12-0356 (RR) (2)P.O. BOX 1504
-" 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application. Number::.
12=00'0'00'3`56 _
Property Address: '
52100 AVENI�VILLA
APN:
773-234-006-17 -000000-
Application descriptign:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
9200"
414 Qlahtm VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/19/12
Owner:
R W REAL ESTATE
52700 AVENIDA ALVARADO
LA QUINTA, CA 92253
Contractor: D
Applicant: Architect or Engineer: SO CAL ROOFING G .
P.O. BOX 132
COACHELLA, CA 92236
(760)217-7511 JUL 1-.9
I LiC. No.: 966269 t7 '���Z
..- J CITyOF
Fl , INT,q
-- _ --_- -
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LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION -
hereby affirm under penalty of perjury that.1 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: C39 License No.: 966269 - .. 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 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 1978165-11
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 1$5001.:
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 r
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.).
,K
`) 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 there d who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State Lic r L w.l.
I am exempt under Sec. , B.& .C. for his reason '
Date: I�wner:
CONSTRU TION LENDING AGENCY
I hereby affirm under -penalty of perjury that there is a co truction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.). .
Lender's Name:
Lender's Address:
r
LQPERMIT
Date: 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.
I.' 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 ermit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that t abo information is correct. I agree to comply with all
city and county ordinances and state laws relating to b (ding c struction, and hereby authorize representatives
of this county to enter upon the above-mentioned prop rty for i pection purposes.
Mete: �j_'9
Imo' + Signature (Applicant or Agent):
Application Number . . . . . 12700000356
" Permit'RE-ROOF INV FEE
Additional'desc .
Permit .Fee - 60.00 Plan Check Fee
.00
Issue Date 4/04/12 Valuation
0
Expiration Date 10/02/12
Qty Unit Charge .:Per
Extension .
BASE FEE
60..00
Special Notes and Comments
TEAR OFF EXISTING ROOF AND' ltd; -ROOF WITH
LIGHT WEIGHT TILE. R-30 INSULATION TO BE
VERIFIED AT FINAL. INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM ADMINISTRATIVE
CODE,§304:5 FOR WORK BEGUN WITHOUT
- BUILDING PERMIT. 2010 CODES.
' CHANGE OF CONTRACTOR OF RECORD REQUESTED
BY OWNER, PER WRITTEN REQUEST.
Other Fees CHANGE OF CONTRACTOR
4:-50
Fee -summary. __._ Charged _Paid Credited..: _ _
. _ Due
Permit Fee Total 6.0.00 60.00 .00
00
'Plan Check Total .00 .00 .00
.00
Other Fee Total 4.50 .00 .00
4.50
Grand Total, 64.50 60.00 .00
4.50
ti
- LQPERMIT - .,
So Cal Roofing
P.O. Box 132 Coachella CA. 92236 - ►
CA License #966269
(760) 217-7511
7/17/2012 Job location:
Submitted to: • } . 52-100 Ave Villa
Joey Arsanto La Quinta CA 92253
I propose to furnish all labor and materials to complete the following:
• Remove all roof tiles & reassure proper installation of underlayment.
• Remove approximately 67% of standard weight tile (Non code compliant) and replace
with'light weight roof the as required per re -roof -standards (loading & unloading of roof
the will be provided)
• Provide all needed valley metal which was, not provided by original Sub. -Contractor
•
'Provide all bird stop metal at eaves
• Provide all secondary flashings & paint to match tile color
•' Mortar all ridges & ridge ends
• Haul and tow roofing debris
Notes:
• So CaI Roofing is not responsible for any possible damages done to the structure due to
previous non-compliant re -roof standards ;
• City permit been provided by owner
• All labor includes a 2 year warranty
I propose to complete all work in accordance with the above specifications for the sum of:
($4,895.00)
All materials are guaranteed to be as specified. All work to be completed in a substantial
workmanlike manner according to specifications submitted, per standard practices. Any
alteration or deviation from the above specifications involving extra cost will be executed only
upon written orders, and will become an extra charge over and above the estimate. All
agreements are contingent upon any accidents or delays beyond our control. If either party
commences legal action to enforce its rights pursuant to this agreement, the prevailing party in f
said legal action shall be entitle to recover its reasonable attorney's fees and costs of litigation
relating to said legal action, as determined by a court of competent jurisdiction. In the event
that a dispute -between Owner and Contractor should arise it is agreed that both parties will -
consent to and abide by the decision of a local Building Arbitration Service. In the event of non- _
payment of award to the injured party, itis agreed that the attorney's fees and court costs will
be the responsibility of the guilty party.
Contractors are required by law to be Contractor's State License Board
Licensed and regulated by the Contractors 1020 N. Street
State License Board. Any questions concerning Sacramento, CA. 95814
A contractor maybe referred to the registrar
Of the board. Whose address is: ,
So Cal Roofing'
P.O. Box 132 Coachella CA. 92236
CA License #966269
(760) 217-7511
Note: This proposal may be withdrawn by me if not accepted within' 15 days.
Authorized signature: i Date:
Mario Carrasco / Owner
F. 1
"Notice to Owner",
(Section 7018 - Contractors License Law)
Under the mechanics' Lien Law, any contractor, subcontractor, laborer, material manor other person who helps to improve your property and is not
paid for his labor, services or material, has a right to enforce his claim against your property. This means that, after a court hearing, that 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.
Under the law you may protect yourself against such claims by filing, before commencing such work of improvement and original contact for the work ,
of improvement or a modification thereof, in the office of the county recorder 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 tie 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,
services,' equipment or materials for the work described in said contract.
c '
' T
Acceptance of Proposal
Signature:
r
r •
Contractors are required by law to be
Licensed and regulated by the Contractors
State License Board. Any questions concerning
A contractor may be referred to the registrar
Of the board. Whose address is: