07-3150 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ty/ 4 4a Q"
Application Number:
07-00003150
Property Address:
51755 AVENIDA
HERRERA
APN:
773-172-013-1
-000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
6486
Applicant:
Architect or Engineer:
C
YJK
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C39 License No.: 828478
'Dat' ��7 0 Contractor: 01 C-
--
OWNER-BUILDER D CLARATION
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 (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).: -`
(_ 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 ISec. 7044, Business and Professions Cade: 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.).
(_) 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:
• j!
LQPERM[T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/17/07
Owner:
LA QUINTA PALM REALITY
51001 EISENHOWER
LA QUINTA,. CA 92253'"1i
'a DEC 1'� 2001
Contractor:
CASTRO ROOFING INCof: LA
P O BOX 122 FINANCE DEPT.
THOUSAND PALMS, CA
(760)343-0042
Lic. No.: 828478
WORKER'S COMPENSATION DECLARATION
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 000147-2007
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 workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forth ith comply /%ith those provisions.
Date:
,/Z/I-07 Applicant: bonze— -es
_+ �
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 above information is correct. 1 ae to comply with all
city and county ordinances and state laws relating to building construction, an eby a rite representatives
of this county to enter upon the above-mentioned property for inspection pu es.
Date: 2 —07signature (Applicant or Agent):
Application Number
. . . . . 07-00003150
Permit . . . .
. RE -ROOF .
Additional desc .
.
Permit Fee . . .
. 30.00
Plan Check
Fee
.00
Issue Date
Valuation,
0,
Expiration Date
6/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
30.00
----------------------7-----------------------------------------------------
Special Notes and
Comments
REMOVE BUILT UP ROOF
& REPLACE WITH 30YR
SHINGLES CLASS "A"
MATERIALS
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
LQPER\iIT
Bin #
City of La Quints
Building &Safety Division
P.O. Box 1504, 78-495 Calle Tampico
B a Quinta, CA 92253 - (760) 777-7012
Building ermit Application and Tracking Sheet
Permit #
Project Address:' V 7s
e Ar//,ems
Owner's Name: Z�
A. P. Number:
Address:
Legal Description:
Contractor: 0
�pVAIL
hG•
City, ST, Zip: �� jt l'J ZZ53
Telephone:
Address: a, 8a
/2
Project) Description:
City, ST, Zip: U ,,
1wj
/
�. %Z2.[ 6
GtM r,C-Z r G/1 7dhG
Telephone: 6k0 3-00
-Y
5 ,� •eS
State Lic. # : z
$
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
"' ?
�—
e� C'OhZ� IGS
Construction Type: /6D�f1 Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
// # Units:
Sq. Ft.: �7 Stories:
Telephone # of Contact Person:
/
Estimated Value of Project. �b • 00
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°" 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
Total Permit Fees
10/17-/2007 _16:09..,47605640344 LA l L
P.O- Box 122,'Thamod Palwq,
(76M 343-0042 * Fad (760) .1p
1.iceelro #828478
La Quirlt� Palm Realty
51.-001 Eisenhower
La Qua, CA 92253
He: Ruoff` Emmate
51.755 Avenida Herren
La quintal'Ca 92253
3ALMS
•-
PAGE
I., .
1
NTNG I'NC
PAGE
2
�9�2T6
State Fund
Workmens Comp. Policy #
285-0002452-04
L
cense # 8284.78
ares:
Completely zernovel and discard existing roof. substrata to lbe inspected for dry rot or defective
plywood panels, emy found to be in need of replacemmt will tie rg2acei at a rate of $45.00 per sliest
(4 X 8 X %Z), upon approval of Qw= or agents, substrate to b� inspected for loosened or non -flush to
deck she Ging Aa1s, any found wfil be driven flue, or com4etely palled out, and re-utled using a
new nail at a new location. Substratt to be cleaned and free of all delmis, prior to new roof instaUabion.
Over prepared sheathing att perimeter insksll new q=) drip F'e ruetal. Over entire roof faastall 1 -layer'
of #15 ;felt nailed to hold in place, Over felt install new Ora, 30-yw se keeling shingles with pipe and
vent flashings nailed to =anufact=s spcciftation. Install n9w hip and ridge trim to cnhl mce roof
appeacanac. All p%pe anel vent flashings to be,painted with rust goof paint to match new roof.
Total Amo nnt: SC48G.00
DEPSNI)ING 01 TH1CXpl'M OF MMTING PLYWOOD NAILS MAY PrX TMTE T14R
TORMS-- I n6% UPON COMPLP.TTON, VNLM [Yf71ERWIV SPM 'U= IN THE CONTR
FIVR (5j Y .AX OVARAN MP AGA N- ST LEAKS WILL FIE! EFa'FECVVE UPON FU1,L PAY
ALL UWiRIS CAUSED PROM AROV£ WORK TO FIF rNSCARD= AND ARHA TO BE
MANNM ACCORI)IN(I To SOMMAP AND WSAITMIt MMM"NO.
WF FRO"E, TO FURNISH A" APPLY LABOR, MATVJA,L$. PPRMM TRANSPORI
OF R0DF7N0.W0RK.
TTils PROP(A'AI, WILL aENULLAND VO70 AFMR IS DAYS FROM PA,T13 51JtiM[I'MI�
DURING THK RL10FING PROISCI' CA,T= ROOFiN0 WILL MAKE ALL AT1 E+N1o13 Q
FM Mx'r, ROCK. OR DEHRI$ THAT MAY FALL IMQ LIVING ARRAS. DAMAGES T�
FIXYt1RPS,
COWI'RACTOR DOE'S NOT ASSIME ANY RESPOWBILITY POR. DDRRECTLON OF IVq
OP ANY EXIS71NG STPJJCntRAL M-FECTS 0NI.W SPECIFIED IN Y141S FROI
WGRIMERING OR FXTRA. WORK 1F RRQ(, (REO BY CITY.
rN THE VVRNT SUIT IS TAROUGH7 TO ENFORc� -r 1R'FRMS OP rFib GON'`mR T, I
W4T$ EXPL'NDEU, tKIA)DING ATTORNRY F'F,E5 A9 A14 CL),MT.NT OF COST.
CONTRACTORS ARE RXQVIRF,b BY LAW -70 OF L=NSED' AND RI OVLATED DY THI
QI.IESTTOM RE P'K'R TCY. OON'MC OX*$ STATE- LIC8MSF:D FIOARt. ID20 -W STMKST,
IF "nglS LSrMATI-, MEW. W TI4 Yf3UR APMVAL, P1,BA5E (Mr~rICATR
R£TURMTNG 5 TO MR OvnCS HY MAIL dR FA,v,. WE LOOK FORWARD 7'016
Submitted
.r
Submittal Dole: OcIphyx 12, 2007
TNF PLTWO01>ON OUTSIDE OVIIRHANG,
CWAN, JUa 7O DG STARIM IN A TIMELY
a.TWLS NECVMARY FOR COMHLE,'r1UN
I
0 MINIMI7.F., OLIT WILL NOT BF_ RESMNSIt3LR
YEW$ (7,murr PIPK OR C75 UNG MOUNT kT)
!Y
STING CODE VIOLA71ON9 OR FOR Ta RPM
)SAL =733 NOT INCLUDE-, ARC)JJTLCWkAT.,
TM PRFIVATLING PARTY 9HAO, RECOVER AI,I,".
eRACTOR ^S S'TA'IR UC'6MSC BOARD. AWRAMF:NTo. CA 9581.4.
1CCCPTANLe By SIGNING THIS. CO'PY ANO
WITH YOU,
Acloopted By.
Owner or agent
Aoceptance Date: ...
Chi
10/10 39ad 13lino 30I330 b98ZL9ELOE lb 01
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