BRER2019-001078-495 CALLE TAMPICO T U 441 QaIfI&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
RE -ROOF/
Application Number:
BRER2019-0010
Property Address:
78425 CALLE FELIPE
APN:
646192027
Application Description:
BRESNAHAN / REROOF PATIO WITH NEW FOAM
Property Zoning:
Application Valuation:
$4,300.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
WILLIAM BRESNAHAN
78425 CALLE FELIPE
LA QUINTA, CA 92253
Date: 2/5/2019
Applicant: Contractor:
M. RIVERA ROOFING INC / L, \ M. RIVERA ROOFING INC
30206 AVENIDA DEL PADRE D��V 30206 AVENIDA DEL PADRE
CATHEDRAL CITY, CA 92234 CATHEDRAL CITY, CA 92234
FEB 052019 DO (760)902-9781
CITY OF LAQUINTA Llc. No.: 958465
DESIGN DEVELOPMENT 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 the Business and Professions Code,
and my License is in full force and effect.
License Class: C39 License No.: 9584fi5, n
Date?1- !;Z ^ j„`� Contractor
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 Address:
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 t_ bg w4(k far which this permit is issued.
i�-�L-14k—►,I,lyave 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: 905787S
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.
Date: 2^ Applican
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 property for inspection purposes. /J
Date: L ••'7—f t:2 -Signature (Applicant or Agent
Date: 2/5/2019
Application Number:
BRER2019-0010
Property Address:
78425 CALLE FELIPE
APN:
646192027
Application Description:
BRESNAHAN / REROOF PATIO WITH NEW FOAM
Property Zoning:
Application Valuation:
$4,300.00
Applicant:
M. RIVERA ROOFING INC
30206 AVENIDA DEL PADRE
CATHEDRAL CITY, CA 92234
Owner:
WILLIAM BRESNAHAN
78425 CALLE FELIPE
LA QUINTA, CA 92253
Contractor:
M. RIVERA ROOFING INC
30206 AVENIDA DEL PADRE
CATHEDRAL CITY, CA 92234
(760)902-9781
LIc. No.: 958465
Detail: TEAR OFF EXISTING AND REROOF WITH INSTA 1.5" FOAM WITH 3 GALLONS OF ELASTOMETIC COATING AT FLAT AREAS OVER PATIO [CRRC: 0770-
0002] 2016 CALIFORNIA ENERGY CODE.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
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:
$5.00
t!
PERMIT # V 1� I�Z•�� — 00 p
PLAN LOCATION:
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
r
1
Applicant Name:
YQ
Q 1 1
Q
Address: Pa
()
City, ST, Zip:
Z2�
CA
0J C2 CA
Telephone: 60'._ 6 •-L_ _
Email:
Valuation of Project $ 1 Q Q �'
m. •
Contractor Name *
r New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip �,
L
Garage
g SF
�
Telephone: a •
I
I
Patio/Porch SF
Email: ®
Fire Sprinklers SF
State Lic: ily Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
P Y:
Address;
Grading:
City, St, Zip
Telephone:
tl '
Bedrooms: �Sto�ries: #Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:rn
Total Building _ SF
City, ST, Zip tl
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
Specifications
M. Rivera Roofing Inc.
30206 Avenida Del Padre
Cathedral City Ca. 92234
Phone: 760.902.9781
Fax: 760.770.53074
License# 958465
Email: rroofing1923@gmail.com
January 24, 2019
Bill Breswahaw
78425 Calle Felipe
La Quinta, CA
brescoca@aol.com
Re: Foam Roof- Patio Area
Thank you for your interest in using my roofing services. Enclosed is an estimate for the
proposed work on your roof located at the address above.
After reviewing the enclosed information, please contact me if you have questions or
need any additional information at 760-902-1987.
Thank you again for allowing M. Rivera Roofing the opportunity to submit this proposal.
Respectfully,
Martin Rivera
tl rage 1 of 1
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