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:
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State Lic. # :
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Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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Construction Type: Occupancy:
State Lic. #
Project type (circle one): New Add'n Alter. Repair Demo
Name of Contact Pers
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Sq. Ft.. n
#Stories:
#Units:
Telephone # of Contact Person:
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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