08-0580 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA„CALIF.ORNIA 92253
i
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
/08_06000580
Property'Address:
�- /52400 AVENIDA VILLA
APN:
773-274-007-1.6 -000000- -
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
6750
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Cha,,r 9 (commencing with
Section 7000) of Division 3 of the Business a d Professionals Code, and my Lice L is in full ice and effect.
License Cl &: C39 License 8498
Date: Contractor:
OWNER -B ILDER DECLARATION
I hereby affirm under penalt '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).: L_
(_ 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.).
(_ 1 1, 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 _ 1 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
Owner:
WALKER JIM S
52400 AVENIDA VILLA
LA QUINTA, CA 92253
(760)564-2808
Contractor:
SPENCER -4 -HIRE ROOFIN
1690 WEST WILLIAMS
BANNING, CA 92220
(760)578-4236
Lic. No.: 849811
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/09/08
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 0020944-2007
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 rkers' pensation laws of California,
and agree that, if I should ecome subject to the work ((rs' co - e sation provisions of Section `
"Date3700 of the Labor Code, shall for with c wit s pro sidns.
Applicant: ` t '
WARNING: FAILURE TOSU ORKE NSATION COVERA IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER T IMINAL COMP PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions.set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for '
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City _
' of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
. within 180 days from date of issuance of such permit, or cessation of woi _ r 180 days will subject
permit to cancellation. .
I certify that I have read this application and state that the above information isKAreuthori
I agr to comply with all '
City
and co ordinances and state laws relating to buil ing c struction, and a representatives
of this cot y to enter upon the above-mentioned prope for i .,
Date: -`Q Signature (Applicant or Agent):
Q
Lic. 849811
SPENCER
5
Invoice# ,./, �2
Desert # (760)578-4236 HIRE 1690 West Williams St.
Banning, Ca. 92220
Riverside County
ROOFING
Name/Owaner: ! b- -
Job Address:' `�_ �C%C' %��//�`;'%� �l_•%/1
City: State: Zip Code: -
Mailing Address:
City: 1-1�9 dr rte " State: Zip Code: -
Phone Number ,� C� ) ;'j �/ -i Fax Number. ( ) -
Phone Number: ( ) - Fax Number:
Description of Work:
SPENCER -4 -HIRE Roofing will furnish all labor and material to install:
OPTI N
COST ....................$ 6, .�sC _
Special Instructions:
Schedule of Extras: Contract Terms:
1. Any structural, plumbing, or electrical work needed associated with the roofing will be billed 44
at $55.00 per man per hour and materials plus 10%. U upon acceptance
2. Any 15/32 plywood that needs replaced will be billed at $2.00 per sq. ft. 'fir -up8h starting work
All Schedule of Extras are due upon acceptance of work order. ` Pon completion
Weather Shield Warranty: y
'v
SPENCER -4 -HIRE Roofing will issue a . year "weather shield" warranty upon ten working days 3f completion.of'work. "•
It is the Owner's responsibility to have the roof properly maintained annually.
Guidelines and proposed budget for annual maintenance will be provided upon request.
Time for Starting and Completing Project:
Work shall commence within Ten (10) days from the date of sale unless specified otherwise date Q and substantially
completed in approximately Ten (10) working days with additional time to be as detailed in Paragraph 9. of the Terms Conditions an "Wotice to Owner" on the
back hereof. Substantial Commencement of work shall be defined as the installation of any materials and/or labor. Contractor failure t.o substantially commence
work, without lawful excuse, within twenty (20) days from the date specified, above is a violation of the Contractors License Law.
Notice to Owner:
(1) Do NOT sign this agreement before you read it. (2) You are entitled to a completely filled in copy of this agreement. (3) Owner/Authorized Responsible
party acknowledges that he/she has read and received a legible copy of the/this agreement signed by Contractor including all Terms Conditions and "Notice to
Owner" on the reverse side, before any work was done and that he/she has read and received a legible copy of every document that the Owner/Authorized
Responsible party has signed during the negotiations. (4) YOU THE BUYER MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE
THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION BY NOTIFYING THE SELLER IN WRITING AT THE ABOVE ADDRESS IN THE EVENT
YOU THE BUYER FAILS TO EXERCISE THIS RIGHT AND SUBSEQUENTLY ATTEMPTS TO CANCEL THIS CONTRACT.AFTER THE EFFECTIVE DATE IF
RECISION THE CONTRACTOR SHALL BE ENTITLED TO RECOVER ALL COSTS AND LOST PROFITS ASSOCIATED W'TH THIS CONTRACT. (5) You as the
owner have the right to require the Contractor to have a Performance and Payment Bound or Funding Control.
Owner or Responsible Party
Upon your sig natu on the I'ne below you are acknowledging Contract Price SPENCER-4-HAE
you have read and gree to a ritten description of Work, post,
Special Instructions, C tra eat�reve
$Time for Starting an Compng Pro dl the Terms Conditions d " ot+dFi.to.�wne
�,�, ti Deposit Amount Due
Owner or Responsible Party: Signature
r�)�-Owner or Responsible Party: Print Name Date of Sale G/
Bin #. City of La. Qu►nta
Building U Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
(a La Quinta, CA 92253 -(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Ve44 41/, . Owner's Name: 'T_ AA ZkAt.
A. P. Number: Address:
Legal Description: City, ST, Zip: ef
Contractor:r��:�G
E
ess: STZip: Raw— hone:. ,6c P.
,/ n
State Lie. # : T f�/ City Lic. #:
Arch., Engr., Designer: .
Address:
City,' ST, Zip:
Telephone: -749
Project Description: 2/z/
A./ o'C/.i /J
2_S
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter. Repair Demo
Telephone # of Contact -Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE ..
.
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan -Sets
Plan Check submitted
Item
Amount
Structural. Calcs.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Cheak Balance
Energy Calcs.
Plans picked up
Construcion '
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.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'•" Review, ready for correctionsrissue
Developer -Impact Fee
Planning Approval
Called Contact Person
A.LP.I'.
Pub. Wks. APp'r
Date of permit issue
School Fees