001651 (RR)r �✓
,_i•✓ P.O. BOX 1504 No. 001651
Building 78-105 CALLE ESTADO
Address 49--001 Cbacha}la LA QUINTA, CALIFORNIA 92253 `
Owner
Address
CityZip Tel. ,
Contractor
PDOf i=
Address
11£5 N=th Bogle Road # D -
City Izip Tela
BUILDING: TYPE CONST. • OCC: GRP.
P.. Number
Legal Description
Project Description T�,-xx�caf
State Lic.
& Classif.rJ12
City
Lica
Sq. Ft.
Size
No. No. Dw.
Stories Units
Arch., Engr.,
Designer
New 9Add ❑
Alter ❑, Repair ❑ Demolition ❑
Address
Tel.
Xteinm bb. 2 a4m fbr (�Wt.Af .
City
Zip
State
Lic. #
. LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section -
7000),,f Division 3 of the Business and Professions Code, and my license is in full force and
effecc_ r:'f r' i.. t
SIGNATURE - DATE
• -• OWNER -BUILDER DECLARATION'
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5, 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 provisions or the Contractor's License Law, Chapter9 (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 acivil penalty'of not more than five hundred dollars ($500).-
❑ 1, 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
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 or sale.) . .. -
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
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B: & P.C. for this reason
Estimated Valuation
-
A t�R
:d Y!SL e
- .PERMIT
AMOUNT
Plan Chk. Dep-
`
Plan Chk. Bal.
COftSt.���i
Mech.
.
Electrical
-
Plumbing
^. S.M.I'.
._
•�30'
Grading
Driveway Enc.
Date Owner
Infrastructure
i .
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..
,
TOTAL
�� • �
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
I (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 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 to the Workers' Compensation provisions of the' Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.) . .
Lender's Name
Lender's Address
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 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.
r tt
Signature of applicant V ' • l t f , r - Date f • , A
Mailing Address
City, State, Zip
HARD COPY
REMARKS
ZONE: BY:
Minimum Setback Distances: '
Front Setback from.Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:_
A2127
7 30
5. 1. 0 0 Ck
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
-
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM .
2ND FL. SO. FT. ®
FORMS
_w
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. I SO. FT. ®
I
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
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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 ® 1+/e c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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 APPJEOUIP.
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 (i `5
VENTILATION
REMARKS:
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
r
+1017-
CON I RACT #
_.-�• ALL TYPES OF ROOFING
® eeS mociaW
-- NEW AND RECOVERING
ROOFJNG
1105 NORTH BOGIE ROAD, #D' Roots Guaranteed
PALM SPRINGS, CA 92262 .J y J` Free Estimates
(619) 323-2404. 1 A ..
.California License No. 445928 "
Date July 18 19 85
,. .. .. ,. t4J Bl:Y?�f,l✓ .tC r .. fl l .. ..l Wit±-. ... .. .•I ;el.'1 i'. •J ., ..
, .. . , ... ,., • :
vlfner Dr,; B>� 1, uetta. � t.; ; Y•; .:
a, .'::.: i �:.1:.�;._ .:•�! ,! Cr;:IJ t.:: 9i: :: i,f�C ".:� cirti :: ,:Ri .. I
Address of Job: 49-10'1 Anselmo, '49-00--�.�1`` Coachell49=009''Coachella; La Quints,` CA-
'AGREEMENT
A
' AGREEMENT
We agree•to furniah;and.lay, the. roof Ing. :on(abe building ata.thQ:above laddqss gas, foLloyya;,iChe.�k,.aJ,U,f�r(ttt_refuily; we
furnish no Item not on this bid.) - Iry-:• .I,!K:', :�i•�3,.,+z Ifillu l:.a :, ,, ...9it
ION ALL, THREE('RESIDENCES ,LISTED ABOVE
Alternate No. 1:
Tear off existing ,roof, inside parapet walls and gravel stop, haul' trash""fo-dump." ,
Furnish and install' 1', 0.1y "15#,.felt iia, ..;.,. k`"h9t':I.3 .,p`lies ' 1546 felt' to1yoodde 'mo
and flood coat with 14-5 grit. ' Install!` -new gravel--stop•,,cant and,:kicker strip, 4's:needed with 'l ply base` nailed t Oo inside walls and 1•'ply ,GlasCap' hot mopped; , Reseal"
all, joints on parapet ,wall metal caps.., All metal. jacks,;t at are :fo�1>�a�l ode c1 t ive.will
be replaced and .are.included in: this:;:bid•,:! . (, .. . . .
THREE (3) YEAR WORKMANSHIP. GUARANTEE....
:r
TOTAL AMOUNT/ALTERNATE 0 • ✓, $" :. Q t
N 1: 3.,�;7,Z0 O�..Pe�' �•Uni. %Carport,X 3� ,, $ 11;310:00 (3 Units)
Alternate No. 2:
Tear off existing roof; "inside 'parapet"wall's and gravel:stop ;'haul trash to 'dump: r <�
Furnish and install GAF .iO4GN,.,:i;9.q ting :pi 1 G1asBas.e 'lia3 p� es'"G1assPly hot
mopped between plies, flood coat and'. 4��-5'• grit. f;.Install,.new: gravelustog;J,cant and ;
kicker strip as needed with''l' ply base'"nailed to`ihiside"walls`,Afid, 11'p°1t"G'lasCap',hot
mopped. Reseal all joints `oil pari' et caps
FIVE (5) YEAR WORKMANSHIP GUARANTEE Y� ' I +' •�''`'
TOTAL` AMOUTYAa• >... -,,:Il•..J \V I> (C o'�.i'y :yoth3nE gr$�rl4s90`:bOr, <. ts)t
NOTE: There are no drains on these buildings -•design and structure prghtpit, spcp;:-,:
These roofs decks'are•-desighed"to'be s'elf=draining. Past and present;;•ponding:is,.evident.
- • 1:: :. ,
Most of .these-problems 'will' lease when `the; qld " oofing'`and several-coats''of`' Snow Coat'
are removed.. Also, front open -area) has .a drip stop. installed an�'`is„. q.., _ ng the .water
to pond. This should be eliminated.
Projected Completion Date: N/A
is :I:,a, •c: :. :;+ . ';i;,.:'. t.. :. !
See Above
Said contract to cost $ ; Payment as follows unless specifically specified herein. The roofs, 75% when felted and the loaded; built-up and composition
roofs, 100% upon completion. c:r, t, ...,,J... _ 1,,! 11 :i t • r,,.f, ✓.. .,•I(,
IT IS AGREED that the guarantee stated shall be made and remain effective only when and if payment is made as agreed in this contract; that interest of 1!h%per month
or 18% per annum will be charged if payment becomes delincjoAe and this'cp�tfaGt�hall constitute an prder upon the Loan Company or QwnB[ for payment of amount
due. In the event of action for collection or to foreclosure lien, holder hereof shall recover court costs and`attorney's fees. All job's covered by cornpensetion afid liability
insurance. This contract ublectAto a roval_of company.
e D
We t' �8,upongompletionofWO.rk�lertermsandcondltlonsotcontract.Saidguaranteetocoverdefects1hmaterialandworkmanship
only and not to extend to damage to roofing cati�ediby extrertte'w.irds, lightning; hailstorms, earthquakes or other unusual causes and shall not cover any.liability for
damage or injury to interior fixtures, decorations, walls, contents of `6w6nilj and/or'ofher parts' ofstructure. t Jon tilt+ ,
"NOTICE TO OWNER”
`'tSectlon 7019-`Contractoie License Law r:.�,
, I' �:J'!.:. y'(-18..:, .6,
Under the Mechanic's Lein Law,.any_contractor,, subcoritract9r;`labprer;' materleiman or'other'person who helps to Improve your property -and isnot paid
for his labor, services or materlal, has a right to enforce hls`6'1 m'agalb'lff your property.= ,� - '+ ` "cl; •, �:.
Under the law, you may protectyourself against such. cl . ((`ling before commencing such work' of Improvement, an'orlglnal contract for4he work of
improvemept of a modificatl�.Atjeregf,;'ln thb officeo. lfie buh re f 0Y of°ttiq •ddLnty; where the properly ls.situated.and,requiring,thata contractor's
,r.._
payment bond be recorded in such office. Said bona shall be'In aha o$nt'notlass;thin fifty-Dercent (50%; of the contract' and shall', in adoltion to any
conditions for the perfermarca of the contra:.t, be conditioned for the payment In full of the claims of all persona furnishing tabor, services, equipment or
materials for the work described In said contract. ., ;,!• ; 1,, , , I,
Contractors are required by law•to be licensed and regulated by,.the contractors' state Ilcepse boay4, Any questions concerning.a contractor may be
referred to the registrar of the board whose address.le: Contractors!,State.Weense Bgard,,.3132,Bradahaw Road, ,i .O, Box 28000 Sacrame'`nfo` CA:95826.
VOID IF NOT ACCEPTED IN 30 DAYS
I HAVE �READBOF T CT AND APPROVE ALL OF THE TERMS AND CONDITIO S HEREIN.
ACC" DATE
DOwner or Authoriz nt$.�BRAD Z(P v"
APPROVED: I
•`"'''t-SALESMAN
ROBERT LEONARD, OWNER RO RT LEONARD, OWNER
WHITE: Roofing Contractor Original YELLOW: Customer Executed Copy PINK: Customer Bid Copy GOLDENROD: File