05-4280 (RR)4 P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (160) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/22/05
Application Number:05=00004280 j Owner:
Property Address: C-77240 AVENIDA ARTEAGA ROSS PATRICK H
APN: 658-210-022-- - D n 77240 AVENIDA ARTEAGA
Application description: RE -ROOF [�=� LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 24889 SEP 2 2 1001
Contractor:
Applicant: Architect or Engin er: CITY OFL-A QUINTA CZYK ENTERPRISES
FINANCLtOEIr; P O BOX 1042
YUCCA VALLEY, CA 92286
(760)228-2343
Lic. No.: 442748
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 th i�aessionals Co peand my License is in full force and effect.
license Class: C39 Lic a No.: 442748
tt
1 Date: f W Contractor
ER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I ardexempt 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
t 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.l.
(_ 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 contractorls) 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.).
4#. Lender's Name
Lender's Address:
4
LQPERMIT
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 2290023633
I certify that, in the performance of the v%ork for which this permit is issued, I shall not employ any
person in any manner so as to become subje t to the workers' compensation laws of California,
and agree t�forthw'
me subjec the workers' compensation provisions of Section
3700 of t e Lacomply with those provisions.
t
Date: Lpplic -t.
WARNING: FAILURE TO SECURE ' 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 correc . agree to comply with all
city and county ordinances and state laws relating t ion, and her uthonze representatives
roperty for inspection
of this county to enter upon the above-mentioned rpose
[Date•? Signature (Applicant or Agent) "
Application Number . . . 05-00004280
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 24889
�O Expiration Date 3/21/06
Qty Unit Charge Per
Extension
BASE
FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
REROOF-POLYURETHANE FOAM SYSTEM.
CLASS
MATERIALS ONLY.
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
r
A
C+
LQPERMIT
" FAX NO. .
09/29/2006 11:18 760-228-2343
Aug. 29 2005 03:37PVr P4
GZWENTERPRISrS resat UA
CM PRISES
8PEC1"W i:QalsnllMM $EROIwn
P.O. Box 1042 Yucca Valley, CA. 92286-1042
(760) 228-2343 . Fax (160) 228-2 A2
Contractor's License No. 442-748
PROPOSAL AGREEMrNT AND GENERAL CONDITIONS
Buyer. Mr. Rick Lehman
Address' 77240 Avenida Arteaga La Quinta, CA. 92253
Telephone: Fax:
Contact: Mr. Lehman Job Name: Ross
W4 propose to install a urethane foam roofing system at the above noted address in
accordance with the fallowing detailed specifications.
USMAME F{,AMMQF A=M 01/E1EXISTING U.R
Er
gparation:
1. Obtain necessary permits
2. Sweep clean loose gravel on existing roof hd haul away debris
3. Prime entire roof deck at I gallon per 250 sq. ft.as needed:
4. Mask necessary areas not to receive the foam application (walls, A/C's, etc.)
Urefha Fo m ADolicationi
S. Spray apply 1 ° of 2.5 to 3.0 Ib. nominal density foam to entire roof deck-
6.1
eck_
6., Add foam build up in low areas to improve severely ponding conditions.
7. Grind foam as.nece-ssary at drains / runoff areas to promote proper drainage.
Qating AR2tirjtion:
S. Apply acrylic elastomeric caulking at roof ,penetrations acs a secondary sealant on top
of the foam application.
9. Apply acrylic basecoat 0 1 Yz gallons per 100'sq. ft.
10. Apply acrylic topcoat 0 1 34 gallons per 1.00 sq. ft (White)
11. Ton year application will include granules incorporated in top coat
arina_. i Work:
12. Remove all masking materials and over spray protection.
1.3 Remove all job related trash from job site.
m PWi
Wwm /nosy
FRAM .
89/29/2005 11;18
FAX NO. :
760-228-2343
Rug. 29 2005 03:37PN P3
CZyKENTERPRISES r""a- —
CM ENTERPRISES
SpEMLTy00 RUc=M 8MV10413.
P.Q. Box 1042 Yucca Valley, CA. 92286-1042
(750) 228-2343 Fax (760) 228-2343
Contractor's License No. 442.748
PROPOSAL AGREEMENT AND GENERAL CONDITIONS
WmAwl
14. This application ten-year renewable warranty.
TOTAL PRICE FOR THIS SCOPE OF WORK IS: $2,889.00
1. Price and payment terms 10% upon contract aceeptanoe. 50% due upon first day of work. Balance
due upon roofing job completion.
2. With the conserld of the Buyer, any deteriorated lumber or ursukabla substMte materials which are
disdased as the work progresses and which are not apec1 icaly mentioned in this proposal and
agreement will be replaced or made suitable. The charge for the labor and materials will be additional.
3. Worker's compensation. general liability, and Such other insurance as is required by law will be carried
by CZYK Enterprises. from the beginning to the oompletion*Of the above roofing work
4. The new roof if applicable will be warranted by CZYK Enterprises. in accordance with CZYK
Enterprises standard warranty, which Is .made a part of this proposal and agreement and irrraipomted
herein by ref mwze,
5. Amounts, weights, thickness or, other quantiles quoted are appr6dmate and shall be subject to normal
industry variation and to variation over the entireroof suriacs.
IS- The proposal and agreement is subject to 8000*noe by the Buyer within tell (10) days of the data
stated above. No carpentry, painting, masonry or any, work other than that specifred herein is
COnternplaW in this proposal. No oral commitments for additional work, material or other items have
been made by repr+eserdatives of CZYK Enterprises..
7. This proposal and agreement when signed by the Buyer and the audtOrized representative of CZYK
I`nterprIess shall become a contract under the Wws of the state where the work is to be done and will
thereby by a binding contract upon both. and the Buyer. This proposal and contract shall be the entire
agreement between the parties, notwithatanding any previous communications or negotiations.
whether oral or mitten, there being no commant or agreements, Inducements, guarantees, warranties
or considerations, other than as set forth herein.. it Jr. agreed that any changes in this proposal and
contract must be approved in writing by CZYK Enterprises.
S. if buyer fails to pay timely monies due, said Buyer shall be liable to CNK Enterprises for a late charge
of one and -one-half percent (1 1/2%) per month from the date said monies become due, until paid. In
the event that any montes become due and payable under this agreement and are collected through
probate, bankruptcy or aid in the collection of any monies due CZYK Enterprises then the Buyer agrees
and promises to pay to or on behalf of CNK Entecprisesa. the attorneys fees and litigation expenses
incurred by CZYK Enterprises. in connection with the Buyer's failure to make payment when due.
9. At the time CZYK Enterprises completes its work the Buyer shall have the opportunity to inspect such
work. If the Buyer believes such work incomplete or unsatisfactory In some manner, the Buyer shall
inform CZYK Enterprises at that time.
10. This proposal and agreement are subject to acoeptance by the Buyer within ten (10) days of the date
stated above. NO CARPENTRY, PAINTING, MASONRY, OR ANY WORK OTHER THAN SPECIFIED
HEREIN IS CONTEMPLATED IN THIS PROPOSAL. NO ORAL, COMMITMENTS FOR ADDITIONAL
WORK, MATERIAL OR OTHER ITEMS HAVE BEEN MADE BY REPRESENTATIVES OF CZYK
Enterprises. .
i.chmffi,/Rosta