BRER2019-016178-495 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
w4ti�v 4 4v Qahfr(u
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
RE -ROOF/
BRER2019-0161
49829 ADELITO DR
646250003
MACLEOD / RAISE AND RESET REROOF
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MACLEOD
49829 ADELITO
LA QUINTA, CA 92253
P
Contractor:
JUL 2 5 2019 ROOF TILE SPECIALTY INC
P 0 BOX 11257
DDPALM DESERT, CA 92255
CITY OF LA QUINTA (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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Clas�39• License No.: 537
Date: ��11LL ContraCta
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:
Date: 7/25/2019
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'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the k rwhich this permit is issued.
the
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 COMPENWICIN INSURANgE 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 of Section 3700 of the Labor Code, I shall forthwith
complyw't those visions.
Date: L� u 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 ATTORNEYS 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 Pere by author ze representatives of this city to enter upon the
aboy�Q��p=ipped Rrpperty for In ettion purposes.
Date: JJ 11��1�11 1"Il Signature (Applicant or Agent):
Date: 7/25/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT, CA 92255
BRER2019-0161
49829 ADELITO DR
646250003
MACLEOD / RAISE AND RESET REROOF
Owner:
MACLEOD
49829 ADELITO
LA QUINTA, CA 92253
Contractor:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Llc. No.: 810537
Detail: RAISE AND RESET EXISITNG TILE ROOF REPLACE SHEETING WHERE NEEDED NEW 40# UNDERLAYMENT. PER 2016 CALIFORNIA BUILDING CODES
DESCRIPTION
RE -ROOF - EA ADDITIONAL 1,000 SF
DESCRIPTION
RE -ROOF - FIRST 2,000 SF
DESCRIPTION
RE -ROOF - FIRST 2,000 SF PC
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
ACCOUNT
CITY
AMOUNT
101-0000-42404
0
$25.62
ACCOUNT
CITY
AMOUNT
101-0000-42404
0
$54.43
ACCOUNT
CITY
AMOUNT
101-0000-42600
0
$108.87
Total Paid for RE -ROOF:
$188.92
ACCOUNT
CITY
AMOUNT
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
i
ta
PERMIT # P
PLAN LOCATION:
Project Address: �` 62-
Project Description:
APN #: C\ �-
-
)L
V6QI
Applicant Name:
Address: \N15 q
City, ST, Zip:
Telepho e:
Email. t,
t'on of Project $ `J
Contractor Name:
FD Construction:
Address:1�%A
T �S
Conditioned Space SF
City, St, Zip
Garage SF
Teleph ne:
()
Patio/Porch SF
EmaX�W\
it S ers SF
State Lic:
ity 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:
)V V,
ew Commercial / Tenant Improvements:
Address: Q
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
ROOF TII:.E SPECIAL ry
P.Q. BOX ] 1257r PALM 1 FSERT, CA 922S.5
CONTRACTORS LIMNSE f,` 810g37
Phonc 750-2WO8I I Fax 760--200-0841
4122i2019
A proposa l submittod Wr Keith Macleod
Mailing Address- 49829 As3vhtn Cirr-lq, I.a+ Quinta CA
Jvb address, 49829 AdeiitO G-trrrIt, U Quinfa CA
Phonct 403 4M _5439
Description of work to IV per inrrod_
work pins to the nutlined sections shown in attaicheci phota.
M)Lmovp existing roof tileend stack
Stivtatrp clean roof surface of .dl debris_
1tic=ve,ail tOd€ to Wall s1,c *t r�eytaI and fEashirt (extludes z-har} !or aii hvac and plcarttbinl;
PenetraticM5 dssf*se' of all roofing debris.
Over preNred roof surface insult two la►vr^s 40# the liner natk}d to all ixmf su rfarv%.
Fnstall new roof to w aJI shLVt rncaal Valle?y mr4al artd r+-rirnptrsr 4►dyv rnptal.
Install now primary and !+,rtmdary Hashing
for all hvic and plunlhi"E fWnt-tratuons int Iudingex,SttnR roof surface attic vents.
Re-insta]1 exisli" tile? to rrwr7uFat t r ; $pecTfrcatsons using new Dorat goof the for broken and da;napM tiles
RMO W Ox "sting skylight and dis Mse of Sheath leftover hole in mf.Provide ti lei w COvPr area_
Paint all roof pc. w rations to n1atch color of roof
Cpan.Pra[wrh- of: -all roufingdebns,
T�+n-year xarranty
Efaileiisit; p�ait addttir�na! rn5t tee rnntra.7
IT N0T ACCNi'1+U WJ'I H IN 30 DAYS THIS FRo FC?S.%,L LS'.Vi3L LND VOID
PR(iMSAL PRICE I I.-S-40.00
OWNERS SIGNUTI.RE "� J y'
DATir:_„_ f��r'1_I � J �� f
{c�r�{iiri►orir�'t,# rC'pr4^s�ittativs.:} �°,
f
CONTRACTOR SIGNATURE DA7T: V21'2019