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15157 (PLBG)ri 44 Gv . C 10%N P.O. BOX 1504 No. 1 5 1, 5 T Building 78-495 CALLE TAMPICO Address 78-720 Avenida La Fonda LA QUINTA, CALIFORNIA 92253 Owner Set Etinger Mailing' BUILDING: TYPE CONST. OCC: GRP. Address Same as. above A.P. Number City Zip Tel. La Qui nta 9225"' Legal Description Contractor—up/SepticProject Description v� ' k�(1�3kAbandon Alike Underground. Conn Add est ... .. . g l'a3 V:l i ry City Tip�. Tel.:C-erdram Cit2234 324-1911 State Lic. City & Classif.. 482180 C42&23 Lic. # 769 Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units 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 ' 7000) of Division 3 of the Business and Professions Code, and my license is in full force and , effect. SIGNATURE DATE - OWNEWBUILDER DECLARATION Estimated Valuation. I hereby affirm that I am exempt from the Contractors License Law for the following.$1,480.00 y 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 r requires the applicant for such permit to file 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) 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 Plan Chk. Dep. - 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 Plan Chk. Bal. do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Buisness and Const.$30000 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 orthrough 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 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 contractors) licensed 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 Compensation Insurance, or a certified copy thereof. (Sec. 3600, Labor Code.) Policy No. Company ❑ Copy Is filed with the city. ❑ Certified copy is hereby furnished. TOTAL g30 , 0 n 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: fl, after making this Certificate of Exemptionyou 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. Line WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND' Side Street Setback ,from Center Line 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 Property Line DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND. . ATTORNEY'S FEES. This is abuilding permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR 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. Issued by: • Date Permit 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-..- j mentioned property for inspection purposes. Validated by: Signature of applicant Date. Mailing Address Validation: City, State, Zip I MAYTb Mbi d i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU F ES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. S0. FT. 'BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP.' DRINKING FOUNTAIN. SO FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V. c SEWAGE 'DISPOSAL SO.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' SE R S� 9 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. (Y FRAMING FINAL INSP. 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 SIONATURESIINiTIALS GARDEN WALL FINAL j1 p� Received Fro---�-wf _�•:•. R?�., • • COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL �-' �h T �G� - Date: Address: Cash c^ s•? WaterService Account No. 7 U' 1(s) f Tract (: Service Address — -� U ? -_. G.A. Code ' ❑ Meter(s) CVWD-438 (11189) g ❑ Service(s) 1 ❑ Backflow(s) ❑ House Lateral(s) ❑ DetectorCheck(s) ❑ Meter Surcharge Sanitation Capacity Charge C` ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ ' Inspection Fee - Tract - Fee - ❑ . Plan Check Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other - TOTAL Remarks: ❑Copy to: Cash WaterService Check y' - Mone Y Cashier Order CVWD-438 (11189) • -'HAMMER PUMPING INC. JOB INVOICE P.O. Box 2448 - - CATHEDRAL CITY, CALIFORNIA 92235-2448 n�n1 nen -iw wee %V i.71 V (619) 321-7448 DESCRIPTION OF MATERIAL USED CUSTOMER'S ORDER NO. ORDER TAKEN BY D D ATE PROMISED 0 A.M. ❑ P.M. BILL TO pv"s Gallons PHONE ADDRESS egoo Pumping;Fee per 1000 gal. +; l MEZ N t CITY ov— HELPER JOB NAME AfyD` QCF�TI0 /� V t ((dd}y 77 O�C / t /�4 Vt.t CT- S ORK 0 DESCRIPTION OF s--0 I- S--0 CONTRACT 0 EXTRA Sc w� �- oo ,- w QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT f?00 Gallons egoo Pumping;Fee per 1000 gal. +; l ��% �� ov— C©QQ Dumping Fee per 1000 gal. E s--0 I- S--0 ov Out of Area Fee Locating / Opening Fee (per hour) Size System: yy, 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 7v LABOR AMOUNT TOTAL MATERIALS MECHANICS @ HELPERS @ TOTAL LABOR r I hereby acknowledge the satisfactory comp) tion of the above desc bed wo TOTAL LABOR TAX SIGN DATE COMPLETED TOTAL 3 / S b NOTICE. TO OWNER Under the California Mechanics Lien Law any contractor, subcontractor, laborer, supplier or other person who helps to improve your property, but is not paid for his/140-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 supplie"rs 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 document entitled "Preliminary Notice." Original (or prime) contractors and laborers for wages do not have to provide this notice. A Preliminary Notice is not a lien against your property. Its purpose Is t6 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 WISH TO TAKE ONE OR MORE OF THE FOLLOWING STEPS: 1) 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 wilt 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 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. 4