09-0980 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T.,d4t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 09-00000980
Property Address: 53100 AVENIDA HERRERA
APN: 774-054-005-20 -000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 9500
Applicant: I % Architect or Engineer:
0A
------------------------'--------------------------
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.
LicenseeCCrlass: C39 LicenseNo.: 336547
/ate:0/ 1 11 Q ntractor.
OWNER -BUILDER DECLAR ION
-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 (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 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.).
1 _ 1 I am exempt under Sec. , BAP.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:
RICHARDSON DONA L
53100 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
MILLER & SONS ROOFING
68760 SUMMIT DRIVE
CATHEDRAL CITY, CA 922
(760)328-6616
Lic. No.: 336547
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/11/09
WORKER'S COMPENSATION DECLA�EIOftr
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 238002574
1 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 forthwith
comply with those provisions. "
ate: �1 A' scant: 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
/of�"'s county to enter upon the above-mentioned y for inspection purposes.
Dater Signe (Applicant or Agent):
IV
Application Number . . . . . 09-00000980
Permit . .
. RE -ROOF
Additional desc .
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date .
. 3/10/10
Qty Unit Charge Per
Extension
BASE FEE
30.00
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Special Notes and
Comments
TEAR OFF EXISTING
ROOF, INSTALL
FIERTITE
SINGLE PLY SYSTEM
OVER 2 LAYERS
ATLAS
FR -50 FIRE BARRIER. 2007 CODES
----------------------------------------------------------------------------
Other Fees .
. . . . . .
BLDG STDS ADMIN (SB1473)
.
1.00
Fee summary
Charged
Paid Credited
------------------------------
Due
-----------------
Permit Fee Total
----------
30.00
.00 .00
30.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
31.00
.00 .00
31.00
LQPERMIT
Jul 17 09 02:18p Dona Richardson
(760) 564-1779
AL MILLER AND SONS ROOFING CO., INC.
"BETTER ROOFS FOR:BETTER LIVING°::-''
68-760 SUMMIT DRIVE, CATHEDRAL CITY, CA 92234
PH. (760) 346-1214 FAX: (760) 321-7097
LICENSE # 336547
PROPOSAL AND CONTRACT
Owner: Donna Richardson Project: Richardson residence
Address: 53-100 Avenida Hererra Address: 53-100 Avenida Hererra
City: La Quinta, CA 92253 City: La Quinta, CA
Phone: Email:
Energy Star Rated, Title 24 Compliant, CRRC Cool Roof System
WE PROPOSE TO FURNISH THE FOLLOWING MATERIALS AND PERFORM ALL LABOR TO ROOF THE ABOVE LOCATION.
Flat Roof Scope of Work Fibertiie sinele plyroofsystem: Roofing contractor will remove existing roof
to wood deck and haul away. Any water damaged plywood needed to be replaced per uniform
building code will be installed at an extra charge of $50.00 per sheet. Roofing contractor will then
install a Fibertite roof system using the following materials. One ( I ) laver 45 Mil Fibertite single Ply
roofing system mechanically fastened over Two (2)layers Atlas FR -50 slip sheet to wood roof deck.
Price includes new beige edge metal, roof permits, taxes, and a manufacturer 10 year warranty on
materials.
Roof Price: $ 9,500.00
Note: work would not start for 4 to 6 weeks from received signed contract.
Exclusions: STRUCTURAL REINFORCEMENT, INSULATION, GUTTERS
Terms: Net Cash on Completion
ATTENTION
Section 7018 of the Contractors License Law provides that starting July 1, 1966, everyone licensed by the Contractor's License Board shall
give a copy of the following notice to the payor prior to receiving from the owner of the property or his agent any payment for work which a
contractor's license is required
NOTICE
"Under the mechanics' Lien Law , any subcontractor, laborer, supplier or other person who helps to improve your property but is not,paid for
there work or supplies, has a right to enforce a claim against your property. This means that, after a court hearing, your property could be sold
by a court officer for 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 remained unpaid."
Al Miller & Sons Roofing Co., Inc. Agrees to furnish its regular form GUARANTEE for 2 Years after completion of its said work. Said
guarantee to cover defects in material and workmanship only and not to extend to damage to roofing caused by the elements, other unusual
Acts of God and shall not cover any liability for damage to interiors fixtures, decorations, walls, contents of building or other parts of structure
not to damage of faulty construction. It is also understood and agreed that the above guarantee shall be made and remain only when and if
payment is made as agreed in this contract. Al Miller & Sons is not responsible for TV antennas.
We are fully covered by Workmen's compensation and public liability insurance. Carriers' names and policy numbers are available on request.
Any alterations or deviations from the above specifications involving extra cost of material or labor will only be executed upon written orders
for same, and will become an extra charge over sum mentioned in this proposal. All agreements must be made in writing. This offer is valid for
one week from the date of estimate and is based on free access to building for direct loading from our truck.
Prices are based on current cost of material and labor, increases or decreases will be reflected at time of signing of contract. Al Miller & Sons
is not responsible for any damage to sidewalks, curbs or driveways.
If there is any conflict between this proposal, and any other contract or specification relating to the above referenced project the terms of this
proposal shall prevail.
Accepted:
Date:
Respectfully submitted,
AL MILLER & SONS ROOFING., INC.
By: . Peter Turvey, Estimator
Date: 07/14/2009
Bin #
Clty of La Quinta
Building &r Safety Division J
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet'.
Permit #
04
Project Address: �j�� w- IAvq, 4(c�ckk
Owner's Name:Dn�JAkCA4ao f�
A. P. Number:
Address: 5-3 —100 A%OL L fi(F.Q.lZ IL4
Legal Description:
City, ST, Zip: L.ka—w jr*
Contractor: Wt Li�
Telephone:
Address: ,g �oy�,y �
Project Description: rI"—L OTTW- SSjA j(�
City, ST, Zip: My i
84XI-IVI-iZ. S(A.1
Telephone:
o 21
3 2
S &V
State Lic. # : 33
City Lie. #:
r& —S-0 FlAlL ZAAL1 rYL
Arch., Engr., Designer:
Address:
City, ST, Zip:
ne:
Telephone:
Construction Type: O ccu an •
Lic. #:
State
Project circle one):: New Add'n Alter Repair Demo
Name of Contact Person: t'ruQ V
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: -
Estimated Value of Project: O® . pp
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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
Title 24 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 correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees