BRER2019-000778-495 CALLE TAMPICO D(! VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/23/2019
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0007 JOSE AGUTAR
Property Address: 54145 AVE NIDA ALVARADO 54145 AVENIDA ALVARADO
APN: 774202018 LA QUINTA, CA 92253
Application Description: AGUTAR / 2500SF TILE REROOF
Property Zoning:
Application Valuation:
Applicant: �j�� � Contractor:
CASTRO ROOFING INC DZJ ��» CASTRO ROOFING INC
73802 DINAH SHORE 73802 DINAH SHORE
PALM DESERT, CA 92211 JAN 2 3 2019 PALM DESERT, CA 92211
(760)343-0042
CITY oF LF�QUi1VIr� Llc. No.: 828478
DESIGN & naopMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of th Business and Professions Code, and
my License is in full force and effect.
License Cl s: 8 C39 License No.:
Date: I ; /,4 Cnntrartnr•
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 contractor(s) licensed pursuant to the
Contractors' State License Law.).
(_) 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
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 rk rwhich 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: 9154244
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 agr that, if'
should become subject to the
workers' compensation provisions of Sect n 3700 of the Labor Code, I shall forthwith
comply w1740
hthose
provisions.
Date: 1 And icant•
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 behalfthis 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
Jefend, 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
ollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
:ommenced within 180 days from date of issuance of such permit, or cessation of work
or 180 days will subject permit to cancellation.
certify that I have read this application and state that the abo a information is correct.
agree to comply with all city and county ordinances and stat
laws relating to building
:onstruction, and hereby authorize representatives of this city n enter upon the above-
nentio ed pr perty for inspection purposes.
)ate: �.Signatutb (Applicant or Agent):
Date: 1/23/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
CASTRO ROOFING INC
73802 DINAH SHORE
PALM DESERT, CA 92211
BRER2019-0007
54145 AVENIDA ALVARADO
774202018
AGUTAR / 2500SF TILE REROOF
Owner:
JOSE AGUTAR
54145 AVENIDA ALVARADO
LA QUINTA, CA 92253
Contractor:
CASTRO ROOFING INC
73802 DINAH SHORE
PALM DESERT, CA 92211
(760)343-0042
Llc. No.: 828478
Detail: REMOVE AND RESET TILE ROOF.INSTALL RADIANT BARRIER PER 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
RE -ROOF - EA ADDITIONAL 1,000 SF
DESCRIPTION
RE -ROOF - FIRST 2,000 SF
DESCRIPTION
RE -ROOF . FIRST 2,000 SF PC
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT QTY
AMOUNT
101-0000-42404 0
$12.81
ACCOUNT CITY
AMOUNT
101-0000-42404 0
$54.43
ACCOUNT CITY
AMOUNT
101-0000-42600 0
$108.87
Total Paid for RE -ROOF:
$ 176.11
ACCOUNT CITY
AMOUNT
502-0000-43611 0
$5.00
ENHANCEMENT FEE:
5.00
Total Paid for TECHNOLOGY
PERMIT # � ►�, � � �
PLAN LOCATION:
Project Address: �L� s ��('�-�0� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN#: fir' o�lti, �lir''`� d �� s�►�I/'F��
1 r' U 4 w 16VV%, O k,-' MV lam( 3A-Nftwr"
Applicant Name: f1lp� GW /Kl� J�>f�-� 6 w�� . bUk r I�+ 6 iiuT r6 t6ptw
Address: qIZI rK i
City, ST, Zip: M VVA ( TVA 2S�S
Telephone:
Qo
Email: Valuation of Project $
Contractor
iliTlLP j- o �� MC/
Name:d New SFD Construction:
Address: bl, 64, Dr' Conditioned Space SF
City, St, Zip � h*, O"k/f lJ lin- I I Garage SF
Telephone: 7U� y 9qq 'V Patio/Porch SF
Email: Fire Sprinklers SF
State Lie: $ ��� City Bus Lie:
Arch/Eng Name: Construction Type: occupancy:
Address: Grading:
City, St, Zip
-7
Telephone: Bedrooms: Stories: # Units:
Email:
State Lie: City Bus Lie:
78495 CALLE TAMP ICO
LA QUINTA, CA 92253
760-777-7000