12-0226 (RR)P.6. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:, 12-00000226 - r
Property Address' _46775 HIGHLAND PALMS DR
APN: 643-191-012-12 -2117 -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 9450
Tiht
4- "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
Architect or Engineer:
alp
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 Cl ss: B C39 License N : 235717
tentractor:
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 therefrorri 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.).
(_ ) 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. , 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/14/12
Owner:
KEN SIMS
46775 HIGHLAND PALMS DRIVE
LA QUINTA, CA 92253
Contractor:
WESTERN PACIFIC ROOFING CORP
3462 LA CAMPANA WAY fJ��
PALM SPRINGS, CA 92262 r4`�
(760) 416-5877 A ill %i'�f
Lic. No.: 235717 i �7
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.
7� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
7� Code, for the performance of theworkfor which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier COMPANION PROPT Policy Number CPCA13668
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' mp�sation provisions of Section
3700 off the Labor C�AOhwrtpy with t ee visions.
ate
an vL
T�
WARNING: FAIL 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.
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 correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby aut ri presentatives
of thi//oo nnty enter upon the above-mentioned property for in ectt //II��poses.
DDate Sign re (Applicant or Agent): �C �
Application Number . . . . . 12-00000226
Permit . . . RE -ROOF
Additional desc . .
Permit Fee . . 30.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 9/10/12
_ Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL NEW POLYURETHANE FOAM ROOF
SYSTEM PER COOL ROOF RATING COUNCIL.
2010 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
1 E.
LQPERMIT -
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1 of 1 3/14/2012 7:39 AM
ra\VVESTE�T Pt�CI�'IC
3. Roofing Corporation
Februar$'r,'N 2 Lic.#235717
Ken Sims
46775 Highland Palms Dr.
La Quinta, CA 92253
Subject: 46775 Highland Palms Dr., La Quinta, CA 92253
Installation of a polyurethane foam and coating system.
Dear Mr. Sims:
Thank you for the opportunity to submit a proposal for the re -roofing at the above referenced
property. We are pleased to submit our proposal for the work as described below. The scope of
work and associated costs are as follows:
'k
'.qty
GENERAL
This proposal and contract is made between Western Pacific Roofing Corp. (Contractor) and the
person (s) or entity named above (Owner). Unless expressly stated to the contrary, the contractor
shall be responsible for performing the following:
DESCRIPTION
A. The general conditions of this standard construction contract shall form a part of these
specifications with the same force and effort as though repeated herein.
B. The Contractor shall furnish all labor, materials, equipment, permits, contractor's licenses
and insurance certifications to perform all operations required as specified. The contractor
shall provide labor and material customarily included in work of the same nature to give a
quality, complete job.
C. If any unforeseen or unexpected conditions are encountered during the work, and the
conditions adversely affect the cost or progress of the work, the contractor will notify the
owner immediately; and the owner will negotiate a written change -order to resolve the
unexpected condition be it for an increase or decrease .to the contract amount.
D. The Contractor shall occupy, use, and permit others to use the premises only for the purpose
of completing the work to be performed under this contract with the Owner. Contractor is to
be given all reasonable set-up and staging areas. Due to the limited access, some driveways
or parking areas may be blocked during this construction process.
3462 La Campana Way • Palm Springs, CA 92262 • (760) 416-5877 • Fax (760) 320-8912
www.westpacroof.com • E-mail: wprcps@westpacroof.com
Ken Sims
February 27, 2012
Page 2
E. Contractor's scope of work shall not include the identification, detection, abatement,
encapsulation or removal of asbestos or similar hazardous substances including mold,
mildew and infestation of rodents. If Contractor encounters any such products, materials or
conditions in the course of performing its work, or if such hazardous materials are
encountered by any other firm performing work at the jobsite and contractor determines that
such materials present a hazard to its employees, contractor shall have the right to
discontinue its work and remove its employees from the jobsite until such products or
materials, and any hazards connected therewith, are located and abated, encapsulated or
removed, or it is determined that no hazard exists ( as the case may require), and contractor
shall receive an extension of time to complete its work hereunder and compensation for
delays encountered as a result of such situation and correction. Due to the possibility of
mold, mildew and rodents being present before, during or after our work, Contractor's
scope of work shall not include the identification, detection or the removal of mold, mildew
and rodents. Owner agrees to hold Contractor harmless, and shall indemnify Contractor
harmless for any mold or rodent related claims in the future.
F. If a dispute shall arise between Contractor and Owner with respect to any matters or
questions arising out of or relating to this contract or the breach thereof, such dispute
shall be decided by arbitration administered by and in accordance with the Construction
Industry Arbitration Rules -of the American Arbitration Association or through such
arbitration procedures as the parties may agree. This contract shall be specifically
enforceable under the prevailing arbitration law. The award rendered by the arbitrators
shall be final, and judgment may be entered upon it in any Court having jurisdiction
thereof.
G. Should suit be brought to enforce or interpret any part of this Agreement, the "prevailing
party" shall be entitled to recover, as an element of costs of suit and not as damages,
reasonable attorneys' fees to be fixed by the Court. The "prevailing party" shall be entitled
to recover its costs of suit, regardless of whether such suit proceeds to final judgment.
SURFACE PREPARATION FLAT ROOF AREA
A. Existing roof system to be broomed clean.
B. Prime roof deck with primer.
C. Install new perimeter edge metal. (Unpainted)
D. Replace flexible drain connectors.
APPLICATION OF POLYURETHANE FOAM AND COATING
A. Urethane shall be insulation shall be spray -applied to a minimal thickness of 1" (plus
or minus 1/4") Additional foam will be added to the low areas to help minimize
ponding. Some ponding will remain.
B. Coating shall be applied in a minimum of two separate coats.
1. The base coat shall be applied at a rate of 1.50 gallons per 100 square feet.
2. The top coat shall be applied at a rate of 1.50 gallons per 100 square feet,
yielding a total system thickness for all coats of 22-24 TOTAL DRY MILS.
Top coat color to be White.
3. Embed granules at a rate of 50 pounds per 100 square feet.
4. All foam is to be coated. Coating shall extend up and over all foamed vent
pipes and terminated .a minimum of 2" above the foam, creating a neat
appearance, self-termin ashing.
WES RN PACIFIC
Roofing C-p—d—
s.. iwu Lic.N2)5757
Ken Sims
February 27, 2012
Page 3
CONTRACT AMOUNT: $9,450.00 (Nine Thousand Four Hundred Fifty Dollars)
NOTE #1: The drain flexible connectors will be replaced if the connectors are reasonably
accessible from the roof top. The ABS pipes may leak, the drain flexible connectors may
become disconnected or fail. The drain flexible connectors are not part of the roofing
system and are not covered under any warranty. Western Pacific Roofing will not be held
responsible for roof drain leaks or the resulting damage after the new roof system is
installed.
EXCLUSIONS: No items will be supplied nor work performed that is not specifically stated
herein.
PAYMENT TERMS: A Ten Percent (10%) deposit upon approval of the contract. Twice -
monthly payments until completion of contract. Invoices to be paid with 10 days of receipt. No
retention to be held. Any remaining balance due following completion to be paid within 15 days of
receipt of the,invoice.
WARRANTY
A Five (5) year labor and material warranty will be issued by Western Pacific Roofing upon
completion of the roof and final payment is received. Contractor's work will be warranted by
Contractor in accordance with its standard warranty, which is made a part of this proposal and
contract and incorporated by reference. A copy of the Contractor's standard warranty is attached
or, if not, will be furnished upon request. Contractor SHALL NOT BE LIABLE FOR SPECIAL,
INCIDENTAL OR CONSEQUENTIAL DAMAGES. The acceptance of this proposal by the
Customer signifies his agreement that this warranty shall be and is the exclusive remedy against
Contractor for all defects in workmanship furnished by Contractor.
The price quoted has been structured to reflect standards we assume are mutually desired: quality
installation, service reliability and long -term performance. The price may be subject to change 15 days
from the date of this proposal.
F
WESTERN PACIFIC
Rn l�R Corp . m '
s ews
Lk235711
Ken Sims
February 27, 2012
Page 4
NOTICE TO OWNER
Contractors are required by law to be licensed and regulated by the Contractor's State License Board.
Any questions concerning a contract may be referred to the Registrar, Contractor's State License Board,
P.O. Box 26000, Sacramento, CA 95826 or call 1-800-321-CSLB or www. CSLB. CA. GOV for more
information.
LAW REQUIRES ANYONE WHO CONTRACTS TO DO CONSTRUCTION WORK TO BE LICENSED BY THE
CONTRACTORS STATE LICENSE BOARD IN THE LICENSE CATEGORY IN WHICH THE CONTRACTOR 1S
GOING TO BE WORKING IF THE TOTAL PRICE OF THE JOB IS $500 OR MORE (INCLUDING LABOR AND
MATERIALS).
"LICENSED CONTRACTORS ARE REGULATED BY LAWS DESIGNED TO PROTECT THE PUBLIC. IF YOU
CONTRACT WITH SOMEONE WHO DOES NOT HAVE A LICENSE, THE CONTRACTORS STATE LICENSE
BOARD MAY BE UNABLE TO ASSIST YOU WITH A COMPLAINT. YOUR ONLY REMEDY AGAINST AN
UNLICENSED CONTRACTOR MAY BE IN CIVIL COURT, AND YOU MAY BE LIABLE FOR DAMAGES
ARISING OUT OF ANY INJURIES TO THE CONTRACTOR OR HIS OR HER EMPLOYEES.
"YOU MAY CONTACT THE CONTRACTORS STATE LICENSE BOARD TO FIND OUT IF THIS
CONTRACTOR HAS A VALID LICENSE. THE BOARD HAS COMPLETE INFORMATION ON THE HISTORY
OF LICENSED CONTRACTORS, INCLUDING ANY POSSIBLE SUSPENSIONS, REVOCATIONS,
JUDGMENTS, AND CITATIONS. THE BOARD HAS OFFICES THROUGHOUT CALIFORNIA. PLEASE
CHECK THE GOVERNMENT PAGES OF THE WHITE PAGES FOR THE OFFICE NEAREST YOU OR CALL 1-
800-321-CSLB OR WWW.CSLB.CA.GOV FOR MORE INFORMATION."
ACKNOWLEDGMENT: Owner acknowledges that he/she has read and received a legible copy of this
agreement including all terms and standard provisions before any work is performed and that he/she has
read and received a legible copy of every other document that owner has signed during this negotiation.
Uwe hereby acknowledge under the penalty of perjury that Uwe am/are the legal owners and am/are
authorized to sign this contract as an agent of the legal owner.
ACCEPTANCE: The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified. Payment will be as outlined above. You, the buyer may
cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the attached Notice of Cancellation for an explanation of this right. Owner has the right
to require contractor to have a performance and payment bond at Owner's expense.
KEN SIMS
.WESTERN PACIFIC ROOFING, CORP.
Contracto s License # 2357 7
Owner or Owner's Agent Ronald R. Winkle
Date
_February 27 2012
Date
WESTERN PACIFIC ROOFING HAS THE RIGHT TO RESCIND THIS CONTRACT WITHIN FIFTEEN DAYS OF ACCEPTANCE
THIS AGREEMENT 1S NOT BINDING UNTIL ACCEPTED BY THE OFFICE MANAGEMENT AT 3462 LA CAMPANA WAY, PALM
SPRINGS, CA 92262. NO CHANGES OR ADDITIONS TO THIS AG�T A BE EFFECTIYE APPROVED BY
WESTERN PACIFIC MANAGEMENT. MANAGERS ACCEPTANCE: DATE ?/
�^r WESTERN PACIFIC
Y'J Roofrng Corporation
Arce 1}IY Li..N235717
Transaction Date:
WESTERN PACIFIC ROOFING CORPORATION
NOTICE OF RIGHT TO CANCEL
Notice of Cancellation
(Date Contract signed)
You may cancel this transaction, without penalty or obligation, within three business days from the above date.
If you cancel, any property traded in, any payments made by you under the contract or sale and any negotiable
instrument executed by you will be returned within 10 days following receipt by the seller of your cancellation
notice, and any security interest arising out of the transaction will be canceled.
If you cancel, you must make available to the seller at your residence, in substantially as good condition as when
received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the
instructions of the seller regarding the return shipment of the goods at the seller's expense and risk.
If you do make goods available to the seller and the seller does not pick them up within 20 days of the date of your
notice of cancellation, you may return or dispose of the goods without further obligation. If you fail to make the
goods available to the seller, or if you agree to return the goods to the seller and fail to do so soon, then you remain
liable for performance of all obligations'under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice, or any other written
notice, or send a telegram to, not later than midnight of the third business day (excluding Sundays and holidays)
after the date of this transaction:
If contracted with the Palm Springs Office:
Western Pacific Roofing Corporation
3462 La Campana Way
Palm Springs, CA 92262,
Name
Address
City, St, Zip
I hereby received this notice
X_�/
s
(Buyer's Signature)
If contracted with the Palmdale Office:
Western Pacific Roofing Corporation
2229 East Avenue Q
Palmdale, CA 93350
I hereby cancel this transaction.
X
(Buyer's Signature)
Date,3— 67— Z6IZ. Date
In the event of an emergency the right to cancel may be waived.
WESTERN PACIFIC
wtRoofing Corporacion
S e i9+9 Licp775711
CALIFORNIA CONTRACTORS STATE LICENSE BOARD REQUIRED ATTACHMENTS
NOTICE TO OWNER
nder the California Mechanic's Lien Law, any contractor, subcontractor, laborer, supplier or other person or entity who helps to
)rove your property, but is not paid for his or her work or supplies, has a right to place a lien on your home, land or property where
work was performed and to sue you in court to obtain payment.
is mean that after a court hearing, your home, land, and property could be sold by a court officer and the proceeds of the sale used to
isfy what you owe. This can happen even if you have paid your contractor in full if the contractor's subcontractors, laborers, or
)pliers remain unpaid.
preserve their rights to file a claim or lien against to file a claim or lien against your property, certain claimants such as
►contractors or material suppliers are each required to provide you with a document called a "Preliminary Notice". Contractors and
,orers who contract with owners directly do not have to provide such a notice since you are aware of their existence as an owner. A
sliminary notice is not a lien against your property. Its purpose is to notify you of persons or entities that may have a right to file a lien
linst your property if they are not paid. In order to perfect their lien rights, a contractor, subcontractor, supplier, or laborer must file
►inst your property. Generally, the maximum time allowed for filing a mechanics' lien against your property is 90 days after
►stantial completion of your project.
TO INSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY,
YOU MAY WISH TO TAKE ONE OR MORE OF THE FOLLOWING STEPS:
Require that your contractor supply you with a payment and performance bond (not a license bond), which provides that the bonding
company will either complete the project or pay damages up to the amount of the bond. This payment and performance bond as well
as a copy of the construction contract should be filed with the county recorder for your further protection. The payment and
performance bond will usually cost from I to 5 percent of the contract amount depending on the contractor's bonding ability. If a
contractor cannot obtain such bonding, it may indicate his or her financial incapacity.
Require that payments be made directly to subcontractors and material suppliers through a joint control. Funding services may be
available, for a fee, in your area which will establish voucher or other means of payment to your contractor. These services may also
provide you with lien waivers and other forms of protection. Any joint control agreement should include the addendum approved by
the registrar.
Issue joint checks for payment, made out to both your contractor and subcontractors or material suppliers involved in the project.
The joint checks should be made payable to the persons or entities which send preliminary notices to you. Those persons or entities
have indicated that they may have lien rights on your property; therefore you need to protect yourself. This will help to insure that
all persons due payments are actually paid.
Upon making payment on any completed phase of the project, and before making any further payments, require your contractor to
provide you with unconditional "Waiver and Release" forms signed by each material supplier, subcontractor, and laborer involved in
that portion of the work for which payment was made. The statutory lien releases are set forth in exact language in Section 3262 of
the Civil Code. Most stationery stores will sell the "Waiver and Release" forms if your contractor does not have them. The material
suppliers, subcontractors, and laborers that you obtain releases from are those persons or entities who have filed preliminary notices
with you. If you are not certain of the material suppliers, subcontractors, and laborers working on your project, you may obtain a list
from your contractor. On projects involving improvements to a single-family residence or a duplex owned by individuals, the persons
signing these releases lose the right to file a mechanics' lien against your property. In other types of construction, this protection may
still be important, but may not be as complete.
To protect yourself under this option, you must be certain that all material suppliers, subcontractors, and laborers have
signed the "Waiver and Release" form. If a mechanics' lien has been filed against your property, it can only be voluntarily released by
a recorded "Release of Mechanics' Lien" signed by the persons or entity that riled the mechanics' lien against your property unless the
lawsuit to enforce the lien was not timely filed. You should consult an attorney if a lien is filed against your property. "
�� WESTERN PACIFIC
Roofing Corpormi-
Sirc< — Lw235717
J
WHAT YOU SHOULD KNOW ABOUT YOUR RE -ROOFING. PROJECT, continued.
6. Skylights: Most existing skylights require temporary removal during the re-
roofing process. Care will be taken while removing the skylights, however, damage
may occur to the interior finish depending on the original installation. No repair to
the interior will be made. Any repair work required is the owner's responsibility.
Debris will fall through the openings when the skylights are removed. We suggest
covering the area beneath the skylights with plastic sheeting or cover cloths. New
taller curbs maybe necessary. Bare wood may be visible from inside the unit.
7. The proposal and contract are based upon the roof condition and roof top
components on the date of the original roof inspection and proposal date.
8. Please contact Ron Winkle at Western Pacific Roofing prior to signing your
contract. I will give you an approximate start date. If this is agreeable, please add
the .start date to the line on page 1, sign,- and then fax or mail this notice back to
Western Pacific Roofing with the approved contract.
Please keep one copy for your records.
Thank you.
Signature
ntut`>
.Print Name
Title Date
Address: -46775 Highland Palms Dr.
City: La Quinta, CA Zip: -92253
�pB WESTERN PACIFIC
1l 65 --fig Como tit '
Sire. 19A U,1255717
WHAT YOU SHOULD KNOW ABOUT YOUR RE -ROOFING PROJECT
1. The approximate start date is: . The time to complete your
project is approximately 1 week (s). This Schedule may change due to
inclement weather, prior commitments and unforeseen events. Should the schedule
date change to an earlier or later date, we will contact you for approval.
2. We will not be responsible for any damage occurring prior to the installation of
your new roof system. By acknowledging the approximate start date you
understand there may be rain and inclement weather prior to Western Pacific
Roofing starting your project. If inclement weather occurs we suggest you make
arrangements for temporary repairs as necessary to prevent any damage. You agree
Western Pacific Roofing will not be held responsible for any damage that occurs
prior to the installation of you new roof system.
3. Open beam ceilings: If your project has open beam ceilings, dust, dirt and
debris will likely come through to the interior of your residence during re -roofing.
There are no precautions to take on the exterior of the building to prevent this from
happening. It is your responsibility to cover you interior with plastic sheeting or
cover cloths to prevent damage
At over -hangs or open and exposed soffits, where your .existing wood is 1/z" or
less plywood,' shiplap or tongue & groove sheathing., material fasteners will most
likely protrude (blow-out) through to the underside and could cause splintering of
the boards. Building codes and material manufacturers require a minimum of 3/a"
penetration into or through the sheathing to prevent normal wind blow -off. If this is
the case with - your exterior roof overhangs, any resulting damage will be
unavoidable . and any repair is your responsibility. We must adhere to these
requirements to insure proper material installation and long-term performance of
your new roof system.
4. Re -roofing operations are at times noisy and cause some unavoidable
vibrations. You may want to check around your home to make sure any of your
valuables that may possibly be dislodged from walls, shelves or ceilings are
removed during this roofing process.
A
(Initial)
WESTERN PACIFIC
Hoofing Co P..67
Sine 19+v LkP1J371]
Bin. #
1.
: ty Of . Qufllta. ,
City'.
Budding 8T Safety Division
P.O. Box. 1504,78-4,95 Calle Tampico -
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit -Application and Tracking Sheet
Permit
1a
Project Address:(o % 7S I4 „� �I� S
Owner's Name:.
A. P. Number.
Address: .
Legal Description:
City, ST, Zip:
Contractor. �5�/ �i it cn
Telephone: '
Address: 3 �G 2— 4, lc CJ,�4
Project Description:
City, ST, Zap: • l 1,n ;-j
Telephone: 7G6 —`//6 —S—P-27
State Lic. # : 3 S 71-7City Lia ik
Arch, EM., Designer
Address:
City., ST, Zip: -
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
# Univ:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS. UNE
#
Submittal
Plan Sets
Req'd
Recd
TRACMG PERMIT FEES
Pian Check submitted.. Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calci.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Gi adlug plan
2'` Review, ready for correctioneiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review; ready for correcdonsAme
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees