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002914 (RR)44 P.O. BOX 1504 No. 4 Building 7&105 CALLE ESTADO - ' Address ` x-49? QQe OM-USe LA QUINTA, CALIFORNIA 92253 Owner ►�frTsy� BUILDING: TYPE CONST. OCC:;GRP.•, Mailing ,Address r.'' A.P. Number City Zip Tel. la QainLa 92253. .%4-476() Legal Description Contractor Project Description Address ... 4;q—Tn mitt 7k ium Cit y..... _. .. Zip. .. _ Tela .. " loat city92234 324-•9422 State Lic. City & Classif: 400924 Lic. # 2 Sq. Ft. No. No. Dw. Arch:; Engr., _._ .. Size • Stories Units Designer New. ❑. Add ❑ Alter ❑" Repair ❑ Demolition ❑ Address Tel. .City Zip State Lic: # LICENSED CONTRACTOR'S, DECLARATION I hereby affirn6hat I am licensed°under-Provisions of Chapter 9 (commencing with Section 7000) of Division13 of the Busmess'and Professions Code, and my license'is in full force and' w effect. .4 ti ryrru;,- .i1 ; SIGNATUREf 4 'Y "-"""' DATE _ OWNER -BUILDER DECLARATION Estimated Valuation ;r� I.her b y affi m that I am exempt from the Contractor's. License Law for the. following Y. 2g 5�Sp� 00 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 AMOUNT requires the applicant for such permit to file a signed statement that.he is licensed pursuant to PERMIT' '-•�� ' the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, oi'that.he is exempt therefrom, and.the basis- for the alleged exemption. Any violation of Section- 7031.5 by 'any. applicant for. a permit .. Plan' Chk: Dep.. —subjects the applicant to a civil penalty of not more than five hundred. dollars* ($500). I .. ' .. .. - . . Plan Chk. Bal. ❑ I, as owner of the property, or my employees with wages as lheir.sole compensation, will _ do ttie•work, and the structure is not intended or -offered for sale. (Sec. 7044, Buisness and COr1St_:. 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, 'Mech: .provided that such improvements are not Intended oroffered for sale. If, however; the. building. - or improvement is sold within one year of completion, the owner -builder will.have the burden Electrical - 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- Plumbing ' 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. •- - such projects with a contractor(s). licensed pursuant to the Contractor's License Law.) . • 0. I am exempt_under Sec. - B: 8 P.C.-for this reason Grading Driveway Enc. Date Owner Infrastructure • WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure; or a certificate`ot 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. - TOTAL 39 £ CERTIFICATE OF EXEMPTION FROM REMARKS' WORKERS'" COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (5100). valuation - • _ or less.). _ I certify that in the performance of thg work for which this permit is issued, 1 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 ZONE: BY:- _ subject to' the Workers' Compensation provisions -of. the Labor Code, you must forthwith -Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. - - - Front Setback from Center. Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line hereby affirm (fiat there is aconstruction lending agency for the"performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line . Lender's Name - Lender's Address 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. «�"J- I certify that I have read this application and stale that the above information is correct. ISSUed by: Date J" Permit. 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. t Validated by: Signature.ofapplicant -"�"�. Date 'r Mailing Address Y ' ` ' - --� Validation: City, State, Zip [ A 1 2 4 9 2 5 910b ik HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. ® POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. ® WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID Q 11/4 c SEWAGE DISPOSAL j G SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION GAS PIPING - PERMIT FEE I IPERMIT 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.IEQUIP. 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 j G REMARKS: VENTILATION FIRE ZONE ROOFING. FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL H A�jWe've Got You Covered ROOFING CORP. State License ASEEW 4 0 098 y 68-777 Summit Drive Cathedral City, Ca 92234 (619)324-9422 ,, T of Job La Quinta, Ca. CONTRACTOR OWNER 7�- yy� CALLS C�Re�s� We propose to furnish the following materials acid perform all labor necessary to complete the roof at the above location. O;,�� .` :,c. osrt we0 `be" e-�c-Cgp, ukase C0sj� ra.^7 r� �P sTA_T<eCc 6QAaW. t0C,� �r0 W0, dbwy O�� LAVe�bFA\p��0.te�O QbOF�, �Rnn,�L\n w ;w�crta.11 New w��AL��AS�•.�d *u \0'e-�� t u_ r✓ QOL%.APA All of the above work to be completed in a substant al and workmanlike manner according to standard practices for the sum of Ttt_jauZ v :v �-�► ulv res Dollars ($ 2S db Q TERMS: Net cash on completion. r 1�ATTENTION v section 7018 of the Contractors License Law (B & P Code, Div. 3, Chapter 9) provides that starting July 1, 1988, everyone lice need by the f f h hl t Contractor a License Board shall give a copy of the following notice to the payor prior to receiving rom the orwter o t e property or s agen t any payment for work which a contractor's license is required. NOTICE � Under the Mechanic"fin La (CallfornlB Cod"CIALOiocedure, Section 1181',:6t seq)any c iitFacto►,ae(iEioontyacfo� - other person who helps to Improve your property but is not paid for his work or supplies, has a right to enforce a claim against your property. ! F 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 Indebted- 1:ness. This can happen even If you have paid your own contractor In full, If the subcontractor, laborer, or supplier remains unpaid." A & J ROOFING CORPORATION agrees to furnish Its regular form of Guarantee for 0 years after oomp;.etlon of Its work. said guarantee to cover defects In material and workmanship only and not to extent to damage to roofing caused by the elemerts, other unusual causes or Acts I !of God and shall not cover any liability for damage to Interior fixtures, decorations, walls, contents of building or other parts of structure and not to damages arising from faulty construction. Proper maintenance of the roof and an annual Inspection Is a requirement of this warranty. It Is I also understood and agreed thdt the above warranty shall be made and remain only when and If payment Is made as agreed In the contract. A & J ROOFING CORPORATION Is not responsible for TV antennas. We are fully covered by work"I'eh's compensation and public liability Insurance. Carriers' names and policy numbers available on request. Any alteration or deviation from the above specifications Involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum mentioned In this proposal. All agreements must be made In writing. This offer Is valid for one week from the date of estimate and Is based on free access to building for direct loading from our truck. Prices are basad on current cost of material and labor. Increases or decreases will be reflected at time of slonlnj of contract. Aocepted: Date: _ Respectfully submitted, I A & J R OFING CORPO TION By. ge~IAUO w�a� n� PT Q JR�RO� I Date: c3 , 19