08-0644 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000644
Property Address:
53385 EISENHOWER DR
APN:
774-085-020-8 -000000-
Application description:
RE -.ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
8000
Tuv144Q"
Applicant: Architect or Engineer:
04
----------------------------------
LICE SED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an ofessionals Code, and my License is in full force and effect.
License) lass: C39 LicenseNo.: 859337
Date: vl Zt 20 0ontractor:
OWNER -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 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).:
(_) 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 contractors) licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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:
MONTY SKORICH
53385 EISENHOWER DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/21/08
Contractor:
ABOVE'AND BEYOND ROOFING SYSTM
78676 CASCADIA DRIVE
BERMUDA DUNES, CA 92201--0 D
(760)702-5984 d
Lic. No.: 859337
APR 1100 1
------------------------------AaA�Ted
—
WORKER'S COMPENSATI CLARA
I hereby affirm under penalty of perjury one of the following declarations:IVeLFI have and will maintain a certificate of consent to self -insure for workers' compe
for by Section3700 of the Labor Code, for the performance of the work for which this permit is
issued.
1 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 0030697-2007
I certify that, in the performance othe work for which this permit is issued, I shall not employ any
person in any manner so as to b come subject to the workers' compensation laws of California,
and agree that, if I should beco subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall fokwith comply with those provisions.
ate: 2f 0% plicant:
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 per it, 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 i formation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin o uction, and hereby authorize representatives
of tthhoLc u�nfty o center upon above-mentioned property ion purposes.
"Date: ` `l V� S' nature (Applicant or Agent):
-
r:
Application Number . . . . . 08-00000644
Permit RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date . . 10/18/08
Qty Unit Charge Per
Extension
BASE
FEE
30.00
Special Notes and Comments
REMOVE OLD'ROOF AND RE -ROOF WITH
30 YR.
COMPOSITION 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
LQPERMIT -
Mar 14 08 10:43a
Montee Skorich
714-377-5992 p.1
P
ABOVE & BEYOMD ROOFING SYSTEMS
PROPOSAL
2/28/2008
To: Monte Swrich
- From: Above and Beyond RoofingSystems
53335 Eisenhower Dr.
Uc N 659M7
$.a Quinti, CA 42950
71676 Cmeadla Dr.
P,
p. (760)-TOZ5 80.
r. (760}200.1676
&.mail: sandbroaling®hot-naltcam
Contact: Vince Cessna
Scope of W ork: (Corttractor will provide all materials and labor to corriplete the following)
Complete tear -off of existing roof Pound/pull all fasteners. Inspect deck for structural soundness. Install 2 plies
015 ASTM felt shingle style. install new edge metal and flashings (set in roofing cement). Cut in and install 8 new
passive attic vents. Install 30 yr. asphalt laminated shingles and ridge COLOR:.S
BRAND: .G.S Cal Paint/seal all projections and complete clean -tip. Contractor will haul away all
debris, pay dump fees, secureplrtits, and manage the inspection process.
Cost and Terms:
Cost of work to be completed: $ 8,000,00
1090 Due at acceptance: $ 800.00
4MS Due at commencement of work: $ 3,200.00
SOW/o Due upon completion of work: $ 4,000.00
10 year worlananship warranty
Schedule of Extras:
Damaged plywood will be replaced @ S2.00/ftsq, Damaged Ix decking will be replaced Q $2.50/1ft-
Any additional plumbing, HVAC, carpentry, andlor electrical to be billed at $75.00/hr.
All extras to be paid upon completion of additional work
Schedule of Work:
Work to begin approximately March 31 st, 2003 and will take approximately 5 days.
Al. material guara eed to be as specified. All work to be congAtited in a workman like mwuter according W standard prticlices Any alteration
or deviation from the above specifications involving extra costs wiI1 be executed only upon written orders and will become an extra charge. Ibis
proposal is subject to acceptance within 90 days and it is void thereafter at the option of the undersigned
Notice to buyer: (1) Read this agreement before you sign it (2) You, the buyer, may render this coctract mill and void by nctifying the seller in
writing within three business days of the signed acceptance of the contract Notice must be in writing and delivered to the address above. In the
event the buyer attempts to cancel this contract after the third day the seller hin the right to recover all costs and/or lost profits associated with the
project (3) Mechanic's Lien: In the event the buyer does not make payment in ful. at the completion of the working part of the egreerrg9t the
contractor, laborers, arWor material -nen have the right to file a mechanic's lien on your home or the structure where the work. was finished (4)
Cvrdraa.ur will uvL be resp=s-,ble rvr urmvuitieble daumge Lu vderiur urstru4tury dr e w pre-exublg daluaga W h.UUULntl rmenrber•s
Acceptance of Proposal
q k'�
Accepted:_ ..... _.... Signature:—
Date:----,-3•�! t%� _ Signature:_
Bin #
City of La Quanta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�Q
Project Address: � 3 �, ���tJ �r �•
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
�a b o S 5
Telephone: -
Address: "1 '1 (�
Project Description: d d
City, ST, Zip: 1,)V --S Chi C�ZZ.O 3
i o p .�
i
Telephone: 0 2, -
-State
State Lic. # : 5 -dl 4 3 1 CityLic. #: \oo q -k -Z
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: II 1
State Lic. #:
Name of Contact Person: �'CA �
Construction Typel oo Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: 31 0 0 # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: k19 000.00
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