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Home My WebLink About9511-134 (PLBG)N W O C5 LU • cr d Z N �Oco W(D to Z ch N C.) � • Z `r<0 0 J J CO mi O U0 4.co Z o O LICENSED CONTRACTOR DECLARATION I hereby affirm 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. 265214 ,-�r42, /`2 2i 8/O5 /License #_? tee,,,./ &J Lic. Class t Exp. Date-" •1 /ter 7 "Date IA Y 4 . /c," SignatureofContractor / " /. _,. • OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner 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 & policy no. are: Carrier iTA P: FUND ' Policy No. 61943594 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date: 1/1. .!I ''' Applicant life/ J / -_ Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby madeto the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 agrees to, & shall, indemnify & hold harmless the City of Indian Wells, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize'representatives of this City to enter upon the above-mentioned property for inspection purposes. —Signature (Owner/Agent) ,f 46A—, Date /A• a. ' "`C' BUILDING PERMIT PERMITS 1i_1`4 DATE k11.01 Z' VALUATION :1$13!1.114! LOT TRACT JOB SITE ADDRESS 54-320 AVE. A VA ADO APN OWNER SUNDANCE ESCROW •.' 14361 HWY 111 S1%. 3 PALM DESERT CA 92260 (619)341-5750 CONTRACTOR .A-1 CESSPOOL SERVICE, INC 16819 .UTfLP MORONCO RD. DESERT "tiO i SPRING CA 92240 (619)329-6875 CI3:L t 386 DESIGNER/ENGINEER ' USE OF PERMITA,UNtj[NG FEEDESCRIPTION FEES CONTRACT AMOUNT 1,150.Ot)LS • ESTIMATED COST O1' CONSTRUCTION -.1IT FEE SUMMARY PL UMBING'FE -- SEWER 101.000.419-000 • • SUB -TOTAL CONSTRUCTION AND PLAN CHECK LESS .PRE-PA11r) TOTAL f'.ERMIT FEES DUE NOW' TOTAL PROJECT PERMTI' FEES $343.00 1,1 6.00 } • , i i U j .FEI3S N3V 2 8 1995 $30.00 $0.00 $30.00 30.00 " IIIIIII11111IIIIIIII111106 IE RECEIPT DATE BY DAJ� FJI ALEQ' INSPECTOR INSPECTION RECORD - OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS • MECHANICAL APPROVALS Set Backs Underground Ducts ' Forms & Footings Ducts - Slab Grade Return Air 1 , Steel Combustion Air Roof Deck Exhaust Fans t ` O.K. to Wrap F.A.U. I Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond 1 Footings Main Drain [ Bond Beam Approval to Cover Equipment Location Underground Electric - • • Underground Plbg. Test Final Gas Piping , f ' PLUMBING APPROVALS Gas Test I Electric Final l Waste LinesHeater Final Water Piping Plumbing Final 1 Plumbing Top Out Equipment Enclosure - Shower Pans O.K. for Finish Plaster Sewer Lateral //� f Q� Pool Cover I Sewer Connection /� %q� Encapsulation l Gas Piping Gas Test Appliances j VA/ ///1., ± fi/ Final , { COMMENTS: ' ' Final //00 �///, ///004 Utility Notice (Gas) �. ELECTRICAL APPROVALS - Temp. Power Pole Underground Conduit Rough Wiring Low Vottage Wiring Fixtures Main Service Sub Panels Exterior Receptacles«.. G.F.I. • Smoke Detectors Temp. Use of Power i Final Utility Notice (Perm) COACHELLA VALLEY WATER DISTRICT 566,74 ) CASH RECEIPT DETAIL W.I. 86874 J4/-5750 undor]e e C S- o roto Date /16J `l; I Received From: � j / / ) J /1 Address: r74- -36/ /``///Ll-•' {/ 11� , Ste. 3 Pa lin 1)65er / �l4 '1 (061 Account No (w 1'0/ / + L2 '/&J!'. 0,5 Lots)) • Tract Service Address 514 - .fin L S I't l l i (,� - L i / (/c r -a (10 G.A. Code % ❑ Meter(s) ❑ Service(s) ❑ Backllow(s) ❑ House Lateral(s). ❑ Detector Check(s) '{ ❑ Meter Surcharge Sanitation Capacity Charge _5�j ` t ❑ WSBFC 4. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water 1 Sewer - Tract - v ❑ Bond Payment - A D - Bond Assmt ❑ Customer Deposit ❑ Other /be , 7l�e Remarks' Pe1 7 / Ili 0.1 1C n ❑Copy to: Cash b Oo TOTAL S /9.25, 00 Water Service Check Money Order 7511 Cashier CVWD-438 (11189) �.1 CESSPOOL SERVICE, INC. P.O. Box 183 Desert Hot Springs, CA 92240 JOB INVOICE JuItoo "J.2 (619) 329-6875 State Lie. #265214 CUSTOMERS'S ORDER NO. D T D EO ,, 9S ORDER TAKEN BY DAT ROMISED BILL TO 4,430 , -I_ PHONE iLs••[ ADDRESS N4QJiANIC CITY HELPER LA V.,it \--At .,,` �,rr'y� JOB NAME AN LQ�CAAtTIO'N `� 4 -4...A1.1) s tT/.r...t++ +< i, iri ft �_ � ) ) 0 4- 4) !►+�'� i+./�j'' l,.�j/ Q DAY WORK 0 CONTRACT O EXTRA DESCRIPTION [(OF��WORK� �,� f�Q�r..v� ��/�+' �+Y �•"�4. �.. •C c!�f OUANT. DESCRIPTION OF WORK PRICE AMOUNT ify^ei Gallons 4'5 cx) Pumping Fee per 1000 gal. 40 Dumping Fee per 1000 gal. 50 QC) Out of Area Fee Locating / Opening Fee (per hour) • e .. Size System: A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETURNED CHECKS. ,,. A FINANCE CHARGE OF 1 1/2% PER MONTH, 18% PER YEAR WILL BE CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS. OUANT. LABOR AMOUNT TOTAL MATERIALS MECHANICS @ TOTAL LABOR HELPERS ® I hereby ackowfedge the salisfactoty TOTAL LABOR completion of the above described work: TAX SIGNA RE t ,r,1► t DATE COM LETED i )-QD i i S- TOTAL 1 S5 1 • NOTICE TO OWNER Under the California Mechanics Lien Law any contractor, subcontractor, laborer, supplier, or other person who helps to improve your property, but is not paid for his/her work or 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, laborers, 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". 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 after the completion of your project. TO INSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY, YOU MAY WISH TO TAKE ONE OR MOREOF 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 insure that all persons due payment are actually made. 3) After UPON making payment on any 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 suppliers, 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 signing these releases lose the right to file a claim against your property. In other types of construction this protection may still be important, but may be as complete. TO PROTECT YOURSELF UNDER THIS OPTION YOU MUST BE CERTAIN THAT ALL MATERIAL SUPPLIERS, SUBCONTRACTORS OR LABORERS HAVE SIGNED. cedi4 Ot" 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 November 26, 1990 To Whom It May Concern: The structure located at 54-320 Avenida Alvarado is located in a "B" flood zone per the revised F.I.R.M. (panels 060709 005 A and 0010 A) for La Quinta. The property was previously designated as zone AO (depth two (2) feet). If you have any questions, feel free to contact me. Sincerely, BUILDING AND SAFETY Tom Hartung Director of Building a Safety TH/lc MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253