanics' Lien Law, any contractor, subcontractor, laborer, material
man or/other person who helps to improve your property and is not paid for this
labor, service or material, has a right to enforce his claim against your property.
Under the law you may protect yourself against such claims by filing before
commencing such work of improvement, an original contract for the work of
improvements of a modification, thereof, in the office of the county where the
property is situated and requiring that a contractor's payment bond be recorded in
such office. Said bond shall be in an amount not less than fifty percent (50%) of the
contract price and shall, in addition to any conditions for the performance of the
contract, be conditioned for the payment in full of the claims of all persons
furnishing labor service, equipment or materials for the work described in said
contract."
Notice
"Under the Mechanics Lien law any contractors,
subcontractor, laborer, supplier or other persons
who helps to improve your property but is not paid
for his work or supplies, has a right to enforce a'
claim against your property. This means that, after
a court hearing, your property could be sold by a
court officer and the proceeds of the sale used to
satisfy the indebtedness. This can happen even if
you have paid you own contractor in full, if the
subcontractor, laborer, or supplier remains unpaid."
Buyer's Right to Cancel
You my cancel the Agreement or offer referred to above anytime prior to midnight of the third day (excluding Sunday) after the day you
signed the agreement or offer. If you cancel and you have already made some payment to the seller, the seller is entitled to retain out of the
payment, as a cancellation fee. Five percent (5%) of the cash price of the goods or service, but in no event may the seller retain more than
fifteen dollars ($15). You may give notice of cancellation by mailing a signed and dated statement to the seller at the address indicated. In
order to have proof of the mailing it is recommended that you mail the statement by registered or certified mail.
Notice to Owner
Under the California Mechanics Lien Law, any contractor, subcontractor, laborer, supplier or other persons who help to improve your
property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court hearing,
your property could be sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. This can happen even if you
have paid your own contractor in full, if the subcontractor, laborer, or supplier remains unpaid. To preserve your right to file a claim or lien
against your property certain claims such as subcontractors, or material supplies are required to provide you with a document entitled
"Preliminary Notice." Original (or Prime) contractors and laborers for wages do not have to provide this notice. A Preliminary Notice is
not a lien against your property, its purpose is to notify you of persons who may have a right to file a lien against your property if they are not
paid. (Generally, the maximum time allowed for filing a claim or lien against your property is ninety (90) days after completion of your
project.)
To Insure Extra Protection For Yourself and Your Property You May
Wish To Take One or More of the Following Steps
Require that payments be made directly to subcontractors and material suppliers through a joint control. Any joint control agreement
should include the addendum approved by the Register of Contractors.
Issue joint payments, made out to both your contractor and subcontractors or material suppliers involved in the project. This will help
to insure that all persons due payment are actually paid.
After making payments on any completed phase of the project, and before making any further payments, require your Contractor to
provide you with unconditional lien release signed by each material supplier, subcontractor and laborer involved in that portion of the
work for which payment was made. On projects involving unconditional lien releases, the persons signing these releases lose the right
to file a claim against your property. In other types of construction this protection may still be important, but may not be as complete.
Applicable Law
This Agreement, and all the rights and obligations of the parties under this Agreement, shall be governed by the law of the State of
California.
Consequential Damages
Buyer shall not be entitled to recover any incident or consequential damages as that term is defined in Commercial Code Section 2715.
Attorney's Fees
In the event of litigation arising out of this Agreement, or the performance or interpretation thereof, the court will award reasonable attorney's
fees to the prevailing party.
No Other Agreement
This Agreement is full and final Agreement of the parties and no written or oral communication between the parties before the execution of
the Agreement will modify or amend the Agreement. The Agreement maybe modified only by a written document signed by both parties.
Liquated Damages
In the event of a breach of the payment terms of this agreement, it is agreed that the seller's (Contractors/Subcontractors/Suppliers) actual
damages caused by such a breach are difficult and impractical to determine and include, among other things, administrative costs for billing,
accounting for and collecting past due payments. Accordingly, buyer agrees to pay seller liquidated past damages as delinquency/service
charges on all accounts past due at the rate of 1.5% per month, annual percentage of 18.0% until paid in full. This agreement to be a
reasonable method for fixing seller's damage so rising.
Bin #
'City�� � •
Qu►nta
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 #
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Project Address:
Owner's
A. P. Number:
Address: ( s ��
Legal Description:
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Contractor: !
-telephone:
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Project De cription:
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Telephone: � �
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Arch., Engr., Designer:
Address:
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Telephone:
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Construction T e: Occupancy:
State Lic. #:
Project type (circle one):. New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: ` 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 Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd 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:-
1rd 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
Total Permit Fees