08-0119 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000119
Property Address:
54621 AVENIDA HERRERA
APN:
774-282-018-7. -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
12741
Applicant:
T-4bt 4 4 Q"
Architect or Engineer:
P(/!), -
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 an essionals Code, and my License is in full force and effect.
License Clas C 9 License No.: 810537
g� ontractor:
/ OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 (5500).:
(_) 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 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:
LQPERA1IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STEVE RAMOS
54621 AVENIDA HERRERA D
LA QUINTA, CA 92253 G
0
Contractor: JAN 11`�/'�
ROOF TILE SPECIALT INC.0/OF tvf
P.O. BOX 11257 F
PALM DESERT, CA 92255 ,�A��F
(760)200-0811
Lic. No.: 810537
Date: 1/11/08
D
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 285073183
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any mann o as to a subject to the workers' compensation laws of California,
(, akd agree that i should become sub -t to the workers' compensation pr ns of Section
�— , 3 0 of t L r Code, I shall forthwith molt' with those provision
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 applicatio ,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the Cit
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 becomesnulland void if work is not comm d
within 180 days from date of issuance of such permit, or cessation of work for 180 will subject
permit to cancellation.
1 certify that I have read this application and st a that the abo i mation is co agree to comply with all
city and cou ty ordinances and state laws relat to building construction, n ereby authorize representatives
of;:; A%tter ugon the above-mentione roperty for inspection purposes.
(Applicant or Agent):
. -3
LQPERMIT
Application Number . . . . . 08-00000119
Permit . . . RE -ROOF
Additional desc .
Permit Fee 30.00 ._
Plan Check
Fee
.00.
Issue Date . . . .
Valuation
. .
. 0
Expiration Date . . 7/09/08
Qty Unit Charge Per
Extension
BASE FEE
30.00
--------------------------------------------'--------------------------------
Special Notes and Comments
RE -ROOF WITH STANDARD TILE, 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
Bin #
City of La Quinta
Building 81 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:'
U .-Q— WV
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST,
' law-
Address;s:. U
P ject Description:
City, ST,
WQ�V.
Telephone
g °
State Lic. #: bco
Arch., Engr., Designer:
i� City Lic. #:
Address:
City, ST, Zip:
Teleph6ne:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:'Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
. TRACHING
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
1-949-364-0202
JAN -03-2009 TNU 09:44 PM RIS Roolint FAX No. 160 200 0901 P•UU'1
Roof Tile Specialty,
RTS
Contractors State License 8810537
F.O.Box 11257 Palm Dessert, CA 92255
Phone 760-200-0811 Pax 760-200-0801
A PROPOSAL SUBM ITED TO: -STEVE RAMOS
MAILING ADDRESS:
JOB ADDRESS: 54621 AVENIDA iDRRERA LA QUINTA, CA 92253 .
Eli: $10-499-5000 FAX:949-364-0202
Description of work to be perforimed: REMOVE EXISTING ROOF TILE AND DISPOSE. INSTALL
O.S.B. TECH SHIELD PLYWQOD OVER EXISTING SPACED SHEETING NAILING
ON CENTER OF RAFTERS. INSTALL l LAYER 40 # TILE LINER OVER PREPARED .'
SURFACE. NEW SHEET METAL AT ROOF TO WALL TRANSITIONS WITH NEW ROOF
FLASHINGS FOR H.V.A.C. AND PLUMBING PENETRAIZONS PAINTED TO MATC .
ROOF. INSTALL NEW EAGLE ROOF TILE PER MANUFACTURES SPEC' S.
70%MATE. DRAW 30%FINAL DRAW
IF NOT ACCEPTED IN 30 DAYS THIS PROPOSAL IS NULL AND VOYD
Note: Roofing is not waaaateed and/ or guaranteed uwU 1000% complete. Piease note Roof Tile Specialty, Inc. is not
responsible for delays in roofing materials of delivery dates. All debris caused from above work to be discarded and area
to be lei; clean. In keeping with indus3ty spridar ds. 1. this guarantee does not cover any damage to the inferior or enerior
on which the roof is applied or damage to any ctmtents therein. This guarantee does not cover damage to roof due to any
cause beyond our control, including, but not limited to: fire, lightning, windstorm, hailstorm, antennas or other
equipment, foot traffic on roof, structural fault or settlement, encking or Other faritao'of roof dyek, wells or foundation of
the building on which the roof is applied. 2. Should it become necessary for the roofing contractor to remove and/ or
reinstall any antennas, cooliidrg or heating appliances or oil &= equipnicA wllether or not an additional charge is made far
such work, the customs understands that neither RTS Maofrdc Specialty, Inc:) nor the nistaller assumes any responsibility
for the perfo*mrine of said equipment 3. RTS (goof Tile specialty, Inc.) does not assume any responsibility for corrections of
oxisting code violations or for the repairs of any misting defects unless specified in estimate and proposal.
Total Cost: $12,741.00 Terms paid on cdnupletion unless otherwise specified in the contract. If not accepted_ in thirty
days this proposal is invalid Extra $55.00 per sheet of plywood if needed.
P.1
Acceptance: You are here by authorized to furnish a1kcontents written in the contract to complete work mentioned in the
posal contract f'or which I/we agree to pay the amount mentioned, in said proposal, and according to terms thereof,
(witty), If a leakage, caused by defects in workmanship, occas within TEN years from date of application, we �!
will repair defects See of charge,
Installation: It is understood that by -the acceptance of this propoaal you authorize RTS (iicaf Tice Spedetty, lac.) to make
the installation; to issue work orders with speFifutions shown herein and to pay our charge far such installation. You
agree to pay the amount specified herein, which will cover the price ol said material and labor charge. Theis estimate is
based on a complete job and any surplus material remaila property of RTS (Roof Tile specialty, tae.). Verbal understanding
and agreements with representatives shall not be binding unless set forth herein Tbere shall be no liabilities for delays in,
or failure to complete, deliver or installation of all or any *of the herein mentioned merchandise, if due. to fire, staikxs, war,
government regulations or nay cause beyond our contract. Any changes made by you in specifications hareio,
necessitating additional materials or labor shall a be included err covered by this proposal, but shall be provided for
under separate and additional order from yo (initial)
Arbitration of Disputes: Any controversy er claim arising out of or relating to this contract,, or the breach thereof, shall
settled by arbitrator in accordance with the applkc bla Construction Industry Arbitrator Rules of the -American Arbitration
Association which are in effect at the time the demand for arbitration is fined. A judgment award based upon the evidence
presented by the party (iw) who do (does)'appear and participate. Notwithstanding Contractor's right to tubitrate, contractor
does not waive auy of its lien rights. In the event of default by client in payment of the amount due hereunder, client
agrees to pay reasonable attorneys' fees and cost incurred in connection with collection of said amounts whether or not
suit is field. 15% per month andlor an annual percentage of 18.01/o will be charged on all past due accounts, Contractors
are.requir cd by law to be licensed and regulated by the Contrac or's State Board, Any questions concerning a contractor
may be referred to the register of the board whose address is: Conhraccors.Staoe Licenses Board, 9835 Goathe road,_
Sacramento, CA 95827. Mailing address- .0. Box 26000, Sacramento, CA 95826.
The -'above prices, specifi cc ons are satisfactory and are hereby ted. '
t?w1`erIs Signature Date U�
(or al.thorized repres nn I
Contractor's Signature R --- Date 1 I' t b X
E