BRER2019-01514 78-495 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: 6/13/2019
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0151 DANA BIBLE
Property Address: 53270 AVENIDA JUAREZ
APN: 774071002
Application Description: BIBLE / REROOF EXISITING TILE
Property Zoning:
Application Valuation: $8,761.00
Applicant: D Contractor:
ROOF TILE SPECIALTY INC ROOF TILE SPECIALTY INC
P 0 BOX 11257 SUN 13 2019 P 0 BOX 11257
PALM DESERT, CA 92255 0 PALM DESERT, CA 92255
CITY OF IAQUINTA (760)200-0811
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 810537
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effe
Lcen�se(C� ss: C39 License No.: B 0
Date: VJ Contract❑
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
oft r which this.permit Is issued.
1pfo,ye and will maintain workers' cornpensaLion Insurance, as required by
Section 3700 of the Labor Code, for the performance of the work forwhich this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number:9230004
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
complywfhthose ruvisi4ns.�
Date � .Applicar1 h
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 authakizL representatives of this city to enter upon the
abovL-mtione propertyforiectian purposes. -kSigna(Applicant or Agent):
Date: 6/1./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
BRER2019-0151
53270 AVEN IDA JUAREZ
774071002
BIBLE / REROOF EXISITING TILE
$8,761.00
Owner:
DANA BIBLE
Contractor:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT, CA 92255
(760)2000TO811
Llc.. No:: 810537
Detail: REROOF USING THE EXISITNG TILE AND NEW UNDERLAYMENT. 2016 CALIFORNIA ENERGY"CODE.
DESCRIPTION
FINANCIAL•• •
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 - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.81
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$54.43
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$108.87
Total Paid for RE -ROOF:
$176.11
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
I
- CAI WOR`i 1 —�� -11
PERMIT #
PLAN LOCATION:
Project Address: K� 0 IJJQ OM-(,
Project Description:
APN #: A
—77K-i
Applicant ame:"A)Puk�
lhmn�.
Address: L i.
1
City, ST, Zip:� �Un,61
Telep ne: �
� 1
Em i
:
Q l
I ation of Project $
`-, 1--� I I QUAY 1
A
Contractor Name:
4))
]
w SFD Construction:
Address: Y'D, Rb
Conditioned Space SF
City, St, Zip )6)1�N
Garage SF
Teleph ne:
Patio/Porch SF
Email:Sprinklers
SF
State Lic: City Bus Lic:
Architect/Engineer Name:
Construction Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:' lLL f
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip .-
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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: Nancy Bible
Mailing Address:
Job Address: 53270 Avenida Juarez La Quinta CA
Phone:
Description of work to be performed:
Remove existing roof tile and stack.
Sweep clean goof 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.
Over prepared roof surface install two layers 40# the liner nailed to all roof 5urfaces.
Install new roof to wall sheet rneW valley metal and perimeter edge metal.
Install new pricey and secondary flashing
Re-ifor all hvac and plumbing penetrations including existing roof surface attic vents,
nstall for
rile to manufactures specifications using new $oral. roof file for broken and darnaged tile.
Pa"'t all roof penetrations to Match color of roof.
Clean Property of all roofing debris.
Ten-year wwranty on maintained roofs only
rF Building permit additional cost tv contract
NOT ACCEPTED WITH IN 30 DAYS THIS PROPOSAL IS NULL AND VOID
PROPOSAL PRICE: $8,761.00
OWNERS SIGNATURE DATE
(or autho ' e representative}
CONTRACTOR SIGNATL
DATE