10-0319 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000319
Property Address: 77545 CALLE ARROBA
APN: 774-161-013-1 -000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 3000
Tit�v 4-4v Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PATRICIA GRAHAM
77545 CALLE ARROBA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/15/10
Contractor:
Applicant: Architect or Engineer: 20/20 ROOFING CO
PO BOX 608
INDIO, CA 92202
(760)578-7799 UU I
Lic. No..:: C3C39 U
I
rr .r 21r; t� k
LICENSED CONTRACTOR'S DECLARATION WORKER'S COM ENSATION'QCLRfI91TIUNn:rEE!il
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following•declaratj, hg--s'—-:�:t-
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. -_ I have and will maintain a certificate of consent to self -insure for wo7rt>sYs�compensatiop rovided
License Class: 895443 License No.: C3 9 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate:— ontractor: 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 7130025926
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I all fort ith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �I n^�.
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001•: i ""1�tp nt:
1 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 WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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. , 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
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, indemnity 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for ins tion p rposes.
e: ✓ " U
>p.1u,e (Applicant or Agent):
Application Number . . . . . 10-00000319
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. .
. 0
Expiration Date . . 10/12/10
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
PARTIAL RE -ROOF (1,000 S.F.)REMOVE
EXISTING TILE, INSTALL NEW UNDERLAYMENT
AND RE -INSTALL EXISTING TILE. EXEMPTION
APPLIES - SECTION 151(f)12. 2007 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
.00
.00
Other Fee Total 1.00 .00
.00
1.00
Grand Total 31.00 .00
.00
31.00
LQPERMIT
Name/ Address
Patricia Graham
77-545 Calle Arroba
La Quinta CA. 92253
CONTRACT PROPOSAL
Description
Date
Contract...
Sime 1878
P. O. BOX 608
Indio CA. 92202
Ph. 760-578-7799
R.o;ofn :C'o:
Fax. 760-342-3913
Name/ Address
Patricia Graham
77-545 Calle Arroba
La Quinta CA. 92253
CONTRACT PROPOSAL
Description
Date
Contract...
4/12/2010
35
Terms I Project
JOB SITE: Same as above.
WE PROPOSE AND AGREE 20/20 R. Furnish labor material for:Remove existing tile roof install
new underlayment and install back same tile.
For the above named building using: Single layer Malarkey UDL modified fiberglass new flashings
and re install properly attic dormer vents.
Repair leak around chimney
FOR THE SUM OF THREE THOUSAND ( 3,000.00) DOLLARS
TERMS
ALL PAYMENT TO BE 100% ON COMPLETION
& SAFE fY DEPT.
0V
FOa C&' STRUCTION
15 I d 2.
DATE -4-,S_-10 BY
X -�
c�
L IL
l ( e 14 rrd 1fl CCS..
Total $3,000.00
A
ALL PAYMENTS TO BE 100% ON COMPLETION UNLESS OTHERWISE 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 selling 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 Contractor's 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 30 days acceptance from date hereof.
(C) The Purchaser is dealing with the Contractor as principal and that the Contractoris not acting hereunder as the agent or representative of
any person, firm, or corporation.
(D) Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become
an extra charge over and above the estimate.
PRICE SUBJECT TO CHANGE AT ANY TIME TO REFLECT INCREASED
MATERIAL PRICE
Date 0 Approved by: 20/20 Roofing Co./Ulu 0. .4. /S,_,/
Acceptance the above proposal
Bin #
Permit #�'�
��
Project Address:
of LQ Quinta
B'u/itding 8i Safety Division t�
P.O. Box 1504, 78-495 Cane Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking_Shee_t__---
Owner's Name:�' r(� Yl'1
CI
A. P. Number:
Address: _ 7S 1e_ Azan b
Legal Description:
City, ST, Zip:
Contractor: ao
Address: 9 3 S
Telephone:
Project Description: .
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City, ST, Zip: cLi U (�1
Telephone: -s7 9
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eft
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State Lic. # :J93
City Lia Cnr-Je-f-
Arch., Engr., Designer:
U 0 L. - rVWd LP-1 ed. k- S 11e.uil 1L15�21 .�
Address:
Q y% 1 ti vt 1L Proe 24i 0— �orrvt�
City, ST, Zip:
Telephone:
State Lic. #:
Y�
Cons�uctionT _ —
Project type (circle one): New Add'n Al Repair Demo
Sq. FL: # Stories: #Units:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit
Truss Cal".
Called Contact Person Plan Check Balance.
Title 24 Cales.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready for corrccdoa&4uue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
fN HOUSE:-
''' Review, ready for eorrectionviuue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees