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05-4699 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4At 4 4 Q" Application Number: 05-00004699 Property Address: 51295 EISENHOWER DR APN: 773-091-014-2 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 7713 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HUNTER CATHERINE 77511 CALLE ARROBA LA QUINTA, CA 92253 '005 Contractor: i�� PETRONELLA ROOFING COMPANY �QU11# q 68314 KIELEY ROAD �I— EI)EPr CATHEDRAL CITY, CA 92234 (760)324-5482 Lic. No.: 460707 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisio of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, n y License is in full force and effect. License Class: C39 LicenseX60707 Date/ / —� Contractor: WNER-BUILDER DECLARATION 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 f6r 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).: (_) 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 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/19/05 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ' 1 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 1801579 _ 1 certify that, in the performance of the work for which this permit i issued, I shall not employ any person in any manner so as to become acompl. ers' pensation laws of California, and agree that, if I should become subjco a sation provisions of Section 3700 of the Labor Code, I shall forthwse ro isions. Date: .0 ©C Applicant.. 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 cor ct. I agre To comply with all city and county ordinances and state laws relating to b Ming construction, and h e c. out i d representatives of this county to enter upon the above-mentioned pro rt wurrpo Date: 5f-iJ Signature (Applicant or A Application Number . . . . . 05-00004699 Permit RE-ROOF Additional desc . . _ Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 4/17/06 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE.EXISTING ROOF/REROOF WITH 30 YR SHINGLES/CLASS "All-MATERIALS ONLY 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 t LQPERMIT Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1 v Project Address: Z�5 ,�,c(/,���,�L Owner's Name: 'Q/�� A. P. Number: Address:' -?L-- /% 12 Legal Description: City, ST, Zip: Contractor: %�Zp�( I' 6 �N`. Telephone: ��- ` "MR Address: _3i f�L �/ Project Description: City, ST, Zip: 9�J�rz/%ae Item Telephone: Z s —z - Structural Calcs. State Lic. # State City Lic. #: Reviewed, -ready for corrections Arch., Engr., Designer: Plan Check Deposit Address: City, ST, Zip: Telephone: Called Contact Person Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo . Name of Contact Person: Sq. Ft.: ;71 # Stories: #Units: Telephone # of Contact Person:Estimated Value of Project: l� 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 Cales. 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. II.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 THE. R ER � FING SPEC "Since 1980" C. Corporate Office: Desert Office: 2626 Newport Blvd. 68-314 Kieley Road Costa Mesa, CA 92627 Cathedral City, CA 92234 949.548.1645 / Fax: 949.548-2617 License #460707 760.324.5482 / Fax: 760.328.4612 PETRONELLA ROOFING hereinafter called "Contractor' and/or "Seiler" agrees to provide the folloxving listed labor materials and construction: NAME / OWNER: MTHERINE HUNTER PHONE NO: (760) 912-8430 REROOF PROJECT ADDRESS 51295 EISENHOWER CITY, STATE & ZIP CODE BILLING ADDRESS: CITY, STATE & Z1P CODE: LA QUINTA, CA. 92253 ADDITIONAL PHONE NUMBER: "� _ / C► �9 , d FAX NUMBER: (760) 345-2264 DESCRIPTION OF LABOR MATERIALS AND MISC.: Petroiiella Roofiiig will fi-nish all labor and material to histail : ROOFING COST 30 YEAR COMPOSITION SHINGLE ROOFING SYSTEM Petronella Roofing will issue a 10 Year "weathershield" warranty. COST.........................................................................$7,713.00 SPECIAL INSTRUCTIONS: CONTRACT TERMS: 1. Replace 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 Progress 50% Upon Completion TIME FOR STARTING AND COMPLETING PROJECT: Work Shall commence within ten (10) days from the date of sale unless specified otherwise and be substantially completed in approximately ten (10) working days with additional time to be as detailed in Paragraph 9. of the Terms. conditions and `Notice to Owner" on the back hereof Substantial Commencement of work shall be defined as the installation ofany materials'and/or labor. Contractors failure to 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 BUYER: (I) 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 Terns. 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 Owner/ Authorized Responsible party has signed during the negotiations. (4) YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME 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 EFECTI VE DATE IF RECISION, THE CONTRACTOR SHALL BE ENTITLED TO RECOVER ALL COSTS AND LOST PROFITS ASSOCIATED WITH THIS CONTRACT. (5) YOU, AS OWNER OR TENANT. HAVE THE RIGHT TO REQUIRE THE CONTRACTOR TO HAVE A PERFOMANCE AND .PAYMENT BOND OR FUNDING CONTROL. OWNER / RESPONSIBLEPARTY. CONTRACTOR (SELLER) CONTRACT PRICE �Amor-ItIL Orren Burns $ 7,713.00 caner /Responsible Par y• Pr' t Name Petronella Rooting Authoriz d Representative: Print Name �0�. J $ 771.30 Owner / Responsible Party: Signature Petronella Rooting Authorized Representative: Signature August 12, 2005 Date of Sale Date of sale