BRER2019-005278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT, CA 92255
`tea 4 4vQu;.a
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
RE -ROOF/
BRER2019-0052
49754 AVILA DR
646270005
MCLINTOCK / RE -ROOF RAISE AND RESET
$12,554.00 D
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/28/2019
Owner:
DAVID MCLINTOCK
, 92253
Contractor:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
CITY OF LA QUINTA PALM DESERT, CA 92255
DESIGN & DEVELOPMENT DEPARTMENT
Q 0
MAR 2 B 2019
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 farce and effect.
LicenS .0 ss: C39 License No.: _0 37
DatJ: 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 vloiation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
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 sate. 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 bulld or improve for the purpose of sate.).
(___) !, 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 contractors) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. B.&P.C. For this reason
Date:
Owner:
(760)200-0811
Llc. No.: 810537
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 Cade, for the performance
of thIkAork for which this permit is issued.
LFZW I have and will ma]ntaln 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 CQ M PENSATI ON fNSLJ RAN E F ND Policy Number: 2UO004
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 i h those p visions.
Date: Applicadt:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINESUP 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 Clty 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
got commenced within 11110da0 from date of issuance of such permit, or cessation of
Nork for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above men nne y for lnspectia uses.
Lender's Name: L & `
Date: 418ture, (Applic n
Lender's Address:
Date: 3/28/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT, CA 92255
BRER2019-0052
49754 AVILA DR
646270005
MCLINTOCK / RE -ROOF RAISE AND RESET
$12,554.00
Owner:
DAVID MCLINTOCK
92253
Contractor:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Llc. No.: 810537
- - - - - - - - - - - - - - - - - - - - ` - - - - .. - - - .. _ _ .. - - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Detail: RAISE AND RESET EXISTING TILE REPLACE 40# UNDERLAYMENT. PER 2016 CALIFORNIA 4UILDING CODE.
DESCRIPTION
BSAS SB1473 FEE
DESCRIPTION
RE -ROOF - EA ADDITIONAL 1,000 SF
DESCRIPTION
RE -ROOF - FIRST 21000 SF
DESCRIPTION
RE -ROOF - FIRST 2,000 SF PC
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT CITY
AMOUNT
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
ACCOUNT CITY
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
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
�!
W �
" \LIFI)ft\'L1
Project Address:
APN #:
Applicant Name
Address: LtG
0
Project Description:
City, ST, Zip: (�
Telephone:
Email: Valuation of Project $ 1
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
7 � �
#
Submittal Required Received
Plan Sets
II
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
i
i
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
ROOF TILE SPECIALTY
P.O. BOX 11257 PALM DESERT, CA 92255
CONTRACTORS LICENSE # 810537
Phone 760-200-0811 Fax 760-200-0801
A proposal submitted to: Dave Mclintock
Mailing Address: 49754 Avila Dr. La Quinta CA
Job Address: 49754 Avila Dr. La Quinta CA
Phone: 760 289 4506
Description of work to be performed:
Pitched Surface
Remove existing roof tile and stack. Sweep clean roof surface of all debris. Remove all
roof to wall sheet metal and flashings (excludes z-bar) for all hvac and plumbing penetrations dispose of all roofing debris
prepared roof surface install two layers 40ft the liner nailed to all roof surfaces. Install
new roof to wail sheet metal valley metal and perimeter edge metal. Install new primary and secondary flashing
for all hvac and plumbing penetrations including existing roof surface attic vents.
Re-instalI existing roof the to manufactures specifications using new Boral roof the for broken and damaged tile.
Paint all roof penetrations to match color of roof. Clean property of all roofing debris.
Ten-year warranty on maintained roofs only
Building permit additional cost to contract
$12,554.00
IF NOT ACCEPTED WITH IN 30 DAYS THIS PROPOSAL IS NULL AND VOID
OWNERS SIGNATURE
(or authorized representative)
DATE
CONTRACTOR SIGNATURE DATE
Over