10-1170 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00001170
Property Address: 49847 COACHELLA DR
APN: 646-250-007-7 -4275 -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8050
Applicant:
CA
Tit!t44Q"
Architect or Engineer:
r)IA-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
License Class: 895443 License No.: C39
ate: � n5 tractor. - _
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).:
I _ 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.).
(_) 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:
Lender's Address:
LQPERMIT
Owner:
DONOHUE PHILIP D
P O BOX 1030
SIOUX FALLS, SD 57101
Contractor:
20/20 ROOFING CO
PO BOX 608
INDIO, CA 92202
(760)578-7799
Lic. No.: C39
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/03/10
NOV 03 2010
CITY OF LA OU11dTA
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 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 7130025926
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 s ll forth 'th comply with those provisions.
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 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 dayy 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
o -4his county to enter up o the above-mentioned property for- ctio purposes.
Date: gnature (Applicant or Agent):
Application Number . . . . . 10700001170
Permit . . RE -ROOF
Additional desc .
Permit Fee . . . 30.00
Plan Check Fee..
.00
Issue Date . . . .
Valuation
0
Expiration Date 5/02/11
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments.
RE -ROOF WITH PREVIOUSLY REMOVED TILE.
ADD NEW UNDERLAYMLENT. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
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 .0'0
31.00
LQPERMIT
4�41VEN.-.W
Nin: 760-578-7799
Email: 2020roofinginc®gmail.com _ . _ . __ _.Date,
-Fox: 766-34243913
Name / Address
Danile Donohue
49- 847 Coachella Dr.
La Quinta CA 92253
Description
10/25/2010
Contract proposal*
52
JOB SITE: 49-847 COACHELLA DR. LA QUINTA CA.
20/20 ROOFING PROPOSES AND AGREE TO fumish labor material for. Remove existing roof tile and install new underlayment and re-
install existing -tile.
'For the above named building using: single layer 40# felt and new sheet metal.
The cost to remove and haul away the solar water heater and patch holes will be $250.00, for two layer 40# felt $900.00, the $250.00
and $900.00 charges are not included in this bid.
.FOR THE SUM OF SEVEN THOUSAND ( 7000.00) DOLLARS
T -W-s '4 b o So -Po,r
TWO
ALL PAYMENTS TO BE IWY1 ON`COM'PLETIONISILESS OTHERWISE SPECIFIED ABOVE.
NOTICE
-Under the Mectonice Wen law (Ca6fomb Code of CM prodecure, Section 1181 et sect.), any contractor,
subcontractor, laborer, supplier or other person who helps to*bprove your property but is not paid for his work or
supplies, has a right to enforce a cjoirn;ogairnt your Property. Tf iIs means that, after a court hearing; your property
could be selling by a tout officer and the proceeds of the sale'used to satisfy the indebtedness. This can happen
even If you have paid your own contractor in fuU, if tie subconiractor, laborer, or supplier remains unpaid'
This agreement stall become binding only upon the contractors written acceptance hereof or upon the Contractors commencing
performance and upon such occeptancq or'con uxox rnenis ddperformance this. two consittule the entire contract and be bt mmng
upon the parties hereto, there being no oovenants,,VWrrses err 000 dements. wrltten or oral, except as herein set forth.
It is further understood that:
(A) The Contractor shall not be responsible, far damage.- delay.due to stn os.". accidents. or other cause beyond his reasonable control.
(0) The -proposal is limited to 30 days acceptance from date hereof
(C) The Purchaser is dealing with the Contfactoras pr6dple and that the Contractor b not octingfiereunders the agent or rep*—* * tative of any poison, firm, or corporation.
(D) Any alteration or deviation from above specifications Waiving extra oastgr401,15'e,excuted'an upon wrttten orders; arnd will become an extra charge over and above the estimate.
(E) ?D/ZO Rooting assume no resportsib�ty fordamage to AC Units, gas runes: ci itenmas and elecfrio61 wires due to aging, satellite disfies/signals•
Date � 0 `'' 4;5' a ° ppr:'oved. by:
/ � � A frna Co_ Inc_
Acte tcncj -of'ft a abov�' .: rd dialY- -
P
Total w
$700
� g, o SD • rt3
m
k/
Bin #
Project Address: ._ %
A. P. Number:
Legal Description:
Contractor. aZ O
Address: - p _ iEs O I
City. ST. Zip. T f
Telcptwne: O 7 ,1
Ards., Eng., Designer.
Ad*s:
City. ST, Zip'
Telepbone:
State Lk. #:
Name of Contact Person:
Telephony # of Contact Pelson:
# Submittal RWI
Plan Sets
Structural ales.
Truss ala.
Tlde 24 Cala.
Flood plain plan
Gr eding plan
Subeontaetor List
Grunt Deed
H.O.A. Approval
IN HOUSE:-
Planning Approval
Pub. Wks. Appr
School Fees
�.Ci .of La Quina —_
Building & Safety Di low
P.O. Box 1504, 78-495 Ca11e Tampko
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name e - D
Address:y4_�y �l.�a Q'
City. ST. zip: -h 4-a
- i Yl 7'elepbone:
5e Project Descriptioh: Tio , o a G c L
iia N.
Constnxtion'Iype: Occupancy:
Rev'd
Pian Cheek
Reviewai, riesdy
Called antset
Piaaa picked
Plans resubmi
2`! Review,
Called Conti
Plana picked
Plana resubm
Review,
Called Conta
Date of paw
i'RACIMG
abmitted
np
ready
np
ready
MT
PERI' FEES
Item n
Aoant
for eorreedons
Plan Check Depositla
Person
Plan Ckeek Bance .
Construction
fled
Meehanial
for eorreetionsAssue
Electricalet
Person
Plumbing
S 1VI1
Itted
Grtdtng
for eorrecdonossae
Developer Impact Fee
et Person
A.LP.P.
t issue
Total Permit Fees