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BRER2015-0006r j *8-495 C&0D 4v Q"Krcv VOICE (760) 777-7125 LLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/2/2015 Application Number: BRER2015-0006 Owner: Property Address: 49761 COACHELLA DR KAY RUTTMAN APN: 646230014 49761 COACHELLA DR Application Description: REROOF REMOVE AND REPLACE TILE NEW UNDERLAYMENT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $11,153.00 Applicant: D Li!n O Contractor: ROOF TILE SPECIALTY INC ROOF TILE SPECIALTY INC P O BOX 11257 FEB 0 2 ?015 P O BOX 11257 PALM DESERT, CA 92255' PALM DESERT, CA 92255 CITY OF LA QUINTA (760)200 0811 COMMUNITY DEVELOPMENT DEPARTMENT ilc. No.: 810537 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 Professions Code, and my License is in full force and effect. License Class: C39 � License No.: 81 7 Ciate:%�, \Contracto 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 p 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, 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 ) 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. . 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: I Lender's Address: 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 ction 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:�Policy Number: _ _ 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 3700 of the Labor Code, I shall forthwith comply with t ose provisions. Date AK . Applicant: 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 Building Official 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 authorize representatives of this city to enter upon the above• mentioned property for inspection larposes. Date: Signature (A licant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY - METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $0.00 PAID'BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for RE -ROOF: TOTALS: $147.93 $148.93 $0.00 $0.00 Description: REROOF REMOVE AND REPLACE TILE NEW UNDERLAYMENT Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 2/2/2015 PJU Approved: Parcel No: 646230014 Site Address: 49761 COACHELLA DR LA QUINTA,CA 92253 Subdivision: TR 3976 Block: Lot: 18 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $11,153.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 STATE Details: REMOVE AND REPLACE TILE WITH NEW UNDER LAYMENT PER 2013 CALIFORNIA BUILDING CODES.. CHRONOLOGY Printed: Monday, February 02, 2015 12:16:46 PM 1 of 2 CN? SYSTEMS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ROOF TILE SPECIALTY INC P 0 BOX 11257 PALM DESERT CA 92255 ( Printed: Monday, February 02, 2015 12:16:46 PM 1 of 2 CN? SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" PRE -ROOF PAID RECEIPT # CHECK # METHOD PAID BY CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID DATE BY RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $0.00 SF PC Total Paid forRE-ROOF: $147.93 $0.00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" PRE -ROOF Printed: Monday, February 02, 2015 12:16:46 PM 2 of 2 N?WYS TEMS Bin # .. _ .t .Qty Permit # ProjectAddress: L�� �L9. O f La Quin to . -Building &r Safety Division _ P.O. Box 1504, 78-495 Calle Tampico . !:a Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Track' )g Sheet G Owner's Name: A. P. Number: Address: Q Legal Descri tion: City, ST, Zip: Contractor: A Tclephonc : ; :.:>.:;;:.>; <:x>•: <r.>;;>::t:: ; ;»; s.:;; Address: X IZS Project.Description: City, ST, Zip: , t C /*�[� Telephone. Ecoz0o 1 s ,.;..•.:-:•::;<>:;:»> State Lic. # : City Lic. #; p Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ... '`""'> ;,.>,; • ^>:: : r.o:^% Construction Type: Occupancy: State Lic. # Project type (circle one): New Add'n Alter. Repair Demo Name of Contact Pers v V �U�� cl Sq. Ft.. n #Stories: #Units: Telephone # of Contact Person: C) Estimated Value of Project: APPLICANT: DO NOT WRITE 13ELOW THIS LINE # Submittal Rcq'd Rcc'd TRACMIG PERMIT FEES Plan Sets Plan Check submitted Itcm Amount Structural Calcs. RevicNycd, ready for corrections Plan Chcek Deposit Truss C21e5. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Nl cchanical Grading. plan 2°' Review, ready for corrections/issue Electrical Subconfac(or List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN ROUSE:- '3" Rcvicnv, ready for eorrectionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Scliodl.Fccs Total Pcrmi( Fees ROOF TILE SPECIALTY PO BOX 11257 PALM DESERT CA 92255 CONTRACTORS LICENSE #810537 Phone 760-200-08.11 Fax 760-200-0801 . A proposal submitted to: Kay Rutmgnn 1h.1 Mailing address: 49-761 Coachella Dr. La Quinta CA Job Address: 49-761 Coachella Dr. La Quinta CA Phone. Description of work to be performed: Option 1 tile reset (blue outlined area) Remove roof tile and stack, dispose of all broken and damaged tile. Remove roof to wall sheet including skylight flashing and dispose. Over clean and prepared roof surface install 2 layers 40# tile liner nailed.. Install new roof to wall sheet metal including skylight termination metal. Re -install existing roof tile matching existing application. Use new Boral roof tile for breakage Dispose of all debris from job $6,802.00 Ten year warranty on reroofed areas only Sign, Option 2 tile reset (combine blue and yellow outlined area) Remove roof tile and stack, dispose of all broken and damaged tile. Remove roof to wall sheet including skylight flashing and dispose. Over clean and prepared roof surface install 2 layers 40# tile liner nailed. Install new roof to wall sheet metal including skylight chimney termination metal. Re -install existing roof tile matching existing application. Use new Boral roof tile for breakage Dispose of all debris from job $11,153.00 Ten year warranty on reroofed areas only Sign _ III EIN- Permit not included in proposal price IF NOT ACCEPTED IN 30 DAYS THIS PROPOSAL IS NULL AND VOID OWNERS SIGNATURE dw DATE -3I (Or authorized representative) CONTRACTOR SIGNATURE DATE