07-2909 (RR)I
P.O. BOX 1504 4^' VOICE (760) 777-7012
78-�;;:5 CALLE TAMPICO FAX (760) 777-7011
R LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/07/07
Application Number: 0�L7�-c0_.0A90-9�
0,2Owner:
Property Address: �52.52S�NIDA CARRANZA JACQUELINE STOLTZ
APN: 773-285-014-1 -000000- 52525 AVENIDA CARRANZA
Application description: RE -ROOF LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL --�
Application valuation: 6265
Contractor:
Applicant: Architect or Engineer: CASTRO ROOFING INC
P O BOX 122 l�iJ
THOUSAND PALMS, CA 9122 6
\(760) 343-0042
A- Lic. No.: 828478 F'�P
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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.
License Class: C39 LicenseNo.: 828478 "
rti' v
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.). -
( ) 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:
LQPERA11T
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 285000245206
_ 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 shout become subject to jb workers' compensation provisions of Section
Z�3�7%00 of the L or Cod I shall forthwith ly w' (those provisions.
af7 te: W/ ✓ pplicant:
WARNING: FAILURE TO SECURE RKERS' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND C VIL 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 Ouinta, its officers, agents and employees for any act or omission related to the work being
r 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 be information is correct. I agree to comply with all
city an unty ordinances a state laws relating to buil g construction, and ereby authorize representatives
of county/tou o enter the above-mentioned proper for inspection p ses.
Date: 0
Signature (Applicant or Agent):
f
LQPERA11T
Application Number . . . . . 07-00002909
Permit .. . . RE -ROOF
Additional desc .
Permit Fee 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration.Date 5/05/08
Qty Unit Charge Per
Extension
BASE
FEE
30.00
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Special Notes and Comments
RE -ROOF WITH 30 YR. SHINGLES, CLASS "A"
MATERIALS
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
.00
30.00
LQPERA11T
Bi" #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 9225.3 - (760) 777-7012
Building Permit Application and Tracking Sheet
�
Permit.#
Project Address: Z "
Owner's Name: f
A. P. Number:
}�
Address:
Legal Description:
City, ST, Zip:
Contractor: S
�C \
Telephone:
Address: 20, Aoy 122-
Project Description: e� >' S
/
City, ST, Zip: vsm G ti lh s 22�b
1 On -0 AACI
�
Telephone: 0�
State Lic. # : D
Arch., Engr., Designer:
City Lic. #:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:�tf fj
6
Occupancy:
Construction Type:.Roo 7
Project type (circle one): New Add'n Iter Repair
Sq. Ft.:�� (� # Stories: # Units:
Demo
Telephone # of Contact Person: (7
��
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2"" 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:-
'"' 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
Sep 27 2007 17:29 PLATINUM REALTY MGMT 3103937248 p.1
ROOFING INC PAGE B2RO
09/27/2007 02:20 7603432097 CAST
vev l�-'�
� tttt�.r� il� � �.•��
P.O. rsox 122, Thousand Palmi, CA 92276
(760)343-0042 " Fax (760) 343-2097
License ae2a47$ State Fund
Jacqueline Stoltz
2855-0002452-04
Re- Root Estimate License # 828478
52-525 Avenida Carra"za
La Qu►,rata, Ca 92253'
Completoly remove and discard existing - roof. Substrate to be inspected for dry rot or defective
plywood parcels, any found to be in need of replacement will be replaced at a rate of $45.40 per sheet
(4 X 8 X !z), upon approval of, owtaer or agents. Substrate to be inspected for loosened or nota -flush to
deck sheathing nails, any found will, be driven flush-, or completely pulled out, and rc-nailed using a
new nail at a new location. Substrate to be clewed and free .of all debris, prior to new roof installation.
Over prepared sheathing at perimeter install now (2X2) drip edge metal. Over entire roof install 1 -layer,
of #15 felt nailed to hold in place. Over felt .install new Pro. 30 -yeas self-sealing shingles with pipe and
vent flashings nailed to manufactures specification, install new hip and ridge trim to enhance roof
appearance. 'All pipe and vent flashings to be painted with. rust proof paint to match new roof.
Amount: 56,265.00
Price to disconnect and reconnect AJC unit! 5450.00
DEPFNDING ON TI.IICKNES:S OF EXISTINU PLYWOOD NAIL) MAY PEWRTRATF rNROUGH THE PLYWOOD ON OUTSIDE OVERHANG,
TFRMS; IWA UPON COMPLETION. UNLESS OTITERWISR.$PECIFIED IN THF.. CONTRACT.
FIVE ($) YEAR ULIARANTI F. AGAINST LEAKS WILL 9E F.FFF-GTl VF- UPON FIA L PAYMENT.
ALI, DEBRCS CAUSED FROM ABOVE WORK TO BE DISCARDED AND AREA TO DI; LEFT CLEAN. 700 TO OF STARTED IN A TIMELY
MANNER ACCORDING TO SCREDULP. AND WEATHER PERMITTING.
WE PROI"F, TO FURNISH ANDAPPI_Y LAROX MATERIALS, P:,RMITS, TRANSPORTATION, & Toom NECESSARY FOR comin 'TION
OF R.00PINO Wk=.
TOIS PROPOSAL WILL RF Nt11,L AND VON AFTER 15 DAYS VROM OATS SUDMff ,D.
DURING TNF IROUFING PROAC.`T CASTRO ROOFINU WILL MAKE ALL ATTEMPTS TO MINIMIZE, BUT WILL NOT BE RkSPONSIBLr:
FOR DIRT, ROCK. OR 17EBPIS TI -IAT MAY FALC.INTO LIVING AREAS. DAMAGES Tp VENTS OONDIAT PIPES, OR CEILING MOUNTX:T)
FI X'" IRES.
CONTRACTOR DOES NOT ASSUME. ANY -RESPONSIBILITY FOR. CORRECTION O>: EXTSTING CODE VIOLATIONS OR FOR THE RBPAIR
OF ANY F.�CISTING S'TRUCRJRAI, DEPF.CTS UNLESS SP=CIFIF;p N TI1I5 PROPOSAL DOE$ NOT TNCLUDF ARCF1JT2C'rVRA1.,
tNGINIFFRNG OR EXTRA WORK IF 111:.QUIRRO BY CITY.
N TI16.k'VCNT SUIT IS DROUGHT TO FWFORCE THE TERMS OF TNI; CONTRACT. T14R PREVAILIN(I PARTY SHALL RECOVER AW
COST,,' F,XPPNDFD. INCLUDING ATTOR.NCV FRES AS AN ELEMENT OF COST.
CONTRACTORS ARk REQUIRED 9Y LA W TO BB LTCFNSEn ANI) RC.GULATED BY THE CONTR ACTOR 'S STA112. I;IC.L•NSE BOARD. A14Y
I'c
QUTr1,T
TONS RR TO: CONTRACTOR'S STATE 1,ICFNST3D BOARD, 1024,,W %T.REF.r, SACRAMENTO, CA 95014.
IF 'rHls PsnMATE MFBTS WITH YOUR APPROVAL, PI,GA.SP INDICATP. YOUR ACCEPTANCE BY MoNTNO THN COPY AND
RETIIRNING ITTO OUR OFFICH BY MALL FAX. WE LOOK NORWARD TO WOR UNG WITH YOU.
Submitted. by: Accepted By:
Richard Castro - Presidept // Owner or agent
Submittal Date: Scottember 27, 2007 Acceptance Date: v Oq • b