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15073 (PLBG)-4 4 Qum& P.O. BOX 1504 Building _ 78-495 CALLE TAMPICO Address 54-393 Ave. Velasco LA QUINTA, CALIFORNIA 92253 Owner Mr. & Mrs. Teodoro Ochoa Mailing Address Sate City Zip Tel. ' La Quinta, CA 92253 Contractor Aenboer'9ngineering & Construction Address 68--3.75 Berrda Court CityZip Tel.: Cathedral City. CA 92234 327'-2200 State Cla s� f. A 684563 Licy &# 3577 Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLAP�TION I hereby aTf nthaf 1 am licensed underprovisions of Chapter 9 (commencing with Section . 7000) of Division,3 of the Business FA Professions Code ,and mylicense is in full i6nd �..•— GN T .C.+�'� /" ' t 7 �'DATE /10"OWNFFI-RUII DECLARATION I hereby affirm tha 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, after, improve, demolish, or repair any structure, prior to Its issuance also requires the applicant for such permr71lo 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 or 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner or 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker'sComg nsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy Company opy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM 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 anyperson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: M, after making this Certificate or 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 if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building constructlon, 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 No. 15073 BUILDING: TYPE CONST.. OCC: GRP. A.P. Number Legal Description Project Description Sewer Connect Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $1 a 700.00 PERMIT AMOUNT Plan Chk- Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing 30.00 S.M.I. Grading Driveway Enc. Infrastructure TOTAL 30.00 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from .Rear Prop. Line Side Street Setback fro-r'X nter Line Side Setback from;Qroperty Line-,- FINAL ige FINAL DA Issued by: Validated Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCTWORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEQUIP. DRAINAGE PIPING CARP. SQ. FT. TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN SQ 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 WASH ER(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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL MESH SO.FT.GAR ® 3/.c HOUSE SEWER INSULATIONISOUND 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 WE R ROUGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION 9 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL HAMMER PUMPING INC. JOB INVOICE :T r p.0. Box 2448 CAT--lE!lDRAL CITY, CALIFORNIA 92235-2448 ►&, nt '3&., A 0 tva�/ vvv-i civ (619) 321-7448 - DESCRIPTION OF MATERIAL USED CUSTOMER'S ORDER NO. AMOUNT DATE ORDERED �,S'=�_5 ' ORDER TAKEN BY DATE PROMISED 0 A.M. 0 P.M. BILL TO f r _ (' _ / S)0C PHONE . ADDRESS ME NIC CITY Dumping Fee per 1000 gal. HELPER JOB�MF_.Alyp LgA3. -n `Ji _CC� GJ! YI J I/�C! II �' r r / O V " �t �� DAY WORK DESCRIPTION OF W R N^ r, Tc--- IC 0 CONTRACT 0 EXTRA Out of Area Fee QUANT. - DESCRIPTION OF MATERIAL USED PRICE AMOUNT © Gallons S)0C Pumping Fee per 1000 gal. Dumping Fee per 1000 gal. r'n � Out of Area Fee Locating / Opening Fee (per hour) Size System: A SERVICE -CHARGE OF $20 WILL BE DU 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 @ TOTAL LABOR HELPERS @ I hereby acknowledge the satisfactory completion of the above-described work: TOTAL LABOR TAX SIG RTURE DATE COMPLETE (' ,&-7 TOTAL �� �- Under the Caiifornla Mechanics Lien Law any contractor, subcontractdr, laborer, supplier or other person who helps to improve your property, but is not paid for_his%her work or supplies, has a right tri enforce a claim against your property. This. mean's 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 the,: right to file a claim or lien against your property, certain claimants such as subcontractors or materiai suppliers are required to provide you with a document entitled "?VoNmincry Notice.". Original ,(or prime) contractors and laborers forwages do not have to provide tWs notice. A Preliminary Notice is not a lien against your property. Its purpose -:is So notify you of persons who may have a right to file a 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'NISH TO TAKE ONE OR MORE OF THE FOLLOWING STEPS: z i) 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'tnd 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 important, 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.