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BRER2019-015878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2019-0158 Property Address: 49495 GUIJARRO PL APN: 646270036 Application Description: PISTILLI / REPLACE UNDERLAYMENT AND RESET Property Zoning: Application Valuation: $22,500.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: KEVIN M. & JANET S. PISTILLI 5001 SUNSET DR KANSAS CITY, MO 92253 Applicant: Contractor: THERESA THOMAS - ROOF TILE SPECIALTY INC D ROOF TILE SPECIALTY INC P O BOX 11257 P O BOX 11257 PALM DESERT, CA 92255 JUL 16 2019 PALM DESERT, CA 92255 (760)200-0811 CITY OF LA QUINTA LIc. No.: 810537 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 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class License No.. ❑ate: -1 kP LI; Contract r: 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 Lender's Address: Date: 7/16/2019 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' compensat on, as provided for by Section 3700 of the Labor Code, for the performance of thl for which this permit is issued. iiG��77```"` 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 INSURANCL FUND Policy Number: 9230004 _ 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 o coon 3700 of the Labor Code, I shall forthwith corn Div wth t e pr visions. Date: `( Applicant: 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- mentionellNop ty For inspection purpo Date 1Signature (Appllca t or Agee 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 QTY AMOUNT RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $25.62 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: $188.92 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: TOTALS:•4 $5.00 ta Qw�fra -- cAi_irOR e — PERMIT # PLAN LOCATION: Project Address: y� U Y �� Projec Description: APN #: � J Applicant Name: �'Vam �QOO SF - Address: o City, ST, Zip: Telep one: Emilio(0%r? -ct$ A I l 4 - 1a&DSAL i 0b1c P�IES�2-2; Soo Contractor Name: j ew SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Teleph ne: Patio/Porch SF Ema G , Fire Sprinklers SF State Lic: 5 City Bus Lic: < <<- V Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedroom :- Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: MLW) New Commercial / Tenant Improvements: Address: � L. j _ Total Building _ SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets i Structural Calcs Truss Calcs Title 24 Calcs Soils Report { Grading Plan (PM10) Ili Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License lZO()F l"ILl: SNICILA.'1 Y l'.O. BOX 112257 PALM 1 FSFIRT" CA 92255 CONTRACTORS L1C1',?IVS1: '# if 1053-1 Plione 760-200-08.1 1 Fax 760-200-0801 5/112019 A propossjj submitted to: Jane[ Pistilli Mailing Address: Address: 49495 Guijarro Dr. La Qu nta, CA Joky Address: 49495 Guijarro Dr. La Quanta, CA Phone: Description of wprk to be performed: Remove existing roof the 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 debris. Over -prepared roof surface install two layers 40# tale liner nailed to all roof surfaces. In areas where roof slope in less than 3,/1.2 Install.two Iayers Polystick MIS underlayment. Install new roof towall 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. fte-iristali existing file to manufactures specifications using new Saral roof tile for broken and damaged tile. Paint all roof penetrations to match color of roof. Clean property of all roofing debris. Ten-year labor warranty Building penri t Kdditional cost to con tract .IF NOT ACCEPTED WITH IN 30 DAYS THIS PROPOSAL IS NULL ANU VOID PROPOSAL PRICE: $22,50�.0� OWNERS SIGNA GUNTR.AC'ii7lt 01"INA ! UI<E DATE _� "� i DATE 5/1/2019