05-5037 (RR)49101 Avenida Anselmo
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
38
05-00005037
49101 AVENIDA ANSELMO
658-290-022- -
RE -ROOF
LOW DENSITY RESIDENTIAL
18890
Architect or Engineer
4.4 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
5
F
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 Professionals Code, and my License is in full force and effect.
LicenseCla s: C39 LicenseNo.: 336547
'
ate:tractor: /( 'LV M II Q, •
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).:
(_ 1 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.).
(_ 1 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.).
(_ 1 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: 0 TW
LQPERMIT
Owner:
BUETTNER M B
3552 QUARTSIDE CIR
HUNTINGTON BEACH, CA 92649
Contractor:
MILLER & SONS ROOFING INC, AL
68760 SUMMIT DRIVE
CATHEDRAL CITY, CA 92234
(760)328-6616
Lic. No.: 336547
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/15/05
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 work for which this permit is
issued.
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 VIRGINIA SURETY Policy Number 1CW50109602
_ 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 1 should become subject to the workers' compensation provisions of Section
3700 of theabor Cod shall forthwith comply with those provisis.
n
ate: ( pplicant: "' ♦ ( i/?/
WARNING: FAILURE TO. SECURE WORKERS' COMPENSATION COVERAGE I 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 Director of Building and Safety 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 ounty ordinances and state laws relating to building construction, and hereby authorize representatives
of th A =r
e-mentioned prop r inspection purposes.
Date: cant or Agent): / Lt. ✓/ 00
�f
Application Number . . . . . 05-00005037
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date 5/14/06
Qty Unit Charge Per
Extension
BASE FEE
30.00
-----------------------------------------------------------------7----------
Special Notes and Comments
RE -ROOF WITH FIBERTITE ROOFING SYSTEM
Fee summary Charged Paid
-----------=---------------
Credited
Due
----------
Permit Fee Total 30.00
----------
.00
----------
.00
30.00
Plan Check Total 00
.00
.00
.00
Grand Total 30.00
.00
.00
30.00
LQPERMIT
(w
Cool Roof Rating Council '
Product Listing ,
As of October 20, 2005
Total Number of Products: 515
Page 27 of 37
Initial
3 -year
Initial
3 -year
Solar
Solar
Therm.
Therm.
Low-
Steep-
CRRC
Company Name and Contact
Brand
Model
Type
Reflect.
Reflect.
Emit.
Emit.
slope
Slope
Prod. ID
Resin Technology Company
James Doose
909-947-7224
Permax -2000
Silicone
Coating
0.81
pending
0.88
pending
x
x
0648-0003
Resin Technology Company
James Doose
909=947-7224
Permax -115
Acrylic
Coating
0.87
pending
0.88
pending
x
x
0648-0004
The Ruscoe Company
Paul Michalec
Cool White Roof,
330-253-8148
Ruscoe
RRB-W
Coating
0.83
pending
0.85
pending
x
x
0654-0001
Sarnafil, Inc.
Stan Graveline
S327 Energy Smart
Single -Ply PVC
800-856.9938
Sarnafil
White
membrane
0.86
pending
0.90
pending
x
x
0674-0001
Sarnafil, Inc.
Stan Graveline
6410 Energy
Single -Ply PVC
800-856-9938
Sarnafil
Smart White
membrane
0.86
pending
0.91
pending
x
x
0674-0002
I Seaman Corporation
—" —
Jonathan C. Pierson
FiberTite® Roof
Single -Ply
800-927-8578 _
Membrane
Thermoplastic
0.83
pending
0.85
pending
x
x
0634-0001
Siplast
Kirk Goodrum
Vera] Polar White
Modifiied
800-643-1591
Siplast
Spectra
Bitumen
0.62
pending
0.87
pending
x
0742-0001
Siplast
Kirk Goodrum
Modifiied
800-643-1591
Siplast
Paradeine 30
Bitumen
0.29
pending
0.90
pending
x
0742-0002
Siplast
Kirk Goodrum
PC -227 Elastomeric
800-643-1591
Siplast
Roof Coating
Coating
0.83
pending
0.88
pending
x
0742-0003
Siplast
Kirk Goodrum
Modifiied
800-643-1591
Siplast
Veral Aluminum
Bitumen
0.87
pending
0.05
pending
x
x
0742-0004
Siplast
Kirk Goodrum
Paradiene
Modifiied
800-643-1591
Siplast
30CRFR
Bitumen
0.74
pending
0.83
pending
x
x
0742-0005
Solar Guard Coatings
Solastic
Joe Tavares _
Elastomeric
Acrylic
425-413-0545
Solastic
Coating
Coating
0.88
pending
0.87
pending
x
0748-0001
Solar Guard Coatings
Solastic Premium
Joe Tavares
Elastomeric
Acrylic
425-413-0545
Solastic
Coating
Coating
0.90
pending
0.87
pending
x
0748-0002
Soprema, Inc.
Doug Smith
800-356-3521 ext 221
Soprema, Inc.
R' NOVA
Coating
0.88
pending 1
0.90
pending
x
0772-0029
Page 27 of 37
Aug 19 05 02:51P Stan Miller Yachts Inc 562 598 5349 P•1
AL MILLER AND SONS ROOFING CO., INC.
"BETTER ROOFS FOR BETTER LIVING°
68-760 SUMMIT DRIVE, CATHEDRAL CITY, CA 92234
PH. (760) 346-1214 FAX. (760) 321-7097
LICENSE # 336547
PROPOSAL C T T
Contractor:Brad Buettner oject: Compound In La Quinta
Address: 3832 Seascape Dr. Address:
City: Huntining Beach, Ca 92649 City: La Quinta %
Phone: 562-755-2725 (Z �1 9 / 7i os-
-1 06,"S.�-y'
WG PROPOSE TO FURNISH THE FOLLOWING M CRIALS AND PERF RM ALL LABOR TO ROOF THE ABOVE LOCATION N.
Io "/,, rnnicvclo»s• Rnnflnu contractor will sweep loose_ rock
fastened, over One ( 1 ) 1" R 6/ISO insulation mechanically tasteuea over exrst.rur, r UVB w nvVu
roof deck. Price includes removing and reinstalling tile as needed new skylights as needed roof
permits, taxes and a manufacturer 15 year warranty.
Buildings 2,3 and 4 Roof Price: $ 18 890.00 each _
Building 5 Skylights and maintenance only price: $ 900-00
Terms: Net Cash on Completion per house
—ATTENTION .='�--
Section 7018 of the"Contractors License Law provides that starting July 1, 1966, everyone licensed by the Conn -actor's License Board shall
give a copy of the following notice to the payor prior to receiving from the owner of the property or his agent any payment for work which a
contractor's license is required
NOTICE
"Under tite mechanics' Lien Law , any subcontractor, laborer, supplier or other person who helps to improve your property but is not paid for
there work or supplies, has a right to enforce a claim against your property. This means that, after a courthearing, your property could be sold
by a court officer for the proceeds of the sale used to satisfy the indebtedness. This can happen even if you have paid your own contractor in
full, if the subconn•actor, laborer, or supplier remained unpaid."
Al Miller & Sons Roofing Co., inc. Agrees to furnish its regular form GUARANTEE for 5 Years after completion of its said work. Said
guarantee to cover defects in material and workmanship only and not to extend to damage to roofing caused by the elements, other unusual
Acts of God and shall not cover any liability for.damage to interiors fixtures, decorations, walls, contents of building or other parts of structure
not to damage of faulty construction. It is also understood and agreed that the above guarantee shall be made and remain only when and if
payment is made as agreed in this contract. Al Miller & Sons is not responsible for TV antennas .
We are fully covered by Workmen's compensation and public liability insurance. Carriers' names and policy numbers are available on request.
Any alterations or deviations from the above specifications involving extra cost of material or labor will only be executed upon written orders
for same, and will become an extra charge over sum mentioned in this proposal. All agreements must be made in wt•iting. This offer is valid for
one week from the date of estimate and is based on 6-ee access to building for direct loading from our truck.
Prices arc based on current cost of material and labor, increases or decreases will be reflected at time of signing of contract. Al Miller & Sons
is not responsible for any damage to sidewalks, curbs or driveways.
If then is any conflict between this proposal, and any other contract or specification relating to the above referenced project the ternts of this
proposal shall prevail.
Respectfully submitted,
AL MILLER & SONS ROOFING., INC.
Accepted:�`��
Date:
By:
Russell E. Miller, Estimator
Date: 3/15105