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14402 (PLBG)uu�,tc� P.O. BOX 1504 No. 14402 Building r 78-495 CALLE TAMPICO Address 51-5,55 Ave. Obregon LA QUINTA, CALIFORNIA 92253 Owner 14B. Betty Lightner Mailing BUILDING: TYPE CONST. OCC: GRP. Address Same A.P. Number City Zip Tel. - La Quinta, L 92253 Legal Description Sewer Convect COWIMI-lo 3r Engineering gr . Construction Project Description - Addies§ `J . Berros Court Ort.thedral cit �ipCA 92234 Te6I9j 327--2200 State Lic. AB�4563 City & Classif. Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size Stories - Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State r� Lic. It LICENSED CONTRACTOR'S DECLARATION ' I hereb ,affirm that I am licensed undei Drovisigns of Chapter 9 (commencing with Section �`e7ff�ec+� ivision,3 of the B_ us'hess and Prof 16ns Code, and my license is in full force and ® ��? 4G /06 SIGNATURE— ' 1 DATE _ OWNEWBUILDER DECLARATION r Estimated Valuation $1 320.00 I hereby affirm that I am exempt from the Contractor's License Law for the following reason:, (sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any. structure, prior to its issuance also requires the applicant for such permit to rile a signed statement, that he is licensed• pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter. 9 (commencing. with Section 7000) , of Division 3 of the Business and Professions Code• or that. he is. exempt therefrom, and *the basis for the alleged exemption. Any violation of Section 7031.5 by. 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). - - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not Intended or offered for sale. (Sec. 7044,.Buisness and Const. 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 or through his own employees, M@Cil. provided that such 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 Electrical of proving that he dM not build or improvefor the purpose of sale.) A ❑ I, as owner of the property, am exclusively contracting with licensed contractors to corn 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.I. such projects with a contractor(s) (!tensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec. B. & 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's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Polio; o-� Company Ca'Copy is filed with the city, 0 Certified copy is hereby furnished. TOTAL 30.00 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (S100) valuation ' or less.) ' I certify that in the performance of thg work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE l0 APPLICANT. ti, after making this Certificate of Exemption you should become ZONE: BY:' ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. 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 work thereunder is suspended for 180 days. 1 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 hereby authorize representatives -of . this city to. enter the , above-. . mentioned property for Inspection purposes. Signature of applicant Date Mailing Address City, State, Zip Issued•by: Date Permit Validated by: i 1 Validation: d CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SQ. FT. p $ UNITS SLAB GRADE 2ND FL. SO. FT. p BONDING YARD SP�LR SYSTEM -:1 STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. p DUCTWORK ROCKSTORAGE GAR. SO. FT. p POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SQ. FT. p TEMP. POLE WALL SQ. FT. p GROUT DRINKING FOUNTAIN. SO. FT. p FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. p c BATH TUB GAR. FIREWALL SQ. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID p 1+/e c SEWAGE DISPOSAL MESH SQ.FT.GAR p 3/ac HOUSE SEWER 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 FORMSSEW OR ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. f FINAL INSP. FRAMING FINAL INSP. `ko S— ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL HAMMER PUMPING INC. JOB INVOICE P.O. Box 2448 CATHEDRAL CITY, CALIFORNIA 92235-2448 ^ ��^ � n %UJLZF; 4uv 1 0 (619) 321-7448 CUSTOMER'S ORDER NO. DATE ORDERED "� - fo - 9� 3 - ORDER TAKEN BY DATE PROMISED 0 A.M. 0 P.M. BILL TO PHONE ADDRESS MECJL4�� L CITY HEUPER- N CT—DAY WORK 0 CONTRACT ES TION OF WORK 0 EXTRA 0 0 QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT 000 Gallons 000 Pumping Fee per 1000 gal. oa- ,6o o Dumping Fee per 1000 gal. Out of Area Fee Locating / Opening Fee (per hour) Size System: 4� A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETORNED CHECKS. A FINANCE CHARGE OF 11/20/6 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 L I hereby acknowledge the satisfactory TOTAL LABOR completioqAf the above desgribed work: LCOMPLETED TAX Sl DATE ,� / 16 1 TOTAL 9:2- vc�l —4 Z46 NOTICE TO OWNER - Under the California Mechan.ics Lien Law any cont�actor, subcontractor, laborer, supplier or other person who helps to improve your property,, but is not 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 hnd the proceeds of the sale used to ptisfy the indebtedness. This can happen'even if you have paid your contractor in full if the §ubcontractors, laborers or suppliers iemain 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 clah1p or lien against your property is ninety (90) Days after completion of your project. TO INSURE -EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY, YOU MAY WISH TO TAKE�ONE�OR M.ORE OF THE FOLLOWING STEPS: 1) Require that payments be made directly to subcontractors and material suppliers through a joint control. Any joint control 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 involved in the project. This will help to insure that all persons due payment are actually paid. 3) After UPON making payment- on pny completed 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 was made. On projects involving improvements to a single family residence or a duplex owned by individuals, the persons signing1hese r6leases lose the right to file , a claim against your prop6riy. In other types of covsfrukciion 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.