14502 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
ullding
Addr0s -5.3-905 Ave. Bermudas LA QUINTA, CALIFORNIA 92253
Owner Greg Curdes
MailinO - P.Oa° BOX :1;.247
Address
City Zip' Tel.
'La QUintaf CA .92253
Contractor
Owner/Builder'
Address
City ZiD'
State Lic. F
& Classif..
Arch., Engr., '
Designer
Address
I Lic. #
No. 14502
11LDING: TYPE -CONST. OCC: GRP.
P. -Number
!gal. Description
oject Description' Paitid C oyer/Door.'Alteration
1-7.6' of. S'. and 70' of V. -high woodframon
stucco fence
Sq. Ft. :No.
--Size.. Stories
New Add.❑ Alter ❑
Tel. '
No. Dw.
:Units
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....
q
.. Fence,
Estimated Valuation �� � 750 .-DO
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affimi that I am exempt from the Contractoes.License Law for the following
reason: (Sec. 7031.5,Business and Professions Code:.ft- city, or county. which .requires a
permit to construct, after.,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
•-
- PERMIT - - - 'AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with.Section 7000) of
'Division 3 of the Business .and Professions Code, or Nat. he �is exempt therefrom, and the basis
for the alleged exemption. Any violation of. Section 7031.5 by any applicant /or a permit -
*subjects the applicant to a civil penaHyW not more than rive hundred dollars (8500).
-441, 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
.. ...'
1
d y / vv W a
Plan Chk: Dep. _
�t t
Plan Chk. BBI. y S
`COrISt.25.00/45.00 �
Mech.
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 o/ completion, the owner -builder. will have the burden
of proving that he did not build or improve for the purpose of sale.)
Electrical '
Plumbing
O 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
. S.M.I.- - .50
such,projects with a contractors) licensed pursuant to the Contractor's License Law.) • • -
O 1 am exempt under Sec B: &• P.C. for this reason
Grading
Driveway Enc.
f -D' atetl133 '44 , Owner` L_:__ ---- �
Infrastructure
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. Company
O Copy is filed with the city, . O. Certified copy is hereby furnished.
3
TOTAL 86 a 75
REMARKS
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
. (This section need snot 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 mannerso as to becomesubject to the Workers' Compensation. _
• -
Laws,of Cal'Ifocnia
ate1t13=1i'Q�.
OTIC, TO APPLICANT: d, after making this Certcate.o/ Exemption you'sAould become
subject to the Workers' Coinpensafian provisions o/ the Labor Code, you must /orthwlh_
• comply with such provisions or this permit shall be deemed revoked.. ..
ZONE: BY:
Min imam Setback Dlstari es; -
•
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 0 B_'
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 LABORCODE, INTEREST,* AND
ATTORNEYS FEES.
g permit wheh ro ed filled out, si ned and validated, and'is subject to..
'This Is a builejn p p y, 9 I
expiration if 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
FINAL DATE INSPECT
/
J49,3
Issued by- Date .A Perm
--
/r! Q
Validated by: f
\ s9
Validation: \_ '
City, State, Zip -
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT. p
HEATING (ROUGH)
STORAGE TANK
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
HEATING (FINAL)
DRINKING FOUNTAIN
SO. FT. ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
plus x$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SPARK ARRESTOR
SO.FT.GAR ® Y4c
HOUSE SEWER
GAR. FIREWALL
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 8 AIR GOND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNII
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
/' `� 3104 �qS
iii��� ✓
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
so
tk
HAMMER -PUMPING INC. .JOB INVOICE
P.O. Box 2448
r. CATHEDRAL CITY, CALIFORNIA 92235-2448
(760) 360-7448
(760)321-7448
CUSTOMER'S ORDER NO.
DATE ORDERED
k— —``CTS
ORDER TAKEN BY
DATE PROMISED ❑ A.M.
0 P.M.
BILL TO
PHONE
ADDRESS 7
V CYY' r `lft
Pumping Fee per 1000 gal. K
`06
M HANK _ C
-F`'
CITY
HELPER•
JOB NAME AND LOCATION
9 � t./ Q 4 �� e_ i Nn t/l.
-IAC
\.X C.��
L'J DAY WORK
❑CONTRACT
❑ EXTRA
DESCRIPTION OF WORK
C
i
QUANT.
DESCRIPTION OF MATERIAL USED
PRICE
AMOUNT
,�,5"0
Gallons
DO a
Pumping Fee per 1000 gal. K
`06
�.
66
Dumping Fee per 1000 gal.
i
Out of Area Fee
u
Locating / Opening Fee (per hour)
'1 41.,�
SizeSystem:
A SERVICE CHARGE OF $20 WILL BE DUE
ON ALL RETURNED CHECKS.
18% PER YEAR WILL BE CHARGED ON
PAST DUE ACCOUNTS OVER 30 DAYS.
HOURS
LABOR AMOUNT
TOTAL
MATERIALS
MECHANICS Qa
HELPERS Q . -
TOTAL
LABOR
I hereby acknowledge the satisfactory—
completion of the above described work:
—TOTAL LABOR
_�
TAX
SG ATORE „r„�..,.+^'-"'��
DATE COMPLETED
TOTAL
NOTICE TO OWNER
f
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
supplies, has, a right to enforce a claim against your property. This means 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 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." 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) Days after completion of your project.
TO INSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY,
YOU MAY WISH TO TAKE ONE OR MORE OF 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 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 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 not be as complete. TO PROTECT YOURSELF UNDER THIS OPTION YOU
MUST BE CERTAIN THAT ALL MATERIAL SUPPLIERS, SUBCONTRACTORS OR LABORERS
HAVE SIGNED.
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 12/3/98
No. 18065
CERTIFICATE OF COMPLIANCE
APN # 774-175-020
Jurisdiction La Quinta
Owner NameGregory A. Curdes
No. 53-905 Street Avenida Bermudas
City La Quinta zip 92253
Permit #
Log #
Study Area
Tract # Lot # Square Footage 128
Type of Development Residential Addition No. of Units 1
Comments
128 sq. ft. closet addition.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered
patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes.
It has been determined the above-named owner is exempt from paying school fees at this time due to the following
reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
0.00 X 128 or $ 0.00 the property listed above and 64.build4g
permits and/or Certificates of Occupancy for this square footage in this proposed project ma,'y,now be issued
Fees Paid By N/A - Gregory A. Curdles TeIeplio _..
l
Name on the check -
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Juanita Green Exempt $0.00
Check No. N/A
Signature
NOTICE: Pursuant of Asseoply Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run fromphe date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting