08-0464 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00000464
Property Addr6ss: 52196 AVENIDA DIAZ
APN: 773-212-006-17 -000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 7486
BUILDING & SAFETY DEPARTMENT
' BUILDING PERMIT
Owner:
RICHERT JAMES
MAR 17 Zoom
F
Contractor:
AppIi&anL� Architect or Engineer: ROOF TILE SPECIALTY I
P.O. BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Lic. No.: 810537
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that m licensed under provisions of Chapter 9 (commencing with
Sectionl7000) of Dives{on 3 of the Busin d ssionals e;-en6r�yy�icense is in full force and effect.
Licease Class: 9 icense No.: 810537
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 Icommencing 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).:
1 _ 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.).
I _ 1 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:
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.I.
Lender's Name: _
Lender's Address:
LQPERMIT
• 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.
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
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 285073183
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 come subject to the workers' compensation laws of California,
an agree th if
I uld become s 'act to the workers' compensation provisions of Section
37 f the La r Code, I shall forthwi comply with those provisions.
J
Date: licant
WARNING: FAILURE TO SECUR 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 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 fro ce 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 d relgtpto
information is correct. I agree to comply with all
city county ordinances and state lawbuilding con fiction, and hereby authorize representatives
of thi nty to ter\�plUpon the above-mDate: ly�iature (Applicant
Application Number . . . . . 08-00000464
Permit . .
. RE -ROOF
Additional desc .
Permit Fee,
30.00
Plan Check
Fee
.00
Issue Date
Valuation
:
0
Expiration Date
9/13/08
Qty Unit Charge Per
Extension
BASE - FEE
30.00
----------------------------------------------------------------------------
Special Notes and.
Comments
RE -ROOF WITH SAME
CLASS "A" MATERIAL.
2008 CODES
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
LQPERM[T
Bin #
t City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701.2
-Building Permit Application and Tracking Sheet
Permit #
Project Address:n a
Owner's Name: `
-2
A. P. Number:
Address:
Legal Description:
City, ST,
Contractor: Iw
((
Telephone: ,
Address:
Project Des ti
City, ST, Zip: V
Telephone:CQ 11
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:.
t
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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.
Energy Calcs.
Plans picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading, plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
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
Date of permit issue
School Fees
17
Total Permit Fees
MML5P
Roof Tile Specialty, Inc.
RTS
Contractors State License # 810537 v
P.O. Box 11257 Palm Desert, CA 92
PHONE 760-200-0811 FAX 760-200-0
A proposal submitted to: JIM RICHERT
Mailing Address: v
Job Address: 52196 AVE. DIAZ, LA QUINTA, CA 92253
Phone:
Description of work to be performed:
THIS CONTRACT ASSUMES THAT BUILT UP RO F WAS MOVED IN ITS ENTIRETY
BEFORE INSTALLATION OF TILE ROOF. IF ROOV IS N4001 REMOVED, ADDITIONAL COST
MAY APPLY. REMOVE EXISTING ROOF TILE A S?TALL
INSTALL NEW PERIMETER
METAL AND ALL ROOF TO WALL SHEET MET AYER 40# TILE LINER OVER
CLEAN ROOF SURFACE. INSTALL NEW ROOF JA H.V.A.C. AND PLUMBING
PENETRATIONS PAINTED TO MATCH ROOF. REINSTING ROOF TILE TO
MANUFACTURES SPECIFICATIONS.
70% Upon dry in and loading/30letion
If not accepted in 30 days this proposal is -null and void
Note: Roofing is not warranteed and/or guaranteed until 100% complete. Please note Roof Tile Specialty, Inc. is not responsible -for
delays in roofmg materials or delivery dates. All debris caused from above work to be discarded and area to be left clean.
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: 7,486.00 Terms paid on completion unless otherwise specified in the contract. If. not accepted in thirty days this
proposal is invalid. Extra $55.00 per sheet of plywood if needed.
Acceptance: You are hereby authorized to furnish all contents written in the contract to complete work mentioned in the proposal-. -
contract for which Uwe 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 FIVE 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 Date:
(or authorized representative)
Contractor's Signature Date: c,2110-11 Q�