13920 (RR)44
P.O. BOX 1504
Building 53-773.Ave. velasco 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253
Owner Ruth Shea
No. 13920
BUILDING: TYPE CONST.
A.P. Number
OCC: GRP.
Mailing
Address Box 44863
City
Zip
Tel.
Boiaae, ID
82711
(208'1336-7427
Legal Description
Project Description
ContractorReroof
DeW Roof ing %nc .
Add sass) William road
C"Palm Sgiings
zip �a 64
Te 6I9) 327-3393
State Lic.
City
& Classif. C-39 409619
Lic. # 326
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%provisions of Chapter 9 (commencing with Section
7009) of Divii�o1,3 o the Is, ess ap!8 P fessions Code, and my license is in fu/ll force and
f
SIGNATURE 4' i' �"' S DATE
r 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 o/ 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 /or 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, 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 /or sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
o/ proving that he did not build or improve for the purpose of sale.)
Estimated Valuation
$2,050.00
,
PERMIT
'
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
(i♦. �{�
'
Mech.
.
Electrical
Plumbing
O 1, 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 contractor(s) licensed pursuant to the Contractor's License Law.)
D I am exempt under Sec. B. 8 P.C. for this reason
S. M. 1.
Grading
-
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 Cor�p�nsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
POlicy N�41. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
j,^ A n
(This section need not be completed if the permit is /or 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.
I U I �� (
Date Owner
NOTICE TO APPLICANT' it,C ager making this Certificate o/ Exemption you should become
subject to the Workers' Compensation provisions o/ the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
ZONE: BY: -', I Fi5 l 4 I� t
AUG T t '
Minimum Setback Distances:
J
Front Setback fromi,Center Line N
Rear Setback from fRear P-rop:-L-I.
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.)
Side Street Setback from Centerline
Side Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
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.
Issued by:
Validated by:
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. p $
UNITS
I
r+
BONDING
YARD SPKLR SYSTEM z
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
r
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. Q. FT.
GROUT
WATER HEATER
WALL SQ. FT. ®
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT. ®
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
IWATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 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
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$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING —� G� [A
a
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
L_.636 4ossls CONTRACT PROPOSAL
J Contractors are required by law to be
z .y.
licensed and regulated by the Contractors'
DEW ROOFING, INC. State gLleense Board. contractor Any questions oon-
be referr
registra rof the board whose addressed
dIs to the
640 Williams Road - P. O. Box 914 Contractors' State License Board
1020 "N" Street
PALM SPRINGS, CALIFORNIA 92263 Sacramento, California 85814
PHONE (619) 327-3393
Contractor: _ (208):347--52871x N �j
• act- 3 s�ao3
Owner: Ruth Shea : Box 44863 Boise ID 83711
WE PROPOSE AND AGREE to furnish required labor and material for Reroof SLOPE SECTION OF ROOF ONLY
ANY BAD SHEETING DISCOVERED WILL BE REPLACED AT OWNER'.S.EXPENSE. NOT INCLUDED IN THIS BID!
e
for the above named building using 1 layer 1511 Felt & Fiberglass' Shingles.
in accordance with submitted -plans and specifications, for the sum of
Two Thousand Seven Hundred Fifty and no/cents. . 4$2,750.0 Dollars
3 Year Guarantee ON SLOPE SECTION OF ROOF ONLY!
• G
IF YOU WISH THE WORK TO BE DONE, SIGN THE CONTRACT PROPOSAL BELOW THE DATE AND ALSO ON THE BACK OF THE
SECOND SHEET, WHICH IS THE "NOTICE TO OWNER." WE ARE SENDING TWO (2) COPIES EACH OF THE CONTRACT PROPOSAL
AND NOTICE TO OWNER. PLEASE RETURN ONE (1) COMPLETE SET TO US.
Approximate starting date: Approximate completion date:
„•.: `-• ALL PAYMENTS TO BE 100% ON COMPLETION UNLESS OTHERWISE SPECIFIED ABOVE.
NOTICE
1S2 -a
uy," "Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 et se
• '` an contractor, subcontractor, laborer, supplier or other
y pp person who helps to improve you;
,n
.gt y t yg not pgid for his �york or sLpplies, haS 8 right l0 enforce a claim against your 4
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 own contractor in full, it the subcontractor, laborer, or supplier remains unpaid." 4., J �T
This agreement shall become binding only upon the Contractor's written acceptance hereof or upon the Contractor's commencing
performance and upon such acceptance or commencement of performance this shall constitute the entire contract and be binding upon the
parties hereto, there being no covenants, promises or agreements, written or oral, except as herein set forth.
It if further understood that:
(A) The Contractor shall not be responsible for damage or delay due to strikes, fires, accidents or other causes beyond his reasonable control.
(B) The proposal is limited to__ days acceptance from date hereof.
(C) The Purchaser is dealing with the Contractor as principal and that the Contractor is not acting hereunder as the agent or representative
of any person, firm, or corporation.
PRICE SUBJECT TO CHANGE AT ANY TIME TO REFLECT INCREASED MATERIAL PRICES.
Date 3/1/94 DEW ROOFING, INC.
ac the above proposal i
By: Salesman
— Approved by: P