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07-0729 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ,1 Application Number: -07 - 00000 72 9 : Property Address: 78390 CRESTVIEW TER APN: 643-192-003-3S -2117 - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5750 Applicant: Tityl " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under enalty of perjury that I am licens under provisions of Chapter 9 (commencing with Section 70001 of Divispion 3 of the Business and Prof s' Code, and my License is in full force and effect. Licen Class: C39 ce eNo.: 719638 Date' q- o ontractor. • OWNER•BUILDERECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 (55001: 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 ISec. 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 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 ISec. 3097, Civ. C.). Lender's Name: ' Lender's Address: LQPERMIT Owner: LARISA SAFFORD HEATHER 78390 CRESTVIEW TERRACE LA QUINTA, CA 922.53 Contractor: CHRISTIE INC, ST 56252 CARLSBAD C YUCCA VALLEY, CA (760)228-2672 Lic. No.: 719638 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/09/07 MAR 0 9 2007 191 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. �thave 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 285-0003049-07 _ I certify that, in the performance of the work for which this permit is issued, 1 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 hould become subject to rkers' compensation provisions of Section 3700 of the Labor shall for 'th m y th those rovisions. pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGQ 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 co ect. I agree to comply with all city and county ordinances and sta laws relating t it 'ng construction, a re auth rize representatives ofthis county toenterupon th ove-mentioned pro r inspe ion pu po s. iIate:� 7-0 ` nature (Applicant or Agent): Application Number . . . . . 07-00000729 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date Valuation . . 0 Expiration Date 9/05/07 Qty Unit Charge Per Extension - BASE FEE 30.00 ------------------------------------------------------------- Special Notes and Comments --------------- REPLACE EXISTING ROOF WITH FIBERGLASS .SHINGLES - 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 1 LQPERAITT Bill. City of La QuInta # Units: Building ek Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico r� La Quinta, CA 92253 - (760) 777-7012 Building I Permit Applicadon and Tracking Sheet Project Address: / 73 Q Owner's Name: (S �Ct' ( r °fr A. P. Number. Legal Description: City, ST, Zip: / ! Contractor.n �l &,D -F, n Telephone: Address: ?c� �rC J L s Project Description: �Ce s� O`t-"F � / City, ST; zip: v - 6ca C/Cc e 14 �� -F ��c � r Telephone: 76 Ci Z2 � —2 6 7• Lj State Lic. # : 3 City Lic. #: Arch., Engr., Designer 4- SALL Address: Plans resubmitted City, ST, Zip: IN ROUSE:-: Telephone: Construction Type: ; Occupancy: State Lic.IM #: Project type (circle one): New Add'n Alter(RS Dano Name of ContactPerson Vi? /'�;�[GS tc`�- tJ Sq. Ft.: ]#St&ies,- # Units: Telephone # of Contact Person: (o 0 2 2 9-2 (o 7 a-- Estimated Value o� Project APPUCANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req -4 Reed TRACKING. PERMIT FEES Plan Check submitted Item Amount . Structural Caics. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Calc& Plans Oicked.up Constnetiou Flood plain plan Plans resubmitted Mechanical Grading. plan' 2" Revim, ready for eorrecdonsassue Electrical Subcontactor Liat . Called Contact Person Plumbing Grant Deed Plans picked up 4- SALL ILO.A. Approval Plans resubmitted Grading IN ROUSE:-: '`' Review, ready for.correctionsfissue Developer Impact Fey Planning Approval Called .Contact Person A,LP.P. Pub. Wks. Appr .Date, of permit issue School Fees Total Permit Fees F44 I I TO SUNRISE ROOFING & CONST., A Division of Steven A. Christie, Inc. tc 56252 Carlsbad Court w Yucca Valley, CA 92284 Yucca Valley Palm Springs 228-2672 Ph/Fax 327-0969 Since 1977 B and C39 • License No. 719638 General Contractor • Roofing • H 1 C UK CONTRACTy DATE: 2-1-07 . SAFi=ved Larisa ,Fstm-�€-€ - Heether JOB SITE: 78390 Crestview Terrace., La Quinta, Calif. PARCEL# b cell � 07 JOB# v,� �c) /yJA�J d�, Za Sunrise Roofing & Const. proposes to furnish all materials and perform all labor.necessary to complete the following: Obtain local roofinq permit. Remove existinq roofiriq to plvwood deckin Replace any plywood required by the building inspector. Garage - Install 4 -ply, hot asphalt roof system: l..0he layer of #28 base 3. Two layers of #ll ply 2. New metal edging 4. One layer of #72 ca ....-Sloped Areas - Install 30 year, Owens-Corning shingle roof system: One layer of #15 felt underlayment 3. 30 year, Owens-Corning shingles _._ 2. 11-, x 1% metal edging 4. Dimensional ridge cap Clean up job area. 30 Year Mfq. Shingle Warrant 5 Year Workmanship Guarantee! Terms: 10% down; 40% on delivery of material; balance on completion. .,,! rcturn .h _c ..,,pl' =?.o^^ ..:nth u All of the above work to be completed in a substantial and workmanlike manner' according to standard practices for the sum of Fi Submitted by i Ji�/nv 2DOf `7yiw^6cb y, _ MAW 8 . Nvn7 e iiea2 ,¢,�, -� ACCEPTANCE r w/2 ck• , rritq Dollars $-5.,75C) 0() Date tool be (�sixn5,la'e: r�� f•e �vmE wtJ� � /.have read both the front and back of this contract. You are liereby authorized to furnish all materials and labor 'required to complete the work mentioned in this contract. cw4, -, cbe p/o 3c) cr)1o4 Tej4,K lIq(v Dov . ACCEPTED' Date Please read GUARANTEE AND NOTICE TO OWNER on the back side of this contract