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14341 (RR)Building Address 52--123 Ave. Diaz Owner Don Barcus Mailing Same Address CityZip Tel. La Quinta, CA 92253 Pro -Tech Roofing Co. :.. IVI a 00' 'Ave. 45 Suite F P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 lKdio, CA 92201 State Lic. �j;�5515 City 1925 & Classif. Lic. # Arch., Engr., j 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 000) of Division '3 of the'Business•and Professions-Code�and_my, license is in full force and efffeecL ..✓' _ d SIGNATURE DATE OWNEWBUILDER 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, atter, 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 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 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 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 dM not Wild 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 Wilds or improves thereon, and who contracts for such projects with a contractor(s) [rcensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C..for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby -affirm that 1 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.) Policy Ko?, Company 63 opy Is filed with the city, ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM v WORKERS'COMPENSATIONINSURANCE _ (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 th0 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: If, 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. Thii is a'building permit when properly fifle;J out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I per 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. 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. 14341 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description Ra'roof , Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add.❑ Alter ❑ Repair ❑ Demolition: ❑ Estimated Valuation $5,310.00 I PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 1 A TOTAL `' " Gl e REMARKS ZONE-' BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop/,L•n Side Street Setback from.Ce r Lin Side Setback from Prop, J� ine��_ FINAL DATE I Issued by: Date_ Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. @ $ UNITS 14 SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. @ DUCT WORK ROCK STORAGE GAR. SO. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. @ GAS (FINAL) TEMP. POLE WALL SO. FT. @ DRINKING FOUNTAIN SO. FT. @ WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ —Plus—X$—=$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED v /G%%� �(,J LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM 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 @ 11A c SEWAGE DISPOSAL SO.FT.GAR @ V4c 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 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. ROOFING v /G%%� �(,J A-7 Ap REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL �6 �. P►.�_-TECH ROOFING COMPANY NUMBER=T--229 83-900 AVENUE 4S SUITE F SHEET N0=01 INDIO. CA 92201 DATE=10•--31--94 ( 619 ) 775-5477 ( 619 ) 775-5479 FAX �F2�P'05Ats LICENSE *-615515 Proposal Submitted To= DON BARCUS Work To Be Performed At: 52-123 DIAZ LAQUINTA CA We hereby propose to furnish the materials and perform the labor necessary for the completion of- REROOF W/ CLAY—S TILE COLOR ORANGE 1. REMOVE ROOF TO SHEETING, REPLACE ANY NEEDED PLYWOOD. 2. INSTALL 4PLY B.U.R OVER FLAT SECTIONS, 3PLY OVER PITCH SECTIONS. 3. INSTALL NEW EDGE FLASHING OVER FLAT SECTIONS, RESET ALL OTHER FLASHING. 4. A/C UNIT TO BE DISCONNECTED AND RECONNECTED BY OTHER BRINGING UP TO CODE. 5. INSTALL PLATFORM UNDER A/C UNIT INSTALL ROOF SYSTEM. 6. INSTALL 2X6 RIDGE BOARDS AS NEEDED, STACK TILE OVER ROOF. 7. INSTALL TILE AS PER SPECIFICATION, W/ BIRD STOP. 8. PAINT VENTS JACKS ECT, TO MATCH TILE COLOR. 9. CLEAN UP JOB. 7.YEAR WARRANTY I� material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above described work and complete in a substantial workmanlike manner for the sum of: $ 5310.00 UPON COMPLETION Any alteration or deviation from the above specifications involving extra costs, will be executed only upon written orders, and will become an extra Charge over and above the estimate. All agreements are contingent upon strikes accideuts`or other delays beyond our control. Owner to carry fire, tornado and all other necessary insurance upon the above work. Workman's Compensation and Public liability Insurance on above work is to be provided by: PRO—TECH ROOFING COMPANY ACCEPTANCE OF PROPOSAL Respectfully Submitted David Krastel, Operator THE ABOVE PRICES. SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT.WILL BE MADE AS OUTLINED ABOVE. '� Sign t"' i I- /S-' Date= C7� Signature Any controversy or claim arising out of or relating to this contract, or the L'I ach thereof, shall be settled by arbitration in accordance with the Uniform es for Better Business Bureau Arbitration. and the ,judgement upon the award rendered by the Arbitrator(s) may be entered in any Court having jurisdiction thereof. scac W*LW*WWWWW WWW WW WWWW*W:aaWaW***a*aasWWa*WWW*aaaa*easaWa**a*WWWWW :WWaWsW