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15070 (PLBG)4 P.O. BOX 1504 No. 15070 Building 78-495 CALLE TAMPICO . Address 53-749 Ave. Velasco LA OUINTA, CALIFORNIA 92253 Owner Ms. Lynne Miller Mailing ' BUILDING: TYPE CONST. OCC. GRP. - Address Sam A.P. Number City Zip Tel. ,La Quint.,. CA. 92253. Legal Description ContractorSewibr Connect Denbaer Snigineering & Construction Project Description Address . 68-175 Berros Court CityTel.: Cathedral CityZip CA 91234 327-2200 State Lic.�rr63. City 3571 & Classif.. Lic. # Sq. Ft. No. No. Dw. Size Stories Units Arch:, Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑. Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provIsICnB of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an&ProfessiibbnslCode, and my -license is In f' II fo/Ec-e and^ effect. � >.�.� r la,JG' .!'y".NN�t ��..s41. ��^••. SIGNATUREi..7 1`' �^'� ,f �-DA—TE (% OWNER -BUILDER DECLARATION Estimated ValuationA I hereby affirm that I am exempt from the Contractors License Law for the following ���y V0 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 I ' requires the applicant for such permit to rile a signed statement that he Is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing. with Section 7000) or Division 3 of the Business and Professions Cade, 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 Plan Chk. Dep. 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 Plan Chk Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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 or offered 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 30.00 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) (fcensed pursuant to the Contractor's License Law.) Grading ❑ I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of . Worker's Co_Mpdn—sation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy. �D199 n Company kf opy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 30. 00 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 -so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT. !f, alter making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith ' Comply with such provisions or this permit shall be deemed revoked. Minimum, Setback Distances: Front Setback from Center Line Rear Setback from Rear-Prop.,?�L/ine. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Ce ��In� 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, Side,Setback from Propert i /� r DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND �� I ATTORNEYS FEES. FINAL DATE INSPEG r R �� This Is a building permit when properly.filled out, signed and validated, and is subject to / r� expiration if work thereunder is suspended for. 180 days. Y �� I certify that I have read this application and state that the above information is correct. Issued by: Date Permit ✓ .0 / 1 agree to comply with all city and county ordinances and state laws relating to building „ 7 construction, and hereby. authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Validated by: 'w� �" j' Signature of applicant Date Mailing Address Validation: City, State, Zip ���� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBlai EES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® 'DUCT WORK ROCK STORAGE GAR. SO, FT• ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SQ. FT. TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN, SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation _$ FLOOR DRAIN MECHANICAL FEES FRAMING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REMARKS: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL MESH SQ.FT.GAR ® 3/ac HOUSE SEWER INSULATION/SOUND 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 CON D. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB.. BONDING HEATING (ROUGH) STORAGE TANK FORMS SE O ROUGH WIRING 'DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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. c� 7 ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL :Y HAMMER PUMPING INC. JOB INVOICE P.O. Box 2448 CATHEDRAL CITY, CALIFORNIA 92235-2448 ra101'2aA_7AAQ jw..j vvv-i '--W (619) 321-7448 DESCRIPTION OF MATERIAL USED CUSTOMER'S ORDER NO. DATE ORDERED & - / S- -1�� ORDER TAKEN BY DATE PROMISED ❑ A.M. ❑ P.M. BILL TO PHONE " ADDRESS �� Pumping Fee per 1000 gal. ME�r1�ANIC CITY �� HELPER `JOB NAMANB.�Q�jA ffN 14 L'/c ' / ` (/// (`/ In,r O Jam• �AY WORK DESCRIPTION OF WORK 000 ❑ CONTRACT ❑ EXTRA -r` .S� �.� f ✓' i-�© o QUANT. DESCRIPTION OF MATERIAL USED 45RICE AMOUNT 60 d Gallons "od v Pumping Fee per 1000 gal. �5 = f-- �� 000 Dumping Fee per 1000 gal. f IfIc�-- Out of Area Fee Locating / Opening Fee (per hour) Size System: :ce A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETURNED CHECKS. A FINANCE CHARGE OF 11/2% PER MONTH, 18% PER YEAR WILL BE CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS. HOURS LABOR AMOUNT TOTAL MATERIALS MECHANICS Q TOTAL LABOR HELPERS Q I hereby acknowledge the satisfactory TOTAL.LABOR completion of the above described work: TAX _ S GNATURE -. DATE COMPLETED TOTAL -- NOTICE TO OWNER r'. Under the Falifornia Mechanics Lien Law any contractor, subcontractor, laborer, supplier or other person, wh%helps to improve your property, but is not paid for his/her 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 and the proceeds of"the sale used to satisfy the indebtedness. This can happen even if you have paid your contractor in full if the subcontractors, laborers or suppliers remain unpaid. To preserve their right to file a claim or lien against your property, certain claimants such as subcontractors or material suppliers are required to provide you with a documeni entitled "Preliminary Notice." Original (or prime) contractors and laborers for wages do not have to provide this notice, A Preliminary Notice is notla lien against your property. Its purpose is to notify -you of persons who may hsve`a right tofilea lien against your property if they are not paid. Generally, the maximum time allowed for filing a claim or lien against your property is ninety (90) Days after completion of your project. - TO INSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY, YOU MAY WISH TP TAKE ONE OR MORE OF THE FOLLOWING STEPS: f) Require that payments be made directly to subcontractors and material suppliers through a joint control. Any joint control agreement should include the addendum approved by the Registrar of Contractors. 2) Issue joint checks for payment, made out to both your contractor and subcontractors or material suppliers involved in the project. This will help to insure that all persons due payment are actually paid. 3) '-After UPON making payment on any completed phase of the project, and before making any further payments, require your contractor to provide you with unconditional lien releases. signed by each material supplier, -subcontractor and laborer involved In -that portion of the work for which payment was made. On projects involving improvements to a single family residence or a duplex owned by individuals, the persons signing these releases lose the right to file a claim against your property. In other types of construction this protection may still be innportant, but may not be as complete. TO PROTECT YOURSELF UNDER THIS OPTION YOU ;MUST BE "CERTAIN THAT ALL MATERIAL SUPPLIERS, SUBCONTRACTORS OR LABORERS HAVE SIGNED.