RR (12-0423)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000423-�
Property Address: 52650 AVENIDA MENDOZA
APN: 773-303-006-18 -000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 6050
Applicant: Architect or Engineer:
�(pi,
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 Busi ss and Prof sionals Code, and y License is in full force and effect.
License Class: C739 a se No.'
Date ` ontracto
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, 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/18/12
Owner:
JOHN PATRICK DOLAN
52650 AVENIDA MENDOZA
LA QUINTA, CA 92253
-----------------------------------------------
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.
J, 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 2380008906
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 shg}Id become subject to the workers' compensation provisions of Section
3700 of the Labor 9646, 1 shall fo,4%with comply wit7those provjons.
WARNING: FAILL)RE 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 that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin onstructio and hereb utharize re sentati
oft s coountyy to enter upon the above-mentioned propert inspect* purposes.
-tv
ate�14g,1 Z S' ature (Applicant or Agent):
D Q
�
Contractor:
SOUTHWEST ROOFING�o`f�
1
P.O. BOX 126
INDIO, CA 92202
(760) 578-3735
CITY CIF I„AQUINTA
Li( . No.: 787029
FINANCE DEPT.
-----------------------------------------------
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.
J, 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 2380008906
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 shg}Id become subject to the workers' compensation provisions of Section
3700 of the Labor 9646, 1 shall fo,4%with comply wit7those provjons.
WARNING: FAILL)RE 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 that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin onstructio and hereb utharize re sentati
oft s coountyy to enter upon the above-mentioned propert inspect* purposes.
-tv
ate�14g,1 Z S' ature (Applicant or Agent):
Application Number . . . . . 12-00000423
Permit . .
. RE -ROOF
" Additional desc .
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date .
. 10/15/12
-
Qty Unit Charge Per
Extension
BASE FEE
30.00
-----------------------------------------------------
• Special Notes and
Comments
-----------------------
TEAR OFF OLD ROOF
AND REROOF WITH
OAKRIDGE DURATION
SHINGLES - SHASTA
WHITE. 2010 CODES.
----------------------------------------------------------------------------
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 .0:0
.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
31.00
.00 .00
31.00
LQPERMIT
Cool Roof Rating Council
Rated Products C
view ]
(last updated 9 Mar 2012 1
Showing Search Results
Company: Owens Corning Roofing and Asphalt, LLC
Product Type: Shingles or Shakes, Shingles, Shakes, Tile or Slate
Model: Shasta White
select' from products where company_name='Owens Corning Roofing and Asphalt, LLC' and (type like 'Shingles or Shakes%' or type
like 'Shingles, Shakes, Tile or Slate%') and model='Shasta White' order by company_name asc
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0890-0001
Owens
Classics,
Shasta
Bright
Shingles
0.27
0.29
0.89
0.92
28
31
Steep
Corning
Supreme®
White
White
or
j
Roofing and
Shakes
Asphalt, LLC
Greg Keeler
21LI
6345)
L-IHI-]H[-iL-i
0890-0007
Owens
Duration®
Shasta
Bright
Shingles
0.25
0.28
0.94
0.91
27
30
Steep
Corning
White
White
or
Roofing and
Shakes
i
Asphalt, LLC
j
Greg Keeler
(740-321-
6345)
ILLIHI-I-i
I
i
0890-0002
Owens
Oakridge®.
Shasta
Bright
Shingles
0.27
0.28
0.89
0.91
28
30
Steep
Duration
Corning
White
White
or
Roofing and
Premium®.
Shakes
Asphalt, LLC
Duration®
Greg Keeler
(740-321-
6345) I
L-1
L-]LjL-]LiHL-ii
0890-0008
Owens
Tru Definition
Shasta
Bright
Shingles
0.25
0.28
0.94
0:91
27
30
Steep
Corning
Duration
White
White
or
Roofing and
Shakes
Asphalt, LLC
Greg Keeler
(740-321-
_._.._......._._._.......... ..._6345)--
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http://www.coolroofs.org/products/results.php?keyphrase=&select_type=select&type%5B... 3/12/2012
SOUTHWEST ROOFING
P.O. BOX 126
Indio, Ca. 92202
(760)578-3735(760)398-6763
CONTRACT PROPOSAL
License no. 787029
Contractor: Address: 52-650 Avenida Mendoza
Owner: John Patrick Dolan Job Site: La Quinta,Ca.92253
WE PROPOSE AND AGREE to furnish required labor material for T e a r o f f o l d r o o f a n d r e r o o f.
ANY BAD SHEATING DISCOVERED NOT INCLUDED IN THIS BID.
for the above named building using 1 layer #15 underlayment, asphalt shingles,driP
edge,new flashings.
in accordance with submitted plans and specifications, for the sum
of. SIX THOUSAND FIFTY DOLLARS. ($ 6,050.I%%liars
FIVE YEAR WARRANTY
ALL PAYMENTS TO BE 100% ON COMPLETION UNLESS OTHER WISE SPECIFIED ABOVE.
NOTICE
"Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 et seq.),
any contractor, subcontractor, laborer, supplier or other person 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 your own contractor in full, if the subcontractor, laborer, or supplier remains unpaid."
This agreement shall become binding only upon the Contracotes written acceptance hereof or upon the Contractor's
commencing performance and upon such acceptance or commencements of performance this shall constitute the entire
contract and be binding upon the parties hereto, there being no covenants, promises or agreements, written or oral,
except as herein set forth.
It is further understood that:
(A) The Contractor shall not be responsible for damage or delay due to strikes, fires, accidents or other cause beyond'
his reasonable control.
(B) The proposal is limited to 9 0 days acceptance from date hereof;
(C) The Purchaser is dealing with the Contractor as principal and that the Contractor is not acting hereunder as the
agent or repesentative of any person, firm, or corporation.
PRICE SUBJECT TO CHANGE AT ANY TIME TO REFLECT INCREASED MATERIAL PRICE
Date l -9- A oved by outhw t oofin
accept the above proposal.
Cray Of. La Quin -M.
Building or Safety Division 4
P.O. Box.1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 177-7012
Building Permit Application and Tracking Sheet
Perinft #
Project Address: ^ , �-o Ave Owna's Name.
A. P. Number Addtrss:
Legal Description: City, ST..Zip
Contractor. Telephone:
Address (Z j p Pro e� Desai tion: 17 -EA r . o�2
City, ST, Zip' °
TelephoC-7Gd 3 K1 A al j
State Lia #: —7 0 7Z City Lie
Arch, Bngr., Designer.
Address:
City, ST, Zap:
Telephone: Construction Type: _ Occupancy:
State Lia #: Project type (oimle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: #Stories:#Univ
Telephone # of Contact Person: Bstimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Sobmlthti
Plan Sets
Req'd
Reed
TRACKM PBRMLFFEES
Pian Cheek submitted Item Amoaat
Structural Cates.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cala.
Called Contact Person Plan Check Balance
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted.. Mechanical
Grading plan
2'! Review, ready for eorrecCons/issue Electrical
Subeoataetor List
Called Contact Person Plumbing
Grant Deed.
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IPI HOUSE:"
'`' Review; ready for eorreedons/issne Dcvdoper Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees