BRER2019-000878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
CASTRO ROOFING INC
P 0 BOX 122
THOUSAND PALMS, CA 92276
T-iht 4 4 Q"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
RE -ROOF/
BRER2019-0008
78470 CALLE ORENSE
646192006
HIGHLAND/CHANGE UNDERLAYMENT AND RESET EXISTING TILE
$6,717.00
LICENSED CONTRACTOR'S DE(
I hereby affirm under penalty of perjury that I am lice
9 (commencing with Section 7000) of Division 3 of th(
and my License is in full force and effect.
License Cl : B E19 License No.: 828478
Date: 1� Contractor: r�
under provisions of Chapter
ness and Professions Code —
OWNER -BUILDER DECLARFWON
I hereby affirm under penalty of perjury that I am exenft 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/28/2019
Owner:
HIGHLAND KATHRYN JAN ANQE ,DENf lSf —
78470 CALLE ORENSE
LA QUINTA, CA 92253
S � D
C) Z
�O -n N
Contractor: Z N
CASTRO ROOFING INC a Zc
P O BOX 122 -o 54
to
D
THOUSAND PALMS, CA 92271M
m
(760)343-0042 -ZI (9Q�
Llc. No.: 828478
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
oft r or 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 COMPENSATION INSURANCE FUND Policy Number: 9154Z44
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any marine so as to become subject to the workers'
compensation laws of California, and ogre that, if I should become subject to the
workers' compensation provisions of Sect n 3700 of the Labor Code, I shall forthwith
comply withtho provisions.
Date: —11� _ Applicant:
WARNING: FAILURE TO SECURE WORKERS' MPENSATION 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 a ;ove information is correct.
I agree to comply with all city and county ordinances and st ite laws relating to building
construction, and hereby authorize representatives of this c ty to enter upon the
above-mentia ed property for inspection purpose .
Date: ( _Signature (Applicant or Agent):
.. „Pate:
1/28/2019
Application Number:
BRER2019-0008
Property Address:
78470 CALLE ORENSE
APN:
646192006
Application Description:
HIGHLAND / CHANGE UNDERLAYMENT AND RESET EXISTING TILE
Property Zoning:
Application Valuation:
$6,717.00
Applicant:; -
CASTRO ROOFING INC .
P0BOX 122
THOUSAND PALMS, CA'92276
Detail:-REROOF - CHANGE UNDERLAYMENT AND RESET TILE. 2016 CALIFORNIA BUILDING CODES.
Owner:
HIGHLAND KATHRYN JAN AND DENNIS E
78470 CALLE ORENSE
LA QUINTA, CA 92253
Contractor: - -
CASTRO ROOFING INC
P O BOX 122
THOUSAND PALMS, CA 92276
(760)343-0042
Llc. No.: 828478
DESCRIPTION
FINANCIAL•• •
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$54.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$108.87
Total Paid for RE -ROOF:
$163.30
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00
Project Address:
APN
Applicant Name: ) Ve CAk41u,A--1-?,T&
Address: Po D0 _ 101
City, ST, Zip: G1ry+�
Telephone:
Email:
Contractor Name: 1n„ F4-0hrq INS
Address: 13901/ DW4*4 h'_v Z
City, St, Zip k liM D1VSCf-vT CA v2j I
Telephone: 4 V 343 0 b 4-Y
Email:
State Lie: City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name: JA r ��.�*r) .
Address: � g "�-� ��•�,� by �_ . ,p
City, ST, Zip LA
Telephone: 760
Email: 0
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
�"riv� ,• j¢,1,,Msv� IST,r� �vt,, sq,,,� f'nr I�q-,I�S,
Valuation of Projects 17 IT
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Type:
Occupancy:
Grading:
Bedrooms: Stories:
Units:
#
New Commercial / Tenant Improvements:
Total Building _ SF
Construction Type: Occupancy:
P y:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000