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BRER2016-001478-495 CALLE TAMPICO C�[/ .4 UCl/` LA QUINTA, CALIFORNIA 92253 COMMUNITY DEUELO` N1 DEPART_MENT BUILDING-P.E_RMIT Application Number: BRER2016-0014 `R 201s 9� Property Address: 54385 AVENIDA CARRANZA �fT F APN:' 774242017- Application Description: MEADOWS RESIDENCE / REROOF OONh1UNITy�E Pb'E,n17pEFNPr Property Zoning: Application Valuation: $6,822.00 Applicant: CASTRO ROOFING INC P 0 BOX 122 THOUSAND PALMS, CA 92276 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 Professions Code, and my License is in full force and effect. License Class: C39 License No.: 828478 Date: 2 16 I b Contractor: S 1�L0 P-oa J( � � V - r 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).: (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.). (1 1, 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 Lender's Address: 11111111111111111111 65 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 DA MEADOWS 385 AVENIDA CARRANZA QUINTA, CA 92253 Contractor: CASTRO ROOFING INC P 0 BOX 122 THOUSAND PALMS, CA 92276 (760)343-0042 LIC. No.: 828478 Date: 2/16/2016 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: Policy Number:_ 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 forthwith comply with those provisions. n (�+� Date: b 1 6 Applicant: L2l c CN% \0-l6 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 Building Official 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 city to enter upon the above-mentioned propertyfor inspection purposes. , b Signature (Applicant or Ag tea 4. �� —�Date: ?I� - r fINANCIALINFORMATIOW DESCRIPTIONz��j} 'fin ACCOUNT DQE " AMOUNT" §PAID qq PAIDDATE- ". En" , l r t LYY"��xy p,.fv.. .. ',.'.. `'T :<;.�.;._.,y5�.; x S.:F�`4„��9�'3:�•-u2..' '.>: Yo -r _.3 d_2-,��?.,.. w��. L'�S°`ni :S, _.1.. BSAS SB1473 FEE 101-0000-20306 0 "$1:00.' $1.00. 2/16/16 i '3 yrs 4 PAID`.'BYE #r7fb :.c�" sr; `c s..METHOD� .RECEIPT riCHECK CASTRO ROOFING INC CHECK 1112905 15552 MFA Total Paid..for BUILDING STAN DARDS.ADMINISTRATION BSA: $1.00 $1.00 �.�+Yga'1:Suw£.n.-„c. €""'bl 6 ry'm.:iT ,rj"w. °SM1�' ,.aY,�n' 53 `S$' -___s .. 4�'.,:wt<- �q CCOUNT(ZTYr ?'.I.,e� ..� b '.ri'L'W ".i"••x y5i -%Yk>'Y "ty�'..yr ..�;C I'i{r. �"'t s. PAID DATE < kDESCRIPTION & .r �'i tiAMOUNT��PwAID s RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $11.60 $11.60 2/16/16 d<,�„xl,s«�•�<.." L "'4 £ �l : PAiO BY * Y '*'',:d '': C 'd +&i �r xv A t METHOD IM �.y"<�=i-'£A.;u.A "z'. l T �'i `''«'i RECEIPT # U" ,X'' i£ Y Yk x�CHEC,K # CLTD,BY <(. , Y � t r i > . .. 1m _c5( .moi ...<tt..i 3N.T.n io .' h„ x ri . a._. CASTRO-ROOFING INC CHECK R12905 15552 MFA. . DESCRIPTION gyY , , }3''HI,"`' 'x ACCOUNTS u� c �PAID� z, PAID DATE «? ,F - „-SP--'.,, reg <.`'.'r Eh,9. € rc..?_•4's .sb.>; �`0 .VN`,, ^4TYg= a'!„ xe ec yAMOUNT �'1'�-°¢= .aix<1�^frz<_ RE -ROOF - FIRST 2,000 SF 101-0000-42404 0' $49.31 $49.31 2/16/16 f J t5i:- L' -'"' h'.yf x�x:T. ,.-'' g�e't{`-'w £ PAIDSBY' ': i„' ..`'Y.n'A"''Y•yai>r�'a'�"-"'f! £f'"� `a ghk METIiODx �sRECEIPsT #XNg CHECK># `CLTD BY a ... ow k :. .., ..' CASTRO ROOFING INC CHECK R12905 15552 MFA DESCRIPTION ,. ,,.,. n �. , PAD;r; PAID DATEh t�ACCOUIVT� nCZTY .�. „AMOUNT�� RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 • 0 $98.62 $98.62 2/16/16- "ti :"<.-s`."ei✓ �''S'5,'§`"'.$'`YSY i PAID: BY� . S .-'�. t3 �. �3 �y METHOD xE; �� x .v "S.� _�E'uY'. M RECEIPT#�Y `tid"31'dZ s➢Y �r jai FiY CHECKS# ..: �" i `%h �j. CLTD BY= L �._. ,. � .,Sssrow�-'&,... xx'Sw e �'E3 Eira �wS{� CASTRO ROOFING INC CHECK R12905 15552 MFA Total Paid for RE -ROOF: $159.53 $159.53 O.0.e Description: MEADOWS RESIDENCE / REROOF CHRONOLOGY Type: RE -ROOF Subtype: Status: ISSUED Applied: 2/16/2016 MFA Approved: 2/16/2016 MFA Parcel No: 774242017 Site Address: 54385 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 287 Lot: 7 Issued: 2/16/2016 MFA UNIT 26 FAX EMAIL Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,822.00 Occupancy Type: Construction Type: Expired: 8/14/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REMOVE GRAVEL AND FOAM 1" WITH LAYERS OF TITLE 24 COATING PER 2013 CALIFORNIA BUILDING AND ENERGY CODES. i a Approved to Issued ADDITIONAL CHRONOLOGY NAME TYPE NAME ADDRESSI CONTACTSCONDITIONS CITY STATE ZIP PHONE FAX EMAIL APPLICANT CASTRO ROOFING INC P 0 BOX 122 THOUSAND PALMS CA 92276 (951)660-9619 CONTRACTOR CASTRO ROOFING INC P 0 BOX 122 THOUSAND PALMS CA 92276 (951)660-9619 OWNER LINDA MEADOWS 54385 AVENIDA CARRANZA LA QUINTA CA 92253 (951)660-9619 Printed: Tuesday, February 16, 2016 8:13:09 AM 1 of 2 0? SYSTEMS BOND INFORMATION Printed: Tuesday, February 16, 2016 8:13:09 AM 2 of 2 C srsrcMs CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1 2/16/16 1 R12905 15552 CHECK GASTRO ROOFING INC MFA' Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: RE -ROOF - EA 101-0000-42404 0 $11.60 $11.60 2/16/16 R12905 15552 CHECK CASTRO ROOFING INC MFA ADDITIONAL 1,000 SF RE -ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $49.31 2/16/16 R12905 15552 CHECK CASTRO ROOFING INC MFA SF RE -ROOF - FIR ST 2,000 101-0000-42600 .0 $98.62 $98.62 2/16/16 R12905 15552 CHECK CASTRO ROOFING INC MFA SF PC Total Paid for RE -ROOF: $159.53 $159.53 TOTALS:.•$160.53 BOND INFORMATION Printed: Tuesday, February 16, 2016 8:13:09 AM 2 of 2 C srsrcMs Bin# City.of La Quinta O� Building 8Z• Safety Division w c . _ 78-495 Caffe Tampico ✓ La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # A G Project Address: Sq _ 3 e vent) 4•: CR rrt, /,2?' Owner's Name: A. P. Number: Address: vend � irAn Legal Description: City, ST, Zip: LA 6?v,,,a 011-W tor. 20o� S e0 Telephone: Address:Project pQ � 2Z Project Description: P_eMd\AL- city, ST, zip: �ou5orti t l�;s C4 11t211b Telephone: ele e: P e� b 0 3 _p ZC ' i 0 State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ancY Construction Type: e• � Occupancy: n State Lic. #: (circle one • New Add'n Alter 'Repairair Demo Project tyPaica Name -of Contact Person: L Sq. Ft.: 2 !a o # Stories: I # Units: Telephone # of Contact Person: GQ .L kA - O O Estimated Value of Project: APPLICANT: DO NOT'WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. 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 ROUSE:- Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact.Person A.I.P.P.. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees i;E�xPICTOMETRY' INTELLIGENT IMAGES 2016-02-10 17:22:34 p. i Image Date 10/22/2014 Orientation North vi User Information Richard Castro, Castro Roofing Inc �'