The URL can be used to link to this page

14667 (PLBG)Building Address 52-680 Ave. Rubio Owner Bill Purcell Mailing Address 17413 Laurel Ds, City Zip Tel. Livonia 48152 Contractor Numbii inti. Address P.O. Bax 1555 City Tel.: 11 Quinta, Ct'�Zip 92253 5; State Lic. City & Classif. A,, B 537333 Lic. # Arcn., tngr., Designer Address Tel. P.O. BOX 1504 78-495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 No. 14667 LDING: TYPE CONST. OCC. GRP P. Number Legal Description Project Description Se&7er " Connect 4-'1338 2526 Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 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. SIGNATURE DATE OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason; (Sec.. 703 1.5, 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. the proylsions 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 rive 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. d, however, the building. or improvement 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) licensed pursuant to the Contractor's License Law.). ❑ 1 am exempt under Sec. B. & P.C. for this reason Dale Owner WORKERS' COMPENSATION DECLARATION 1 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. Company ❑ Copy 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 the work for which this -permit is issued, I shall'not employ any person in any manner so as to becomesubjectto the Workers' Compensation Laws of California. Date Owner NOTICE. TO APPLICANT: d, after making this Certificate or 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. ZONE: BY: Minimum Setback Distances:' 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 Estimated Valuation $1,000.00 , PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. " FINAL DATE 'Mech. Electrical Plumbing 30.04 S.-M.I. ' Grading Driveway Enc. Issued by: Infrastructure I agree to comply with all. city• and county ordinances and state laws relating to buildingLi construction, and hereby authorize representatives -of this. city to enter the .above-. 1 I �I III TOTAL 30 o vii REMARKS I ate Signature of applicant -Date- ZONE: BY: Minimum Setback Distances:' 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 ATTORNEYS FEES. 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 that. l have read this application and state that the above information is correct: Issued by: Date } errn!t I agree to comply with all. city• and county ordinances and state laws relating to buildingLi construction, and hereby authorize representatives -of this. city to enter the .above-. 1 I �I III mentioned property for inspection purposes. Validated .by: I ate Signature of applicant -Date- FEB O q (](� C 1995 I�1 ` Mailing Mailing Address Validation: City, State, Zip U By --` CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FFES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEQUIP. DRAINAGE PIPING CAR P. I SQ. FT. ® TEMP. POLE WALL SO. Ff. GROUT DRINKING FOUNTAIN SQ. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation . _$ FLOOR DRAIN MECHANICAL FEES FRAMING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER REMARKS: 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER INSULATION/SOUND 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 EWER R SE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM AI GRADING cu. yd. $ plus x$ . _$ LUMBER GR. �/1 ' INAL INSP. FRAMING FINALINSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Received F Address: Account N Service Ad ❑ Meter( s, ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge fA Sanitation Capacity Charge --2g C- ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. --Bond. ❑ Customer Deposit ❑ Other Remarks: ❑Copy to: Cash Check Money /Sri% Order MA TOTAL Water Service /e Cashier. CVWD-438 (11/89) 1 HAMMER PUMPING INC. JOB INVOICE P.O. Box 2448 CATHEDRAL CITY, CALIFORNIA 92235-2448 1w 1.71 JV V -/ V'To (619) 321-7448 CUSTOMER'S ORDER NO. DATE ORDERED oZ - 3 " 1l S— ORDER TAKEN BY DATE PROMISED 0 A.M. 0 P.M. .BILL TO / PHONE ADDRESS LI , f„ MEC�I¢A`I�� Zr CITY HELPER NAMF.,[1QtD Lg ON e O �f J( _�J\ L/y' to G I�AY WORK DAY CONTRACT DE IPTION OF EXTRA 4,10 Ste. L'i e A/ 0 Ic/ QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT Gallons CSD Pumping Fee per 1000 gal. aZ.X °9 /70 019D Dumping Fee per 1000 gal. 0? �� %�0 Out of Area Fee ' Locating / Opening Fee (per hour) Size System: a ;- A SERVICE CHARGE OF $20 WILL BE 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 TOTAL LABOR HELPERS Q �v acknowledge the satisfactory TOTAL LABOR -n of the abo a described work: DATE COMPLETED TAX