08-0587 (RR)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
,08-000_00587
Property Address:
�_5� 0.0 AVENIDA RUBIO
APN:
773-283-025-13 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL `
Application valuation:
2865
Architect or Engineer:
aim
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MARIA SANCHEZ
52700 AVENIDA RUBIO
LA QUINTA, CA 92253
CorWactor:
CASTRO ROOFING INC
P O BOX 122
THOUSAND -PALMS, CA 9227
(760).343-0042
Lic. No.: 828478
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/10/08
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under. provisions. of Chapter -9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
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 workers' compensation, as provided
License Class: C39
nseAo.: 828478
_
- for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
O
.
41'141ate: Qo ContraZe,,.r,
� _
issued.
K 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
OWNE UILDER DECLARATION
insurance carrier and.policy number are:
I hereby affirm under penalty that I am exempt from the Contractor's State License Law for the
Carrier STATE -FUND Policy Number 63 914 707
' 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 permitis 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 ecome 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 Cod , I shall forthwith comp ith those provisions.
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).:
ate: �� ican
1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
- the structure isnotintended or offered for sale (Sec. 7044, Business and Professions Code: The
WA NING: FAILURE TO S U WORKERS' COMPEN ON 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 O IMINAL. 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). 1 DITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building orimprovementis 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.).
APPLICANT ACKNOWLEDGEMENT
(_) 1, as owner of_the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
' ..7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application:
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed'
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _) I am exempt under Sec. B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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: tA
LQPER.T%IIT
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 nstruction, and herauthorize representatives
oithis coup to tea�r upon th bove-mentioned prop f inspection purposes.
bate:(Applicant or Agent
Application Number . . . . . 08-00000587
Permit . . . . . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue -Date . . . "
Valuation
" . .
" 0
Expiration Date 10/07/08
. Qty Unit Charge Per
Extension
BASE FEE
30.00
Special Notes and Comments
TEAR .OFF AND.REPLACE-OLD ROOF WITH -NEW
..30 YR. SHINGLES, CLASS "A" MATERIALS
k 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
04/04/2008 11:11 323158347152 FAX SERVICE PAGE 01
/2008 10:02 7603432097 GASTRO RODFIN6 INC PaGE 01
IRS
P,O. Rus 122. Timmma,rd Falm�, CA 921761,-
i760)343 -OW 'F;vx(760)343-2017
Licen,sv WR479
Maria 'San chez 6
52-700 Avenida Rubio
Lm Quinta. CA 92251
Re: Re -roof Fitimoe
'Rock, Section only-
Completely
nly
Completelv relll(we 9.110 discard existing rood. Sub!;trate to he imspeated, for di -Y. roi m defccl:ivc
Ply-WOOd J)and.S, any to he in need of replacement will bc. rc.placcd. at a. mic of 545.00 per sheer
(4 X 8 -,\ upon approval of oxk'IICT QI S.lCMS. SUbStFaW to he inspected for Wscncd or non -flush to
decl( shealhing nails.. ally fbiInd -will h't, ell-II/ell flush! ()-v complocly pulled 01o., and re-n.@Jlcd wS1119 E)
new u).J at a mw loca(lon. 5klb.5tyatc in he cleaned and free of all debris. prior to new roof installation.
Over pl-cpaxed 01clilli)-ig io perimeter install new (2X2) drip cdUc, metal.. Ovcr cp6rc.r(:wF6l.-m.a11 1-layey,
0`415 Fcii nailed to hold in pl3ce. Ovei fell. Ios(all tic'm Pro, 30- ' year self-SCOIJI.T.Shingles with pipe and
ventflashinp noilcd to 1-11allufacturc:5 Iristali rww hip and ridge trim to enhance rmyf
aprleaxancc. A11 pipe and vcra flashings tio be painted with rent. proof print to match new roof',
Total Amoomi: S2,865.00
(,)N,f,m( nz: L�U5;TiN(; NIA'i Ilkl1l I '11, A Tr(J Mk0I:(_, I 1 11,11 MYWOOT)rr'*`f ol!*FSIl IV OVI'RHANC.
(Wl, Ir r, !:.N; is" PW IS, I.: Yq�( 11 11-1) 1\11ffl-, (Y)wrIj,\cj,
I V T, (C) v 11 (;!.) n. p IV7 -( if 1. I'.,NYMFN*I
Ah; IF -AINS: I ;:AK'� ��FHJ:l IV!- IWON I'
,AI.I. I/LIWIS ( AliSr-.— ;:!(I)m N11i)i,71: wople, r,) 131- )jS(,NRj*)j:D AND ARk,,N ff.) TII* f.I ITT Cl.kAtIl, 1011 TO ill: TAKI'01) INI •I 71M['J,y'
1:)~(:!41'1)1°! f, A.10.- W1 .\'!'1.11.1; rINWIT11m;
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(w :4f)fwrlff'•
Tlflti MROrollkl Wit 1. RT ,;f:! I vr)lf "flift_ J);. Y': I: tM J?.ti rl: S I I L"
NX)FINC, )IROIr 1 0, IR9 1\11.1. MAKF Al.,[, A" I TO MWINI;;7Y. 141,1' WJI,;, NOT f4l:
FOR Dill,. Rn(:K. OR r)r-.T4R1,., !,\'m tmlIr:, 1ZI-W5 OAMMX.T(*)VI?N1j*.,;(f)N
(:()NfTTRj\.CT0R D01". NC)t' WO )I-11'. An;Y Y rok 4':(MRF(';I0Tv1 {IF 1:: X1N 14'7' CODt %'I()[ A I OR VI 14 '1141, REPAIR
OF ANY rx;,� TUTS'MOF INCi.(1171% A11,CHITFi(77Ux/N!,.
VVI Nr IN PAIR014;!I11 1(i ()I: 'r![I. INCI PARTY NIIAIJ.. .I( AL1,
CTN'IPW'70R: A10, ;�:_.Q'.IIRr ;) I;Y i AW Tt', ar: T.AA N�1:'])ANI)'i_,% i1j) [I\, 1111 ()
(.NT`RA(.'T0Ik S.',Tt�Tri 1,K I N.St::130ARO. ANY
01_ir,:�MONN R t(i I ONTls,�I,*W jf)�10 1;'In1.711 I I. SA( It!\ MI .7NT0. 5.9 14
11 r."S, ' rIf,4,\-Il; WIIH 'VIOR AJIIIIVW,�!. i,4nirATI Vold(. A(:CNP:AN(,77 (()I,)` ANi,
All.
Accepted BN':
Submittal Dwc: L-chry-
'?¢_200Q ')t3nce Deiic:
State Fund
Workmens Corop. Policy 9-
63914707
License # 828478
Squares:
-
'
Bin #
Permit #
`
City of . LaQuinta
Building a Safety Division
PD. Box.1-504, 78-495 Calle Tampico
La Quillta, CA -92253 - (760) 777-7012
.: Ruilding: Permit Appllud6h and Tracking Sheet
Project Address :'p
-70�
O}vnec's Name:1 `
/ s Ly
A. P. Number:
:Address: '
'
Legal Description:
Contractor:(d"- -
�� e :.
City, ST, Zip:..
Telephone: _
Address:
Project Description:
City, Zip:J r 2•�'!
hone: _G y
Stat
#State Lie. City Lic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
-Construction Type: Occupancy:
Project type (circle one): New Add'n Alter. Repair , Demo
Sq, Ft.:...... _ .::#Stories:.. #Units: _
Telephone # of Contact -Person -
Estimated Value of Project: �p
APPLICANT:,DO. NOT WRITE: BELOW. THIS LINE ..
.
It
Submittal Req'd ,
Rec'd
TRACKING
PERMIT FEES
Plait Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed,.ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan deck Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan,.
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready Cor correctionsrssue
, Electrical
SubcontactorList
Called'ContactPersoa
Plumbing
Grant'Deed
Plans. picked up
S.M.I.
H O.A. Approval
Plans .resubmitted
Grading
IN HOUSE:-
''";Review; ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP:P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees