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07-3203 (RR)5-1b 4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00003203 . Property Address: 54035 EISENHOWER DR APN: 774-215-014-2 -000000- Application description: RE -ROOF Property Zoning: - COVE RESIDENTIAL Application valuation: 9000 Applicant: Architect or Engineer: ------------------ 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. License Class: C39 _.�ldoen o.: 477507 Z -x - u7 Contract ((( lOw ER- 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).: (_ 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.). (_) 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. , 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 Owner: PHOTIOS STELLAS 773 CARMEL CIRCLE VISTA, CA 92084 Contractor: PALM DESERT CONTRACTORS P.O. BOX 2795 PALM DESERT, CA 92261 (760)346-2420 Lic. No.: 477507 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/26/07 CITY OF iAQUIKA, FIWIINCE n�ePT. ----------------------------------------------- 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 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 1870876 I 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 forthw' .eo with those provisions. ate: fZ•''1---hpplican WARNING: FAILURE TO - RS' COM EPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN 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 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 this county to enter upon the above-mentioned property for in wn ' ate: i 2 • 7 0 —tign re (Applicant or Agen�� CI LQPERMIT J Application Number . . . . . 07-00003203 r Permit . . . RE -ROOF Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date'.. Valuation 0 Expiration Date 6/23/08 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF LIGHTWEIGHT CLASS A 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 CI LQPERMIT J ``t PALM DESERT CONTRACTORS/ROOFING P.O. Dox 2795 Palm Desert California, 92261 1 L.ie# 477507 760-346-2420 Fax 760-345-3924 . . DATE: 12-13-07 PROPOSAL submitted to; WORK to be performed at; Photios Stellas 685-3997 54035 Eisenhower L Q Palm Desert Contractors/Roofing hereby proposes to furnish material and perform the labor necessary for the completion of; Total removal of existing roof and re -roof as follows; TILE: Install 2 layers 40 Ib base sheet, Install Eagle light weight concrete tile #426 valencia, install standard metal which Includes tile pan, saddle, drip` edge and roof to wall. Install ridge and trim as needed, use cement as needed. Paint all roof jaxs. FLAT: Install 28 lb base sheet, install Dibiten modified tar commercial roofing .membrane, white. Install standard metal, paint all roof jaxs. Extras; Permit, energerning if any, plywood @$45.00 per sheet, extra painting, custom sheet metal work, vents @$75.00 per vent, AC/swamp cooler by other. 5 Year contractor warranty. The work will be performed in accordance with the drawings and specification submitted for the above work and completed in a workman like manner for the sum of; $9000.00 With payments as follows: $ o down, Balance upon Respectfully ACCEPTANCE The above price, specification and conditions are satisfactory and are hereby accepted. Palm Desert Contractors/Roofing is authaefted to do the or s specified. Payments will be made as outline . Date 1.7 / 3 'D 7 Signature �FING SUPPLE 6RDUP � • � . • :A lei ......E .or ' u:w o c f Roofing Supply Group - Palm Springs, LLC . PALMOOQ00033 39-770 Garand Lane I �3 Palm Desert, CA 92211 Account#: CASF�A000 0332 USA Phone: (866)-766.3351 Branch: CAP •LM00 Phone#: Fax#: ( I• - BILL TO: SHIP TO: CASH ACCOUNT PALM DESERT ROOFING PALM SPRINGS CA TYPE: WH -DEL Page 2 of 1 JOB#:42-6 EAGLE LITE EXP DELV DATE: 1.2/14/07 SALES PBINDER allOTED FOR: SHIP VIA: CnNVVA TRUCK FRT TEIIUL ' ACTIVATION UATE: 1.2114/(1% CLOSE DATE: 02/12/08 AGENTS QUOTED BY: Pbinder F�Gg3KiW..?;8E �B ••'••• SUB -TOTAL '••••• 3,588.57 Freight Charge 100.00 I Roof Load 76.00 Loading Charuc (3W Pa `Y) I 263.26 SALES TAX 285.86 Material quantities and totals contained on this confidential quote are estimates. only and may vary from actual project needs. RSG , will not beheld accountable for project• overages or shortages. TERMS: Total $4,332.68 CASH . 7n 17n 30HJ rt CZ >I T.9Fb9bE09G1 OL:EL L00Z/bt/ZL AW42 AV=" OGFIMG SUPPl1' GROUP] kooting Supply Group - Palm Springs, LLC 39-770 Garand Lane Palm Desert, CA 92211 USA Phone: (866)-766.3351 BILL TO: CASH ACCOUNT PALM009 Account#: CASK Branch: CAP Phone#: 1 1 - Fax#: 1 ) SHIP TO: PALM DESERT ROOFING PALM SPRINGS CA 000332 00 TYPE: WH -DEL Page .1 of z PO#: - REF#: • J06TF:426 EAGL• E LITE EXP DEW DATE: 12/14/07 SALESPBINDER QUOTED FOR. S:iIR VIA: CQMVYR'TiiUCK•FRTTEM ' ACTIVATION DATE: '12/1410'). AGENTS CLOSE DATE: 02/12108 QUOTED BY:. Pbinder 19.8 EA 888 . 114.65 /PA 2,270.07 �. EAGLE # 426LITE WT MALIBU 175 EA 888. 1.80 / I 315.00 FAGLE 3526 TRIM 8 EA ETPLT 16.00 /EJ 128.00 EGL TL PLT RFNDBL 20 RL TRHBS40SG 17.50 IN 350.00 TARAH BS 40# SCRGRP 10 PC CM90DEG:2.26• ,.. 2.55 IPj 25.50 CMI RF-MTL SODG'DRP EOG GLV '.•. 9 RL GCSRAC13D44.85 /RI 404.5E GAF CP RBRD APP CDR 6LND t . 3 RL GSSG, 18.50 /R4 66.60 GAP BS GLS 1 BX NPC12K 1" 0.06 /8� 9.95 NL PLSTC CP 8 PC AMGSDGT25426*2x•1/4x4"x2'80A '' 3.75 /PC, 30.00 A MTL GRVL STP DRP GLV 7A/TR 9 S 8 19COSPE09LI 01:ET L00Z/01/ZL Bi" # City of La .Quinta Building a Safety Division P.Q. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per 't # Project Address: -5-Lf o 3 Owner's Name: P 1, A. P. Number: Address: Legal Description: City, ST; Zip: Contractor: Pa1Zti 9C' Cv �.T,-� -"} '- "` Telephone: ( Address: 4--� y Project Description: City, ST, Zip: (5� 0 Cr--,?- Z 4n / Telephone: %b - - 11-i State Lic. -7, City Lic: #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: rzs ml...ceJ . Project.type (circle one): New . Add'n Alter epair Demo Sq. Ft:: %Sw # Stories: T# Units: Telephone # of Contact Person: Estimated Value of Project: ';P - 0APPLICANT: 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:- 7rd Review, ready for corrections/issue Developer Impact Fee Panning Approval Called Contact Pcrson A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees