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BRER2019-021478-495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2019-0214 Property Address: 53825 AVENIDA BERMUDAS APN: 774175026 Application Description: GALVEZ / REROOF SAME TILE Property Zoning: Application Valuation: $9,000.00 Applicant: BECERRA BROTHERS ROOFING 69712 PALM SPRINGS AVENUE MOUNTAIN CENTER, CA 92561 D DEC 0 6 2019 CITY OF LA QUINTA 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C39 License No.:88738D 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 7774011 INSPECTIONS (760) 777-7153 Date: 12/6/2019 Owner: CLAUDIA GALVEZ LA QUINTA, 92253 Contractor: BECERRA BROTHERS ROOFING 69712 PALM SPRINGS AVENUE MOUNTAIN CENTER, CA 92561 (760)349-9705 Llc. No.: 887380 WORKER'S COMPENSATION DECLARATION 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 t*3700 k for which this permit is issued. �.I e and will maintain workers' compensation insurance, as required by Sec 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 INSURANCE FUND _ Policy Number: 9032239 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 Sectia 700 of the Labo ode, I hall forthwith comply with those provisions. I�G 2u��19A' 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 coup ordinances and state laws rgJ91,111'r, to bull mg construction, and hereby authorize rsentativ�as of this city to en er the al ve• mentioned property for inspection p po/es. 1 I j 1r t 0 A t): Date: 172� /2019 Application Number: BRER2019-0214 Property Address: 53825 AVENIDA BERMUDAS APN: 774175026 Application Description: GALVEZ / REROOF SAME TILE Property Zoning: Application Valuation: $9,000.00 Applicant: BECERRA BROTHERS ROOFING 69712 PALM SPRINGS AVENUE MOUNTAIN CENTER, CA 92561 Owner: CLAUDIA GALVEZ LA QUINTA, 92253 Contractor: BECERRA BROTHERS ROOFING 69712 PALM SPRINGS AVENUE MOUNTAIN CENTER, CA 92561 (760)349-9705 Llc. No.: 887380 Detail: PERFORM TILE RAISE AND RESET WITH NEW DUAL 40 # UNDERLAYMENT. REPLACE,TILE AS NEEDED. PER 2016 CALIFORNIA BUILDING CODES. DESCRIPTION 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 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - EA ADDITIONAL 1,000SF 101-0000-42404 0 $12.88 DESCRIPTION ACCOUNT CITY AMOUNT RE -ROOF - FIRST 2,000SF 101-0000-42404 0 $54.74 DESCRIPTION ACCOUNT CITY AMOUNT RE -ROOF - FIRST 2,000SF PC 101-0000-42600 0 $109.48 Total Paid for RE -ROOF 2019: $177.10 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 —WGFlIoJJrUGSFR�f'{,—� PERMIT # PLAN LOCATION: Project Address: `3 �� e- Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: �Q -'� 4--1 I-e S ne-L,) (�{ lk-veir( Q.�-( Y"� !� C L4 U 110 Applicant Name:�be&elvy� S �° -P/Y er?-C ' kWLP- -h }� �/��( r Address- ia)' _ 2 PSc—f City, ST, Zip: i 5 bd c L V r ` ' V s Telephone: f► l 1'l,� h Ms l s % ICG�C Email: Valuation of Project S qle� Contractor Name: �t ew SFD Construction: Address: �G2 {PGA S Conditioned Space SF City, St, Zip C'� /)�� LS-� Garage SF Telephone:��' -� C) JJ Patio/Porch SF Email:' .E _ fJ` ,, Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: C via d l ol /� New Commercial / Tenant Improvements: Address: 5 �1,5 fkVe Total Building SF City, ST, Zip I Construction Type: Occupancy: Telephone: Email16 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd Ree'd Plan Sets Structural Calcs Truss Calcs Title 24 Cales Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License Becerra Brothers Roofing 69-712 Palm Springs Ave. Mountain Center, CA 92561 { 760-349-9705 CA Contractors License4887380 Name /Address Claudia Galvez 53-825 Avenida Bermudez La Quinta, CA 92253 Description The following will be performed by Becerra Brothers Rooting at the address noted above in accordance with the following detailed specifications. Surface Preparation: Tile Reset Remove Ilse existing rool'tiles and set aside For re-uso and dispose of any broken tiles into a trailer. The existing underfaytmem will be cleaned offarali debris and the loose dirt will be swept into piles. The plywood will be inspcvwd and replaced as needed to ensure decking is in good condition. 41*1 $60 dollars. per ply shoot that is rcplaccxl if nceslerl ***' This will be determined once the existing roof is removed and clean. A permit will be requcsted at the Building and Safety department in La Quinta, California. All the roofing debris will be disposed of in our trailer and hauled away for disposal. Fascia Board: The rotten fascia board will be removed and replaced with new fascia board. The fascia board will be fastened down and reinforced before installing the drip edge. Tile Reset: lnsiall 2 layers of401b. underlayment onto the sheathing nailed do%vn with 7/8 simplex nails throughout. New metal ilashings will be installed on all edges, valleys, secondary flashings and the roof penetrations will be sealed. Any broken tiles will be replaced to match the existing tiles of the home and secured into place. All the tiles will be reset properly into position and all the roofing debris will be cleaned and cleared at the end of the day. A final inspection will be requested at the City Building and Safety Department in La Quinta, California_ Labor and Materials Thank you for the opportunity to have provided you with a bid. { Total Owner/ Authorized Signature and Date Page 1 Estimate Date Estimate # 1 1 / 19/2019 1591 Total I t I ?,()I -- ICI 9,000,00 -� Becerra Brothers Roofing 69-712 Palm Springs Ave. f Mountain Center, CA 92561 760-349-9705 CA Contractors License#887380 Name / Address Claudia Galvez 53-825 Avenida Bermudez La Quinta, CA 92253 Estimate Date Estimate # 1 1/19/2019 1591 Description i Total Terms: 50%down and 50%due upon completion **** 10 year workmanship warranty with required maintenance at a minimum of 2-3 years. **** Acceptance of Estimate: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payments will be made outlined above. Thank you for the opportunity to have provided you with a bid. I Total Owner/ Authorized Signature and Date Page 2 $9,000.00