BRER2015-002478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application. Description:
Property Zoning:
Application Valuation:
BRER2015-0024
49786 COACHELLA DR
646240004.
WILLIAM CHAMBERS R
$7,200.00
Applicant:
CASTRO ROOFING INC
P 0 BOX 122
THOUSAND PALMS, CA 92276
D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/6/2015
Owner:
t WILLIAM CHAMBERS
31190 SW ISLE WAY LN
)O P1 WEST LINN, OR 92253
!.,j AR 0 5 2014
� OUINTA
COMMUNfTY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 tf the Business and Professions Code,.
and my License is in full force and effect.
License Class: 39 License No.: 828478
)ODate: 30f,; U Contractor:
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 Divisi3
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).:
U 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.).
(1 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 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
Lender's Address:
Contractor:
CASTRO ROOFING INC
P 0 BOX 122
THOUSAND PALMS, CA 92276
(760)343-0042
Llc. No.: 828478
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 insurahce, as required by
Section 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 a+tt,should become subject to the
workers' compensation provisions of Sef the Labor Code, I shall forthwith
complyw'th those provisions.
Bate: Applican
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner; and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and stale laws relating to building
construction, and hereby authorize representatives of this ci to enter upon the above•
mentione fproperty for inspection purposes.
Date: 2 Signature (Applicant or Agent):
FINANCIAL• • o
,a.
:'.}; 'p.e�'�, t'✓s " 1i. '?%�,F .,s'-r<.,rrE; :.a �.. r, .+�$ � ��' '3. �' '�',,�' �l'�r,. �S�'a$, � $ `,^tk �$?'-r4.F..e' -: x.-- T4 _ �� .Zi �, ry/4'.`:a �`fi'-�.!'Y'`.r�.'�1"'TN -1.a.> .' � },`.o1i-'2 :'-;,9V: ��ts(� & '�j�'.. ��S��. rt`. '+, �::A'ri
k z
at , :..:.oer,.>-+.au,rc,�a, 1�,,..Y � 4 '_•.�r�3�.w:u�:'%. ,.w1_'� �, E. gS�,.>,as 4. 'az da;-�,.xy_ - h: '���� a:S+J,o-r..:r,. ��e..�.a�'��h>,&� .4w,:�.. x HE .�.:,'-.,. =�`. as-u..+ w;s .-.� __..� ,..: 1_„:
BSAS SB1473 FEE 101-000040306
0 $1.00
$0.00
_WK..
Y,Y.'::,m,T.,g+ey�,
#
s:,i
#E,
FREGEIPT
_.w,._. rtL iT.,,.la4�"�„—_-`$:..kwee
( CHECK CLTD BYt.
' t
- Total Paid forB�UILDING STANDARDS ADMINISTRATION BSA ' $1.00 $0.00 ,
$E .�2'•i? 'v � S:y�a&g
DESCRIPTION ��=:.
x i sem.. ?r& �
�ACCOWNT
.a
q�:�
"'; K ,; �eSx?:X
AMOUNT
s$'..
kF'� PAID
PAID DATE
y$b
:.1 A•S-..:.i. d-.50C .x ..X.'; Xa"Rd^.t:.YF...�"�tyAC_n....na1''�1£�$
to
.&f%i�'.✓N`..Z,... �. A:"C..'_.4:'k��� `.�...4':
;QTYr
BL'.:•'.d... ::?•'S
y
�is'�_.�.f���'.E�f. !A.. YS�S Fi d:
i.^!4:It.��4iat.E 4. �
RE-ROOF EA ADDITIONAL 1,000 SF
101-0000-42404
0
$69.60
$0.00
•,,.5 ` �":!
%x BYE
k z.` c _�.E' i4U. `.' ; 'eA3" y
soE3r- ggggRECEI PT
p ! •. 3'�t.�C4 i "ti rf'
";�Y'�S 2
.;PAID �_...��.x
• a METHOD
»
x
r `
1-5
i r "Y^yr *'az.'( .. :».,..' F:, P a -'
DESCRIPTION �
�,: °;.tff#V_ y `,' ,- !"-kc..
A000UNTQTY
l g. f
'a WAMOUNT �
kliw 'Y rz+`".. "S V"` r;� ,:
� PAID
'. `ru•....,'.> ,'^.:.,.. .
PAID
k .� �
r
µ $
�
?��
„DATE
RE-ROOF -FIRST 2,000 SF
101-0000-42404
0 •
$49.31 ,
$0.00
}.iiiarf�.xE`:f
PAID'`BYNq��METHOD��;:'RECEIPT#?
t' '£
.�h'�s ..:a'�.S,r- �'
CHECK #x.xCLTD
BY w.
Y;§
'<.
.^a" E«Y" ..�aTx'K$ .i �s�v.s .:.�k. i'�.: i'..` -;@t Fi.'^jA„�'!4-l,��nR�k �'f • '`
,Nii°"Ss'i 'S'4'Ps`ft;S};•n 2C°fp`au',•?triaaz'S'+R`{:..'�,.
� +ACCQUNT
:'.-KY','°`
y�
'S,+Nys ..'•:4tvt �?,',}.a
PAID �'i
�P,AIUDATE;,
.i.�.:�.+. .r:..�s NW
�
r�.�..r.' Iv`=§h�,.�° vLt`YY.:�.Y`dreN'&iiti.!ePfx�"ft?%er`M.:3 di.'+��.a
�AIIIIOUNT�.;,
'. r•�5'� i ,`i':is k:.. � :: }k
�i.> .���Y:
RE-ROOF - FIRST 2,000 SF PC
101-0000-42600.
0
$98.62
$0.00
1 01N, .€�&'x•' 'e„ _a`.n
{y�METHODSRECEIPT
w2sf"xi`
•e�„'�34>:* ua�ea..a:'A 'b
_`i'+€. °n. Yw+t-r':.a. ,k q.;{�;,,
.�}.-.lm:,.�,. r+.Y.
CLTD BY+ -
>,.w.."E.Yi£Oil,S-
_ .
•,-..T-*:x,. li, e.'1. .gin,
_z,k . &v,.ra e..;z:�i,
r. e . F..,
' Total Paid forRE-ROOF: $217.53 $0.00
• 00
Description: WILLIAM CHAMBERS RE -ROOF
CONDITIONS
Type: RE -ROOF
Subtype: Status: UNDER REVIEW
Applied: 3/6/2015 PJU
Approved:
Parcel No: 646240004 Site Address: 49786 COACHELLA DR LA QUINTA,CA 92253
Subdivision: TR 4293
Block: Lot: 17
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,200.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
.... _......___.___.___
EMAIL
Details: RE -ROOF REMOVE EXISTING 1100 SQUARE FEET SECTION INSTALL NEW FELT AND REINSTALL SAME TILES TO SPECS. 2013 CBC.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE .
ZIP
PHONE
FAX
.... _......___.___.___
EMAIL
APPLICANT
CASTRO ROOFING INC
P 0 BOX 122
THOUSAND CA
92276
PALMS
CONTRACTOR
CASTRO ROOFING INC
P 0 BOX 122
THOUSAND CA
92276
PALMS
OWNER
WILLIAM CHAMBERS
31190 SW ISLE WAY LN
I WEST LINN OR
92253
Printed: Friday, March 06, 2015 9:31:41 AM 1 of 2 ,Rw
1J U WYSTEti1S
OF'fNt vE`l
PARENT PROJECTS
Printed: Friday, March 06, 2015 9:31:41 AM 2 of 2 CR
sys7cnns
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE-
RECEIPT #
CHECK #
METHOD
PAID BY
'
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
RE -ROOF.- EA
101-0000-42404
0
$69.60
$0.00
ADDITIONAL 1,000 SF
'
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 for RE -ROOF: $217.53 $0.00
TOTALS:00
PARENT PROJECTS
Printed: Friday, March 06, 2015 9:31:41 AM 2 of 2 CR
sys7cnns
Bin tf
Permit #
"
Project Address:
Crty of UQ wnto
Building $' Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760)'777-70-12
.,.Building Ne T'it'Application and Tracking Sheet
AN. Owner's Name: W L-W4*l
A. P: Number: ?��•
Address:
" Legal Description:
City, ST, ZiP:
Contractor: 0
'" Telephone:
g.
"Address: " 0 2?
Project Description:
City, ST, Zip:
VL5
1"'�S "„q�'�i
r1
T L
�Z. D�i/ � �S li N6 (/00 Af//
Telephone: j0 3 0 r% �Z .
<°.•• :: ::;:<; <..;:::..<.::..,.;:<:; :..<;:
1`r %/.� ` l �^' �'
Statc'Lic.
Cify,Lic.
1115 ,(i5
Arch., Engr., Designer:'
Address:
City, S, T, Zip:
Telephone:
: <" N f
>s�.;�,..>a<,:::;; ::>`, •>n..f, . , feu •.,:;,:::
;:.
Construction Type:
Occupancy:
0�
Project type (circle one): `New . Add n Alter Repair Demo
"Stories:
Name of Conract"Person:./ t%/G"D�i�'I'
' Sq ,Ft:: d (�
#
# Units:
Telephoac #;of Contact Person: �rb
��'%
Estimated Value of Project:,
APPLICANT DO;NOT WRITE MELOWTHIS LINE
# .
. Submittal
Req'd"
.Reed
TRACKING
i'ERMIT.F>;ES,
Plan-Sets "
-Plan'Check submitted-
Item
Amount
Structural Calcs:
.,Reviclvcd, ready for corrections
Plan Check Deposit "
Truss Calcs.
Called Contacf Person.... "'
Plaa Check Balance.
'
Title 24 Calcs.
Plans picked, up
Construction
Floodplain plan
Plans resubmitted
-Mechanical
Grading plan
2°" Review; ready for.corrections/issue .
Etcctrical
Subcontattor.List
'Called Contact Person"
Plumbing
Grant Decd,
flans picked up
S:IVLL'
H.O,A..Approval
Plans resubmitted
Grading
IN IiOUSE:-
''.� Rcyiew, ready for cor cctionsfissuc .:
))cvdoper;ImOct Fee
Planning Approval '
Called Contact.Person • �
A.LP.P:'.'
Tub. Wks. Appr
Daft of"permit issue "
.$chool Fccs
'.
Tota] Pcrmit'Fees