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15298 (PLBG)Buil lIg 53^233 Ave. Carranza T, ___ Owner }avid Sweet Mailing Address P.O. BOX 2094 C�*t6sta Mesa, C1Zip 92628 CTNTley PlurJAng .Address P.O. Box 665 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 City Zip Tel.: Indio, CA 92202 347-3629 State Lic. City & Classif. C36 273068 Lic. # 101 Arch., Engr., Designer Address Tel. CityZip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 900) of Divisiog lot the Business and ProfMIo9s Code, and my license is in full force and OWNER -BUILDER DECLARATION 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, atter, 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 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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 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 or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building orImprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or Improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- 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 such projects with a contractor(s) ticensed pursuant to the Contractors -License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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.) Policy No:.,f" Company &dopy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit Is issued, I shall not employ anyperson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS 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. 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. I 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 No. 15298 BUILDING: TYPE CONST. OCC. GRP A.P. Number Legal Description Project Description Sewer Cvunect Issued by: Date Validated by: Validation: Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ . Demolition ❑ r� Estimated Valuation $c •�i,%A `Pfi>D.0I PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing 30.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL 30.00 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prob. Lj.�e Side Street Setback froom/,Center Line Side Setback fr� �/of party Line � . r/. V/ \ FINAL DATE 4�NSPEC Issued by: Date Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. p FORMS SEW OR� . ROUGH WIRING MOBILEHOME SVC. BAR SINK { POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING FLOOR DRAIN MECHANICAL FEES ,» toj WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(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. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL INSULATIONISOUND SO.FT.GAR ® 3/.c HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE FINAL INSPECTION 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 FORMS SEW OR� . ROUGH WIRING DUCT WORK ROCK STORAGE 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.w ;7,// , Y FINAL INSP. FRAMING FINAL INSP. �J 9 J ROOFING ,» toj 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 Received From:. Address: Account No. - Service Address COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL N_' ' $41136 ❑ Meter(s) S ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge �Sanitation Capacity Charge ;4L_ :5S %�5 -L1e-7 ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Tum on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - r_ - Fee - ❑ Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt ❑ Customer Deposit ❑ Other TOTAL S 7 7 E5 <7,, c) Remarks /l) �/tL� �(/'! 1/ )i J //"//..�?i- L� ❑Copy to: Water Service Check �Q�,� •,.5- if V Money Cashier i Ofdef - CMD -438(11189) HAMMER PUMPING INC. JOB INVOICE { P.O. Box 2448 K� CATHEDRAL CITY, CALIFORNIA 92235-2448,x, 1ew1n1 "Icn -FAAn \Vi.7/ JVV-/'T'TV CUSTOMER'S ORDER NO. (619) 321-7448 ORDER TAKEN BY D ORDERED _ /3 - 9 r DATE PROMISED D A.M. D P.M. BILL TO ih. ^ G m NE ADDRESS M'6G �� CITY A4 HELPER JOB NAME AND ION +� 3� AVC ❑DAY WORK DESCRIPTION OF WO f� ❑CONTRACT ❑ EXTRA 6/ r ke aj r QUAPfr. DESCRIPTION OF ATERIAI USED PRICE AMOUNT Gallons Pumping Fee per 1000 gal. Dumping Fee per 1000 gal. Out of Area Fee Locating / Opening Fee (per hour) Size System: C& A SERVICE CHARGE OF $20 WILL 8E DUE ON ALL RETURNED CHECKS. A FINANCE CHARGE OF 11/2% PER MONTH, 18% PER YEAR WILL BE CHARGED ON PAST DUE ACCOUNTS -OVER 30 DAYS. HOURS LABOR AMOUNT TOTAL MATERIALS MECHANICS Q HELPERS Q TOTAL LABOR I hereby acknowledge the satisfactory completion of the above described work: TOTAL LABOR TAX SIGNATURE /��, i/� DATE COMPLETED TOTAL SAV, =� V Under the California Meqhanicsl�enaaw. any contractor, subcQntractorLlaborer, suppiie►, or other person who helps•to improve youi property; but is not paid for -his/her work or supplies, has a right to enforce claim against your property. Tbis 'mearis 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, laborers or suppliers remain unpaid. To preserve their right to file ajclaim or lien against your propefty,-certain claimant4such as subcontractors or material suppliers are required to provide you with a document entitled "Preliminar, 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) pays after completion of your project. W` t y TO INSURE EXTRA PROTECTION FbR YOURSELF AND YOUR PROOKI, YOU MAY WISH TO TAKE ONE OR MORE OF.THE FOLLOWING STEPS: : 1) Require that payments be made directly to subcontractors and material suppliers 'tough a joint control. Any joint control agreement should include the addendum approved :hvAfie 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 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 supplier, subcontractor and laborer involved in that portion of. the work for which payment was made. On profiects-involving improvements to a single family residence or a duplex owned by individuals, the persons signing these`reieases rose the right to file a claim against your property, in other types of construction 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. *A r . `-A,.