002390 (RR)h No
r4 - P.O. BOX 1504eai
-Building>rA<y 7&105 CALLE ESTADO
Address m�,� 11 -es at W..LA QUINTA, CALIFORNIA 92253
Owner
Hbjcb Gn—t2- ''
Mailing BUILDING: TYPE;CONST. OCC: GRP.'
Address L=AM A.P. Number
City Zip. Tel. +..
. !a Quinta Legal, Description
Contractor Project Description '
Address ...
78-5.50 Darbv PWd .
City . Zip ...
�€. 92201
Tel.:
345T3751
State Lic.
City
8 Classif.•.74921
Lic. #12.
Sq. Ft
Size _ ..
No. No. Dw.
.... Stories- = .p. .... Units ....:
".
.... Arch.; Engr.,.......,.. .. . , ..
Designer. '•
New Add ❑ Alter ❑. • Repair ❑ Demolition ❑
Address
Tel.
:....
City
Zip
State
Lic. #
w.j
LICENSED,CONTRACTOR'S DECLARATION,
r
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 ofr the Business and Professions Code, and my license is in full force and
_. effect. f r c
,. .., ...,
.... _ ,
SIGNATURE•r'`.p`�„� /- `. ”. .. .. ';_ DATE
�. OWNER•13UILDER DECLARATION '
I hereby affirm that'l am exempt from the Contractor's License Law for the following
reason: • (Sec. 7031.5,Business and Professions_.Code: Any•city or countyti
which, requires*a
permit to construct, after, improve, demolish, or repair -any structure, prior to>ritS 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 (commencing with'Section 7000) o/
Division 3 of the Business -and -Professions Code,,or-.that.he Is'exempt therefrom, and. -the basis-
• - /or. the alleged exemption. Any violation of Section 7031.5 by 'any applicant= fora' permit •
subjects the applicant to a civil penalty o/ 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 oi'offered for sale.t(Sec: 7044; Buisness and
Professions Code: The Contractor's License Lawdoes not apply to an owner ol.•property,who ,
•builds,
Estimated V81UatlOrl y�
- - -
.. -^ PERMIT•- ' AMOUNT -
- �r ,•
- - -
. Plan Chk., De'p. •. •.
Plan Chk. Bal.
Const. r
,
Mech: ,,
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,.
Electrical'.'
'
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•sa/e.) •
Plumbing-
,
01, 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 orimproves. thereon, and who 'contracts for
- - - such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) '• .. - -
•
- ❑. Lam exempt under Sec. - B. 8 P.C. for this reason.
r'
.S.M.L •'
-
- - ori °' -
-
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 Compensation Insurance, or a certified copy thereof: (Sec: 3800, Labor Code.)
Policy'No. Company
❑ Copy is filed with the _city. ❑ Certified copy is hereby furnished.
TOTAL
3-ilt'1
REMARKS,' -
CERTIFICATE OF EXEMPTION FROM ; •
WORKERS' COMPENSATION INSURANCE `.
-
his section need not be completed if the R p permit is for 'one hundred dollars �(S 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 lhe`Workers" Compensation'
Laws of California.
. ,
_
-
. . .O. ig-r -.. • . .., ... .. .,
:. NOTICE TO APPLICANTrif, after making this Certificate o/ Exemption you should become
' 'subjectt6' the 'Workers' Compensation provisions o/ the Labor Code, you 'must forthwith.Minimum
.. comply with such provisions or this permit shall be -deemed revoked. - - • •
ZONE: '' - BY: '• '� = y
Setback Distances: -�
' • -
_
_
Front Setback from Center Line
Rear Setback from,Rear Prop. Line
= CONSTRUCTION LENDING AGENCY -•
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, Center Line '
Side. Setback from Property Line:' -
Lender's Name
FINAL .DATE
ISSUed by::
-
Validated by:
: ¢^
Validation:.`
INSPECTOR
`
. • :.0 t4$
Date • Permit.
_
.. .
i"
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,inforniation 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. ✓� ' . mrd'
• Signature of applicant f , F i F./- Date .�• �..! y` �,�
Mailing Address• " •- °� �'
.City,- State, Zip
_
HARD COPY
a
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
FOR. SQ. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SQ. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
t
198?
.
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 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.
gj�aOOFING ��
// VENTILATION
t
198?
.
REMARKS:
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
PROPOSAL AND CONTRACT
TO: Mr. Herb Gartner
Date June 2, 1986
51-411 Villa Proposal No.
iR.�u La Quinta, Calif. r Phone
PROJECT:
Re -roof
SCOPE OF WORK:
SPECIFICATIONS:
WE PROPOSE TO FURNISH LABOR AND MATERIAL IN STRICT ACCORDANCE WITH THE PLANS AND
SPECIFICATIONS AS FOLLOWS:
Take up all Tile, install 2 layers 40 Lb. felt with'Red
Tile on top.
PRICE: FOR THE TOTAL SUM OF .......... $
1,800.00
CONDITIONS:
It is understood and agreed that we shall not be held liable for any loss, damage or delays occasioned by fire, strikes, or
material stolen after delivery upon premises, lockouts, acts of God, or the public enemy, accidents, boycotts, material
shortages, disturbed labor conditions, delayed delivery of materials from Seller's suppliers, force mE jeure, inclement weather,
floods, freight embargoes, causes incident to national emergencies, war, or other causes beyond the reasonable control of
Seller, whether of like or different character, or other causes beyond his control. Prices quoted in th-s contract are based upon
present prices and upon condition that the proposal will be accepted within thirty days. Also general conditions which are
standard for specialty contractors in the construction industry.
TERMS:
Payments tobe made In Full On Completion as work progresses
to the value of
per cent (_%) of all work completed. The entire
amount of contract to be paid within 7 days after completion.
THIS PROPOSAL IS SUBMITTED IN DUPLICATE. THE RETURN TO US OF ONE COPY WITH YOUR SIGNATURE
SHALL CONSTITUTE A CONTRACT.
SUBMITTED: Custom Roofing Co.
78-550 Darby Rd.
Indio, Calif.
Ph ame and3%Registration Number of any salesperson who
solicited or negotiated this contract:
Name Paul No 274921
ACCEPTED:
By
You the'buyer, may cartel this transaction at
any time prior to midnight o the third business day
after the date of this transaction.
Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any
questions concerning a contractor may be referred to the registrar of the board whose address is:
Contractor's State License Board, 3132 Bradshaw Rd., Sacramento, California 95826
NOTICE TO OWNER
Under the Mechanics' Lien Law, any contractor, sub-
contractor, laborer, materialman or other person who helps
to improve your property and is not paid for his labor,
services or material, has a right to enforce his claim
against your property.
Under the law, you may protect yourself against such
claims by filing, before commencing such work or
improvement, an original contract for the work of
improvement of a modification thereof, in the office of the
county recorder of the county wheee the property is situated
and requiring that a contractor's payment bond be
recorded in such office. Said bond shall be in an amount not
less than fifty percent(50%)of the contract price and shall,
in addition to any conditions for the performance of the
contract, be conditioned for the payment in full of the
claims of all persons furnishing la:)or, services, equipment
or materials for the work described in said contract.
AIGNER FORM NO. 55-137CAL
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