14389 (RR)P.O. BOX 1504 N O. 14389-..
Building 78-495 CALLE TAMPICO '
' Address ,..54--018. Ave. Juarez. LAAUINTA,CALIFORNIA 92253
Owner Pgr1x,1's''#`l
Mailin 9BUILDING: TYPE CONST_ : OCC: GRP:
£3
Address
A:P. Number
.City. _ Zip Tel.
a. i nta , Ce_ Legal. Description
Contractor ierd6
Custom,96018 E Project Description
AdtUy U9.80' Ranchd 11os Coyotes .
di4' "CA, Zip 92201 Tel.34-5-3751,` ,R % �
State Lic.C`.�3 City $•
& Classif.'. _Lic. # Sq. Ft.
Size
No No. Dw.
St" U •
ones'- ..... ntts
;. Designer
New ❑ Add ❑ Alter`❑., Repair ❑ :. -Demolition ❑
Address
Tel.
CityZip
State
- ... _
Lic. #
LICENSED CONTRACTOR'S DECLARATION(
I hereby affirmlthat,I am licensed undeb provisions of Chapter (commencing gith.Section
000) of Drvislon of the Business,a`od ofessions Code; and my Ilcen eJs innJ61l fc ce•and
effectItule'i i6
3LGNATUREF°' DATE
�r,�+ OWNEWBUILDER DECLARATION
Thereby I from
_
EStlinated VdlUatlOn` ��ssq a� eB AA
$2,2`4. i
affinn.that am. exempt tlie.Contractors License Law for the. following • • .
reason:. (Sec:, 7031.5,Susiness 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 .
I -
-requires the applicant,for-such permit to.file•a signed statement lhat,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 that. he is exempt therefrom, and the basis.
' for the Any violation Section. 7031.5 by
`
-.Pl'an Chk-~Dep:'3
alleged exemption.. of --any .applicant,:for.a. permit
subjects the applicant to civifpenalty of not more than rove hundred dollars .($500).: •..
- -
Plan" Chk. Bal.'
.O a; as owner: of the;piopeky, 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
Const: 30.00-
Professions Code: The Contractor's License' Lawdoes not apply. to an owner. of property who
builds or Improves thereon. and who' does such. work himself or through his own .employees; _..
wIeCF1I
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-builderwill have the burden
Electrical '
of proving that he did not build or improve lor,the purpose of sale.)
O'I, as owner of the property, am exclusively contracting with licensedcontractors 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.L. - -
such projects with a contractor(s) #caned pursuant to the Contractor's License Law:) -
•.
;Grading
•❑ 1 am exempt under Sec: ` B. & P.C. for this reason,
1priveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION .
I hereby affirm that' I hale a,certificate,of consent„ to self -insure, 'or.a. certificate of
Worker'sCompensation Insurance,oracertifiedco y,t erect.(Se c08-00 Labor Code_)
'Poli y . G company.. -/f
Copy is filed with the city; . 'D Certified copy is hereby furnished.
TOTAL 30;. O Q --
CERTIFICATE OF EXEMPTION FROM
REMARKS
- 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 sous to become subject to the Workers' Compensation:
Laws of California
Date Owner
- NOTICE TO APPLICANT: ll'after making this ,Certificate of .Exemption you should' become •. •
ZONE: BY:
sub)ect to the Workers' Cinp
oensatfon -provisions of : the Labor Code, you must forthwith
'•'comply with such provisions or this permit shall be deemed revoked. - -
.. r
• Minimum Setback Distances; _ - -
Front Setback ,from Center. Line "
Rear Setback from. Rear.Prop..Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION.COVERAG E IS UNLAWFUL, AND •
Slde SetbaCK f rom Center -Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND`CIVIL FINES UP TO ONE '
.Street
HUNDRED. THOUSAND, DOLLARS.($100,000), IWADDITION'TO THE 'COST.OF COMPENSATION,.
Side SetbackJrom Property Line '
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
' This is a building permit when properly filled out; signed and validated, and is subject to
FINAL DATE INSPECTOR .a..
expiration it work thereunder is suspended for 180 days.'
. -I certify that I have read this application and state that the'above information is correct.
Issued b Date errin
y:
agree to com I
g p y with all •city and county ordinances and state laws, relating to.buflding • -
, .
construction, and hereby'. authorize representatives .of this city to enter the above-,
,
.
mentioned property for Inspection.purposes.
Validated by: I
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
iV,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®.
POWER OUTLET
ROOF DRAINS
CAR P.' SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE:nNot to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM. �
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR . SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
4
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 's_ B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/a c
SEWAGE DISPOSAL
i
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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 APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER'
SERVICE
FINAL INSP.
BOND BEAM -
'
WATER SYSTEM. �
�
GRADING
cu. yd.
$ -Plus-X$-=$-
lusx$_$ROOFING
,
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
4
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
i
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
'
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
Proposal
CUSTOM ROOFING COMPANY
'ROM 38-980 RANCHO LOS COYOTES
INDIO CA 92201
(619) 345-3751
Proposal No.
Sheet No.
Date 12/6/94
. Proposal Submitted To Work To Be Performed At
Name FRANK FRIEL
Street 54-018 AVE JUAREZ
City LA QUINTA
State CA 92253
Telephone Number (
Street 54-018 AVE JUAREZ
City LA QUINTA State CA
Date of Plans
Architect
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of
Clean off existing roof and re—roof complete house using new metal on
edges, 1 layer base sheet, 2 layers fiberglass felt, hot mopped, small
crushed rock and coated white Custom Roofing Company responsible for
clean up and removal of roofing debris from property.
NOTE: ANY SHEETING NEEDED WILL BE AN EXTRA CHARGE OF $30.00 PER SHEET
ABOVE CONTRACT PRICE.
FIVE (5) YEAR GUARANTEE AGAINST LEAKS ON CUSTOM ROOFING COMPANY'S WORK.
All material is guaranteed to be as specified, and The above work to be performed in accordance with the druwirrgs and specifications
submitted for above work and corn Wed in a substantial workmanlike manner for the sum of
TWO THOUSAND TWO HUNDRED FORTY--------------------------- Dollars (S 2,240.00
).
with payments to be made as fnllows-
TN FULL ON COMPLETION OF WORK DONE BY CUSTOM ROOFING COMPANY.
Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will
become an extra charge over and a6cive the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire. tornado and other necessary insurance upon above work. Workmen's Compensation
Insurance on above work to be taken out by Cus tom Rninf ig. CnmiLny
"NOTICE TO OWNER"
(Section 7019—Contractors License Lew)
Under the Meehanks' Lien - law, any contractor, subcontractor,
laborer, motedolmon or other person who helps to Improve your
property and is not raid for his labor, services or material, has a
Fight to enforce his claim against your property.
Under the law, you may protect yourself against such claims by
filing, before commencing such work or Improvement, an oilginal
contract for the work of Improvement or a modification thereof. In
the office of the county recorder of the county where the property
Is situated and requiring that a contraclor's payment bond be recorded
In such office. Sold bond shall be In an amount not less than filly
percent (50%) of the contract price and shall, In addition to any
conditions lot the Wormence of the contract, be conditioned for
The payment In lull of the claims of all persons furnishing labor, sm.
Ices, equipment or materials for the work described In sold contract.
i
Respectfully submitted JIMMY MCDANEL
State license No. 6 2 5 0 3 8
VM contlamW or claim oftIng out of or reklling to this COMhdid.
or the preach thereof, shall be settled by arbitration In acaddar-0
MAth the Uniturm Rules for Better Bualness Bureau Arbination, and
the Wgernert upon the award rendered by the Arbnfator (s) may be
e to ff6y j any Court having )udidictbn thereof."
Note —This proposal may be withdrawn by us if not accepted. within
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above. ,
Accepted Signature
Date Signature—
Contractors
ignaturoContractors are required by low to be licensed and regulated by the Contractor's State License
Board. Any questions concerning a contractor may be referred to the Registrar, Contractors State
License Board, 13132 Bradshaw Road,) Sacramento, California. [Mailing Address: P.O. Box ^
26000, Sacramento, California 95826.1