14391 (PLBG)f��l'Gv
F ,
TAb
P.O. BOX 1504 No.. 14391
Building 78-495 CALLE TAMPICO
Address 51-540 Ave. obregon LA QUINTA, CALIFORNIA 92253
Owner Ms. Dorothy Bass
Mailing
Address Same
City Zip 7-
-La
.Quanta, CA 922.53
Contractor
Denbaer Engineering & Construction
Ad%,gss175. Berms Court
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Serer C®tmneCt_
Cit&thedral Ci Zipy, CA 9223 el
T (619) 327-2'20C
State Lic. City
& Classif. . A B 684563 Lic. # Sq. Ft. No. No. Dw.
Size - Stories Units
Arch., Engr.,
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
l LICENSED CONTRACTOR'S DECLARATION .
I hereto6"fit.,
that I am licensed under provisions of Chapter 9 (commencing with. Section
�000) ln 3 of tho B inass and P ofessiom-Code, and my license is i full force and
e(,fe o'fi/ '3 cl3 � l
GN TO l% ,Farr."" if I DATE "
OWNEWBUILDER DECLARATION Estimated ValuationQ g„®�
I hereby affirm that I am exempt from the Contractor's License Law for the following 1,
reason: (Sec.. 7031.5,Business and Professions Code: -Any city .or county which requires a
permit to construct, after. Improve, demolish, or repair any. structure, prior to its issuance also
requires the applicant for. such permit to file,a signed statement that. he is licensed pursuant, to
PERMIT
. AMOUNT
the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) of
'
Division 3 o1 the Business and Professions Code, or that.he Is exempt therefrorim, and,lhe basis
for Any Sect/on 7031.5 'any for
Plan Dep.
-
the alleged exemption. violation of by applicant a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
.Chk:
?Ian Chk. Bal.
-
❑.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, Buisness and
Const.
Professions Code: The Contractor's License Law does not, apply to an owner of property who
.
'
builds or improves thereon and who does such work -himself. orthrough his own employees,
McCh. -
provided that such improvements are not Intended or offered for sale. It, .however, the building
or improvement is sold within .one year of completion, the owner -builder will have the burden.
Electrical
.of.proving that he did not build or Improve for the purpose of sale.)
1 n
v
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's License Law.
-
does not apply to an owner of property who builds or Improves thereon, and who contracts for
S.M.1.
such projects with a contractors) pcensed pursuant to the Contractor's License Law.)
Grading
-
❑ I am exempt under Sec. B. 8 P.C. for this reason
-
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
-
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker'sotn'pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poliw"o. Company
QCopy Is filed with the city, O Certified copy is hereby furnished.
TOTAL
30.00
CERTIFICATE OF EXEMPTION FROM
REMARKS
- WORKERS' COMPENSATION INSURANCE
.
(This section need not be completed if the pemnit is for one hundred dollars ($100) valuation
or less.)
-
I certify that in the performance of the work for which this -permit is issued; I shalknot
employ any person in any manner so as to become subject to the'Workers' Compensation
Laws of California
". Date Owner
NOTICE TO -APPLICANT.- n,": after making this Certificate of Exemption'should become
ZONE:
BY:
subject to the Workers' Compensation provisions of -the Labor code, -you must -forthwith
Setback
Distances: '
comply with such provisions or this permit shall be deemed revoked:
Njinirnum
Front Setback from Center. Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND
Side Street Setback from Center Line
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, . "
Side Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION .3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES. '• '
FINAL DATE
INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
expiration It thereunder is suspended for. 180 days.
work
I
Permit *m
certify that I have read this application and state -that the above information is correct.
Issued by-
Date
I agreeto comply with all city and county ordinances and'state laws relating to building.
construction, and hereby authorize representatives of this city to enter the above.
`(
mentioned property for inspection purposes:
Validated by:
Signature of applicant Date
Mailing Address
Validation;
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT. p
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT.
OTHER APP./EOUIP.
DRAINAGE PIPING
WALL SO. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SO. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
_ $
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL . HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING
SO.FT.GAR ® 3/ec
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSSEWE
> R SE
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. .
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
�
'GRADING
cu. yd.
$ plus x$
_ $
LUMBER GR.
014wl m/
// FINAL INSP.
FRAMING
FINAL INSP. /0 f15'
i
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
t
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
HAMMER FILIMMAG INC. JOB INVOICE
P.O. Box 2448
CATHEDRAL CITY, CALIFORNIA 92235-2448
I&Int '3&f% '7AAO
(619 321 7448
DESCRIPTION OF MATERIAL USED
CUSTOMER'S ORDER NO.
DATE ORDE2)D
'2 3-
ORDER TAKEN BY
DATE PROMISED 0 A.M.
0 P.M4
BILL, TO
PHONE
ADDRESS
Pumping F6e per 1000 gal.
CITY
HELPER
JOB NAME
_rAV610NO /3 0% t
0,07k7WORK
0 CONTRACT
DESCr,PTION OF WORK
0
9--0
0 EXTRA
0 0
QUANT.
DESCRIPTION OF MATERIAL USED
PRICE
AMOUNT
0 0 0
Gallons
ILA) 0 0
Pumping F6e per 1000 gal.
'Ddmpirig,�,ee per'1000 gal.
9--0
-70
Out of Area Fee
Locating Opening Fee, (per hour)
Size System:
jr
0 F,
A SERVICE CAARdE OF $20 WILL BE DUE I
ON ALL RETORNED CHECKS.
A FINANCE CHARGE OF II/A PER MONTH, 18% PER YEAR
WILL BE CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS.
HOURS
LABOR AMOU T
TOTAL
MATERIALS
MECHANICS @
TOTAL
LABOR
HELPERS @
I hereby acknowledge the sati sfactory
completi �L of the above described work:
TOTAL LABOR*
TAX
SIG
ETED
T
TOTAL
9
0s, , . 1��
, '-I
Under,the California Mechanics Lien Law any contractor, subcontractor, Mborer, supplier
or other person who helps,to, imprbve your propertyo-but-,is nqt paid for his/her work or
supplies, has a right to enforce a claim against your property. This means that after a'court
hearing, your property could be sold by a court officer and the proceeds of the'sale used to
satisfy the indebtedness. This can happen even If you have paid your contractor in full if the
subcontractors, labor6rs or suppliers remain unpaid.
To preserve their right to file a claim or. lien against your property, certain claimants such
as subcontractors or material suppliers are.required to provide you with a document entitled
"Preliminary Notice." Original (or prime) contractors and laborers for wages do not have to
provide this notice. A Preliminary Notice is not a lien against your property. Its purpose is to
notify you of persons who may have a right to file a lien against your property if they are not
paid-. Generally, the maximum time allowed for filing a claim or lien against your property is
ninety (90) Days �fter completion of your project.
TO INSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY,
YOU MAY WISH TO TAKE ONE OR MORE OF THE FOLLOWING STEPS:
1) Require that payments be made directly to subcontractors and material suppliers through
a joint control. Any joint cotitrol agreement should Include the addendum approved by the
Registrar of Contractors.
2) Issue joint checks for payment, made out to both your contractor and subcontractors or
material suppliers invblved in the project. This will help to insure that all persons due payment
are actually paid.
3) After UPON making payment,onpy �ompleted phase of the project, and before making
any further payments, require your contractor to. provide you with unconditional lien releases
signed by each. material supplier, 'subcontractor and laborer Involved In that portion of the
work for which payment -,vas made. On projects involving improvements to a single family
residence or a duplex owned by individuals, the persons signingthese releases lose the right
to filea-claim against -your property. In-othertypes of.cpristrijetion this protection may still be
important, but may not be as complete. TO PROTECT YOURSELF UNDER THIS OPTION YOU
MUST BE CERTAIN THAT ALL MATERIAL SUPPLIERS, SUBCONTRACTORS OR LABORERS
HAVE SIGNED.