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07-2604 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Applicant: T44t 4 4 Q" Architect or Engineer: QIP . BUILDING & SAFETY DEPARTMENT I 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. Licensee1'Classss:: C39 License No.: 828478 Date:/'26'7 ontractor.b �/UZA C. 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 Codel 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, 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 1, 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: ELDER DIANNE B 54160 AVENIDA JUAREZ LA QUINTA, CA 92253 Contractor: D CASTRO ROOFING INC P O BOX 122 + THOUSAND PALMS, CA (760)343-0042 Lic. No.: 828478 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/26/07 6 SEP 2 7 2007 j CITY OF LA QUINYA 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. 1 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 285000245206 _ 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 subjE he workers' compensation provisions of Section 9 3700 of the bor Code shall fo[thw' IS omply ith those provisions. a-1Qe: • plicant: WARNING: FAILURE TO SECURE RKERS' 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 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 buil 'ng construction, and ereby authorize representatives of this county to enter upon the ove-mentioned pope for inspection ses. J7� Si ture (Applicant or Agentl: Application Number: 07-00002604.E Property Address: `54160 AVENIDA JUAREZ APN: 774-194-008-1.7 -00000,0- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 7317 Applicant: T44t 4 4 Q" Architect or Engineer: QIP . BUILDING & SAFETY DEPARTMENT I 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. Licensee1'Classss:: C39 License No.: 828478 Date:/'26'7 ontractor.b �/UZA C. 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 Codel 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, 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 1, 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: ELDER DIANNE B 54160 AVENIDA JUAREZ LA QUINTA, CA 92253 Contractor: D CASTRO ROOFING INC P O BOX 122 + THOUSAND PALMS, CA (760)343-0042 Lic. No.: 828478 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/26/07 6 SEP 2 7 2007 j CITY OF LA QUINYA 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. 1 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 285000245206 _ 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 subjE he workers' compensation provisions of Section 9 3700 of the bor Code shall fo[thw' IS omply ith those provisions. a-1Qe: • plicant: WARNING: FAILURE TO SECURE RKERS' 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 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 buil 'ng construction, and ereby authorize representatives of this county to enter upon the ove-mentioned pope for inspection ses. J7� Si ture (Applicant or Agentl: 0 LQPERDIIT Application Number . . . . . 07-00002604 Permit . . . . . RE -ROOF Additional desc ' Permit Fee •. . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/24/08 .Qty Unit Charge Per ." Extension BASE FEE 30.00 --------------------------------------------------=------------------------- Notes and"Comments .Special RE -ROOF WITH 30 YR. SHINGLE ON SLOPE SECTION AND 4 PLY BUILT-UP SYSTEM WITH CAP SHEET ON FLAT AREA, USING CLASS "A" MATERIALS 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 09/26/2007 01:34 7603432097 CASTRO ROOFING INC PAGE 02 Bin# Permit # \. Project Address: r lDU A. P. Number: Contractor. CQ<y4 Address: P D Y"✓U� Gfi City, ST, Zip: Pad K Telephone: 114-340:2 ZID-411? State Lic. # : Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lic. {t: Name of Contact Person: Telephone # of Contact Person: # Subm"rttal Plan Sebo Structural Calcs. Tress Cales. 'IIHe bt Cales. Flood plain plan Grading plan Sohcontactor.i. st Grant Dccd YLO.A. Approval IN IIOUSE: Plauning Approval Pub. Wks, Appr School Fees City .of La QuInt'a Building 8t Safety Division P.O. Box 1504,78-495 Calle Tampico La Quina, CA 92253 - (760) 777-7012 Building Permit .APP/ication and Tracking Sheet 'Owner'sName: Address: . I W A en , ve— Z— c;ty., ST, zip: IQ1,U�t I� C A Gl ZZ`'J3 Telephone: Project Description: Tea til no 64- � a ........ In �l� ZSWri)ctlP ( inr/,rl I ►nS�7c (I� � '� Lie, #:�I tL J O N l; la+—f- VM1 V ;; <` Construction TpPe'Occupancy: `;I" ` tM: Project type (circle one): New Add'n . Alter Repair Demo Sq. Ft-: t stor;cs: # Units: 1(Lfl "5 2 Estimated Value of Project. APPLICANT: DO NOT WRITE BELOW THIS LINE 'd Recd '/'RACING PERMIT' FEES Plan Cheep submitted item Amount Reviewed, ready for correetiom Plan Check Deposit Called Contact Person Plan Check Balance. Plana picked up Construction Plana resubmitted . Mechanical 2nd Review, ready for correctionsrissue Electrical Called Contact Person plumbing Plans picked up Plans resubmitted Grading Review, ready for corrccdonsrMac Developer Impact Fee Called Contact Person Daft of permit issue Total Permit Fee$ 09/26/2007 01:34 7603432097 CASTRO ROOFING INC PAGE 03 `I8/20®7 00:42 7603432897 CASiRC R.00FING-INC F'A(+- b'1 GCM P, O. Hots 122 Tho "511"d CJ (760) 343_00g2 * fax 760 3 92278 ChristuplllerCartcsaru Lkeelse i } 43 z T 40-220 Brookside Acv c0un 828479 Cherry vgjle, CA 92223 Re: Wantee Elder 54.16o Avenida Juarez La Quinta, CA 92252 COrr3pletely =nQve and discard e>KiStin defectivePoeJN anY fbwid to be in r. nerd propacJy dimoged. SubWAte (4 X 8 X 'l2), upp4 approval of, owner or need of �placerne»t will be replacedf° be iasp�ted for ,tot or sheathing nails, any found will be driven fJ>asl, 5u(tstrate ro be ins at s gate of US.00 per Sheet location. Substrate ?pletely pulled o loosened fOr n� t7uslr to deck 4u alaped over >-0 be cleatleci and fr>9e of all debtl PrePamd sheath: s+ prior to new roof instailatfon. using nail at a nrw #IS felt nailed �B at perimeteX nail (2 x 2) dei e to bold in place. Over felt instal( new P � metar over enare toot; Install flashings to Manufactures speci6icaticm. Install >acly hr Pro' 30, a -layer of Vert flashings to be irtted ! self sesiing shingles will) piAe and vet Install a bui� p 4-plymeat fth new�� to eetiance appearance• All pipe aad Un �t in p�f paint to rn roof tmnsiti(ms and tapered c t yap sheet specification, soonsi`;ting of installing Place- p�,ere • strip on all crickets av needed. ,TtTstatl I _� i strip on ell roof tq wall t4itb Irish flax fmlt rl 2-lx�ers #I.l pry sheet individnaTly tao 3'� a1e28 tu+sa4h ated witft hot AspbOlt rn all aogles in�stal�l vno 1 hoc as halt All co na;l¢d no hold in mopped and set >xa hot as � carnor5 to Ire Sealed Pha1t Over watexti.gbt OT f x72 meimbranc install one lave #72 set in Total Mna� shee'Ls, back unt: 57,31. 7.00 sheet set' in hot asphalt_ TERMS: t(1(Ig{, U" C mPLj:T UNI.FSS 0711 F1VE? (5) TZAR Gt1A,RATV�P, AO�STLE-5.5 T)HF f �ESF SPF-cimrr) WTIM CONT;L {;T. THIS PROppgrlL WIU. taBT�ltrl I: hvD VOID AFMR IS DAYSEMOMCA NSIlA ULl. AA?'MT7�1T, AL1. AEBRtS CAUSED FROM AWjVC WDl(X 70 BF M177'ED. MANNPR ACCQttprN,,0 e O g� DISCARIDCD ANn iCDl11,F, AN WRAJr1ER PEW�rTCD Ar ARA TO 8G W� c WE PROPOSE TO F I LEAN, JOi3 TO BE STARTED IN A TIMELY or ROO.FNC w• t Tsrr Cl T APPLY T.ABoR �A ORti, DURINaTHIrROOFIN rERlA;T) pE;WU!s TgANMR•f:4 C JLrU �(MOUN-t; FOR DIRT. ROCK G PR4►ECr CA.STRO TION. & 6 r�otmrMD 1'1 �.Or-aPUS T)ZAT MAY CAIJ, NTrO q� Int At. ' TOp14 NOCESSARY COR (�OMPLE7'ION VICILATIOT�Is r"ExrUAFs. o*TliAi iOR AO ' ' �7r IV1WJG AREAS. nAly,� TS TO "IM,,F BUT 4 PLE NOT DOCS TvUT 1NCTrD(r,�R RSAtR OF ANY F.SIi S rtrta 5� R CTtIM�C i5 rCI "IV 0> B ntzcHlrEClUkn�r: ENrrwF IBrGrrY FOR CORR>:CT! WNDutY ntP�C OR tiR&OOR r.XTPA WORK Tr R 1JNI,F.59 SMTP IN TFX pk KISTTMG CO T, ,� THE BV�NT Stn'r IS 13ROvcm TO . EQtITRGO BYCrTY. Ol'03AL CONTRACT. CO'�TS E7CF6NA6D, ArC"UDNO FNrORC F T7�E 'rER??" OF TZFE CuNTRACT. -nm }'REVAiLIhrG PARTY C RACTORS A(tg R a7 TORJvt:r �5 as Alf Ll.F1Atyr OF COST. 574ALI. QU>•.ST C REFER • gQUrrtSD NYLAW ZZ7 8l LFCP.NSEA AND Tt1;GtTLATEO 13Y THE Z r0: CON 1 RhCTQR'S STATE UCLNSFT3 BOAR ra IOU N> S 3r `r, SACRA IF THj5 F,ST(Mt OMRAGTOR $ STnTLC:NSE RF.7URN;NG 1T T OUR � � QY{M al1R APPROVAL, PT,�E INDICA'I P �r0, c:r� 95814, !tIL 01t FAX, we 400IK FORWARD ro w�KMa WCCE ITIf yorl. AY 5IG $ubMitted by:. &-ar4d1WCQ1rQ SUbT1'3itW Date: A1U�113t W10 RCCOVrsti ALL A.c,:Mance Date: ! "�-02 Lj 5"T 6"k 8826-Sb6- I �6 U01 -40n44suo 4aydo2s1�40 e9�•nt �.n i.� ,��.,