06-3961 (RR)P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: r06-00003961 1
Property Address:
78153 SAN TIMOTEO ST
APN: .
646 -160 -010 -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
351$0
T4ht 4 4.0"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
( ---=----------------------------------------------
�i. 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: B C39 LicenseNo.: 235717
Date: —/Y-6 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 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 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 6ffered 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 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:
MOHLER DR. CHARLES
3605 LEWIS CT
SIOUX FALLS, SD 57103
Contractor:
WESTERN PACIFIC ROOFING
3462 LA CAMPANA WAY
PALM SPRINGS, CA 92262
(760)416-5877
Lic. No.: 235717
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/06
-----------------------------------------------
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 . 046001635506
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/Nose provisions.
Date: 1/— /%o ,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 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 Ouinta, 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 county to enter upon the above-mentioned propert or inspection purposes.
Date: Signature (Applicant or Agent):
Application Number 06-00003961
Permit . . .. RE -ROOF
Additional desc .
Permit Fee. 30.00 Plan Check Fee ..00
Issue Date Valuation . . 0 .
Expiration Date 5/13/07
Qty Unit Charge Per Extension
BASE FEE 30.00
Special Notes and Comments
REMOVEEXISTINGROOFING/REPLACE WITH 50
I
LQPERMIT
Bin #
City of La Quinta
Building u Safety Division
Permit ff P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 7 /S J� s ! T %E'Q
Owner's Name: p�
C�►R �If1 4 1 f1Z
A. P. Number.
.
Address:
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Legal Description:
City, ST, Zip-'S10UK
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Contractor: W. f j7'Fg
Ac ;K. C I� o �'� S
Telephone:
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Address:. `}6 ?_ /,4
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Project Description:
.City, ST, Zip: � � S^
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Telephone: NO Yl�- 97 7 .7
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State Lic. # :. 3,f ?�
City Lic. #:
Arch., Engr., Designer:
Address:
City,, -ST, Zip:
Telephone:
Construction Type:
Occupancy*:
P c7':
State Lic. #:
Pro ect
J type (circle one): New Add'n Alter 'Repair Demo
Name of Contact Person:
Sq: FL:
# Stories:
# Units:
Telephone # of Contact Person:
W")-- rf l d_.S777
moi„ at d Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Recd TRACIMG ..
PERMIT FEES
•
Plan Sets
Plan Check submitted
[tem Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person •
Plan Check Balance
Energy .Gales.
Plans picked up
Construction
Hood plain plan
Plans resubmitted
Mechanical
Grading.plan
2`4 Review, ready for corrections/issue
Electrical
Sabrnatactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
$.M.I.
Ii.O.A. Approval
Plans resubmitted .
Grading
INHOUSE:-
k' Review, ready for correctionstissue
Developer Impact Fee.. ;
Planning Approval
Called Contact Person
A.I.P.P.
.Pub. Wks. Appr
Date or permit issue.
School Fees
. ...
Tota I Permit Fees . .. .
WESTERN PACIFIC
Since 1949
September 20, 2006
Roofing Corporation
Lic. #235717
Dr. Charles Mohler
3605 Lewis Court
Sioux Falls, South Dakota 57103
Re -roofing Project; 78153 San Timoteo, La Quinta, CA 92253
Installation of an OAI(RIDGE PRO 50 shingle roof system.
Dear Mr. Mohler:
Thank you for the opportunity to inspect the roofing system on the above referenced property.
]Having done so we are pleased to submit our proposal for the installation of a dimensional
shingle roof system. The scope of work and associated costs is as follows: .
GENERAL
Unless expressly stated to the contrary, the contractor shall be responsible for performing the
following acts.
DESCRIPTION
A. The general conditions of this standard construction contract shall form a part of these
specifications'with the swine force and effort as though repeated herein.
13. The contractor shall furnish all labor, materials, equipment, permits, contractor's licenses
and insurance certifications to perform all. operations required and specified. The
contractor shall provide labor and material customarily included in work of the same
nature to give a quality, complete job.
C. If unexpected conditions are encountered during the work, and the conditions adversely
affect the cost or progress of the work, the contractor will notify the owner immediately,
and the owner will negotiate a change -order to resolve the unexpected condition, be it for
an increase or decrease to the contract amount.
D. The Contractor shall occupy, use, and permit others to use the premises only for the
purpose of completing the work to be performed under this contract with the Owner. The
Contractor shall not authorize or permit any other person to use said premises for any
purpose whatsoever. Western Pacific is to be given all reasonable set-up and staging area.
3462 La Campana Way • Palm Springs,, CA 92262 • (760) 416-5877 • Fax (76Q) 320-8912
www.westpacroof.com • E-mail: wprcps@westpacroof'.com
781.53 San Timoteo
September 20, 2006
Page 2
E. Contractor's scope of work shall not include the identification, detection, abatement,
encapsulation or removal of asbestos or similar hazardous substances including mold and
or mildew. If Contractor encounters any such products, materials or conditions in the
course of performing its work, or if such hazardous materials are encountered by any
other firm performing work at the jobsite and contractor determines that such materials
present a hazard to its employees, contractor shall have the right to discontinue its wrork
and remove its employees from the jobsite until such products or materials, and any
hazards connected therewith, are located and abated, encapsulated or removed; or it is
determined that no hazard exists (as the case may require), and contractor shall receive an
extension of time to complete its wort: hereunder, and compensation for delays
encountered as a result of such situation and correction. Due to the possibility of mold or
mildew being present before, during -or after our work, Contractor's scope of work does
not include the identification, detection or the removal of mold or mildew. Owner agrees
to hold Contractor harmless, and shall indemnify Contractor harmless for ally mold
related claims in the future.
F. Should any litigation be commenced between the parties to this Agreement concerning the
project, any provisions of the Contract, or the rights and obligations of either in relation
thereto, the party prevailing in the litigation shall be entitled, in addition to such other
relief as may be granted, to a reasonable suis as and for that party's attorney's fees in the
litigation, regardless of whether such suit proceeds to final judgment.
INSTALLATION OF AN OAKRIDGE PRO 50 -SHINGLE ROOF SYSTEM
PREPARATION
A. Tear off existing roof system down to the Substrate.
INSTALLATION
A. :Install two layers of #30 felt mechanically fastened.
B. Install new 2X2 eve metal around the perimeter of the building. (Unpainted)
C. Install OAKRIDGE PRO 50 dimensional shingles. ��Lbfl_) S I G-r-luA1
D. Install dimensional ridge.
E. Paint roof jacks to match shingles.
F. Install polyurethane foam system on flat areas. (Approx. 220 sq. feet)
CONTRACT AMOUNT: $35,180.00 C. 1 initial
Up
41: 1' bstitu wen Corn g Be r sI] t oil e ion 1i tl P. o S. i .,
shi es $4 ,..20.0 i�rrti�il d 6y
% WESTERN PACIFIC
yu�� Roofing Corporation
Since 1949
78153 San Timoteo
September 20, 2006
Page 3
WARRANTY
A five (5) year labor and materials warranty will be issued upon completion of the rool'and final
payment is received.
PAYMENT TERMS
A 51,000.00 deposit upon signing of the contract and the balance due upgn completion.
Invoice to be paid Within ten (10) days of receipt.
The price quoted has been structured to reflect standards we assume are mutually desired: quality
installation, service reliability and long-term' performance. The price may be subject to change
15 days from the date of this proposal.
[['you are in accordance with the conditions herein, please execute the agreement below and
return both copies to this office. «le will. in turn, sigh them and return one copy to you. Thank
you for your cooperation in expediting this contract for your roofing needs.
NOTICE TO OWNER
Contractors are required by law to be licensed and regulated by the Contractor's State License
Board. Any questions concerning a contract may be referred to the Registrar,'Contractor's State
License Board; P.O. Box 26000, Sacramento, California 95526.
1
WESTERN PACIFIC
Roofing Cnspor I C
Since 1949 , - '
78153 San Timoteo
September 20, 2006
Page 4
ACKNOWLEDGMENT: Owner acknowledges that he has read and received a le-ibJe copy of
this agreement including all terms and standard provisions before any work is performed and that
he has read and received a legible copy of every other document that owner has signed during
this negotiation. I/we hereby acknowledge under the penalty of peijury that I.Ave am/a.re the legal
owners and am/arc authorized to sign this contract as an agent of the legal owner.
ACCEPTANCE: The above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified. Payment will be as
outlined above. You, the buyer may cancel this transaction at any time prior to midnight
of the third business day after the date of this transaction. See the attached Notice of
Cancellation for an explanation of this right. Owner.has the right to require contractor to have
a performance and payment bond at owner's expense.
)R. CHARLES MOHLER
Authorized Agent
WESTERN PACT IC .1.200:TING, CO:R;P.
Contractors .License 42353717
Ronald R. Winkle
Proiect M.anaLrer 9/20/06
Title/Date
WESTERN PACIFIC ROOFING HAS THE RIGHT TO RESCIND THIS CONTRACT WITHIN FIFTEEN
DAYS OF ACCEPTANCE. THIS AGREEMENT IS NOT BINDING UNTIL ACCEPTED 13Y THE OFFICE
MANAGEMENT AT 3462 LA CAM13ANA WAY, PALM SPRINGS, CA 92262. NO CHANGES OR
ADDITIONS TO THIS AGREEMENT SHALL 13E EFFECTIVE UNTIL APPROVED BY WEST RN
PACIFIC MANAGEMENT. ,
MANAGERS ACCEPTANCE: ` DATri it)
WESTERN PACIFIC
Roofing corporallon
i
Since 1949
WESTERN PACIFIC ROOFING CORPORATION
NOTICE OF RIGHT TO CANCEL
Notice of Cancellation
Transaction Date: ro lbs d b (Date Contract signed)
You may cancel this transaction, without penalty or obligation, within three business days from the above date.
If you cancel, any property traded in, any payments made by you under the contract or sale and any negotiable
instrument executed by you will be returned within 10 days following receipt by the seller of your cancellation
notice, and any security interest arising out of the transaction will be canceled..
If you cancel, you must make available to the seller at your residence, in substantially as good condition as when
received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the
instructions of the seller regarding the return shipment of the goods at the seller's expense and risk.
If you do make goods available to the seller and the seller does not pick them up within 20 days of the date of
your notice of cancellation, you may return or dispose of the goods without further obligation. If you fail to make
the goods available to the seller, or if you agree to return the goods to the seller and fail to do so soon, then you
remain liable for performance of all obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of this. cancellation notice, or any other written
notice, or send a telegram to, not later than midnight of the third business day (excluding Sundays and holidays)
after the date of this transaction:
If contracted with the Palm Springs Office:
Western Pacific Roofing Corporation
3462 La Campana Way
Palm Springs, CA 92262
Name
Address
City, St, Zip
If contracted with the Palmdale Office:
Western Pacific Roofing Corporation
2229 East Avenue Q .
Palmdale, CA 93350 y t WCj
Z'IA; Pup wry A DP&('S� �
�0 6" us "e X7'3 I � 7g-153 04PJ T)m 0716- 0
s Mv5
I hereby received this notice
J I
X
(Buyer's Signature)
Date /-0 114A
In the event of an emergency the right to cancel may be waived.
7 lol 1 �A
I hereby cancel this transaction.
X
(Buyer's Signature)
Date
"STATE LAW REQUIRES ANYONE WHO CONTRACTS TO DO CONSTRUCTION WORK TO BE LICENSED BY
THE CONTRACTORS STATE LICENSE BOARD IN THE LICENSE CATEGORY IN WHICH THE CONTRACTOR IS
GOING TO BE WORKING -IF THE TOTAL PRICE OF THE JOB IS S500 OR MORE (INCLUDING LABOR AND
MATERIALS).
"LICENSED CONTRACTORS ARE REGULATED BY LAWS DESIGNED TO PROTECT THE PUBLIC. IF YOU
CONTRACT WITH SOMEONE WHO DOES NOT HAVE A LICENSE, THE CONTRACTORS STATE LICENSE
BOARD MAY BE UNABLE TO ASSIST YOU WITH A COMPLAINT. YOUR ONLY REMEDY AGAINST AN
UNLICENSED CONTRACTOR MAY BE .IN CIVIL COURT, AND YOU MAY BE LIABLE FOR DAMAGES ARISING
OUT OF ANY INJURIES TO THE CONTRACTOR OR HIS OR HER EMPLOYEES.
"YOU MAY CONTACT THE CONTRACTORS STATE LICENSE BOARD TO FIND OUT IF THIS CONTRACTOR HAS
A VALID LICENSE. THE BOARD HAS COMPLETE INFORMATION ON THE HISTORY OF LICENSED
CONTRACTORS, INCLUDING ANY POSSIBLE SUSPENSIONS, REVOCATIONS, JUDGMENTS, AND CITATIONS.
THE BOARD HAS OFFICES THROUGHOUT CALIFORNIA. PLEASE CHECK THE GOVERNMENT PAGES OF THE
WHITE PAGES FOR THE OFFICE NEAREST YOU OR CALL 1-800-321-CSLB FOR MORE INFORMATION."
NOTICE TO OWNER
"UNDER THE CALIFORNIA MECHANICS' LIEN LAW, ANY CONTRACTOR, SUBCONTRACTOR, LABORER,
SUPPLIER, OR OTHER PERSON OR ENTITY WHO HELPS TO IMPROVE YOUR PROPERTY, BUT IS NOT PAID
FOR HIS OR HER WORK OR SUPPLIES, HAS A RIGHT TO PLACE A LIEN ON YOUR HOME, LAND, OR
PROPERTY WHERE THE WORK WAS PERFORMED AND TO SUE YOU IN COURT TO OBTAIN PAYMENT.
THIS MEANS THAT AFTER A COURT HEARING, YOUR HOME, LAND, AND PROPERTY COULD BE SOLD BY A
COURT OFFICER AND THE PROCEEDS OF THE SALE USED TO SATISFY WHAT YOU OWE. THIS CAN HAPPEN
EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL IF THE CONTRACTOR'S SUBCONTRACTORS,
LABORERS, OR SUPPLIERS REMAIN UNPAID.
TO PRESERVE THEIR RIGHTS TO FILE A CLAIM OR LIEN AGAINST YOUR PROPERTY, CERTAIN CLAIMANTS
SUCH AS SUBCONTRACTORS OR MATERIAL SUPPLIERS ARE EACH REQUIRED TO PROVIDE YOU WITH A
DOCUMENT CALLED A "PRELIMINARY NOTICE." CONTRACTORS AND LABORERS WHO CONTRACT WITH
OWNERS DIRECTLY DO NOT HAVE TO PROVIDE SUCH NOTICE SINCE YOU ARE AWARE OF THEIR
EXISTANCE AS AN OWNER A PRELIMINARY NOTICE IS NOT A LIEN AGAINST YOUR PROPERTY. ITS
PURPOSE IS TO NOTIFY YOU OF PERSONS OR ENTITIES THAT MAY HAVE A RIGHT TO FILE A LIEN AGAINST
YOUR PROPERTY IF THEY ARE NOT PAID. IN ORDER TO PERFECT THEIR LIEN RIGHTS, A CONTRACTOR,
SUBCONTRACTOR, SUPPLIER, OR LABORER MUST FILE A MECHANICS' LIEN WITH THE COUNTY
RECORDER WHICH THEN BECOMES A RECORDED LIEN AGAINST YOUR PROPERTY. GENERALLY, THE
MAXIMUM TIME ALLOWED FOR FILING A MECHANICS' LIEN AGAINST YOUR PROPERTY IS 90 DAYS AFTER
SUBSTANTIAL COMPLETION OF YOUR PROJECT.
CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGULATED BY THE CONTRACTORS
STATE LICENSE BOARD, WHICH HAS JURISDICTION TO INVESTIGATE COMPLAINTS AGAINST
CONTRACTORS IF A COMPLAINT REGARDING A PATENT ACT OR OMISSION IS FILED WITHIN FOUR
YEARS OF THE DATE OF THE ALLEGED VIOLATION. A COMPLAINT REGARDING A LATENT ACT OR
OMISSION PERTAINING TO STRUCTURAL DEFECTS MUST BE FILED WITHIN 10 YEARS OF TIM DATE OF
THE ALLEGED VIOLATION. ANY QUESTIONS CONCERNING THE CONTRACTOR MAY BE REFERRED TO
THE REGISTRAR, CONTRACTORS STATE LICENSE BOARD, POST OFFICE BOX 26000, SACRAMENTO,
CALIFORNIA 95826."
`R WESTERN PACIFIC
Roo�nR Cnryo�mian
Since 1949