001652 (RR)4
P.O. BOX 1504 No. 001652
Building �"00g ��� 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Mailing tin BUILDING: TYPE CONST. OCC. GRP.•'
Address - A. P. Number
City Zip Tel.
�'� � .�� �, Legal Description
Contractor Project Description f
Rees A As swiabas Roof im
Address
CityZip � Tela "
; Jit S_ Cin 92262 32:i-2404
State Lic. City
8. Classif. Lic. #
Arch:; Engr.,
Designer
Address Tel.
City Zip State
. . . . _ . I 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
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 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 file 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. Any violation of Section 7031.5 by any applicant for a permit
- subjects the applicant to a civil penalty of not more than five hundred dollars ($500).'
O 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, euisness 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 of sale.)
0 1, 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
Date Owner
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 '
❑ 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 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 sof this city to enter the above..
mentioned property for inspection purposes.
Signature of applicant t' :i Date "
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:
A2128 7 30 5100 CK
Sq. Ft.
Size
No. No. Dw.
Stories Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Sm A-.tfE2'!3Flte No. 2 atm foil- moils.
Estimated Valuation
S
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
50.50
Mech.
Electrical
Plumbing
S.M.I.
.50
Grading
Driveway Enc.
Infrastructure
TOTAL
51.00
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:
A2128 7 30 5100 CK
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. S0. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
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
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREFIRE ZONE ROOFING
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
LATHING
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
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./EOUIP.
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 or��—
REMARKS:
VENTILATION
FIREFIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
�.� FINAL INSPECTION
CERT. OCC. .
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL FINAL
{
I
Bid To:
Add
Ree -4 & -Amocialej
CONTRACT # 1817
ALL TYPES OF ROOFING
Address of Job: 49-101 Anselmo; '49-001!"Coache'lla;! 49=00.9''Coachella;-�;L'a' Quinta,'°CA•u F:;.y-Or !10,
""AGREEMENT
We agree to furnishcand.lay, the,::roofinp•anntbe:buildi�g tat33ftabovAAdgq" !,,toU al ( ,k,aJ qirefully; we
furnish no item not on this bid.) `', eaii!li�) tn9ct iu'p;! y�ia?iofi2 !Bii6)a•r ,cj?wleib
rr+'-ON AT.1,riTHREE'RE
nSIDENCES `LISTED^ABOVE
_-0 1Icy: ?_ ,t ..J� It
Alternate No. l: ,. i:.. ;•f!'^i) sftf ! .a0ia'vcl;: ;”: :, , :ii,!? .,.^:) o
Tear off existing roof, inside parapet walls and gravel stop, haul••trash`"to"dump`{`"!'"'
Furnish' arid. install 1; I ``154,E;. felt' is led; to, 1 , "
p, y p ywood'deck,, "JI t- es'`15it felt';,
and flood coat with #4-5 ' grit. • I•nstaltt-new gravel^ stop.Y cant and.,: kicker Strip • as ''..
needed with 'l ply base` nailed t'o'insid`e!walls and 1``ply'G1asC4"liot'mopped: ` Rdsdillt,
all. joints on parapet ,,wall metal cap,, - All metal: jacks, tt}at : are, fp,pn.d_fec�t,ive will
be replaced: and•.are,inc-luded
THREE (3) YEAR WORKMANSHIP, GUARANTEE. _ ..
'v.Jut+moi.%f :I: v"% 'i J7 ?' �_ c r'...
TOTAL AMOUNT/ALTERI TL, 7.7.01.0 Pe iv! •'
J, Q;, L; Unit%!C.arpo,rt X, 3 �$ 11,310..00 (3 . Units)
Alternate No. 2: r ,:i �t i s,c •,i•• v
.. ,. , _.:Y ,,:: ,,i,7 .. ;t'. (I:,:;U$ :S1p :ly .v ., ,.::, .!.: �r '1� i -'i' ,,,, ;•r R,. ;tl n. ,
Tear off existing roof; •`inside':Fbt ap`et"'wa11's'"and `ttavel` stop;" haul, trash' to 'dump.'
Furnish and install.;QAF 104GN,teyo,}�sistin&.pf 1„G1asBase;,poled;! �3 �ir��es �CJlas`sPW shot! }i
mopped between plies; , flood'.coat1 arid"4251i grit. fi;InstalL newis-,gravelt.atop;;s•!cant'Ili d :
kicker ri as' "nee
Ase-
st p ded'with"1 ply fiAse, nailed' to"'iiisid'e''wall's`' n'd' 1"p°l '1``G'lasCap-:hot
.,... P•• •+ lits-,• V r;f 'Y.` .,.,. .. „,:!: ;'i:liCjvt ,r•1l iS3i .,,; ;,h;ki':iptl JC. i0:: I!;;,i li tU1:!.
mopped. Reseal all `joint`s on 'parapet wal,];,'pie,aI cap; ,: ,; !t„ i:•,• s. •?,; 1 �a; ,;, ,
t4 -,
FIVE (5) YEAR WORKMANSHIP -GUARANTEE" /i%i v/ -�
lur
TOTAL' AMOUNT%ALTE,4N E.`'ATO,a®r :t•,tn �# '7.3Q'.f�00't'E't tv:U, �/ ii o'Lz't ^J :t�3,.._t:t gr$�n1:4i, .9 `:400!, (, °jUiiits)
✓ _ (� l vo't o .JnE ..� s� 1
�SC�� .1��•�, ;n .sc,1..,,J n” 1 ' i • r: •1 i:f�: �j�fi�f4, �D'•'r113.IJ .S:
NOTE: There are no drains on these buildings - design and structurepr9liipit„s,e,t.
These roofs, decks ° are -des: gned'ito� be' selfi'drainYng r ' Past and presenti'!ponding^:is.,,evident.
it
Most of ' these ! prqb e ill '” ' J'•,•:
01,
are removed....Also�'
'front nt°Jopenaarea}has se o p,'!'
S gf nsaad'sevenal:.'Soca's oStlie Cater
to pond. This should be eliminated. is,,5:ie•. , no,lJ:.. ; pf,t. ;,..f.•.,f;.
Projected Completion•Date:)) ,N/A !,• ;;";":
•i ::,:,ir i. , iIA .'lt, :!,Iti .1'.:: 1: 'u .• :, :ir •ilEa i ..:I v.. 'i4•I tl7 ,. •(C! '.i. '�. �1I, L•,
See Abov, e "
Said contract to cost b Payment as follows unless specifically specified herein. The roofs; 75% when felted and tile loaded; built-up and composition
roofs, 100% upon completion. !,s,; )„ ,.,,,., ,,•: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 11k% per month
or 18% per annum will be charged it payment becomes deling"egi2t and this conlrapt shall constitute an order upon the Loan Company or Oyvrler for, PeYment of amount
due. In the event of action for collection or to foreclosure lien, holder hereof shall recover court costs and'iittorney's fees. All jotis covered by compensation and liability
insurance. This contract ubiectAto a rove) of cpm an . • • ..I'i'
e b P _Y
We agree to guarantee es, f
g g uportyampletion`ofworkrpertermsandconditlonsofcontract. Said guarantee to cover defects in material and workmanship
only and not to extend to damage to roofing caused by extreme'winds, lightning;'hallstorms, earthquakes or other unusual causes'and shall not cover any liability for
damage or injury to interior fixtures, decorations;'walls; contents"of building and/or other parts'of structure. ..5 - .:a•I 11r:c , .
"NOTICETOOWNER"
�•r,, •,f (Sectlon 7019'— Contractoie License
.•: .;,.. -;+, .;;1'li'..,, .�.
Under the Mechanic's Lal n, Law, any contractor,'subcontractor;'laborer,'materlalm in- or'otherrperson who helps to Improve'your property and isnot paid
for his labor, services or material,'has if right to enforce hie clai'm:a erngf}your property.` 1 ' 4 '!:• a n ,s
r.
Under the law, you may protect yoursekf,against such, clai.me rbX iii O.t,before commencing Such work of Improvement,•an'original �ntract forithe work of
I ot,a modificatlo,,n.thereof,'Qthe'offl66 c4 tfib?I?OUhfv rn+�e+rf4V1bf tKwlcrwrity�whAro tnw:nrringay.i° p!1110tet+,prd re!;u!r!g,tha!,�^;rtrrctor's_
payment bond be recorded in such office. Said bond shall!be In en amount notlea8 than fifty percent (50%; of the contract price and shall; in'additlon to any
conditions for the performance of the contract, be conditioned for the payment In4611 of -the claims of all persons furnishing labor, services, equipment or
materials for the work described In said contract. I , ,.,.vi ) c,;i;u, !; L,,,. r;.„ -.1 N; _,j, .: •, !
Contractore are required by law -to be licensed and regulated by..the contractors' state•licease;board. Any .quesllons,concern�ing,a contractor may be
referred to the registrar of the board whose address'.is.•Contractors!, State:(,Icense•Bpa/,d, 3132,Bridahaw Road,,. .O. Box 28000, Sacra{ne"Jto`t CP.,95828.
.: .
VOID IF NOT ACCEPTED IN 30 DAYS
I HAVE READ B OF T CT AND APPROVE ALL OF THE TERMS AND CONDITIO S HEREIN.
ACCEP D BY: DATE lP vL./
D9,," -BRAD BUE Owner or Aut oriz nt
V5 r_
APPROVED: SALESMAN / sa
ROBERT LEONARD, OWNER RO RT LEONARD, OWNER
WHITE: Roofing Contractor Original YELLOW: Customer Executed Copy PINX Customer Bid Copy GOLDENROD: File
NEW AND RECOVERING
ROOFING
_. .� ...._... .:..
.. , , .. ..:��. •.,:.t�, ., .•,; '',�',
1105 NORTH BOGIE ROAD, #D' '= ' "'° :3'
, -• _ Roois.Guarenteed',
PALM SPRINGS, CA g2262
Free Eiffmates"'
1.
(619)323=2404;, •.
J•:J Wk r.•' . ,
445928
U 1 ,, •[•, ,. ',,) ,.JY•:_.,.� ., , ...
— ., !• ., ,,,, ,California Licens9 No.
Qate July 18
18 85 . ,.., ,,...;•_:,..� ..,..._ --„rE _.,,, .._.,,
•,v . c "1 ., .• ...
, _ , ... - ... f4 jiU 0 i. 111 'I, I! i � �. ..
!•
, r : e ._ i(: `:. ,�... •i�inc:J .i: .. ..!{ f .. ...i J2 �. ... :1 ..
..! ,C+::1'. .,. !.' .,
,:,.:; .r. , ; ,:
....,,..r ..... .. ...... . ,.•., ,.. ._ .1.'.I—. _„ ..,. „5.. i;,1 L.. .., -.._
� 1�
Address of Job: 49-101 Anselmo; '49-001!"Coache'lla;! 49=00.9''Coachella;-�;L'a' Quinta,'°CA•u F:;.y-Or !10,
""AGREEMENT
We agree to furnishcand.lay, the,::roofinp•anntbe:buildi�g tat33ftabovAAdgq" !,,toU al ( ,k,aJ qirefully; we
furnish no item not on this bid.) `', eaii!li�) tn9ct iu'p;! y�ia?iofi2 !Bii6)a•r ,cj?wleib
rr+'-ON AT.1,riTHREE'RE
nSIDENCES `LISTED^ABOVE
_-0 1Icy: ?_ ,t ..J� It
Alternate No. l: ,. i:.. ;•f!'^i) sftf ! .a0ia'vcl;: ;”: :, , :ii,!? .,.^:) o
Tear off existing roof, inside parapet walls and gravel stop, haul••trash`"to"dump`{`"!'"'
Furnish' arid. install 1; I ``154,E;. felt' is led; to, 1 , "
p, y p ywood'deck,, "JI t- es'`15it felt';,
and flood coat with #4-5 ' grit. • I•nstaltt-new gravel^ stop.Y cant and.,: kicker Strip • as ''..
needed with 'l ply base` nailed t'o'insid`e!walls and 1``ply'G1asC4"liot'mopped: ` Rdsdillt,
all. joints on parapet ,,wall metal cap,, - All metal: jacks, tt}at : are, fp,pn.d_fec�t,ive will
be replaced: and•.are,inc-luded
THREE (3) YEAR WORKMANSHIP, GUARANTEE. _ ..
'v.Jut+moi.%f :I: v"% 'i J7 ?' �_ c r'...
TOTAL AMOUNT/ALTERI TL, 7.7.01.0 Pe iv! •'
J, Q;, L; Unit%!C.arpo,rt X, 3 �$ 11,310..00 (3 . Units)
Alternate No. 2: r ,:i �t i s,c •,i•• v
.. ,. , _.:Y ,,:: ,,i,7 .. ;t'. (I:,:;U$ :S1p :ly .v ., ,.::, .!.: �r '1� i -'i' ,,,, ;•r R,. ;tl n. ,
Tear off existing roof; •`inside':Fbt ap`et"'wa11's'"and `ttavel` stop;" haul, trash' to 'dump.'
Furnish and install.;QAF 104GN,teyo,}�sistin&.pf 1„G1asBase;,poled;! �3 �ir��es �CJlas`sPW shot! }i
mopped between plies; , flood'.coat1 arid"4251i grit. fi;InstalL newis-,gravelt.atop;;s•!cant'Ili d :
kicker ri as' "nee
Ase-
st p ded'with"1 ply fiAse, nailed' to"'iiisid'e''wall's`' n'd' 1"p°l '1``G'lasCap-:hot
.,... P•• •+ lits-,• V r;f 'Y.` .,.,. .. „,:!: ;'i:liCjvt ,r•1l iS3i .,,; ;,h;ki':iptl JC. i0:: I!;;,i li tU1:!.
mopped. Reseal all `joint`s on 'parapet wal,];,'pie,aI cap; ,: ,; !t„ i:•,• s. •?,; 1 �a; ,;, ,
t4 -,
FIVE (5) YEAR WORKMANSHIP -GUARANTEE" /i%i v/ -�
lur
TOTAL' AMOUNT%ALTE,4N E.`'ATO,a®r :t•,tn �# '7.3Q'.f�00't'E't tv:U, �/ ii o'Lz't ^J :t�3,.._t:t gr$�n1:4i, .9 `:400!, (, °jUiiits)
✓ _ (� l vo't o .JnE ..� s� 1
�SC�� .1��•�, ;n .sc,1..,,J n” 1 ' i • r: •1 i:f�: �j�fi�f4, �D'•'r113.IJ .S:
NOTE: There are no drains on these buildings - design and structurepr9liipit„s,e,t.
These roofs, decks ° are -des: gned'ito� be' selfi'drainYng r ' Past and presenti'!ponding^:is.,,evident.
it
Most of ' these ! prqb e ill '” ' J'•,•:
01,
are removed....Also�'
'front nt°Jopenaarea}has se o p,'!'
S gf nsaad'sevenal:.'Soca's oStlie Cater
to pond. This should be eliminated. is,,5:ie•. , no,lJ:.. ; pf,t. ;,..f.•.,f;.
Projected Completion•Date:)) ,N/A !,• ;;";":
•i ::,:,ir i. , iIA .'lt, :!,Iti .1'.:: 1: 'u .• :, :ir •ilEa i ..:I v.. 'i4•I tl7 ,. •(C! '.i. '�. �1I, L•,
See Abov, e "
Said contract to cost b Payment as follows unless specifically specified herein. The roofs; 75% when felted and tile loaded; built-up and composition
roofs, 100% upon completion. !,s,; )„ ,.,,,., ,,•: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 11k% per month
or 18% per annum will be charged it payment becomes deling"egi2t and this conlrapt shall constitute an order upon the Loan Company or Oyvrler for, PeYment of amount
due. In the event of action for collection or to foreclosure lien, holder hereof shall recover court costs and'iittorney's fees. All jotis covered by compensation and liability
insurance. This contract ubiectAto a rove) of cpm an . • • ..I'i'
e b P _Y
We agree to guarantee es, f
g g uportyampletion`ofworkrpertermsandconditlonsofcontract. Said guarantee to cover defects in material and workmanship
only and not to extend to damage to roofing caused by extreme'winds, lightning;'hallstorms, earthquakes or other unusual causes'and shall not cover any liability for
damage or injury to interior fixtures, decorations;'walls; contents"of building and/or other parts'of structure. ..5 - .:a•I 11r:c , .
"NOTICETOOWNER"
�•r,, •,f (Sectlon 7019'— Contractoie License
.•: .;,.. -;+, .;;1'li'..,, .�.
Under the Mechanic's Lal n, Law, any contractor,'subcontractor;'laborer,'materlalm in- or'otherrperson who helps to Improve'your property and isnot paid
for his labor, services or material,'has if right to enforce hie clai'm:a erngf}your property.` 1 ' 4 '!:• a n ,s
r.
Under the law, you may protect yoursekf,against such, clai.me rbX iii O.t,before commencing Such work of Improvement,•an'original �ntract forithe work of
I ot,a modificatlo,,n.thereof,'Qthe'offl66 c4 tfib?I?OUhfv rn+�e+rf4V1bf tKwlcrwrity�whAro tnw:nrringay.i° p!1110tet+,prd re!;u!r!g,tha!,�^;rtrrctor's_
payment bond be recorded in such office. Said bond shall!be In en amount notlea8 than fifty percent (50%; of the contract price and shall; in'additlon to any
conditions for the performance of the contract, be conditioned for the payment In4611 of -the claims of all persons furnishing labor, services, equipment or
materials for the work described In said contract. I , ,.,.vi ) c,;i;u, !; L,,,. r;.„ -.1 N; _,j, .: •, !
Contractore are required by law -to be licensed and regulated by..the contractors' state•licease;board. Any .quesllons,concern�ing,a contractor may be
referred to the registrar of the board whose address'.is.•Contractors!, State:(,Icense•Bpa/,d, 3132,Bridahaw Road,,. .O. Box 28000, Sacra{ne"Jto`t CP.,95828.
.: .
VOID IF NOT ACCEPTED IN 30 DAYS
I HAVE READ B OF T CT AND APPROVE ALL OF THE TERMS AND CONDITIO S HEREIN.
ACCEP D BY: DATE lP vL./
D9,," -BRAD BUE Owner or Aut oriz nt
V5 r_
APPROVED: SALESMAN / sa
ROBERT LEONARD, OWNER RO RT LEONARD, OWNER
WHITE: Roofing Contractor Original YELLOW: Customer Executed Copy PINX Customer Bid Copy GOLDENROD: File