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RR (05-0657)T-A_hf 4 4Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504(760) 777-7012 78-495 CALLS TAMP.ICo FAX'(760) 777-7011 LA Q.UINTA, CALIFORNIA 92253 INSPECTION REQUESTS '(760) 7,77-7153 BUILDING PERMIT Application Number 0&--_0d 0 Date. 2/23/05 Property Address . . . ....,49870 AVENIDA MONTERO APN: 646-192-014- - - Application description RE -ROOF ; Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation 9485 Owner Contractor,v ---------------------- -- ----- KOCH RHONDA J .ROOF'TYLE.SPECIALTY, INC. *NOT ON FILE P.G. BOX 11257, UNKNOWN CA 99999 PALM DESERT CA 92255- (760) 200-.0811. WCC: EXEMPT WC: EXEMPT- 11/3-0/05 CSLB: 810537 07/31/06 CCC: C39 Permit .. . . . RE -ROOF.. Additional desc Permit Fee 30.00 Plan Check Fee .00 Issue.Date . . . . Valuation 0 Expiration Date.. 8/23/0.5 Qty Unit Charge Per Extension - BASE FEE 30.00 Special Notes and Comments REROOF'CLASS A; 30 YARDS SHINGLE; FLAT 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 �.-0.030.00 . D Fa 2 4 2005 CITY Of LA QUINTA. ��u®tdCE 0EPT. P.O. Box 1504�� VOICE (760) 777-701! T-Vf 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number. a Date: Applicant: Applicant's Mailing Address: 44 -(!o N rYA crnk Architect or Engineer: Architect or Engineer's Address: Lic. No.: IA BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am I ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals 96de, and my License is in full force and effect. 3 icense f las? i Licrffs� No. OWNER -BUILDER DECLARATION affirm I here y arm u er penalty of perjury that I am exe from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county th t 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 car neyand policy number are: ,Carrier Policy Number 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date A,,plicant 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. 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 — — P/A Lender's Address 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 Ouinta, 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 rk is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cance tion. I certify that I have read this application and state that the above info n is co ec I agree to comply with all city and county ordinances and state laws relating to building c 6ructi n, and reby authorize representatives of thi w to a er pon t e ov - nspection purposes. at ( Signature (Applicant or Agent': 9 PP1 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:.RONDA KOCH Mailing Address: 49870 MONTERO CIRCLE LA QUINTA, CA Job Address: SAME AS ABOVE Phone: 202=7767 Description of work to be performed: REMOVE EXISTING TAR AND GRAVEL ROOF AND DISPOSE. FLAT AREA: INSTALL NEW CANT AND TAPERED CANT AT ALL WALL TRANSITIONS AND CRICKET TERMINATIONS. NAIL ONE LAYER INTEC TOUGH BASE. INSTALL THREE LAYERS GLASS PLY 6 HOT MOPPED. INSTALL NEW ROOF JACKS ON ALL PENETRATIONS & COOLER. INSTALL 3" PERIMETER METAL. PRIMER ALL METAL SURFACES. HOT MOP TWO LAYERS GLASS PLY TO EXPOSED METAL EDGES SEALING TO ROOF. INSTALL 72# CAP AT WALL AND CRICKET AREAS. MASTIC AND WEB ALL TRANSITIONS AND COAT WITH GRANULES. FLOOD COAT ROOF WITH ASPHALT AND COVER WITH ROCK. _ PITCHED AREA- NAIL ONE LAYER 15# SHINGLE LINER INSTALL NEW PERIMETER METAL AND ROOF JACKS AT ALL PENETRATIONS. i INSTALL 30 YEAR SHINGLES TO MANUFACTURES SPECIFICATIONS. PAINT ALL ROOF JACKS TO MATCH ROOF, EXCLUDING PERIMETER METAL. CLEAN JOB SITE TO OWNERS STANDARDS. 7 NOT ACCEPTED IN 30 DAYS THIS PROPOSAL IS NULL AND VOID Note: 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 root 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: $9,485.00 Terms paid on completion unless otherwise specified in the contract. If not accepted in thirty days this proposal is invalid. An additional cost of $55.00 per sheet of plywood will be charged if plywood needs to be replaced. Acceptance: You are hereby authorized to furnish all contents written in the contract to complete work mentioned in the proposal contract for which Uwe agree to pay the amount'meotioned, 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. Installation: It is understood thit 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 theAmerican 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 m.:.:� fi1P.1, 1 0 npr month and/nr an annual nercentaee of 18.0% will be charged on all past due accounts. Contractor's.are required by law: to be- '