Loading...
BRER2019-009378-495 CP .LE TAMPICO T-v � 4 4P QuIR& VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/20/2019 Permit Type/Subtype: RE -ROOF/ Owner: Application Number: BRER2019-0093 U S BANK TRUST NATL ASSN SD Property Address: 78237 SAN TIMOTEO ST P O BOX 64142 APN: 646160015 ST PAUL, MN 92253 Application Description: BURT / FOAM REROOF Property Zoning: Application Valuation: $12,632.00 Applicant: U MAY 2 0 2019 Contractor: RELIABLE ROOFING BY T G Y RELIABLE ROOFING BY T G Y P 0 BOX 1961 P 0 BOX 1961 PALM SPRINGS, CA 92263 CITY OF LA QUINTA PALM SPRINGS, CA 92263 DESIGN & DEVELOPMENT DEPARTMENT (760)323-2705 Llc. No.: 764608 LICENSED CONTRACTOR' EC TION I hereby affirm under penalty of perjury tha m li nsed u visions of Chapter 9 {commencing with Section 70001 of Dig�31§Lsines nd Pro a ns Code, and my License is in full force and effe License Clas : C39 License No.: 7646 Oate: Contract./ OWNEF�IJILDER RATION I hereby affirm under penalty of perjury that I i exempt from th onttactvr's State License Law for the following reason (Sec. 70 .5, Business and ofessions Code: Any city or county that requires a permit to cons uct, alter, imp e, demolish, or repair any structure, prior to its issuance, also req res the ap nt for the permit to file a signed statement that he or she is licensed p su 16 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 NDme:_ Lender'sAdrlress: 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 o�for which this permit is issued. I have and will maintain workers' compensation insurance, as required by L' r Section 3700 of the Labor Code, for the performance of the w v6or which this permit is issued. My workers' compensation insurance carrier and iicy number are: Carrier: STATE COMPENSATION INSURANCE FUND olicv Number: 1795377 I certify that in the performance of th ark for which this permit is issued, I shall not employ any person in any manner so to become subject to the workers' compensation laws of California, and a fire at, if I should b ct to the workers' compensation provisions of 5 rfln 370 Labor Code, I sha arthwith comply with ose pr isions. `Date: �0 pllEant: WARNING: FAILUR TOS URE WORKER OMPENSATION ERAGE IS UNLAWFUL, AND SHALL SUBJECT EMPLOYER TO IMINAL PE S AND CIVIL FINES UP TO ONE HUNDRED THOU 'DOLLARS ($ 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 actor omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application become ull and void if work is not commenced within 180 days from date of issuance of ch permit, or cessation of work for 180 days will subject permit to canceufron. I certify that I have read this application 6 I agree to comply with all city and county construction, ap d hereby authorize ep ! above mend ed pr erty for insprrvn Date: S1�1 (Appll that the above informatr is correct. ces and laws relating building s of rs dt to enter upontie Date: 5/20/2019 Application Number: BRER2019-0093 Property Address: 78237 SAN TIMOTEO ST APN: 646160015 Application Description: BURT / FOAM REROOF Property Zoning: Application Valuation: $12,632.00 Applicant: RELIABLE ROOFING BY T G Y P 0 BOX 1961 PALM SPRINGS, CA 92263 Owner: U S BANK TRUST NATL ASSN SD P O BOX 64142 ST PAUL, MN 92253 Contractor: RELIABLE ROOFING BY T G Y P 0 BOX 1961 PALM SPRINGS, CA 92263 (760)323-2705 Llc. No.: 764608 Detail: REROOF WITH FOAM ON FLAT ROOF SIMPLE OVERLAY[CRRC: 0001-7007] PER 2016 CALIFORNIA ENERGY CODE DESCRIPTION FINANCIAL INFORMATION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 fl $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $25.62 DESCRIPTION ACCOUNT QTY 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: $188.92 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: TOTALS: $5.00 Property Owner's Name: Address: City, ST, Zip Telephone: Email: New Co iial / Tenant Impr ments: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets : Structural Calcs Truss Calcs Title 24,,Calcs Soils Report Grading- P_lan_(PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License