08-1895 (RR)J
4
P.O. BOX 1504 ^' VOICE (760) 777-7012
-78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/25/08
Application Number: 08-00001895 Owner:
Property Address: 52390 AVENIDA JUAREZ BAILEY SUSIE
APN: 773-251-007-16 -000000- 52390 AVENIDA JUAREZ
Application description: RE -ROOF LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL ( D d
Application valuation:7/jiL/
D Tr Contractor: NOV5 �QoU
Applicant: Architect or Engineer: LONGORIA, JOE C.
69115 RAMON RD, #1402
CATHEDRAL CITY, CA 922 4 C'TYOFLA
FINANC)UINTA
(760) 360-2499 EDEPT,
Lic. No.: 316914
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 Profes ionals Code, and my License is in full force and effect.
License Class: C/2�7-C39 License No.: 316914
:Dat1 2
e
Date: "Y -1/f?? -Contractor:
NER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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 (5500).:
(_ 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 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' 1 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
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 EXEMPT Policy Number EXEMPT
�[ 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 t workers' compensation provisions of Section
3700 of the Labor Code, I I fort wit ply with those provisions.
Date: �t� �� Applicant:
WARNING: FAILURE TO SECUR RKERS' OMPENSATION 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 correct. I agree to comply with all
city and county ordinances and state laws relating to buildi construction, d hereby authorize representatives
of this county to enter upon the above-mentioned proper, or inspectio rposes.
`Date:- 'f.�.;'Z % �� Signatures e_IApplicant or
Application Number . . . . . 08-00001895
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date.. 5/24/09
Qty Unit'Charge. Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
RE -ROOF TEAR OFF -OLD ROOF REPLACE
WITH
15LB. FELT & NEW DURATION SHINGLES
CLASS
"A" MATERIALS
r
Fee summary Charged.
Paid Credited
Due
-------------------------------------
Permit Fee Total 30.00
----------
.00
----------
.00
30.00
Plan Check Total .00
.00
.00
.00
Grand Total 30.00
.00
.00
30.00
LQPERMIT
F Budget WON MaMtenance.
R WIS Ramon K @ 1402 cwe&w my, ce 92234
0 0 (750) 380-2499 S (780) 30.2911
Ca license *:Ngid
PROPOSAL
Page No.
of 1 Pages
We hereby submit specifications and estimate.
1) PREP & CLEAN ROOF. TEAR OFF EXISTIM 3 PLY *-*T T AR ROOF.
REMOVE & HAUL AWAY DEBRIS & POWER SWEEP.
2) INSTALL NEW FELT.
TYPE: 15 LB
3) INSTALL NEW SHINGLES INCLUDING HIP & RIDGE,
SHINGLE TYPE: 30 TEAR DIMENTIONAL,
4) INSTALL NEW ROOF METALS "ERE NECESSARY..
COUNTER FLASHING& DRIP EDGE
TOTAL PRICE INCLUDES LABOR, MATERIAL,, COMPLETE SUP 9.F YEAR WARAINTIM
GUARANTEE TERMS: 1) EXCLUDES W$ND/6XRTHQU*�E COMACE,
2) INCLUDED ON WORKMANSHIP ONLY.
PRICE DOES NOT INCLUDE: PEFMT FEES OR NEW COX PLPf=D IF ?CECESSARY,
We hereby propose to funiish
labor v4, inawiz& - complde in accomimmewith ft- above specdwatiofls' for the sum of
SEVEN THOUSAND, EIGHT HUNDRED & FOURTY-ONE. dors (S T,84f.00 with payment to be made as follows:
------- ------ -
DEPOSIT DOWN AT SIGNING, BALANCE DUE AT COMPLETION- FINANCE CHARGES APPLY FOR LATE PAYMENT.
All material is guaraniced in be as specified.
All work to be completed in
PHONE
NOVEMBER 25, 2008
from alvvc spectificafi(w involving extra costs,
PROPOSAL SUBMITTED TO:
%�Tittcn orders, and. will become* an extra charg& over and above the estimate.
6geemLyds Contingent Upon strikes, aoci�t -x
1NAME
SUSIE BAILEY
JOBS NEWIS604GLE MDOF
`STREET
52390 AVENIDA JUAREZ.
STREET
!CITY
LA QUINTA.
CITYE
ESTATE
CA
We hereby submit specifications and estimate.
1) PREP & CLEAN ROOF. TEAR OFF EXISTIM 3 PLY *-*T T AR ROOF.
REMOVE & HAUL AWAY DEBRIS & POWER SWEEP.
2) INSTALL NEW FELT.
TYPE: 15 LB
3) INSTALL NEW SHINGLES INCLUDING HIP & RIDGE,
SHINGLE TYPE: 30 TEAR DIMENTIONAL,
4) INSTALL NEW ROOF METALS "ERE NECESSARY..
COUNTER FLASHING& DRIP EDGE
TOTAL PRICE INCLUDES LABOR, MATERIAL,, COMPLETE SUP 9.F YEAR WARAINTIM
GUARANTEE TERMS: 1) EXCLUDES W$ND/6XRTHQU*�E COMACE,
2) INCLUDED ON WORKMANSHIP ONLY.
PRICE DOES NOT INCLUDE: PEFMT FEES OR NEW COX PLPf=D IF ?CECESSARY,
We hereby propose to funiish
labor v4, inawiz& - complde in accomimmewith ft- above specdwatiofls' for the sum of
SEVEN THOUSAND, EIGHT HUNDRED & FOURTY-ONE. dors (S T,84f.00 with payment to be made as follows:
------- ------ -
DEPOSIT DOWN AT SIGNING, BALANCE DUE AT COMPLETION- FINANCE CHARGES APPLY FOR LATE PAYMENT.
All material is guaraniced in be as specified.
All work to be completed in
a workmanlike
manner according to standard practices. Any alteration or
from alvvc spectificafi(w involving extra costs,
will tv executed only upon
%�Tittcn orders, and. will become* an extra charg& over and above the estimate.
6geemLyds Contingent Upon strikes, aoci�t -x
A4-n�i eftr 4*.W—Eat"..
1b, uem�.w
'hi!*Mt 1-0 ac"V--c 4 M- and h 'n'; Void
thLreaflicr at the option of the mmikmAned,
Authorized Signature
ACCEPT-ANCE OF P&QROSAL,
The above prices. specifications and cmtditiops are hemby WC V-1140kow w &W dkv %vork' is sp9cjftc4 wdl be made
as outlined above.
ACCEPTED:
Signature
DATE sigrumire
Bin #
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495-Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�/
Project Address: S z 3 go A.i, 14C-Cez.
Owner's Name: S /e ' /
A. P. Number:
Legal Description: dolt„ •t
Address:
City, ST, Zip: 5
Contractor: n o c�p.? .
Telephone:
Address:
Project Description:
0 0l
City, ST, Zip:—r r P9 C2,.) -3y
9" IqJQ q ` 14 LI
Telephone: Zt{qIonian
M�
n /
� S
State Lic. # : S
City Lic. # J �-
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Projec • '�'�—// OD
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING. PERMIT FEES
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calci.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2"° Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
3'4 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