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Home My WebLink AboutROOF18-0016 PERMIT EXPIREDM City of Palm Desert PERMIT NUMBER: ISSUE DATE: Building and Safety Department ROOF18-0016 7/25/2018 73510 Fred Waring Drive Palm Desert, CA 92260 Permit Type: RE -ROOF Appl. Date: 1/25/2018 Permit RESIDENTIAL Appr. Date: 1/25/2018 Subtype: Job Valuation: $9,800.00 Exp. Date: 7/2412018 Project Address: 47380 AVENUE JADIDA Project Description: CRRC 0770-OOD7 APNITract/Lot No: Owner: Contractor: Applicant: 630360024 VICTORIA R WHITMORE RELIABLE ROOFING BY T G Y RELIABLE ROOFING BY T G Y TR 5904 47380 JADIDAAVE P 0 BOX 1961 P 0 BOX 1961 24 PALM DESERT CA, 92260 PALM SPRINGS, CA 92263 PALM SPRINGS, CA 92263 (760)568-1673 (760)568-1673 Licensed Contractor Declaration We Summary >rIereby affirm under penalty of pgriury that I am licensed under provisions of Chapter 9 ARCHNE FEE - X t1 O 17 GL-1100000.341160D $0.28 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. GREEN D E GL-6100000.2281000 $4.00 - Initial MINI I Tl FEE GL-1100000.3221100 $159.00 PER I SUAN FEE GL-1100000-3411400 $105.00 Owner -Builder Declaration ElI hereby affirm under penal(y of oedury that I am exempt from the Contractors' Sta Paid: $26B.28 License Law forthe mason(s) indicated below by the checkmark(s) I have placed ! it re off,. under the penalty of per)ury Mat there is a construction lending agency for the to the applicable item(s) Section 7031.5 Business and Professions Code: Any city rmance of the work for which this permit is issued (Sec 3097. Civil Code) county which requires a permit to construct, alter, improve, demolish, or repair any, nders Name and address structure, prier to 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 Contraclors'state Asbestos Declaration License Lew(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) orthat he or she is exempt and the basis for the alleged exemption, Any violation of Section by any applicant for a permit subjects the Written asbestos notification pursuant to Part 61 of Title 40 of the Cade of Federal Regulations is required t applicantt to a civil penalty GT not more than e than five hundred dollars ($500).) when asbestos exists in buildings, or portions thereof, undergoing demolition. I hereby declare that I, as owner of the property, or my employees with wages as their sole compensation, demolition authorized by this permit is from construction that does or does not contain asbestos, or that no demolition is authorized by this permit will do the work, and the structure is not intended or offered for sale (Sac. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to NOTICE: You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020 an owner of property who builds or improves the properly, provided that the (a). The protest must satisfy the requirements of Gov. Code Sec.66020(a) and must be filed within 90 improvements are not intended or offered for sale. If, however, the building or days of the date of this notice. In addition, you must tender payment of the protested fees at the time of improvement is sold within one year of completion, the Owner -Builder will have the the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they burden of proving that it was not built or improved for the purpose of sale.) are due if they are not already due. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a licensed contractor pursuant to the Contractors' Stale License Law.) I am exempt from Llcensure under the Contractors' State License Law for the following reason: Date/Signature of property owner or agent Work' ConlpenSation Declaration WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE5 UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDRION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AT-TORNEYS FEES. penaltyI hereby affirm under the of 12erluUofthe followigAeclarationc I have and will maintain a certificate of consent to self -insure rworkers' Compensation, issued by the Director of Industrial Relatio as provided for by Section 3700 Of the Labor Code, for the performance of the wo orwhich this permit issued. Initial Policy No, 1 have and will maintain workers' Compensatio nuance, as required by Section 3700 of the Labor Code, far the pedornan f the work for which this permit Is issued, fvly workers' compensation insur a carter and policy number are: _ Initial Cartier&Policy Number Expiration Date A I certify that in the performance the work for which this permit is issued, I shall not employ any person in any me er so as to become subject le the workers' compensation law of Calif is and gree that if I should become subject to the workers' mpen lion p 'sions o Section 3700 Gf She Lab Code, I shall forthwi comp lh lho provisi S. _ Initial pplican DateMj� City of Palm Desert Department of Building and Safety Building Permit Application (For Office Use Only) p JOB ID: �` ooy 00 PLANS FILED: Project Address: Y I v 90 a &AJr-, Suite # Total Value of work: $ ( V D Note: Plan Review Fees may be adjusted after Plan Review MOKEETIMMW Contr `B i ss 634+e kn7j� Property wA 44"A." Address }f ` �JV�! Address�� City S Zip GG3 { City Zip .. Phone O � �y � � } � [ Phone �� 4 r O' Fax � �r-�1' � J I Fax E-mail -mail Contractor License r O ❑Architect Name ❑Designer Name Engineer Name Address Address City Zip City Phone Pho Fax Fax E-mail E-mail License No. �N. A Clicant Name _7 Signate ur�e� Dat czs�g Contact Telephone Numb J E-Mail PLEASE COMPLETE THE REVERSE SIDE 73-510 Fred Waring Drive, Palm Desert, CA 92260 - (760) 776-6420 - (760) 776-6392 fax • www.cityofpalmdesert.org rcj=JL► J0JL= ngiurlivu ivy 1 u T "Best Quality.! Best Price! Guaranteed!" � I BY TODD GREGORY YOUNG �i C) ' G ((] { C-39 License No. 764608 COMMERCIAL, RESIDENTIAL, & MOBILE HOMES 11 (760.323.2705, 760.568.1673, 760,251.9495) t - MAILING: P O Box 1961, Palm Springs, CA 92263 PRIME ROOFING CONTRACT (Complies with California's Home Improvement Law) This Agreement is between RELIABLE R F,[3�I[(�BY T G Y Qj�rq.afier "RELIABLE ROOFING") and 76 � & / 3 7 �lGT Ul' f Ct �c rvI.LNYtOY..._ ("Owner"). (Owner's Home and Business Addresses) i , — _ rr n rl A fl /' .n Construction Lender: Name and address of construction fund lender or holder is NPO (H� & b—h ad&m orea,JtSa.in &Lawn A—E— Agent!�int Ca,niol ardAcrl RELIABLE ROOFING will perform the work specified herein at the property listed below on behalf of the Owner. Work to be performed at ILc l dmiption and straw[ add—ifk-1 Description of Project: RELIABLE ROOFI`iIG will famish all labor, equipment, materials, sea in& sal� to IOIYC pgrfatiogfssuperyision, coord- tion{�nd st race to complete ' a -ood a d)V' &manlike mean the fo ing work: _ T e Fy rartmg & Completion: The work to be performed by RELIAB3LE%�OOFIN pursuant to this Agreement all be commenced within fI ( ) days from the date of this contractor approximattelyy On/ r / S � 8 (Date) and shall be substantially completed within Odays orapproximately �on � 1I�; (Date). I f Co enceptent of work shall be defined as ' S �`3 oc{ L/ (,�'7 —rjc�.iy'I.t"/� [E`] Contractor's failure to su stantially c mence work without lawful excuse, within twenty (2) days from the date specified above is a violation of the Contractors' License Law. d PAYMENT: Owner agrees to pay �RFLIABLE ROOFII'N�G,ja total cash price Down Payme t (if anY) S / `✓ 0 � a G` �� Payment FA1LI)RE OF OWNER TO \IAIE PAYMENT WITHIN FIVE (5) ANY PAYMENT IS DUE IS A bIATERLIL Upon satisfactory payment being made for any portion of the work performed, the contractor shall, prior to any further,p�tj'then' [ �emg made, fi:mish to the person contracting for the home improvement or swimming pool a full and unconditional release from any claim or mechanic's lien pursuant to Section 3114 of the Civil Code, for that portion of the work for which payment has been made. YOU, THE HOMEOWNER (BUYER) OR TENANT HAVE THE RIGHT TO REQUIRE THE CONTRACTOR TO FURNISH YOU WITH A PERFORINIANCE AND ;PAYNIENT BOND, HOWEVER =HX,CONTRACCOR CAN REQUIRE YOU TO PAY FOR THAT BOND. YOU, THE BUYER, l IXY CANCEL THIS TRANSkCON AT, ANY TINGE PRIOR TO YIIDNIGIfI OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. OR IR'I'HIS IS )L CONTRACT FOR THE REPAIR OF DAMAGES RESULTING FROM AN EARTHQUAKE, FLOOD, FIRE, HURRICANE, 'MOT, STORM, TIDAL WAVE, OR OTHER SINTH.AR CATASTROPHIC OCCURRENCE FOR WHICH A STATE OF ErivIERdONCY HAS BEEN DECLARED, YOU THE BUYER MAY CANCEL THIS TRANSACTION AT ANY TLNIE PRIOR TO MIDNIGHT OF THE SEVENTH BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CArNCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGULATED BY THE CONTRACTORS' STATE LICENSE BOARD WHICH HAS ��JURISDICTION TO INVESTIGATE CONItN' IPLATS AGAINST CONTRACTORS IF A COMPLAINT REGARDING A PATENT ACT OR Oab1ISSION IS FILED WITHIN FOUR YEARS OF THE DATE OF THE ALLEGED VIOLATION. A COMPLAINT REGARDING A ];�4ENT ACT OR OMISSION PERTAINING TO STRUCTURAL DEFECTS MUST BE FILED WITHIN 10 YEARS OF THE DATE OF THE ALLEGED 'VIOLATION. ANY QUESTIONS CONCERNING A CONTRACTOR MAY BE REFERRED TO THE REGISTRAR, CONTRACTORS' STATE LICENSE BOARD, P.O. BOY 26000, SACRAMENTO, CALIFORNIA 95826. TINIENTS: The terms and conditions on the reverse side are expressly incorporated into this Agreement. Owner acknawledaes receipt of a Notice required by Business and Professions Code section 7030, a Notice of Cancellation, a Checklist for Homeowners, an Insurance Disclosure Farm, the if•HWR 6usrtC`7Ta—k is Addendum, as a the separate Limited Warranty, each of which are incorporated herein by reference. n *r Ci.j,y OWNER i 114 t ' t ' Dated ! I Signature ➢alyd l fed Salesperson Reg m (Ifmore Than I oimm second D.mer sign here)