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15343 (PLBG)Building 53-959 Avenida Vallejo Address Owner>, Stan Little P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Mailing Addresssame as ®v City Zip Tel. La Quanta 92253 360-0118 Contractor 25 Randa Lias Cerritos Cathedral Cityl 9223 :L324-1911 State Lic. & Classif.4$2-80 769 Arch., Engr., Designer 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 7000) of Divi ion 3 o the Bu inress and=Profess/ions e, and my license is in full force and effect ` ;ass SIGNATUR5 DATE F f OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Sustness 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 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 penally of not more than rive hundred dollars (8500). ❑ 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 nofintended'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.) - ❑ 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 contractors) 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's Compensation Insurance, or a certified copy thereof. (Sec: 3800, Labor Code.) . Polic No. Company Copy is filed with the city,. C1Certified 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 thg work for which this permit is issued, I shall not employ anyparson in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT. N, 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 pioperly filled out, signed and validated, and is subject to expiration if work thereunder is -suspended for 180 days. 1 certify that 1 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 No. 35343 BUILDING: TYPE CONST. OCC: GRP.; A.P. Number Description ;t Description sewer connection Sq. Ft. Size New ❑ No. Stories Add ❑ Alter ❑ Estimated Valuation 4 0 .00 No. Dw. Repair ❑ Demolition.❑ - PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const- Mech. Electrical Plumbing • S.M.I. Grading Driveway Enc. Infrastructure TOTAL U • REMARKS 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: Date Permit Validated by: 0 Validaiion: p d - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER O SE ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING ° CAR P. SO. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. SO. FT. ® WATER SYSTEM t URINAL � ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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. SQ. FT. RESID ® 1+/a c SEWAGE DISPOSAL INSULATIONISOUND SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE IPLCK.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 O SE ROUGH WIRING DUCT WORK ROCK STORAGE ' FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. 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. !O FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCG FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Received From: T A { . ' -7 7 S-35 26 Date: Address: 3'rd-7;•S 2ANGom►^No Los CwToZ 6,zf2mur�,q Dwe'r-S rA Account No. G6 C 17-14, Z"r. g, p., I Lots) C? B WC Z NQ Tract sAgTA cAfzm—z� rA. Service Address X53—,? 9 ALIT • VA LUSO G.A. Code ❑ Meter(s) $ ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) Surcharge Sanitation Capacity Charge � ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond ABsmt. ❑ Customer Deposit ❑ Other Remarks: ❑Copy to: Cash Check 01 Z Money Order TOTAL $ 3801/89) V HAMMER PUMPING INC. JOB INVOICE, P.O. Box 2448 CATHEDRAL CITY, CALIFORNIA 92235-2448 19Z7 Ol 49tn-7AAQ I QUANT. lva /vWw 1--W (619) 321-7448 CUSTOMER'S ORDER NO. DAT ORDE D _ �' `?S ORDER TAKEN BY DATE PROMISED O A.M. O P.M. BILL TO PHONE ADDRESS'MECI - CITY .4 HELPER JOB�LVAM€ L Dumping Fee per 1000 gal. f y O(DY WORK DESCRIPTION OF WORK �i O CONTRACT O EXTRA QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT QW -0 Gallons "000 Pumping Fee per 1000 gal., .4 f QQo Dumping Fee per 1000 gal. f y S-0 Out of Area Fee - Locating / Opening Fee (per hour) Size System: - r 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 Qa HELPERS Q TOTAL LABOR I hereby acknowledge the satisfactory completion of.the above described work:TAX TOTAL LABOR GN {JRE yATE COMPLETED OTAL /3S 1 -V ---j--- O x NOTICE TO OWNER Under the.California Mechanics hien Law any contractor, subcontractor,11aboter, supplier or other person who 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 6f 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 sur h'".. as subcontractors or material suppliers are required to provide you with a document ehtifiedV "Preliminary Notiee." Original.(or prime) contractors and laborers for wages do not ha4e_4d.. provide this notice. A Preliminary Notice is nqt a lien against your property. Its purpose is #o•; :'N notify you of persons who may have a`righf io file a tiers, against your property if they are not paid. Generally, the maximum time allowed for filing a claim or Fier; against your property is ninety (90) Opys after completion of your project. -. - -.- .....r ,......, ......_ ,3 TO INSURE EXTRA PROTEtfidt FG _ OURS11F AND YOUR PROPERTY, YOU 41AY WISH TO'TAAMNEN-ifi-fl 691 Of, THE FOLLOWING STEPS`. i 1) Require that payments be made directiy'togubcontrgctors•and material suppliers through . a joint control. Any joint control agreement should iscludo the addendurn approved by the. i' Registrar of Contractors. 2) Issue joint checks for payment, made out to. both your contractor and subcbntractors or material suppliers involved in the project. This +ll help to insure that all persons due payment are actually paid. 3) After UPON making payment on any comp�ted phase of the project, and before making any further payments, require your contractor'ta 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, toe, persons signing these releases lose the right to file a claim against your property- In other types of construction this protection may still -ba important, but may not be as complete. TO PROTECT YOURSELF UNDER THIS OPTION YOU MUST BE CERTAIN THAT ALL MATERIAL $UOPLIERS, SUBCONTRACTORS OR LABORERS HAVE SIGNED.