BRER2016-0060t,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNI
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
D VOICE (760) 777-7125
�1
M M FAX(760)777 - -7011
CO
UNITY DEVELOPMENT DEPARTMENT I
NSPECTIONS (760) 777-7153
u JUN 3 2 1
6 BUILDING PERMIT
Date: 6/13/2016
-g9 .GiljVv06�A
1_ UINTA Or
7S3'91AUhENT0EPA6,EN7
LESLIE KOTIZA
776210022 6 RAUSCHER DR
KEN KTIZA / RE- ROOF WITH SAME TILE REPLACE PAPER ST LOUIS, MO 92253
$22,189.00
Applicant:
CASTRO ROOFING INC
P 0 BOX 122 .
THOUSAND PALMS, CA 92276
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 Professions Code,
and my License is in full force and effect.
License Class: C39 License No.: 828478
Date: Contract
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, 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.).
(_J 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 ork for which this permit is issued.
�have and will maintain workers' compensation insurance, as required by
Se ioct n 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 agree th t, if I should become subject to the
workers' compensation provisions of Section 700 of the Labor Code, I shall forthwith
comply w, h th selp_rovisions.
Date: ` 3 10 Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO PENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IMADDITION 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 dhat the bove information is correct.
I agree to comply with all city and county ordinances and s to laws relating to building
construction, and hereby authorize representatives of this c y to ter upon the
above- nti erd property for inspection purposes.
Date: t ) r Signature (Applicant or Agent):
VI
FINANCIAL INFORMATION
DESCRIPTION ° .° ', .
,.:
;- ACCOUNTS`
.: QTY.;
'° AMOUNTS. "
PAID
PAID DATE'
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/13/16
PAID BY m
METHOD
':RECEIPT # CHECK #
r CLTD BY
CASTRO ROOFING INC
CHECK
R16249
15911
RSE
Total Paid for.BUILDING STANDARDS ADMINISTRATION BSA:
.$1.00 '.
$1.00
DESCRIPTION �,s:;
ACCOUNT
QTY.
_ AMOUNT, qPAID,
•
"°,t
�PAIDDATE.
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$34.80
$34.80
6/13/16
PAID BY
s
r METHOD
RECEIPT #
i' CHECK #
i:i
CLTD BY',
CASTRO ROOFING INC
CHECK
R16249
15911
RSE
DESCRIPTION ":'+
ACCOUNT
QTY>
`'AMOUNTS
°"'PA'ID `
° .`
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
6/13/16
PAID
METHOD
B `
• RECEIPT #
CHECK #
W
�<,
CLTD, BY
CASTRO ROOFING INC
CHECK
R16249
15911
RSE
'' '•• : DESCRIPTION ,
{ ,
fi
- a ACCOUNT„ `
�
;'.
QTYI
.aJE. -AMOUNT,
�° PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$98.62
6/13/16
s PAID BY : .'.,
METHOD ;.
, . , `,
w .,RECEIPT # _ `
CHECK #..L '
CLTD BY'
CASTRO ROOFING INC
CHECK
R16249
15911
RSE
Total Paid for RE -ROOF:
$182.73
$182.73
TOTALS:
Description: KEN KTIZA / RE- ROOF WITH SAME TILE REPLACE PAPER
Type: RE -ROOF Subtype: Status: UNDER REVIEW
Applied: 6/13/2016 RSE
Approved:
Parcel No: 776210022 Site Address: 79845 SANDIA LA QUINTA,CA 92253
Subdivision: TR 24890-1 CM 92/82 92 Block: Lot: 28
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $22,189.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: RE -ROOF WITH SAME TILE REPLACE UNDERLAYMENT. 2013 CALIFORNIA ENERGY CODE.
0 CONDITIONS
FINANCIAL INFORMATION
Printed: Monday, June 13, 2016 8:38:09 AM 1 of 2
sysrenns
f
DESCRIPTION T .
ACCO
QTY
"AMOUNT
PAID
PAID DATE .
RECD E IPT #_
CHEC #HOD
ME
'• PAID BY
C D
t
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/13/16
'1116249
15911
CHECK
CASTRO ROOFING INC
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:"
RE -ROOF - EA
101-0000-42404
0
$34.80
$34.80
6/13/16
R16249
15911
CHECK
CASTRO ROOFING INC
RSE
ADDITIONAL 1,000 SF
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$49.31
6/13/16
R16249
15911
CHECK
CASTRO ROOFING INC
RSE
SF
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$98.62
6/13/16
R16249
15911
CHECK
CASTRO ROOFING INC
RSE
SF PC
Total Paid for RE -ROOF: $182.73 $182.73
TOTALS:
Printed: Monday, June 13, 2016 8:38:09 AM 2 of 2
CBFWYSTEMS
Bin,#
City of La Q uin to
Building &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 0�7 r p) q _
Owner's Name: [� 6
A. P. Number:
Address: - qzS Q jr
Legal Description:
City, ST, Zip:
MM r
Contractor:hon 6
1!"
T ele e.
P
Address: 0 ��t; iZ?/
..................:..........:.:.
Project Description: 11.s�
City, ST, Zip:b
li''
.
I
S•1 N wVJ
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Telephone:
one• 6 0 3 d 0 H
µ 14
State Lie. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
n tr ucti n � � Occ
Type: u aneY:
State S Lie. # •
Project ct tYPa (circle one): Add'n Alter r Re Pair Demo
Name of Contact Person:
Sq. Ft.: SOD
# Stories:
# Units:
Telephone # of Contact Person:
o•o
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
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 corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"'.: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
/f
March 15, 2016
Ken Kotiza
79845 Sandia
La Quinta, CA 92253
. Re: Roof Estimate
j V 1 Ld P.O. Box 1212, Thousand Palms, CA 92276
Office: 760-343-0042 1 Fax. 760-343-2097
v ,%v.CastroRoofinglnc.com
License #828478
Ken
- Remove existing roof tiles and set aside .for later use. ^ -
- Check for weak areas any lound will be inspected for dry rot or damaged insulation and
repaired on a time.and material bases upon approval of owner.
- Clean rool'surlace and remove all debris or any other foreign matter that may deplete the new
roof system.
- Substrate to be inspected for loose or non -flush nails. any found will be complete pulled Out
and rc-nailed using a new nail.
- At valley install two (2) layer of underlayment with new valley metal fastened to secure.
- Over entire slope roof install one (1) layer of i1401bs. underlayment with.ne\\: saddle. bird stop.
tile pan, rool'to wall, and primate pipe and vent flashing.
- install hip and ridge nail board and wrap \\-ith one layer of 1140 felt.
- Over Water proof roof re -install roof tiles \with mortar bird stop. secondary pipe and vent
flashing (all broken tiles to be replaced with.new).
Mortar all hip and ridge and install tilc trim.
Paint all pipe and vent flashings to match tile.
Total Amount: 522,189.00
Price includes re -roof flat roof/wallevs
TIERMS: 100 uhcmF coMl'r:F'Tu)N. uNl.las (irniat\\ Islt srlx:u n:n IN I ul: (i)N'r1t,u'r.
FIVE (51 YEAR GUARANTEE AGAINST LEAKS ONLY OVER \YORK CONIPE : ED BY CASTRO ROOFING. INC.
AL1. DEMUS CAUSED FROP4 ABOVE WORKTO III: DISCARDED AND AREA TO Bfi LVFT CLEAN. JOB'rO BE STARTED I\ :\ ii\tlil.\'
\l:\\Xlat:\CCOKDI\(i'I'USCIII:0011:;\ND\\'I:r\'I'111iR I'IiR\iI'I"I'IVG.
r
%\'r: PROPOSETO FURNISH AND:\PPL\' Le\13OIt. \1,\'I'ERIALS. I'I?R:\II'I:S.'1'R:\ `SPOR'rA"PION, &'1'O(SI.S "T.CESSARY FOR COMPLI"1'lON
OF ROOFING WORK.
TI IIS PROPOSAL %VILL 111: NULL AND VOID AFTER 15 DAYS FROM DATE SUB\IITITI).
DEI'H:VDING ON'1'1IICKNIESS.01-'I:XIS"I'IN(i VLYU'DUD NAILS MAY I'15NIi iRA'I'Ii'I'I IItO11G11'1'I Ili I'LYwUOD hN UI I I'SIDIi (>vEltnn \G.
DURING '1'111: ROOFING VROJI:Cr CASfRO I( )OFI\G \VII,I. MAKI: AL1. A'FrEMPTS TO NUN1\IVE. BUT WILL .NOT 131: IZESPONSiIILI
FOR DIRT. ROCK.' -011 DEBRIS `G IAT M,\\' FALL IN O LIVING AREAS.
r
CONTRACTOR DORS NUT ASS(I\II: ANN' RISPONSI1111.1'1-Y F(m C( lmliC"1'ION CIF I:XIS'I'ING coo: VIOI.ATIONS OR 1`0141'IU: REPAIR
OFANY HNISTING .10 RUC"I•URAL DEFLCI S It\LESS SI'I:CIFIIiD IN •1'111- VROPOSAL CONTRACT.
IN '1'111: EVENT SUIT IS BROUGI "I" TU I:NI:()RC1-'1'I Ili 'I'I:It\1S OF TI II: CONTRACT THE PREVAILING PARTY SHALL RECOVER ALL
COSTS EXPENDED. INCLUDING A'I-I'URNEY FI FS AS AN ELEMENT OF COST.
CONTRACI'016 Altl:I(IiQUIICI:D 13\' LAWTO Bli I,ICI:NSIiI) AND RliGtiLA'I'ED lil"I'I IIE CUNT"R,\C`TOR`'S SI;\•rE LICENSV BOARD. AN)
Qiju"-iUNs It1:l:i:it'I'6'CONi"RACrOR'S S'I':\"I"1: LICEN'SID BOARD. 1020 "N" S'I'REEI SACRANII:N'I'U. CA 95814.
IF TI IIS I:STI\i,\'1'li \tEl:'I'S \YITII YOUR AlI'RO\°A I_. PIXASE INDICATE YOUR ACC'I:I'I'ANC•I: BY SIGNING THIS CONY AND
ItIE'flJlt\I\(; I"1"1'(rU4.tK OPFICIi BY A�I;\II.OK I::\X. \41i I_(H)K I:UIL\YARD'TU \VUItKIN(; \VI'I'll��\'OU. ////
Submitted by Accepted By: ,GE..s ,Cali !4
Richard Castro- Hesidcnt Print Name- Title
Accepted Date: ¢ —Z� �� Acceptance:
Signature
• �