07-0868 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
=07.00000868
Property Address:
078013 LAGO DR
APN:
658-270-007-7 -3941 -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
12927
p
Ti"t
t44Q*z
Architect or Engineer:
alp
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
UC CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th I am li se nder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine and Profe siona Code, and my License is in full force and effect.
Ligase 4.sg: C32 n Lic se No.: 810537
�-- 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).:
(_) 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.).
(_) 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.). I
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
HARRIN BILL
78013 LAGO DR
LA QUINTA, CA 92253
Contractor:
r
ROOF TILE SPECIALTY INC.
P.O. BOX 11257
PALM DESERT, CA 92255
t
(760)200-0811
i
LiC. No.: 810537
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/23/07
MAR 2 3 2007 ID
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 malmaln wuikeis' compensation insurance, as required by Section*.1700 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 1828897-2006
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' compensation provisions of Section
- Wftheor Cod forthwith comply with those provisions.
WARNING:. FAILURE 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 -
_ w 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 a state at the above information is corre gree to comply wit all
city and cfunty ordinances�nd state laws a ting to ilding construction, a reby authorize representatives
Of thiS.ebumv to edt-E udoordthe above -men ad grope inspe urposes. '
(Applicant or Agent):
Application Number . . . . . 07-00000868
Permit . . . RE -ROOF
Additional desc .
Permit Fee 30.00
Plan Check
Fee
- .00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 9/19/07
Qty Unit Charge Per
Extension
BASE
FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
REMOVE EXISTING TILE/REROOF/REPLACE TILE
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
LQPERMIT.
S
Bin #
Permit #
Project Address:
A. P. Number:
City of La Quinn.
Building U -Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
Address:
City, ST, Zip:
Contractor:
Construction Type:
Occupancy:
State Lic. #:
Address:
X -7
City,
Telephone: (d)
1. 100 e
State Lic. #':
Estimated Value of Project:
Arch., En Designer:
esigner:
Address:
APPLICANT: DO NOT WRITE BELOW THIS UNE
City, ST, Zip:
# Submittal Req'd
Telephone:
-
Project Description:
Arld
Construction Type:
Occupancy:
State Lic. #:
A Contact Person: Name of Contact Person:
Project type (circle one): New Add'* Alter Repair Demo
StZes:
q.
S.Ft.: # # Units:
Telephone# of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd
TRACKING
-
—Rec"d ---------
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cale.
Called . Contact Person
Platt' Check Balance
Energy CalcL A—
Plans Picked up
Constructioli
Flood plain plan
Plans resubmitted
Mechanical
Grading. plin'
2" Review, ready for corrcc donslissue
Electrical
Subcodtaitor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
ILO.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
o'7- - %��
RTS
Roof Tile Specialty, Inc.
Contractors State License # 810537
P.O. Box 11257 Palm Desert, CA 92255
PHONE 760-200-0811 FAX 760-200-0801
A proposal submitted to: BILL HARRON
Mailing Address: 78-013 LAGO DR., LA QUINTA, CA 92253
Job Address: (SAME)
Phone:
Description of work to be performed:
TILE AREAS:
REMOVE EXISTING ROOF TILE AND STACK. DISPOSE OF ALL BROKEN AND
DAMAGED TILE. INSTALL 2 LAYERS 40# TILE LINER WITH NEW SHEET METAL AT
ALL ROOF TO WALL TRANSITIONS AND VALLEY AREAS. NEW SOFT JACKS FOR
ALL H.V.A.0 AND PLUMBING VENTS PIPES. REINSTALL EXISTING ROOF TILE WITH
NEW TILE TO MANUFACTURES SPECIFICATIONS. DISPOSE OF ALL ROOFING
DEBRIS FROM JOB SITE.
FLAT AREAS:
CUT BLISTERS FROM ROOF DECK ON REAR PATIO AND DISPOSE, GRIND
PERIMETER OF AREA TO BE REPAIRED. SPRAY URETHANE FOAM TO LEVEL OF
EXISTING. POWER WASH ALL EXISTING FLAT AREAS REMOVING DIRT AND
DEBRIS. SPRAY 2 COATS OF ELECTROMERIC COATING OVER ROOF. CAULK ALL
FLASHING.
WARRANTY INFO: 5 YEAR ON FOAM/ 10 YEAR ON TILE ,
IF NOT ACCEPTED IN 30 DAYS THIS PROPOSAL IS NULL AND VOID
Note: In keeping with industry standards: 1. This guarantee does not cover any damage to the interior or exterior on which the roof is
applied or damage to any contents therein. This guarantee does not cover damage to roof due to any cause beyond our control,
including; but not limited to: fire; lightning; mindstonm; hailstorm, antennas or other equipment; foot traffic on roof, structural fault or
settlement, cracking or other failure of the roof deck, walls or foundation of the building on which the roof is applied. 2. Should it
become necessary for the roofing contractor to remove and/or reinstall any antennas, cooling or heating appliances or other equipment,
whether or not an additional charge is made for such work, the customer understands that neither RTS (hoof Tile specialty, Inc.) nor the
installer assumes any responsibility for the performance of said equipment. 3. RTS (Roof Tile Specialty, Inc.) does not assume any
responsibility for corrections of existing code violations or for the repair of any existing defects unless specified in estimate and
proposal.
Total Cost: $129927.00 Terms paid on completion unless otherwise specified in the contract. If not accepted in thirty days this
proposal is invalid. Extra $55.00 per sheet of plywood if needed.
Acceptance: You are hereby authorized to famish all contents written in the contract to complete work mentioned in the proposal
contract for which I/we agree to pay the amount mentioned, in said proposal, and according to terms thereof, (initial). If a
leakage, caused by defects in workmanship, occurs within (SEE ABOVE WARRANTY INFO) years from date of application,
we will repair defects free of charge.
Installation: It is understood that by the acceptance of this proposal you authorize RTS (hoof Tile Specialty, Inc.) to make the installation;
to issue work orders with specifications shown herein and to pay our charge for such installation. You agree to pay the amount
specified herein, which will cover the price of said materials and labor charge. This estimate is based on a complete job and any
surplus material remains property of RTS (Roof Tile specialty, Inc.). Verbal understanding and agreements with representatives shall not
be binding unless set forth herein. There shall be no liabilities for delays in, or failure to complete, deliver or installation'of all or any
of the herein mentioned merchandise, if due to fire, strikes, war, government regulations or any cause beyond our contract. Any
changes made by you in specifications herein, necessitating additional materials or labor shall not be included or covered by this
proposal, but shall be provided for under separate and additional order from you. (initial)
PERMIT INSPECTION HISTORY REPORT (RR-07-868)
FOR CITY OF LA QUINTA
Re-Roof 03/23/2007Application Date:Permit Type:658270007Parcel
Re-RoofWork Class:Issue Date:78013 LAGO DR
LA QUINTA, CA 92253
Address:
Approved Expiration Date:Status:Description:
Owner:Contractor:Applicant:HARRIN BILL THERESA M THOMAS
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection
Required?CompleteActual
Start Date
03/27/2007 Pre-Roof COHT:1406281000
00093586
Approved No Complete
04/13/2007 Final Building COHT:1406281000
00093311
Approved No Complete
78-495 Calle Tampico Page 1 of 1January 16, 2025