14721 (RR)S P.O. BOX 1504 No. 14721
Building • 52-675 Ave. Velasco 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner Greg Sorivens
Mailing ABUILDING: TYPE CONST. OCC: GRP.
Address 260 Pinyon Crest
City Zip Tel.
Mtn. Center, 92561
Contractor
Al -Miller & Sans Roofing
Address .
68-5713 Summit Dr.
Cathedral City Zip 92234 Tel. 328-6616
State Lic. City
& Classif.. C39 336547 Lic. # 1016
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S,DECLARATION
I hereby affirm that I alicensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of tm he Business and Professions Code, and my license is in full fort and
�L effect. f
i` SIGNATURE /r 1 - DATE
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason:- (Sec. 7031.5,1516stness 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 rile a signedstatement 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 rive hundred dollars ($500)..
O 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 of 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 contractors) licensed pursuant to the Contractor's License Law.)
O.I am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby�affIrmi 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 NoCompany
leCopy Is filed with the city, O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 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
=Cal
parson in any manner so as to become subject to ,the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. It, 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND ."
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
.HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
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
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.
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 inspect_ion'purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Number
Legal Description
Project Description Re%oo,"
Sq. Ft. No. No. Dw.
Size Stories' Units
New ❑ Add 0 Alter ❑ Repair'O. Demolition O _
sti mated Valuation $3,390.0.0
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
30.00
Mech.
Electrical '
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
30.00
REMARKS
.. r
ZONE:BY:
Minimum Setback Distances:
* Front Setback from Center Line
Rear Setback from Rear -,Prop. Line
—SideStreetSeack from, Center Line
/A\Side Setbagkfr m Property Line
FINAL DATE 11 II (INSPECTOR
Issuey:' .LI, 14 19 95Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINii FEE" r.
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK'
POR. SO. Ff. ®
DUCT WORK
ROCKSTORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT.
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
/J /
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID a 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR p 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
ROCKSTORAGE
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$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
/J /
//5010-5v
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTIONS
-
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Location of Job
Greg 96i(iveaFrs
260 Pinyon Crest
AL MILLER &
N
"BETTER ROOFS FOR BETTER LIVING"
68460 SUMMIT DR)VE, CATHEDRAL CITY, CA 92234
(619) 346-1214 and 328.6616
PROPOSAL AND FREE ESTIMATE
CONTRACTOR
STATE LICENSE -336547
❑c
52-675 Velasco
Mountain Center, CA 92561 Laquinta, CA
We propose to furnish the following materials and perform all labor neces dry to complete the roof at the bove location.
needing_of to rpplar d will he rhargpd at the rate of '$'10-()n Par 4 x R cheer_
Roofer to nail (1) laver 28#glashasp to deck, inc all (3) layprs 11# glasply
hot mopped between layers with 3/8 TA rock embedded in a flood coat of asphalt.
CONTRACT PRICE: $3,390.00 '
All of the above work to be completed in a substantial and workmanlike manner according to standard practices for the
sum of $ Dollars ($ gpp 21 OV4 1.
TERMS: Net Cash on Completion.
ATTENTION
Section 7018 of the Contractors License Law (B & P Code, Div. 3, Chapter 9) provides that starting July 1, 1966, everyone licensed by the Contractor's
License Board shall give a copy of the following notice to the payor prior to receiving from the owner of the property or his agent any payment for work
which a contractor's license is required.
NOTICE
"Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 et seq.), any contractor, subcontractor, laborer, supplier or 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. This means that, after a
court hearing, your property could be sold by a court officer for the proceeds of the sale used to satisfy the Indebtedness. This can happen even If you have
paid your own contractor in full, If the subcontractor, laborer, or supplier remains unpaid." 2
At Miller & Sons Roofing Co., Inc. agrees to furnish its regular form of Guarantee tar -(ty-&)Years after completion of its work, said guarantee to pover
defects in material and workmanship only and not to extend to damage to roofing caused by the elements, other unusual causes or Acts of God and shall
not cover any liability for damage to interior fixtures, decorations, walls, contents of building or other parts of structure not to damages arising from faulty
construction. It is also understood and agreed that the above guarantee shall be made and remain only when and if payment is made as agreed In this
contract. At Mille, & Sons Roofing Co., Inc. Is not responsible for TV antennas.
We are fully covered by workmen'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 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 based,onsurrent cost of material and labor. Increases or decreases will be reflected at time of signing of contract.
.Mot responslble lcF py damage to sidewalks, curbs or driveways.
Respectfully submitted,
ESTIMAT :ALMILLER 8 qONS ROOM CO., INC.
Accepted: Ey: Howard �icAloney , General-�1a1xa>�er