12-1074 (RR)1"A
- v
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00001074
Property Address: 49793 COACHELLA DR
APN: ' 646-240-011- -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8805
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MALDONADO DONALD J
49793 COACHELLA DRIVE
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: ROOF TILE SPECIALTY INC.
P.O. BOX 11257
PALM DESERT, CA 92255
r (760)200-0811
Lio. 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 Professionals Code, and my License is in full force and effect.
Licens Class: C39 License No.: 810537
e ontractor:
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)-:
1 _ 1 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 _ 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.).
(_ 1 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: (�
Lender's Address: N
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/19/12
PF
Q
SEEP 1-0 2012
CITY OF LA QUINTA
FINANCE DEPT
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.
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
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1969351-2011
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
/4�, (� 7.70/0 of the Labor Cod s with comply with those provisions.
r W plicant:
WARNING: FAI RE 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
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 authorigg.Loresentatives
of this county4o enter upon the abov entio roperty for inspection
t . � gnature (Applicant r Agent):
Y.
Application Number . . . . . 12-00001074
Permit . .
. RE -ROOF
Additional desc .
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date
3/18/13
-
Qty Unit Charge
Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
REMOVE EXISTING TILE,ADD
NEW TILE LINER,
REISNTALL EXISTING
TILE. 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged Paid
--------------------
CreditedDue
--------------------
-
Permit'Fee Total
30.00
.00 .00
30.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total,
1.00
.00 .00
1.00
Grand Total
31.00
.00 .00
31.00
LQPERMIT
RTSRoof Tile Specialty, Inc.
Contractors State License #810537
P 112 Palm Desert, CA 92255
Phonehone 7 760-2000 -0811 Fax 760-200-0801
A proposal submitted to: DENISE MALDONADO `
Mailing address: 49793 COACHELLA DR LA QUINTA, CA 92253
Job Address: SAME AS ABOVE
PH: 760-564-6025 FAX: 760-564-6130
Description of work to be performed:
REMOVE TILE AND STACK
CLEAN SURFACE OF DEBRIS AND DISPOSE
REMOVE ALL BROKEN ROOF TILE AND DISPOSE
INSTALL 2 LAYERS 40# TILE LINER
FOLLOWED BY NEW SHEET METAL AT ALL ROOF TO WALL TRANSITIONS
REINSTALL EXISTING TILE TO MANUFACTURES SPEC'S
USE NEW BORAL ROOF TILE FOR BREAKAGE
COLOR WILL VARY
REMOVE ALL ROOFING DEBRIS FROM JOB SITE
IF NOT ACCEPTED IN 30 DAYS THIS PROPOSAL IS NULL AND VOID
Note: Roofing is not warranted and or guaranteed until 100% complete. Please note Roof Tile Specialty, Inc. is not responsible for delays in roofing
materials of delivery dates. All debris caused from above work to be discarded and area to be left clean. 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, windstorm, hailstorm, antennas or other
equipment, foot traffic on roof, structural fault or settlement, cracking or other failure of 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 (Roof 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 repairs of any existing defects unless specified in estimate and proposal.
Total Cost: 88,805.00 Terms paid on completion unless otherwise specified in the contract. If not accepted in fourteen days this proposal is
invalid. An additional $55.00 per sheet of plywood will be applied if needed. In the event of any increase in material price(s), said price increase
shall be passed directly onto the client. At client's request Roof Tile Specialty shall provide written documentation of the increase in material price(s)
to client and client shall pay the actual increase in the material price in addition to any sum client agreed to pay Roof Tile Specialty for work to be
performed under this agreement. Roof Tile Specialty shall add no mark up or profit to any increase in material price(s).
Acceptance: You are here by authorized to furnish all contents written in the contract to complete work mentioned in the proposal contract for which
Uwe 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 TEN year from date of application, we will repair defects free of charge. It is the owner's responsibility to properly
maintain roof system. Guidelines and proposed budget for annual maintenance will be provided upon request.
Installation: It is understood that by the acceptance of this proposal you authorize RTS (Roof 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 material 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)
Arbitration of Disputes: Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall settled by arbitrator in
accordance with the applicable Construction Industry Arbitrator Rules of the American Arbitration Association which are in effect at the time the
demand for arbitration is filed. A judgment award based upon the evidence presented by the party (ies) who do (does) appear and participate.
Notwithstanding Contractor's right to arbitrate, contractor does not waive any of its lien rights. In the event of default by client in payment of the
amount due hereunder, client agrees to pay reasonable attorneys' fees and cost incurred in connection with collection of said amounts whether or not
suit is field. 1.5% per month and/or an annual percentage of 18.0% will be charged on all past due accounts. Contractors are required by law to be
licensed and regulated by the Contractor's State Board. Any questions concerning a contractor may be referred to the register of the board whose
address is: Contractors State Licenses Board, 9835 Goathe road, Sacramento, CA 95827. Mailing address: P.O. Box 26000, Sacramento, CA 95826.
The above prices, specifications and conditions are satisfactory and are hereby accepted.
Owner's Signature
(or authorized repregeata ' )
Contractor's Signature
Date
Date V t -C2"dl I 1 Z
Notice:
(Section7019- Contractors License Law)
" Under the Mechanics' Lien Law, any contractor, subcontractor, laborer,
material man or/other person who helps to improve your property and is
not paid for this labor, service or material, has a right to enforce his claim
against your property. Under the law you may protect yourself against
such claims by filing before commencing such work of improvement, an
original contract for the work of improvement of a modification, thereof,
in the office of the county where the property is situated and requiring
that a contractor's payment bond be recorded in such office. Said bond
shall be in an amount not less than fifty percent (50%) of the contract
price and shall, in addition to any conditions for the performance of the
contract, be conditioned for the payment in full of the claims of all
persons furnishing labor service, equipment or materials for the
Notice
"Under the Mechanics Lien law any contractors, subcontractor,
laborer, supplier or other persons who helps to improve your
property but is not paid for his work or supplies, has a right to
enforce a claim against your property. This means that, after a
court hearing, your property could be sold by a court officer
and the proceeds of the sale used to satisfy the indebtedness.
This can happen even in full, if the subcontractor, laborer, or
supplier remains unpaid".
Buyer's Rights to Cancel
You may cancel the Agreement or offer referred to above anytime prior to midnight of the third day (excluding Sunday) after the day you signed the
agreement or offer. If you cancel and you have already made some payment to the seller the seller is entitled to retain out of the payment, as a
cancellation fee. Five percent (5%) of the cash price of the goods or service, but in no event may the seller retain more than fifteen dollars ($15). You
may give notice of cancellation by mailing a signed and dated statement to the seller at the address indicated. In order to have proof of the mailing it is
recommended that you mail the statement by registered or certified mail.
Notice to Owner
Under the California Mechanics Lien Law, any contractor, subcontractor, laborer, supplier or other persons who help to improve your property but is
not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court hearing, your property could be
sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. This can happen even if you have paid your own contractor in full,
if the subcontractor, laborer, or supplier remains unpaid. To preserve your right to file a claim or lien against you property certain claims such as
subcontractors or material supplies required to provide you with a document entitled "Preliminary Notice". Original (or Prime) contractors and
laborers for wages do not have to provide this notice. A Preliminary Notice is not lien against your property; its purpose is to notify you of persons
who may have a right to file a lien against your property if they are not paid. (Generally, the maximum time allowed for filing a claim or lien against
your property in ninety (90) days after completion of your project).
To insure Extra Protection for Yourself and Your Property You May
Wish To Take One or More of the Following Steps
1. Require that payments be made directly to subcontractors and material suppliers through a joint control. Any joint control agreement should include
the addendum approved by the Register of Contractors.
2. Issue joint payments, made out to both your contractor and subcontractor or material suppliers involved in the project. This will help to insure that
all persons due payment are actually paid.
3. After making payments on any completed phase of the project, and before making any further payments, require your Contractor to provide you
with unconditional lien release signed by each material supplier, subcontractor an laborer involved in that portion of the work for which payment was
made. On projects involving unconditional lien release, the persons signing these releases lose the right to file a claim against your property. In other
types of construction this protection may still be important, but may not be as complete.
Applicable Law
This Agreement, and all the rights and obligations of the parties under this Agreement, shall be governed by the law of the State of California.
Consequential Damages
Buyer shall not be entitled to recover any incident or Consequential damage as that term is defined in Commercial Code Section 2715.
Attorney's Fees
In the event of litigation arising out of this Agreement, or the performance or interpretation thereof, the court will award reasonable attorney's fees to
the prevailing party.
No other agreement
This Agreement is full and final Agreement of the parties and no written or oral communication between the parties before the execution of the
Agreement will modify or amend the Agreement. The Agreement may be modified only by a written document signed by both parties.
Liquated Damages
In the event of a breach of the payment terms of this agreement, it is agreed that the seller's (Contractors/Subcontractors/Suppliers)actual damages
caused by such a breach are difficult and impractical to determine and include, among other things, administrative costs for billing, accounting for and
collecting past due payments. Accordingly, buyer agrees to pay seller liquidated past damages as delinquency/service charges on all accounts past due
at the rate of 1.5% per month, annual percentage of 18.0% until paid in full. This agreement to be a reasonable method for fixing seller's damage so
rising.
VA
isin ff
City of La Quinta
Building &r Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
Project Address: QxWqUQ U wrier's Name
A. P. Number: Address: LoaeWCA 0
Legal Description: C City. ST, Zip:
Contractor:C21�felephone-:
k CA
Address: V 0- 6D\y Project Yescriptio
City, ST, Zip:Y6JM V42ZA-
Telephone --I((20 1 __D0 C)
... .. . ...
State Lic. #: g—R)LO 151--)
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
. .........
................. Construction Type: Occupancy:
. . ....... . . -- -----
..........
. .. ... ct type (circle one): New Add'n Alter Repair Demo
Prole
State Lic. #:
Name of Contact Person: Sq. Ft.:
# Stories:
N Units:
Telephone# of Contact Person: --I uo 71"E'stimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# J
Submittal-
Rcq'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.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