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002692 (RR)Ti4 4QuiWAA �f Bde6s g 'AdddrresXAim 650 a, 3& Owner Mailing Address Sam City Zip ....-TA Qmtfta 92253 Contractor. P.O. BOX 1504 - 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Tel. 564—U28 Address City ... Zip. Tel... dao 92201 342-1141 BUILDING: TYPE CONST.- -A.P. Number Legal Description Project Description' State LIc. City & Classif. 2g95f Lic. #7 Sq. Ft. Size Arch., Engr., • Designer New 13 �a Address Tel. City Zip State ..... _ _ Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter'9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,,:and my license is in full force and effect. li ! yt;� t e Fj.• : t{ . �f/ i'/ - i. SIGNATURE'S r - .f DATE y OWNER+BUILDER DECLARATION Valuation ' I.hereby affirm that I am exempt from the Contractor's License Law for the following Estimated, - y• reason: (Sec, ..7031.5, Business and Professions, Code: -Any city or county which requires •'a • .4o.11820.. permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also - .c •. ..,. - requiresthe applicant, for ,such permit to file a signed statement that he is licensed pursuant to -PERMIT i . the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of ' - 'Division'3 of the 'Business and Professions Code,-or-lhaf-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 penatty'of not more than five hundred dollars ($500) - - No. No. Dw. -Stories ' Units Arid Fl" Altpr FT Rpnnir F-1 . 'Demolition Fl J F! • -AMOUNT 0 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, Bulsness and. Cdnst. �^ Professions Code: The - Contractor's License Law does not apply. toan owner of . property who,.- ' • �4 builds or'iinproves thereon and who does such work himself or through his, own employees, - • Mech.. •, 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'- EI2CtrICdl -� of proving that he did not build or improve for the purpose of sale.).. - - . 0 I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing,-` �•-o,,;. - - .• - slruct the project.. (Sec. 7044, Business andProfessionsCode: TheContractor'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 contractor(s) licensed 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, ora certificate of. ' Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) •. Policy No. .Company .. 0 Copy is filed with the city. , 0 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 )-. .... _.. _ TOTAL REMARKS I certify that in the performance of thip 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. Date. .Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you, should become 'subject ZONE:- ' BY: to' the' Workers' Compensation provisions of the Labor Code,' you'musr forthwith comply comply with such provisions or this permit shall be deemed revoked. - - Minimlirrt Setback ' - - ' Front Setback from Center. Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line ' I hereby affirm that there'is a construction lending agency for'the performance of the work for which this permit is issued. (Sec. 3097; Civil Code.) - Side Setback from Property Line Lender's Name Lender's 'Address FINAL DATE INSPECTOR ' • This is a building permit when properly filled out; signed 'and validated, and is subject to •. expiration if work thereunder is suspended for 180 days. �- •• - I certify I.have Z�-•"="" Perm ,that read this application and state that the above information is correct.- agree to, comply with ISSuedby:', •Date it . 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. ,I ' _ = Validated by: ' Signature -of applicant ! N, : =.r Date Mailing Address v Validation: City, State, Zip ; A6691. 11. 12 30.06 U HARD COPY .. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. p POR. SO. FT. ® GAR. SO, FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (ROUGH) 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 WATER HEATER SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® 3/ac HOUSE SEWER GRADING cu. yd. $ plus x$ 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 FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING C DEC 17 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL 117aYC1:1VR"aaimmmA1 Vnrom 111ALa, GARDEN WALL FINAL 342-1141 I M E L ROOFING CO ■ 82-180 Verbena •;'ess Imel Indio, CA 92201 PROPOSAL and CONTRACT Date TO Dear Sir:�i- 1. propose to furnish all materials �and perform all labor'necessary to comple the following: -7 ;adr/ 1_/H1—i- �^ / /' / fir_ 7 �f/ '� • %'a• r Com'/ .C7 S f es/ /11� % L l�Fip K ry /�Gir (fi+�IAd / .!/ �/ �il l) �'2 r All of the above work to be completed in a substantial and workmanlike manner according to standard practices for the ""1. �-•-/ / ice' sum of / V f . I % tt Si7�� f� iC'�>r// 1�c�jYifr ��f ldJFfiY���. Dollars ($ Progress payments to be made as the work progresses to the value of per cent,.�C' %) of all work completed. The entire amount of contract to be paid within u ler /�c� ,�J ivy days after completion. Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum mentioned in this contract. All agreements must be made in writing. Name and Registration Number of any salesperson who solicited or negotiated this contract: Name No. Contractors are required by law to be licensed and regulated by the. Contractor's State License Board. Any questions concerning a contractor may be referred to the registrar of the board whose address is: Contractor's State License Board, 3132 Bradshaw Rd. Sacramento, California 95826 Respectfuily submitted, Address Telephone Contra(•tnr•s St.ite License No. You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. ACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work mentioned in the above proposal, for which _ and according t e terms ACCEPTED agree to pay the amount mentioned in said proposal, �4 k . NOTICE TO OWNER Under the Mechanics' Lien Law, any contractor, subcontractor, laborer, materialman or other person who helps to improve your property and is not paid for his labor, services or material, has a right to enforce his claim against your property. Under the law, you may protect yourself against such claims by filing, before commencing such work- of improvement, an original contract for the work of improve - Date 'Knr �L , 19 V& ment or a modification thereof, in the office of the county recorder of the county where the property is situated and requiring that a contractor's payment bond be recorded in such office. Said bond shall be in an amount not less than fifty percent (50%) of the contract price and shall, in addition to any conditions for the performance of the contract, be conditioned for the payment in full of the claims of all persons furnishing labor, services, equipment or materials for the work described in said contract"