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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