05-0047 (RR)U
BUILDING '8L SAFETY DEPARTMENT
P.O. Box 1504
(760) 777-7012
OF" T19 787495 CALLS TAMPIC.O FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number 0_5:-'00;000.04`7, Date 1/06/05
..Property Address . . . . . 54235 AVENIDA VELASCO
APN: 774-214-023-11 '-000000-
Application description., RE -ROOF
Property Zoning . . . . . COVE.RESIDENTIAL
Application valuation 5600.--
Owner
600.:Owner Contractor ,.
-----------------------•---- - - - - -- -----------------------.---_.---_--
LA QUINTA REALTY ROOF TILE SPECIALTY, INC.
54235 AVENIDA-VELASCO P. -O. BOX 11257
LA QUINTA., cA 92253 PALM DESERT, CA 92.255
(760) 200-0811
WCC:'EXEMPT
WC: .EXEMPT 11/30/05
CSLB: 810537 07./31/06.
CCC: C39.
P.O. BOX 1504•
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011��I�-V
LA QUINTA, CALIFORNIA 92253T!t44 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 05-0041 Date: _ / — % -O.:r
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
N LA
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comr�en m wrath Section 7000) of Division 3 of the Business and Professionals
Code, and my Lic se is in I force and effect. r1
cense Class A icense No._ 1 V
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 thanfive hundred dollars ($500).):
U 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 or 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.).
U 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
Slate 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.).
U 1 am exempt under Sec. B.& P.C. for this reason
Date
WORKERS' 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' compens ion 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'1pearance carrier and policy number are:
Amer 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with th ovi-s
�V,t .
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.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of pedury that there is a construction lending agency for the performance of the ork for which t is permit is issued (Sec. 3097, Civ. C.).
Lenders Name
Lender's Address fel
APPLICANT ACKOIHIML GEICIE`� U
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 applic n.
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.
1 certify that I have read this application and state thfA:
o orrnatio�iscorrect. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representativesunty to ubove mentioned property forjpspection purposes.
�' 7
to \ ignature (Applicant or
----------------------- --------------------7---------------------------------
;wA Application Number . . . . . 05-00000047
--------------------------------------------------------------------=-------
Permit . . RE -ROOF
Additional desc .
Permit Fee 30.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 0
Qty; Unit Charge Pet
Extension
BASE
FEE
30.00
--------------------------------------
Special Notes and Comments
--------------------------------------
REPLACE SHINGLE OVERLAY
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
0
RTSRoof Tile Specialty, Inc.
Contractors State License # 810537
P.O. Box 11257 Palm Desert, CA 92255
PHONE 760-200-0811 FAX 760-200-0801
A. proposal submitted to: LA QUINTA REALTY
Mailing Address:
Job Address:54-235 AVENIDA VELASCO; LA QUINTA
Phone: 564-4218
Description of work to be performed:
NA1L ONE LAYER 15# SHINGLE LINEER OVER PREPARED SURFACE, IN INSTALL
NEW ROOF JACKS. INSTALL NEW 30 YEAR SHINGLES TO MANUFACTURES
SPECIFICATIONS. PAINT ALL ROOF JACKS TO MATCH ROOF.
Note: In keeping with industry standards: 1. This guarantee does not cover any damage to the interior or exterior on which the roof is
applied or damage to any contents therein. - This guarantee does not cover damage.to roof due to any cause beyond our control,
including, but not limited to: fire, lightning, windstorm, hailstorm, antennas or other equipment, foot traffic on roof, structural fault or
settlement, cracking or other failure of the roof deck; walls or foundation of the building on which the roof is applied. 2. Should it
become necessary for the roofing contractor to remove and/or reinstall any antennas, cooling or heating appliances or other equipment,
whether or not an additional charge is made for such work, the customer understands that neither RTS (Roof Tile Specialty, Inc.) nor the
installer assumes any responsibility for the performance of said equipment. 3. RTS (Roof Tile Specialty, Inc.) does not assume any
responsibility for corrections of existing code violations or for the repair of any existing defects unless specified in estimate and
proposal.
Total Cost: $ 5,600.00 Terms paid on completion unless otherwise specified in the contract. If not accepted in thirty days this
P
ro osal is invalid. Exfra $55'00 er shbet of P1Y�'�d-
nb
if edi5d. — - - -- -- -
P P oo—
Acceptance: You are hereby authorized to furnish all contents written in the contract to complete work mentioned in the proposal
contract for which I/we agree to pay the amount mentioned, in said proposal, and according to terms thereof, (initial). If a
leakage, caused by defects in workmanship, occurs within. -TEN years from date of application, we will repair defects free of charge.
Installation: It is understood that by the acceptance of this proposal you authorize RTS (Roof Tile Specialty, Inc.) to make the installation;
to issue work orders with specifications shown herein and to pay our charge for such installation. You agree to pay the amount
specified herein, which will cover the price of said materials and labor charge. This estimate is based on a complete job and any
surplus material remains property of RTS (Roof Tile Specialty, Inc.). Verbal understanding and agreements with representatives shall not
be binding unless set forth herein. There shall be no liabilities for delays in, or failure to complete, deliver or installation of'all or any
of the herein mentioned merchandise, if due to fire, strikes, war, government regulations or any cause beyond our contract. Any
changes made by you in specifications herein, necessitating additional materials or labor shall not be included or covered by this
proposal, but shall be provided for under separate and additional order from you. (initial)
Arbitration of Disputes: Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall settled by
arbitrator in accordance with the applicable Construction Industry Arbitrator Rules -of the American Arbitration Association which are
in effect at the time the demand for arbitration is filed. A judgment award based upon the evidence presented by the party(ies) who do
(does) appear and participate. Notwithstanding Contractor's right to arbitrate, contractor does not waive any of its lien rights. In the
event of default by client in payment of the amount due hereunder, client agrees to pay reasonable attorneys' fee's and cost incurred in
connection with collection of said amounts whether or not suit is filed. 1.5% per month and/or an annual percentage of 18.0% will be
charged on all past due accounts. Contractor's are required by law to be licensed and regulated by the Contractor's State Board. Any
questions concerning a contractor may be referred to the register of the board whose address is: Contractors State Licenses Board,
9835 Goathe Road, Sacramento, CA 95827. Mailing address: P.O. Box 26000, Sacramento, CA, 95826.
The above prices, specifications and conditions are satisfactory and are hereby accepted.
Owner's Signature
(or authorized representative)/.
Contractor's Signature. (,
Date:
Date:
—T�
a
Notice
(Section 7019 - Contractors License Law)
"Under the Mechanics' Lien Law, any contractor, subcontractor, laborer,
material man or/other person who helps to improve your property and is not paid
for this labor, service or material, has a right to enforce his claim against your
property. Under the law you may protect yourself against such claims by filing
before commencing such work of improvement, an original contract for the work
of improvements of a modification, thereof, in the office of the county where the
property is situated and requiring that a contractor's payment bond be recorded
in such office. Said bond shall be in an amount not less than fifty percent (50%)
of the contract price and shall, in addition to any conditions for the performance
of the contract, be conditioned for the payment in full of the claims of all persons
furnishing labor service, equipment or materials for the work described in said
contract."
Notice
"Under the Mechanics Lien law any contractors,
subcontractor, laborer, supplier or other persons
who helps to improve your property but is not
paid for his work or supplies, has a right to
enforce a claim against your property. This
means that, after a court hearing, your property
could be sold by a court officer and the proceeds
of the sale used to satisfy the indebtedness. This
can happen even if you have paid you own
contractor in full, if the subcontractor, laborer, or
supplier remains unpaid."
Buyer's Right to Cancel
You my cancel the Agreement or offer referred to above anytime prior to midnight of the third day (excluding Sunday) after the day
you signed the agreement or offer. If you cancel and you have already made some payment to the seller,
the seller is entitled to retain
out of the payment, as a cancellation fee. Five percent (5%) of the cash price of the goods or service, but in no event may the seller
retain more than fifteen dollars ($15). You may give notice of cancellation by mailing a signed and dated statement to the seller at the
address indicated. In order to have proof of the mailing it is recommended that you mail the statement by registered or certified mail.
Notice to Owner
Under the California Mechanics Lien Law, any contractor, subcontractor, laborer, supplier or other persons who help to improve your
property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court
hearing, your property could be sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. This can happen
even if you have paid your own contractor in full, if the subcontractor, laborer, or supplier remains unpaid. To preserve your right to
file a claim or lien against your property certain claims such as subcontractors, or material supplies are required to provide you with a
document entitled "Preliminary Notice." Original (or Prime) contractors and laborers for wages do not have to provide this notice. A
Preliminary Notice is not a lien against your property, its purpose is to notify you of persons who may have a right to file a lien against
your property if they are not paid. (Generally, the maximum time allowed for filing a claim or lien against your property is ninety (90)
days after completion of your project.) '
To Insure Extra Protection For Yourself and Your Property You May
Wish To Take One or More of the Following Steps
1. Require that payments be made directly to subcontractors and material suppliers through a joint control. Any joint control
agreement should include the addendum approved by the Register of Contractors.
2. Issue joint payments, made out to both your contractor and subcontractors or material suppliers involved in the project. This will
help to insure'that all persons due payment are actually paid.
3. After making payments on any completed phase of the project, and before making any further payments, require your Contractor
to provide you with unconditional lien release signed by each material supplier, subcontractor and laborer involved in that portion
of the work for which payment was made. On projects involving unconditional lien releases, the persons signing these releases
lose the right to file a claim against your property. In other types of construction this protection may still be important, but may
not be as complete.
Applicable Law
This Agreement, and all the rights and obligations of the parties under this Agreement, shall be governed by the law of the State of
California.
Consequential Damages
Buyer shall not be entitled to recover any incident or consequential damages as that term is defined in Commercial Code Section 2715.
Attorney's Fees
In the event of litigation arising out of this Agreement, or the performance or interpretation thereof, the court will award reasonable
attorney's fees to the prevailing party.
No Other Agreement
This.Agreement is full and final Agreement of the parties and no written or oral communication between the parties before the
execution of the Agreement will modify_or amend the Agreement. The Agreement may be modified only by a written document signed
by both parties.
Liquated Damages
In the event of a breach of the payment terms of this agreement, it is agreed that the seller's (Contractors/Subcontractors/Suppliers)
actual damages caused by such a breach are difficult and impractical to determine and include, among other things, administrative
costs for billing, accounting for and collecting past due payments. Accordingly, buyer agrees to pay seller liquidated past damages as
delinquency/service charges on all accounts past due at the rate of 1.5% per month, annual percentage of 18.0% until paid in full. This
agreement to be a reasonable method for fixing seller's damage so rising.