09-1092 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
09-00001092
77955 CALLE TAMPICO
773-078-032-22 -000000-
RE-ROOF
VILLAGE COMMERCIAL
6997
Architect Or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RAY BARLAVI
P.O. BOX 4302
PALM DESERT, CA 92261
Contractor:
CASTRO ROOFING INC
P O BOX 122
THOUSAND PALMS, CA 92276
(760)343-0042
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS -(760) 777-7153
Date: 10/14/09
fLic. No.. 828478 �' 0�
--------------------------------------------------------------------------------------------;_ -
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 pro id
Lic nse Class: C39 License No.: 828478 for by Section 3700 of the Labor Code, for the performance of the work for which this permit i
_ uissued.
Date• �J Z i 0 ontractor: 0 IL I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
1-11 Code, for the performance of the work for which this permit is issued. My workerscompensation
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND ' Policy Number 63914708
following reason (Sec. 7031 .5, Business and Professions Code: Any city.or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions.
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).: ate:b I pplicant: — ""'�- C,
(_ 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 WARNING: FAILURE TO SECURE WORKERS'. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
( 1 I am exempt under Sec. , BAP.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
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 building construction, and hereby authorize representatives
of tVrs county,, IIto enter upon the above-mentioned property for inspection purposes.
Date:t Q R ignature (Applicant or Agent):
1,0PRRMIT
Application. Number . . : . . 09-00001092
Permit . . RE -ROOF
Additional desc..
Permit Fee •. . . . . 30.00 Plan Check
Fee
.00
Issue Date Valuation
. . .
. 0
Expiration Date 4/12/10
Qty Unit Charge Per
Extension .
BASE FEE
30.00
--------------------------------------------=-------------------------------
Special Notes and.Comments
REMOVE ROCK ROOF AND INSTALL PRO 30 YR.
SELF-SEALING SHINGLES. 2007 CODES.
-----------------_-_----------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 30.00 .00
.00
30.00
_
Plan Check Total .00 00
.00
.00
Other Fee Total 1.00 .00
.00
1.00
Grand Total 31.00 .00
.00
31.00
1,0PRRMIT
09/07/2007 00:48
04/13/2009 15:40
7604064034
7603432097
IJB PROPERTY SERVICE
CASTRO ROOFING INC
PAGE 01 / 0'L
PAGE 02
1
d= IF= is4=
P.0..6os 122, Thousand Palms, CA 92276
(760) 343-0042 * fox (760) 343.2097
Roiko Realty License x$2$4'1$
P.O. Box 4302
Palm Deser4 CA 92261-4302
Re: Estimate Re -roof Back Section only
77-955 Calle Tampice
Ln Quinta, CA. 92253
-7-7/ -- C65 7/
Over Built up tar and gravel stction only, completely remove and discard existing roof SLibstrate to be
inspected for dry rat or defective plywood panels, any found to be .iD. nccd of rcplaccmezrt will be
.replaced at a. rate of $48.00 per sheet (4 X 8 X "A), upon approval of owtzer or agents. Substrate to be
inspected for loosened or non -flush to deck sheathing nails, any found will bE driven flush, of
completely pulled out, and .re-nAilcd using a 'new nail ata now location. Substrate to be cleaned and
free of all debris, prior to new roof installation,
Over prepared sheathing at petirneter install liew (2X2) drip edge metal. Over entire roof install 1. -layer
of #15 felt nailed to hold in place. Over felt install nem, Pro. 30 -year self-sealing, shingles with pipe and
vent flashings nailed to manufactures. specification. install new hip and ridge bim to enhance roof
appearance. All pipe and vent flashings to be.painted with 'L15t proof p>aitrt tb Irmatoh
new roof._
Tctsll Amount: $6,997.00
Extra cost to remove and disconnect and discard A/c site screens: $500.00 x
�tials
This prica does nor In6lude. disconwc! and reconnecting a/c units, curb and mesal cans
S '
TFkMS: 10D% UPON COMPLETION, UNLESS OTKERWISF. SPHCIFLED IN TTIF CONTRACT. i71 14 VP VI e-0
FM (5) Vr:AR OUARANTFE NUArNST LEAKS WILL BE EFF CTIVF UPON FULL. PAYMENT.
"IMS PROPOSAL, W ll,& 13L NULL AND VOM AM- MR I5 DAYS FROM DATE S118MITTED.
ALL M1 BRfS CAUSED rROM ABOVE WORK -IO RE DISCARDED ANn AREA TO 132 LEFT CI,EAN. !OB TO B} STARTED iN A TLMi:f,V
MALMt>;R ACCORUiNG TO SCHEDML '. AND WEATHER PERMTTTiNG. tier PROPOSE TO FURNISH AND APPLY I.AT30R, NIAT>rRIALS,
PERMITS, TRANSPORTATION, & TOOLS NECESSARY POR COMPLETION OF ROOFING WORK.
D1iRfNQ Tlit k0OVINO PROJECT CAS -1A0 ROOFING WILL MAKE ALL ATTEMPTS TO MiNTMT7E, NUT WiLL NOT BE RFSPONS03LE
FOR DIRT. ROCK, OR i)FBR1S THAT MAY FALL TNTO LIV INC, AREAS. DAMACYF..S TO V.LivT.SC()Nhl lIT PIPE'S, OR (f'II.iNG M, Um 2t)
FrXTURER.
CONTRACTOR DOFS NOT ASSUME ANY RF_SroNS181L)TY FOR CORRECTION OF FXISTING CODs: VfOLATTON3 OR NOR 7T-Tr.REPAIR
OF ANY F,XFSTING STRUCTURAL DEFECTS >11411,E5S SPECIPIED iN THE PROPOSAL, CONTRACT. IX)ES NOT TNCI.IJDF,
ARCHITECTURAL ENGi IEF„RiNG OR FX) -RA WORK iF REQII11ZPD AY CITY.
ESTIMATT: DASE NOT TNCLUDES DISCONNECTING AND RECONNECTING ANY13
I LC,TRiC, PL.UMF]iNG.'GAS LIN�N AND MLCiiAN1Cl,1?
SQIJ11,TM"s INL2S OTHER WISE NOTED.
iN TiTE EVENT 5LfITIS BROUG141' TO T_NFORCE TNI •FRMS Or T1 -T C04,rRACT, THE PRL-VAiI,ING PARTY Sl -TALI. RECOVER ALL
COSTS F.YPENDCD. INCL(JT)1NG ATTORNEY FEES AS AN ELEMENT OF COST.
CONTRACT ORs ARE REQUiRED BY I,AW TO BE LICRNSEO AND P,LGUL,ATsIn Ry Txc CONTRACTOR `5 STATE L1Cf;NSE BOARD. ANY
QUCSrfONS REFER TO: CONTRACTOR'S STATE f.iCEVSED SOARD, 1020"N STREET, SACRAMF,\TTO. CA95814,
TF THiS T•:STiNLATL MEETS W1TK YO APPRUVAL. PLEASE INI]iCATC YOUR ACCEPTANCE BY SIGNING THIS COPY AND
RFTURNMG IT TA C1!1R 0�Q-PvOF�AX'WIIE LOOK FORWA.RA TO WORxrNG WTT13 You ,�
Submitted b Accepted B
R.ichard Castro - President ��Omer or agent
Submittal. Date; _April 13, 2009 Acceptance Date: _5 2z_0/C,5
Bin #
Qty Of is Quints
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
O
Project Address: 1 _ S' �k T a M I zo
Owner's Name: 9 p t IC _S
A. P. Number:
Address: C O G o X *`t301_
P
Legal Description:
City, ST, Zip: ti CP, ti2tn
Contractor. C, _ L
AS �Ro ilo�n
� k4i...... :y?'Yk}^!k::Yf'tii% jfjifih�x
;:>.•< :v.. ;.;:
Telephone: a�;;�:.r�:s.;�,:~<:;>z>�::��•ti:>:�>�'`s
Address: dal ci
Project Description: ICiM o vL Koch roo`
City, ST, Zip: I flop ire, (ti, > C -2
Ar J (A-, (h P16.�
Telephone: bv) �HS-00y2;
;X9 .rl;>r.::;:;tii; 3i:% ff.?:...4.; G G
��l %GI�•n h� �ei
'�7
State Lic. # :'_8
City Lic. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
;;: <r :;;:.;;. i:.;s::»:;:::;>.
£;4x
Construction Type: Occupancy:
Project type (circle one): New � Add'n "Alter- Repair
Sq. Ft.: # Stories: #Units:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person: '? (oD 1( p It -g, l00
Estimated Value of Project -� q'1 C)a
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
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
Title 24 Cales.
Plans picked up
Construction '
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7i° 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