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05-4333 (SFD)Permit Details City of La Quinta PERMIT NUMBER SFD-05-4333 Description: Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: OK TO ISSUE FAMILY DETACHED Applied: 9/27/2005 Approved: 2/16/2006 Issued: Finaled: Expired: Parcel No: 649051011 Subdivision: Lot Sq Ft: Valuation: $0.00 No. Buildings: Site Address: 79567 CORTEZ LN LA QUINTA,CA 92253 Block: Lot: Building Sq Ft: Zoning: Occupancy Type: Construction Type: No. Stories: No. Unites: Details: ro - ummary 142 Applied to Approved CONDITIONS CONTACTS NAME TYPE NAME ADDRESS1 CITY I STATE ZIP PHONE FAX EMAIL OWNER EPIC ENTERPRISES, LLC P.O. BOX 1573 92253 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY DIF CIVIC CENTER - RES 25200003650000 $480.00 $480.00 3/3/06 Total Paid for DIF CIVIC CENTER - RES: $480.00 $480.00 DIF COMMUNITY CENTERS-RES 25400003650000 $74.00 $74.00 3/3/06 Total Paid for DIF COMMUNITY CENTERS-RES: $74.00 $74.00 Printed: Monday, September 11, 2023 11:17:39 AM 1 of 4 CRWSYSTEMS Permit Details PERMIT NUMBER City of La Quinta SFD-05-4333 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY DIF FIRE PROTECTION RES 25700003650000 $140.00 $140.00 3/3/06 Total Paid for DIF FIRE PROTECTION-RES: $140.00 $140.00 DIF LIBRARIES - RES 25300003650000 $355.00 $355.00 3/3/06 Total Paid for DIF LIBRARIES - RES: $355.00 $355.00 DIF PARK MAINT FAC RES 25600003650000 $22.00 $22.00 3/3/06 Total Paid for DIF PARK MAINT FAC - RES: $22.00 $22.00 DIF PARKS/REC - RES 25100003650000 $892.00 $892.00 3/3/06 Total Paid for DIF PARKS/REC - RES: $892.00 $892.00 DIF STREET MAINT FAC RES 25500003650000 $67.00 $67.00 3/3/06 Total Paid for DIF STREET MAINT FAC-RES: $67.00 $67.00 DIF TRANSPORTATION RES 25000003650000 $1,666.00 $1,666.00 3/3/06 Total Paid for DIF TRANSPORTATION - RES: $1,666.00 $1,666.00 ENERGY REVIEW FEE 10160003220600 $60.68 $60.68 3/3/06 Total Paid for ENERGY REVIEW FEE: $60.68 $60.68 HOURLY PLAN CHECK 10160003428200 $35.00 $35.00 4/21/06 Total Paid for HOURLY PLAN CHECK: $35.00 $35.00 PERMIT FEES 0 $933.50 $933.50 3/3/06 PERMIT FEES 0 $143.24 $143.24 3/3/06 PERMIT FEES 0 $15.00 $15.00 3/3/06 PERMIT FEES 0 $114.50 $114.50 3/3/06 Printed: Monday, September 11, 2023 11:17:39 AM 2 of 4 CRWSYSTEMS Permit Details PERMIT NUMBER City of La Quints SFD-05-4333 _Al DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY PERMIT FEES 0 $187.50 $187.50 3/3/06 Total Paid for PERMIT FEES: $1,393.74 $1,393.74 PLAN CHECK FEES 0 $250.00 $250.00 3/3/06 PLAN CHECK FEES 0 $356.78 $356.78 3/3/06 PLAN CHECK FEES 0 $35.81 $35.81 3/3/06 PLAN CHECK FEES 0 $28.63 $28.63 3/3/06 PLAN CHECK FEES 0 $46.88 $46.88 3/3/06 Total Paid for PLAN CHECK FEES: $718.10 $718.10 - RES STRONG MOTION (SMI) 10100002030800 $18.31 $18.31 3/3/06 Total Paid for STRONG MOTION (SM ) - RES: $18.31 $18.31 TOTALS: $5,921.83 $5,921.83 • •� SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES PLUMBING - UNDERGROUND PLUMBING STEPHEN WI 5/26/2006 5/26/2006 APPROVED PLUMBING SEWER CONNECTION STEPHEN WI 5/26/2006 5/26/2006 APPROVED ELEC-NEW RESIDENTIAL ELECTRICAL FINAL EDDIE MUIR 3/7/2007 3/7/2007 APPROVED GRADING GRADING FINAL EDDIE MUIR 3/7/2007 3/7/2007 APPROVED PLUMBING PLUMBING FINAL EDDIE MUIR 3/7/2007 3/7/2007 APPROVED Printed: Monday, September 11, 2023 11:17:39 AM 3 of 4 CRWSYSTEMS Permit Details City of La Quinta PERMIT NUMBER SFD-05-4333 MECHANICAL - MECHANICAL FINAL EDDIE MUIR 3/7/2007 3/7/2007 APPROVED BUILDING - FINAL EDDIE MUIR 3/7/2007 3/7/2007 APPROVED PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE IRE DATEED STATUS REMARKS BOND INFORMATION ATTACHMENTS Printed: Monday, September 11, 2023 11:17:39 AM 4 of 4 CRWSYSTEMS ,i P.O. BOX ' 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-000.04333 79567 CORTEZ IN 649-051-011-11 -2667 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 183350 Architect or -------------------- LICENSED CONTRACTOR'S DECLARATION "'&f 4 40" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: EPIC ENTERPRISES, LLC P.O. BOX 1573 LA QUINTA, CA 92253 Other struct info MAR 0 31006 Contractor: Owner I hereby offirm,under penalty of perjury that I air licensed under provisions,of Chapter 9 (commenting with Section 7000) of Division 3 of the Businessand Professionals Code, and my License is In -full force and effect. Liiense'Class: License No.: Date: Contractor: OWNER -BUILDER DECIARATON I Hereby affirm under penalty of, perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repairany.structure, prior to itsissuenoe, also requires the applicant for the permit to;fite a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter'9 (commerrdng with Section 7000) of Division'3 of the Business and"Professions Cods) or that he or she is.exempt therefrom and the basis'for the alleged exemption. Any violation of Section 7031.6 by any applicant fors permit subjects the applicant to a tivil penalty of not more than five hundred dollars 16600).: (_ 1 1, as owner of the property; or my employees with wages as their sole compensation, will do the work, and the structure is notintended or offered for sale (Sec: 7044, Business and Professlons'Cods: The Contractors' State License Law does not apply to an owner of property who bulks or improves thereon, and who does the work Himself or herself through his or her own employees,, provided that the improvements are not intended or offered for sale. N; however, the building orimprovemeM is sold within one year of completion; the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale:►. ( I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and. who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. ,,8 AP.C.or this reason Data: Owner: I herebyaf affirm -under -penalty of perjury that there is a b6rstructio_ n larding agency for the performance of the work for which this permit is isirued (Sec. 3097, Civ. C.I. Lender's Name: LerWer's Address:,- LQPSRM17' DITION 2001 CBC VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7.153 C Date: 2/16/06 --------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of'consentto selfiiisure,for workers' compensation. as; provided for by Section.3700'of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain' workers' compensation insurance, as required by Section 3700 of'the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carder,and policy number are: Carrier 4.00 Policy Number NO 4DYoertify,thot in the performance of the work for which this permit is bsued,.l shall not employ any person in any manner so as to become subject to the workers' compensation Iaws.of California, and agree that, If 1 should become subject to the workers' compensation provisions of"Saction 37 of the -Labor Code, I f with comp t1U ose provisions. Date: Applicant WARNIN FAILURE TO SECURE WORKERS' CO TIONICOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI00,000): IN ADDITIONTO THE COST'OF COMPENSATION, DAMAGES AS -PROVIDED FOR IN SECTION 3706OF'THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made.to the Director of Buikfing and Safety for a permit subject to the conditions and restrictions set forth on this application.. I . Each person upon whose,behal( this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quints, its officers,: agents and employees for any act or omission rotated to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this,oppieation becomes null and void If work is not commenced within 180 days from date of lssuanosof:such permit, or cessation of work for r 180 days will subject permit to cancaltation. I certify, that 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 auUcrize representatives of thiiss�Vuuwity nly to enter, upon the above-mentioned pro rty inspection pun see bate. L lSignature (Applicant or i. 4 LQnwjwff Application Number . . . . . 05-00004333 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 933.50 Plan Check Fee 606.78 Issue Date . . . Valuation . . . 183187 Expiration Date 8/15/06 Qty Unit Charge Per Extension BASE FEE 639.50 84,.00 3.5000 -THOU BLDG 100,001-500,000 294.00• Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 143.24 Plan Check Fee 35.81 Issue Date . . . . Valuation 0 Expiration Date 8/15/06 Qty Unit Charge PerExtension BASE ,FEE 15.00 2916..00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 102.06 55.9.00 .0200 ELEC,GARAGE OR NON-RESIDENTIAL 11.18 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------- Permit.. . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Issue Date . . . Expiration Date 8/15/06 Plan Check Fee .00 Valuation 0 Qty Vnit Charge Per Extension ------------------------------------------------------------------------- BASE FEE 15.00 Permit. MECHANICAL Additionaldesc . Permit Fee 114-.50 Plan Check Fee 28.63 Issue Date Valuation . . . . 0 Expiration Date 8/15/06 Qty Unit Charge Per Extension BASE FEE 15:00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3..00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 EA MECH EXHAUST HOOD ------------------------------------------- 6.50 f LQPERMff Application Number . . . . . 05-00004333 Permit . . . PLUMBING Additional desc . . Permit Fee 187.50 Plan Check Fee 46.88 -Issue Date . . . Valuation . . . . 0 Expiration Date 8/15/06 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA PLB ROOF DRAIN 18.00 1.00 7..5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER.TNST/ALT/REP 3.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 2916 sq. ft. sfd this permit does not include pool & spa block wall or - driveway approach.October 21, 2005 12:10-.52 PM jjohnson - ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 4.80.00 ENERGY REVIEW FEE 60.68 DIF FIRE PROTECTION -RES. 140.00 GRADING PLAN CHECK FEE ..00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC --RES 892.00 STRONG MOTION (SMI) - RES 18.31 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RBS 1666.00 Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total --- ------ ---------- ---------- 1393.74 .00 .00 1393.74 Plan Check Total 718.10 250.60 .00 468.10 Other Fee Total 3774.99 .00 .00 3774.99 Grand Total 5886.83 250.00 .00 5636.83 Epic Enterpnises, LLC P.O. Box 12052 Palm Desert, CA 92255 Phone (760) 568-0935 Fax (760) 773-5173 June 1, 2006 City of La Quinta Building & Safety Department 78-495 Calle Tampico La Quinta, CA 92253 Re. 79-567 Cortez 'Lane — Material Subsiltution To Whore It May Concern: VIA.FAX (760) 777-7011 Please accept this letter as our request to substitute the copper plumbing material with crosslinked polyethylene plastic (PBX). If you have any questions; or need additional information, please contact Anna GoWAez at (760) 899-1092. Si rely, Raley LeBrun Managing Member W �5! WALL S 0 ,-***' . "It f THERE MA PIPE A RUNS WITHIN SEM& T HENT, A S j4 POR TO CONSTRUCTION THIS LOT 'Ile rk x,05 J 91 ', '/ ,, } � 5 5g91 � 519 ��rlrDVDV FG r HIGH WALL SOITM f.38 PER AoW PLMAA� AS -480 ASWP * -7 i" -71---a f I ON SY ri, ru. Lam' P.O. BOX 1504 APPLICATION ONLY Oh Building „ 78-495 CALLE TAMPICO Address / Cl% Z-1�_p LA QUINTA, CALIFORNIA 92253 Owner �n _, �(✓.t—�c�� . �/�.(� BUILDING: TYPE CONST._ OCC. GRP. Mailing Address f -City t Contract Address Zip Tel. 611//'L. Zip ITel. & Classif. I Lic. # Designer Address Tej,_, CityLP 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. 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, alter, 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). ❑ 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, Business and Profes- sions 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 im- provement 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). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct 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 WORKER'S COMPENSATION DECLARATION 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 riled with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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 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. Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT A. P. Number `=%Y -6—a:5. Legal Description_ Project Description I SFt. % � % No. Dw. Size Stories �// Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ s t 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:_ Validated by: Date Permit Validation: YELLOW = APPLICANT PINK = FINANCE Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL Uri REMARKS e Hill' ; " 1 TA 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:_ Validated by: Date Permit Validation: YELLOW = APPLICANT PINK = FINANCE r CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road 4BERMUDA DUNES O U% RANCHO MIRAGE Date 3/3/06 La Quinta, CA 92253 r INDIAN WELLS No. 28178 'yij� P LMDESERT LA QUINTA (760) 771-8515 INDIO Owner Epic Enterprises, LLC APN # 649-051-01,1 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 Unit 2 Unit 3 Unit 4 Unit 5 Comments 79567 Cortez Lane 2916 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 .t .1 At the present time, the Desert Sands Unified School District does not collect fees on garagestcarports, covered patiostwalkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 2,916 S.F. or $6,531.84 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By OC/EI Paseo Bank - Anna Gonzalez By Dr. Doris Wilson Superintendent Name on the check Check No. 408126342 Telephone Funding Residential .Fee collected /exem d b "harocGivrey Payment Recd $6,531.84 fiver/Un�ers�„ ', Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), is serve to notify you that the 90 -da approval ty y y pp period -in which.you may: protest the fees o r other payment identified above will begin to run from the date ich the building or installation permit for this project is issued; or'►rdm the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting 7 1 Letter of Transmittal To: City of La Quinta Today's Date: ❑ Z-15_ 0(0 ❑ Checking 78-495 Calle Tampico City Due Date ❑ 2-13' p 6 La Quinta, Ca 92253 Project Address: AS(,rl CMZ Attn: Ed Plan Check #: - ?� Submittal: ❑ 1St ❑ 4th 2nd ❑ 5th ❑ 3`d ❑ Other: We are forwarding: By Messenger ❑ By Mail (Fed Ex or UPS) ❑ Your Pickup Includes: # Of Descriptions: Includes: # Of Descriptions: Copies: 9. " Copies: Structural Plans Revised Structural Plans bStructural Calcs Revised Structural Calcs ❑ Truss Calcs Revised Truss Calcs ❑ Soils Report ❑ Revised Soils Report ❑ Correction List ❑ Approved Structural Plans ( Redlined Structural Plans ❑ Approved Structural Calcs Redlined Structural Calcs ❑ Approved Truss Calcs 1 Redlined Truss Calcs ❑ Approved Soils Report ❑ Redlined Soils Reports ❑ Other: Comments: `T'e c�Tw'RAC— �- 1 A -NL,) �a•a,° l t Thank vou! This Material Sent for: ❑ Your Files ❑ Your Review ❑ Checking Other: ❑ By: Palm Desert Office: ❑ # (760) 360-5770 Washington Office: ❑ # (760) 404-9556 ❑ Per Your Request ❑ Approval ❑ At the request of: J 4 .V L? i0 6 .CITY OF LA .QUINTA SUB -CONTRACTOR LIST OB ADDRESS �� Cbf'-7Z L-Jy PERMIT NUMBER �,/�-� OWNER �� - �/S-.� BUILDER GVJ �jt/I1�L�7� This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. .Only persons appearing on this list or their employees are authorized to work on this job. Any changes. to this list must be approved by the Building Division prior to commencement of work. Failure to comply will .result in a stoppage of work and/or the voidance of buildina hermit. For each aDnlicable trade, all information reauested below must be completed by applicant:: "On Fite" is not an acceptable. response. . .. Trade / Class�Ucat�on. .,.:.... C ontractor :' `><:'> << `''Sta e;:Contracto s License :. xt :: : Worker;.C.om Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number: (Format Varies) Exp. Date . (xx/xx/xx) EARTHWORK (C42) CONCRETE (C-8) . . �. C-� !3 Iii o7� c�mP-a a FRAMING'IC-51 lIVC2 �� i(1 l.. i G7?�''(v A -Me STRt/CT ' STEEL (C-51) MASONRY (C-29) { PLUMBINCi'(C-36) (_ATH; PLASTER (C-35) psQ (d� ) VY71 f3l � `7 ! �7-5 �� 1 CMP COO ' -02, DRYWALL (C-9) , :..: �1 31 0(0 ' L'"� Lid lv C 'C/� -�1�� D`L "�'jit� �Cld ja� ELECTRICAL. (C-10)- ; %� �R�i U ��rvti P 6-10 {T ! f Lfel?2 � c , ST �-�� 0010-6S5-� 1 D� ov Y o -114G' (C=39) ''. Y" :>:' . c �ti`1��_ 1 (GtT �%i�"! %� ti��71 .�i1 rp,:Z5 1 W V LVOMZ SklE * METAL (0-43) ? 1 FLOORING (C} 5: ` `:::: • :: - G +� i `� I o� 31 `d--�z�� U)• -U 10 41 d, GLAZING V1 C_?tb�. (5 L. 1TJa"l��^ y INSULATION . .::. SL(,�. Iv ��J� C. w r `1� �� Ire "Q SEWAGE.DISPIG-42). PAINTING (C-'3!) CERAMICTILE (C-54)' CABINETS (C-6) I LCS GINi�i1 / GAPS -i3' ► �� 5 (� FENCING (013) LANDSCAPING IC�27.) �` `J �I t �� i��; ✓ �� 1 (.Q POOL (C-53) . License Number. (xxxx),. ,