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14602 (RR)s P.O. BOX 1504 No. 14602 Building X2_2 Ave. Ramirez 78-495 CALLE TAMPICO. Address LA QUINTA, CALIFORNIA 92253 Owner Robert Scrivens Mailing Address 38-600 Rfimrose Cit Zip ITel. .germuda Dunes CA, 92261 345-13936.. Contractor Dew Roofing Inc. --a6-William RCS. Cipaim SP g-� rin zp 92253 reI.32 x3393 State Lic. City & Classif. C-39 409619 Lic. # 326 Arch., Engr., Designer 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 7 ))of Division 3 of the Bku6iibeess and Professions Code, and my license is in full force and - ffec4t.x%/���% r/gLsPC.�i �•'�.J� SIG ATl1�RE�T YY DATE f OWNEWBUILDER 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 caunty which requires a permit to construct, after, improve, demolish, or repair any structure, prior to fts- 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. Anyviolation 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). - . O 1, as.owner of the property, or my employees with wages as their sole compensation, will do-the.worlc, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and -f?rofessions Code: The Contractor's License Law does not apply to an owner of property who -build; 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 or.'llmprpvement is sold within one, year of completion, the owner -builder will have the burden - ofWoving that he did not build or Improve for the purpose of sale:) O'I;:a towner 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 contractors) (caned pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby all�igpmn that I have a certificate of consent. to self -insure, or a certificate of Worker's Co t:nsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy 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 thil work for which this permit is issued, I shall not employ anyParson in any manner so as to become subject to the Workers'. Compensation Laws of California. BUILDING: TYPE CONST. ' OCC. GRP.; Number _ il Descript Description Reroof Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter.❑ Repair ❑ Demolition ❑ :stimated Valuation $311557.5.60 . I PERMIT AMOUNT Plan Chk. ' Dep. ' - BY: Plan Chk. Bal. ' Setback Const... 30.00 Mech. Electrical Plumbing S-.M.I. . Rear Setback from Rear Prop. Line Grading - Driveway Enc. SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND'CIVIL FINES UP'TO ONE: Infrastructure 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. "S% FINAL DATE TOTAL 30.00 REMARKS r I certify that I have read this application'and state that the above information incorrect: 'Issued by: Date Owner - . NOTICE TO APPLICANT: d, after making this Certificate of Exemption you. should become ZONE: ' - BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith ' Setback Distances: comply with such provisions or this permit shall be deemed revoked. .Minimum Front Setback from Center Line Rear Setback from Rear Prop. Line WARNING: FAILURE TO SECURE WORKERS'COMPENSATIOMCOVERAGEISUNLAWFUL- 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. "S% 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. r I certify that I have read this application'and state that the above information incorrect: 'Issued by: Date - elzait I agree to comply with all city and county ordinances and state -laws relating to building construction, hereby this and authorize! representatives :of. city to. enter the . above.. mentioned property for inspection purposes. Validated by: AA Signature of applicant Date Mailing, Address Validation: City, State, Zip I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA i SLAB GRADE [ YARD SPKLR SYSTEM b 2ND FL. SO. FT. BONDING + MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS i� t DRAINAGE PIPING CAR P.I SO. FT. ® HEATING (FINAL) WALL , SO. FT. ® REINF. STEEL DRINKING FOUNTAIN. SO. FT. TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ 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 WASH ER(AUTO)(DISH) APPLIANCE j DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. i LAUNDRYTRAY AIR HANDLING UNIT CFM FRAMING �' KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP -USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM I FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER j B.T.U. SO. FT. ® c BATH TUB FIRE ZONE ROOFING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES 1 MICRO FEE MECH.FEE PL.CK.FEE CONST. FEEELECT. FEE SMI FEE FPLUMB.FEE STRUCTURE PLUMBING ' ELECTRICAL HEATING & AIR COND. SOLAR SETBACK '" GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA i 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 J WATER HEATER SERVICE FINAL INSP. BOND BEAM I WATER SYSTEM GRADING cu: yd. $ plus x$ _ , =$ LUMBER GR. i FINAL INSP. FRAMING �' FINAL INSP. ROOFING Y " J11V REMARKS: VENTILATION/� FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING J MESH INSULATION/SOUND FINISH GRADING } ' FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESlINITIALS GARDEN WALL FINAL Owner: Robert Scrivens _ Job Site: 52-125: Avenida Ramirez, La'Quinta, Ca. ,WE PROPOSE AND AGREE.to furnish required labor and material for Remove old roof & reroof , BAD SHEETING DISCOVERED WILL BE REPLACE)? AT OWNERvS EXPENSE. NOT INCLUDED IN TH IDI • for the above named building using _. in accordance with submitted plans and specifications, for the sum of Using 1 layer 15# Felt & 25 Year Fiberglass Shingles.......... 3,.575.00 Dollars - rete Ti-le...._........($6,370.00)Dollars UD #3• ltsinP 1 1aygr 40 1 FP1r & MaxdTiLe. ,(S6.890.00)Dollars 3 Year Guarantee on all of.the above 3 bids. „ I SIL: ti.. IF YOU WISH THE WORK TO. BE DONE; SIGN THE CONTRACT PROPOSAL BELOW THE DATE AND ALSO ON THE BACK OF THE SECOND SHEET, WHICH IS THE "NOTICE TO OWNER.'' WE ARE SENDING TWO (2) COPIES EACH OF THE CONTRACT PROPOSAL AND NOTICE TO OWNER. PLEASE RETURN ONE (1) COMPLETE SET TO US. Approximate starting date: Approximate completion date: ALL PAYMENTS TO BE 100% ON COMPLETION UNLESS OTHERWISE SPECIFIED ABOVE. NOTICE "Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 at seq.), any contractor, subcontractor, laborer, supplier or other person who helps to improve your property but•is not paid for his work or supplies, has a righl .tu enforce a claim against your property. This means that, alter 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 it you have paid your own contractor in full, it the subcontractor, laborer, or ,supplier remains unpaid." This agreement shall become binding only upon the Contractor's written acceptance hereof or upon the Contractor's commencing fi'lgK::` performance and upon such acceptance or commencement of performance this shall constitute the entire contract and be binding upon the I•pi` parties hereto, there being no covenants, promises or agreements, written or oral, except as herein set forth. ?..... It if further understood That: (A) The Contractor shall not be responsible for damage or delay due to strikes, fires, accidents or other causes beyond his reasonable control. (8) The proposal is limited to _ __._ days acceptance from date hereol. (C) The Purchaser is dealing with the Contractor as principal. and that the Contractor is nol,,acting hereunder as the agent or representative of any person, firm, or corporation. PRICE SUBJECT TO CHANGE AT ANY TIME TO REFLECT INCREASED'MATERIAL PRICES. u ;... 12./9/94 s `= 411 Date —-----...— °")t rig`;. DEW ROOFING, INC. G:.. accept the above proposal. By:.Salesman 1A 41 — Approved by: was CONTRACTPROP.OSAL x... 7? z Contractors are required by law to be Ilcen�ed and regulated by the Contractors' (f DEW ROOFING`; ,hlC State License Board. Any questions con - earning acontractor may. be referred to the !"1 11 registrar registrar of the board whose address Is: 640 Williams Road - P. O. Box 914 Contractors' Stale license Board 1020 "N" Street PALM SPRINGS, CALIFORNIA 92263 Sacramento, California96814 PHONE (619) 327-3393 38-600 Primrose Lane, Bermuda Dunes, Contractor:(345 �' Address: _ —. CA 92201 , Owner: Robert Scrivens _ Job Site: 52-125: Avenida Ramirez, La'Quinta, Ca. ,WE PROPOSE AND AGREE.to furnish required labor and material for Remove old roof & reroof , BAD SHEETING DISCOVERED WILL BE REPLACE)? AT OWNERvS EXPENSE. NOT INCLUDED IN TH IDI • for the above named building using _. in accordance with submitted plans and specifications, for the sum of Using 1 layer 15# Felt & 25 Year Fiberglass Shingles.......... 3,.575.00 Dollars - rete Ti-le...._........($6,370.00)Dollars UD #3• ltsinP 1 1aygr 40 1 FP1r & MaxdTiLe. ,(S6.890.00)Dollars 3 Year Guarantee on all of.the above 3 bids. „ I SIL: ti.. IF YOU WISH THE WORK TO. BE DONE; SIGN THE CONTRACT PROPOSAL BELOW THE DATE AND ALSO ON THE BACK OF THE SECOND SHEET, WHICH IS THE "NOTICE TO OWNER.'' WE ARE SENDING TWO (2) COPIES EACH OF THE CONTRACT PROPOSAL AND NOTICE TO OWNER. PLEASE RETURN ONE (1) COMPLETE SET TO US. Approximate starting date: Approximate completion date: ALL PAYMENTS TO BE 100% ON COMPLETION UNLESS OTHERWISE SPECIFIED ABOVE. NOTICE "Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 at seq.), any contractor, subcontractor, laborer, supplier or other person who helps to improve your property but•is not paid for his work or supplies, has a righl .tu enforce a claim against your property. This means that, alter 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 it you have paid your own contractor in full, it the subcontractor, laborer, or ,supplier remains unpaid." This agreement shall become binding only upon the Contractor's written acceptance hereof or upon the Contractor's commencing fi'lgK::` performance and upon such acceptance or commencement of performance this shall constitute the entire contract and be binding upon the I•pi` parties hereto, there being no covenants, promises or agreements, written or oral, except as herein set forth. ?..... It if further understood That: (A) The Contractor shall not be responsible for damage or delay due to strikes, fires, accidents or other causes beyond his reasonable control. (8) The proposal is limited to _ __._ days acceptance from date hereol. (C) The Purchaser is dealing with the Contractor as principal. and that the Contractor is nol,,acting hereunder as the agent or representative of any person, firm, or corporation. PRICE SUBJECT TO CHANGE AT ANY TIME TO REFLECT INCREASED'MATERIAL PRICES. u ;... 12./9/94 s `= 411 Date —-----...— °")t rig`;. DEW ROOFING, INC. G:.. accept the above proposal. By:.Salesman 1A 41 — Approved by: