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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: . f2ey6oue, ex' City, ST, Zip: cLi U (�1 Telephone: -s7 9 p 60 7 020ltll,4otletu °:: t �.� $�''" s s? ' w �..: eft b� i�- SGl tie i e. U 5 ! v1_ 1 0. e-r f'rl¢.10-rX 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