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07-2645 (RR)P.O. BOX 1504, 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002645 Property. Address: 77191 CALLE SONORA APN: 773-241-004-4' -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 3500 Applicant: Architect or Engineer: BUILDING,& SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MARTTNEZ-, ERNESTO 77191 CALLE SONORA LA QUINTA, CA 92253 ---------------------------------- Contractor:-'(�! Owner 71 --=--------=-------I- ------C----- 1007 Date: 10/01/07 ------------------------------------------------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ."...��.�I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: .. License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: 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 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.). - (_) 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 am exempt under Sec. , B.&P.C. for this reason Date: �U'/ ! Owner: CONSTRUCTION LENDING AGENCY 1 -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 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 that, if I should become subject to the workers' compensation provisions of Section 37000of the Labor C e, I shall fort ' h comp �w,it�h'tpllpse pr�ovisions. - Dater Q (. 7 Applicant: 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. 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 behalfthisapplication is made, each person at whose requestand 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned prop for inspect- urpose Date Signature (Applicant or Agent)„ . Application Number 07-00002645 Permit RE -ROOF Additional desc - Permit Fee 30.00 Plan Check Fee,.. .00. Issue Date . . . . Valuation 0 Expiration Date-. 3/29/08 Qty Unit Charge Per Extension BASE FEE 30.0.0' . Special Notes and'Comments RE -ROOF FROM ROCK&PAPER TO LIGHT WEIGHT TILE CAPISTRANO 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 TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 f%en6� �i�T OWNER'S SIGNATURE/DATE 7.71 ` 104-1 / r S I-rA 0, v \yn--CA C4 1ZZ53 PROPERTY ADDRESS Z c�2- 6> PERMIT NUMBER(S)" '5..� f 3 ; vL im 0 t� 6..1 �� L.�.`. htg • L'ellt a51. Capistrano l/ Tiles per 100 sq ft. with 3" headlap 88.5 Approximate installed weight field 570 lbs ' f.� .w..\ tile per 100 sq ft. 17' 177 Bel Air, Ponderosa, Double Eagle. Ponderosa, Estate, Golden Eagle Tiles per 100 sq ft. 88 5 with 3" headlap, Approximate installed weight field 720 lbs the per 100 sq ft. Malibu Tiles per 100 sq ff. 88 with 3" headlap "aa .0"ro� Approximate + Anchor Luys + "v installed weight field 550 lbs, file per 100 sq ff. \ 12'6' 17" Approvals International Conference of Building Officials I.C.B.O.E.S. Report #4660, and City of Los Angeles Research Report # 25021 Fire Resistance' EAGLE tiles easily exceed the resistance require- ments for burning brands and spread of flame listed in A.S.T.M. Class A fire test criteria. Cold Weather Resistance ' All EAGLE file products surpass the freeze -thaw test requirements of all known building code development agencies. Eaglelite files are not rec- ommended in areas subject to ice -damming and are limited to the following geographical areas:. Califomia, Arizona, Southern Utah, Southern Nevada Installation Detailed installation recommendations can be found in the Installation Manual for Moderate Climate Regions published by the Roof Tile Institute. For further information please visit: www.rooffile.org I.C.B.O.E.S. Report #6034P upon request, or visit: www.icboes.org Warranty -Limited lifetime product warranty available. - Note: EAGLE warrants the performance of tiles only. Workmanship and accessory materials must be warranted by others. Efflorescence Temporary light patterning may appear on darker tiles. This is caused by efflorescence and occurs naturally as seen on sidewalks, and brick. walls when.alkaline deposits gravitate to surfaces exposed to moisture. The surface of every EAGLE tile has been treated to minimize efflorescence. If it should occur on your roof, it will disappear completely after additional ' exposure to rain. Disclaimer The printed colors shown in this brochure may vary from actual the colors. Before making a final selection, be sure to review current tile samples and roof installations. ®PILE ROOFING ^ -. BetterBIR snuaing I N S TI T U T E RRRR I�Musiry ' ��- B+++-+BIiSlIIeSS Asso lotion or SoutMm • .Bureau. cncran�n Front Cover Photo: American Heirloom Capistrano LHC8710 Ladera Blerid A Bin # '4 City oaf La Quanta. Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico r La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # oject'Address. L?/ '(A I S®/I%o�A 4j.Owner's Name:,C-t4 57-J . r�.4 Jl/ A. P. Number: J '.Addr_ess: of Legal Description: n Contr. 1 I %%En City, ST,'Zip:. )-R -vx A 9Z2-5 3 (Telep one: 260) S( -Li OOZ-4 BW W El (Address: '% 191 cA 1 C 5.8 NCO to Project Description: 'City,-ST;. �l/111 �Z 2,s3 D Q� �� I � k ' -Z-ip:/-A Telep 760�� C)6 --� : � — . State Lic. # : City Lic. #: Arch., Engr., Designer: . ig Address:-%7�7 � CAI City, ST, Zip 1,A. (S2 V kr—A cx% 012.z5 -3 FTelephone`." 7b O 56 (4 o6 24 ' ` Construction Type: Occupancy: State.' Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 4Z---/Zk M1 O 1/14fif"rl OeM - Sq. Ft.: #Stories: #Units: Telephone#ofContact Person -760) 5(p -UBZ- t'�' - Estimated Value of Proje 3 � �' � C, �® ' APPLICANT: DO NOT WRITE BELOW THIS LINE , # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy 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 i Grant Deed Plans picked up S.M.I. . it H.O.A. Approval Plans resubmitted Grading. IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A•I,P,P, ' ]; Pub. Wks. Appr r Date of permit issue �. School Fees u II Total Permit Fees