06-0484 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
�i
Applicant:
06-00000484
46400 DUNE PALMS RD
649-040-014- -000000-
RE-ROOF
MEDIUM DENSITY RES FrD
15420
Architect or
Tij�t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/31/0.6
LICENSED CONTRACTOR'S DECLARATION
( hereby affirm under penalty of, perjury,that I am licensed under pro 'ions of Chapter9 (commencing with
Section 7060) of Division 3 of the, Business and Professionals C and License is in full force and effect.
License Class: C39 o.• 60707
Date: " Y_/ Contractor:.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I arrexempt from the Contractor's State License Law for the
following. reason (Sec: 7031.5, Business,and Professions Code: Any cy,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 asigned, statement that he or she is.lioensed pursuant to theprovisions of the Contractor's State
License Law (Chapter 9 (commencing with Section.7000) of Division,3 of the Business and Professions Code) or
that hworshe is exempt therefrom and the basis for the alleged exemption. Anyviolation of Section 7031.5 by
anyapplicant fora permit subjects the applicant to a civil penalty of not more thamfive hundred dollars :(9600).:
(_ 1 I, as owner of the,property, of my employees with wages as theirsolecompensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Coder The
Contractors' State License Law does notapply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own,employeesi provided that the
improvements are not Intended or offered'for sale. If, however, the building or improvement is sold within
one;vearof completion; the owner -builder will have the burden of proving ;that'he,orshe 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 Coder The Contractors' State License Law does not apply to an owner, of.
property who builds or improves thereon, rand who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License LawJ.
C_ I 1 am exemptunder Sec. , BAP.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjurythat thereis a construction lending agency for the performance of the
work,for which this permit.is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lerxter's,Address:
LQYEBMLT
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.forworkers 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 worker's' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1801579
I certify that; in the performance of the work for which t " permit i "sued, I shall not employ any
person in anymanner so as to become�subjOct to
_ rk_ers' o-pensation laws of Caldom a,
and agree that, if I should me subject to the w tion provisions of`Section
y 3700:of the Labor Code, shall hwit mpiy :pr isions.
Date: ' J I—Applicant:
WARNING: FAILURE TOS URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT N EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS( 1 $100,000). IN ADDITION TO THE'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE; INTEREST, AND.ATTORNEWS FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is: hereby made to the Director of Building and Safety fora permit subject to the
conditions and restrictions setforth on this application.
1. Each person upon whosebehalf this application is.made, each person at whose request and for
whose berieth 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 Quints, 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 ISO 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 authors epresentetives.
of this.county to enter upon the above-mentioned propertyJbr.insp tion pur ores.
Date: j_ 3/`06ignature (Applicant or Agent):
Owner:
DUNE PALMS MOBILE ESTATES
8 �
Contractor:
JAN 3 12006
PETRONELLA ROOFING COMPANY
68314 KIELEY ROAD
i®FLAQUINTA k
CATHEDRAL CITY, CA 92234
FIAIMCEDE!J. )
(760)324-54.82
Lic. No.: 460707
LICENSED CONTRACTOR'S DECLARATION
( hereby affirm under penalty of, perjury,that I am licensed under pro 'ions of Chapter9 (commencing with
Section 7060) of Division 3 of the, Business and Professionals C and License is in full force and effect.
License Class: C39 o.• 60707
Date: " Y_/ Contractor:.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I arrexempt from the Contractor's State License Law for the
following. reason (Sec: 7031.5, Business,and Professions Code: Any cy,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 asigned, statement that he or she is.lioensed pursuant to theprovisions of the Contractor's State
License Law (Chapter 9 (commencing with Section.7000) of Division,3 of the Business and Professions Code) or
that hworshe is exempt therefrom and the basis for the alleged exemption. Anyviolation of Section 7031.5 by
anyapplicant fora permit subjects the applicant to a civil penalty of not more thamfive hundred dollars :(9600).:
(_ 1 I, as owner of the,property, of my employees with wages as theirsolecompensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Coder The
Contractors' State License Law does notapply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own,employeesi provided that the
improvements are not Intended or offered'for sale. If, however, the building or improvement is sold within
one;vearof completion; the owner -builder will have the burden of proving ;that'he,orshe 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 Coder The Contractors' State License Law does not apply to an owner, of.
property who builds or improves thereon, rand who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License LawJ.
C_ I 1 am exemptunder Sec. , BAP.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjurythat thereis a construction lending agency for the performance of the
work,for which this permit.is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lerxter's,Address:
LQYEBMLT
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.forworkers 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 worker's' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1801579
I certify that; in the performance of the work for which t " permit i "sued, I shall not employ any
person in anymanner so as to become�subjOct to
_ rk_ers' o-pensation laws of Caldom a,
and agree that, if I should me subject to the w tion provisions of`Section
y 3700:of the Labor Code, shall hwit mpiy :pr isions.
Date: ' J I—Applicant:
WARNING: FAILURE TOS URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT N EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS( 1 $100,000). IN ADDITION TO THE'COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE; INTEREST, AND.ATTORNEWS FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is: hereby made to the Director of Building and Safety fora permit subject to the
conditions and restrictions setforth on this application.
1. Each person upon whosebehalf this application is.made, each person at whose request and for
whose berieth 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 Quints, 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 ISO 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 authors epresentetives.
of this.county to enter upon the above-mentioned propertyJbr.insp tion pur ores.
Date: j_ 3/`06ignature (Applicant or Agent):
Application Number . . . . . 06-00000484
Permit . . . RE -ROOF
Additional desc . .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date.
Valuation
. . .
. 0
Expiration Date 7/30/06
Qty Unit Charge Per
Extension
BASE
----------------------------- -------------------
----- ---------------------------------------------------
FEE
-------------
-------------------
30.00
Special
Special Notes and Comments
REMOVE EXISTING TAR & GRAVEL
ROOF-REROOF WITH 2 PLY CAP SHEET.
CLASS
"A" MATERIALS ONLY.
Fee summary Charged
Paid Credited
Due
----------------- --------- ----------
Permit Fee Total 30.00
----------
.00
----------
.00
3.0.00
Plan Check Total .00
.00
.00
.00
Grand Total 30.0.0
.00
.00
30.00
�E
U
JRN-31-2006 13:27 FROM:PETRONELLA ROOFING 1.7603284612
Bin f
City of La Quints
bUdl'ng ar, Safety MvWonl
P.O. Box 1504, 78-49S Calle Tampico
La Quints, CA 92253 - (760) 777.7012
Building Permit Apglieation and Tracking Sheet
<1,6r Owner's Name: X
Address.- .4
City, ST. Zip:
G Telephoner
/ Project.Description: V
rr'ZZ3 V J
ZZ
Pent
1;
Project:Address:
. . .�/_10
A. P. Number:
Contractor: x
Type:
Occupancy:^y~��a:.Project
Addre3s• x ag-jle
/
City. ST. Zip: K e41711Q'
AC
Gam/
Telephone: K
_ Z
IM
Stile Lit;, ti : k
ZeV �7-
1 Ci
Arch.. Engr...Dcsigner.
Address:
City, ST, Zip:
Telcphorne:
State Lic. f. -
Name of Contact Person: �6
Tclephonc it of Contact Person: X
KI Submittal
Plan Sets
5lrrrctural,Calcs.
Taws%Coles.
Titit:3/ Colts.
Flood plain plan
Grading plan
Subtontactor List
Grant Dced
1I.6,A. Approval
IN HOTJSEo-
Planning Approval
Pub. wka. Appr
School Fees
TO:7607777011
Lie. #:
P.212
�°° >«w"MCOftStruction
Type:
Occupancy:^y~��a:.Project
type (circle one)-
New Add'n Alter Repair Demo
/
Sq. Ft..
p
Stories:
N Units:
Estimated Value o('Projeet: y "'
APPUCANT:
DO NOT` MITE BELOW THIS UNE
TRACKING.
PERMIT FEES
Plan Check submitted:
Item
Amount
Reviewed, ready -for corrections
Plan Check Deposit.
Called Conmel Person
Plan,Chetk Balance
Plans,pleked up
Construction
Plans resubmitted
Mechanical
2" Review. ready for eorrectionmssue
Electrical
Culled Contact person
Plumbing
Plans picked up.
S.(itil.
plans resubmitted
Grading
Review, ready for eorrecgoosil"Ve.
Developer Impact Fee
C111ed Contaet;Penon
Date of person Issue
1 Total Pcrmil Fees
JAN -31-2006 15:30 FROM:PETRONELLA ROOFING 17603284612 TO:97777112
E R ER&JFING S,PECI 1LIS'T
"Since lm"
O O F 1 N O
Corporate Office:
2626 Newport Blvd.
Costa Mesa, CA 92627
949.548.1645 / Fax: 949.548-26,17 License #460707
agrets It) !}mv idc thr
P. 2/2
INC.
DesertOi'fice:
68-314 Kieley Road
Cathedral City, CA 92234
760.324.5482 /Fax: 760.328.4612
mattriuls and construction
NAME/OWNER MRS. AWfA CHIN P14ONE NO: (
REROOF PROJECT ADDRESS 46.400 DUNE PALMS ROAD
CITY, STATE & ZIP CODE LA QUINTA, CA. 92253
BILLING ADDRESS: 3487 ROWENA AVE.
C1TV, STATE & ZIP CODE: LOS ANGELES, CA. 90027
ADDITIONAL. PHONE NUMBER: FAX NUMBER: (323) 661-3371
DESCRIPTION OF LABOR MATERIALS AND MISC.:
l"Or•.;m II.i Itarttino. ►villlur•rinh all latxtr and ntaftri:al +.t, Irt�T:al .
OPTION #1
BASE 2 -PLY CAP ROOFING SYSTEM
C..ONt......... ................................................................... $15,420.00
SPECIAL INSTRUCTIONS: CONTRA(. -r TERMS:
1_. keplace damaged plywood at $2.50 per S.F.. as required by city inspector.
2. Any electrical or plumbing work will be billed at $75,00 per man per hour. 10% Upon award of Contract
- 40% Upon Program
50% Upon Completion
i imr rOR ST.ART'IN(. AND 1.OMP1 F TIN(o PR(I1F( 1 WOA S11a1i a:ouuutnce %ohm ten (10) dayx fnnn .the date of Zak unlem xpm iea uthcrvkix
_•. _ lnil t>< substantially contplatcd sit appnrrtmalety tvil 00) w0ikuig clay:; wdh odditionilllinut; to hcttx dL-taiI(d in Paragraph 4 of the
1 culls.. (erodidanP. and Nutict to Owiti' au Clic hack hcrcof Stdurtuttia) (.'Wftmutctu.ent td' mA khall be dti aW ax die ,n-401lation of any matertnlx and'af labor
C untratclurx fatium it) xulx4mim1h, cnrttmcncc vttxi.. %itlltwt IatYful V ct:u a. within tt im (?Q) days from the dine ;ptcltied. alkivc a >a violation of the ( tmtntc•Mr;
I iicnsc l:a�t
N( rl 1( I FO Ht I V F R (t) Do n(tt atgn this niaxtinenr klun )ou mW it (11 You arc cntitlai ht a utmpI%VI3 tilled ut copv of this agrc-en►pul I T) tatyncr
Au1h.:r.r_tl R4.ixvt;.thlr patty aiktwwledgca Thal he / she hai_ read and eecetvtd L Icurhlc copy of the diri agret:mtnt ylpti►.A 1ny ( uulroclor. inciuditt all Itnn;.
( nidifitsm aril -Nou4r.o t %*ner' (m rhe incmc side., brforc any Muck uxi done and that ht ' she ha: toad urrl rev etvcd.n lc iblc copy of every du(utlitut thal ()%,,n4•r
Authorised Responxihle jh1rfy hLas 3ignlA dining ills. itegoli nitro. (4') VOII. THr D11117E.R. MAY( AN( FI THIS TRANSA( I [ON AT ANY IiW 1'RIOjt TO
M11N'dl( Hl OF THF THIRT):Ti1tSINrSS UAY AI'TLR MIF DAIF OF TMS TRANSAL 110N KY'NO'IFFYII+10 TIIL'SI..1 I 1,-R. IN WRIT'!N(t..41 THr ABOvi
Nt)I)RESS IN 771 L"* r.Vr.T"T YOU T11F NUYI-R FAR S 10 LXLRCI%r T1T1S RI (411 ANO 4,LIB5E0tJ1r>l'Tl 1• AI'ItNIPTS TO (AN( FI THIS U NMAC I
AF TFR 1-11F FFFCTIVI' r)ATC IF RCCISION.,Till. IONIKAC COR %HAI L Lir INTITIJ 1.)1'(1.1 VCOVER ALL (OSIS AND tif.)ST PR(N!115 AS%UATED
WITIT TI11S t.ON'TKnc I (1) W(l. AS (1WNF"R OR IFNANT.IIAVr LETT Rl(t1V11 ID R!'Qu►Rr -nFL"CONI RACr(1R TO 1'IAtil A PFRFOMANC1. AND
I'M N1FNI IiONI)ORFliNDIN(tCON 1ROI
OWNER/ RESPONSIBLIt; PAR FY
/VR%b't CrNi;.f
Owner! Itexponrmhk Parte; Print Name
-C 4<d� C.�
nwlw,. ! RrtlnmaiWc Parly: SiKnalure
//—/ ✓rte 194
CONTRAC-I OR (LSKI.I.FR)
M ilex Scher
11'evenellji Rooflftig'Autha r Ate Rentatiyez Print Name
r>1"arlix Ruofino .Authorized Reprnealativea Signature
NOVEAIDER [11.2(415
Date of lair Date of -Sale
CON I.RA(-1 PRICE
S 15,420,4m)
S" 1.542.00