05-5233 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00005233
Property Address:
54940 AVENIDA DIAZ
APN:
774-291-010-15 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
5497
Td�144Q"
Applicant: Architect or Engineer:
ip/P
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t t I m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin s a d Professionals Code, and my License is in full force and effect.
License Class: C39 Li nse No.: 828478
�at� s, Co or:
11--p
/
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 rsigned 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—) 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.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012-
FAX
77-7012FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/30/05
Owner:
TRUDEAU ROBERT F
5088 ELATA AVE
YUCCA VALLEY, CA 92284
rFINANCE
Contractor:
GASTRO ROOFING INC � Q ^005P O BOX 122 THOUSAND PALMS, CA 92276(760)343-0042 DO" A
Lic. No.: 828478
------------------
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 285000245204
_ 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 ecome subject to the workers' compensation provisions of Section
3700 of the Labor C, a, h II forth comply with those provisions.
te: \\ QS plicant: l/�\I. I
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 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 abo information is correct. I agree to comply with all
city and county ordinances and state laws relating to building o s uction, and hereb authorize representatives
of this county to enter upon the above-mentioned prope for in ction pu os
Vie: \\ ,3 gnature (Applicant or Agent):a
Application Number . . . . . 05-00005233
Permit . . . RE -ROOF
Additional desc .
Permit Fee 30.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 0
Expiration Date 5/29/06
Qty. Unit Charge Per
Extension
BASE
FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
ROOF REPAIRS & RE -ROOF
- Fee summary Charged
Paid Credited
Due
Permit Fee Total 30.00
00
.00
30.00
Plan _Check .Total .00
.00
.00
.00
a Grand Total 30.00.
:00
.00
30.00
LQPERMIT
FROM :CASTRO ROOFING
Bob Trudeau
54940 Avenida Dial
1.a Qainta, CA 92253
Re: Rouf Repairs
FAX NO. :7603432097 Sep. 26 2aM 02:14PM P2
P.O.009122, 111nnt)and Pains, CA 92276
(760) 343-M2 * Fax (760) 343-21N17
11colse 11LIM1i47I1
Remove roof tilcs and set aside for later re -use. Install new edge metal and new #40 felt nailed to hold
in place. Install new file pan, saddle and roof to wail metal as needed and re -install roof tiles.
Total Amount: 15,497.00
Note: ran, f tiles that are broken will be replaced with new We but Castro KrxrfmF can >'tot guarantee
exact match in color.
F'1VE(S) VEAR GUARAN'1'P.F. A(iAINNT LEAKS WIIJ-BE Ertl(C11VE UPON FUIJ. PAVMI?NT
TF.R.'S: lIW K 1tMN (xJMPTJ? t7UN. UNI.RSS Ut HiRWIS$ S11I'CIFrFn IN THR CUNTRACI'.
PHIS PROPO7RAL Wal HK NI ILL AND VOID AFITI 15 DAYS FROM DA11. SUBMWI-Fa
ALL DEBRIS CAIMED FROM MOVE WORK TO BE UIKCARDE1) AND AREA TO t)C• I. Fr MOAN. M To ME FTAR11W IN A TIMI{I.Y
MANNU ACCORDING 10 RCHEDULU AND WEATHER PERiNHMNO.
WK PROPUSE110 FI.IRNISII AND APPLY LAMM MA1114AI C, PERMn1:, TRANRPORTAXION, & TIMIR NZUMARY FOA COMPIF ION
OF R0017N6 WORK.
DURINtI'IM ROOWNG PROJECT CA."MU ROOPINU W11J. MAKL All. AT1L'MP . TO MIN1 AW; FKrr WILL NOT AE R -'MK)NR1BLIi .
FOR, DIRT ROc:K;, OR DERRIS MMT MAY FALL. TNTO I.Iv1NO AREAS. DAMAGES TA VENTS &WOUIT PM4, OR CT:alKo' MOURIT.0
FIXTURES.
CMTRACTOR VUES NOT ASSUME. ANY RESIMMSU n.RY FOR CORRL•'Ct1ON OF EXISM0 COLMI VIMATIONR OR IWR'1'H1: RMAIR
(W ANY EXIM'INU STRUMIJItA1. 11171:rill IT ZSS 811WIFIED IN 'TIM PROPOSAL C!1MAl:1'. nOES N(11' INOAIDI!
ARCH-.crIjRAL, EN(NNRF.RINU OR EXTRA WORK IF REQUIRED BY CITY.
IN T1ir. L'VI.'NT RIItT 18 LMAX CIHT'LO L•TJPORCP T1IL'I1iNMC Or 'rIIK CAIWTRA(,"1', THE PRAVAILTNU I''ARTY SUAI.1. RRCAIVER AW.
COCI:I P.XPFNDLD INCr,UDING A'1"I'I)RNEYI-1'.F,II AJi ANELF.MI?Xl'OFC(KYT.
CONTRACTOM Aft RF,Qt=-D mY TAW TO HP. IJCMrT) AND REGULA17171 BY 'I'M. CONTRACTOR'S $t'ATP LIC'F1JSK HOARD. ANY
Q11FT IONS RP.PF.R TO, (,'CINYRACTOR'S STATF. LICENSED HOARD. Iwo "N"STRF.t'.T, SACRAMENTO, CA 95810.
IF TIUS LS'I1MNIT. N=n WrrH YOM( APPROVAL, PI.r:A•46 INDICATE YOUR ACCU•rANCE BY KIONWC T)11V4 COPY AND
RMIRNINO TTTOOUR (OFFICE BY MAILOR FAX. Wle WOK OK F01tWAI(DTr) WORKING W1111 YOI).
Submitted by; 1
Richard Castro •- Pre 'dent
Submittal Date: ftlember 23. 200S
I •d
Acceptance Date:
I
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 5L
_
Owner's Name: 3 C 1
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: (j�S v
Telephone:
Address: 60, (Z Z
Project Description: l
City, ST, Zip: IrlA v\,S A ct Z z7(.
QF
Telephone: _ y3 _ 2
c asp .
State Lic. # : $ L �
City Lic. #:
1 err Qac J
Arch., Engr., Designer:
Address:
f C'` n
GL ✓t�.l c.0 -vt u
City, ST, Zip:
l
S CCVJ I -t V -ova- �� i -.Ln l � ►AVE � '�I `t S VFe
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter1'1Repa► � Demo
Name of Contact Person:
Sq. Ft.: Z(
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: .00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
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
Grant Deed
Plans picked up
S. .1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3"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
9