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14482 (RR)
Building Address Owner 7._ 76-163 Hacienda Brent - Bourdeau Address P.O. .Box $69 City Zip Tel. La.Quinta; CA 92.253 -Rtinde- Roofing AA re299 � Caathedral Canyon 4 4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 No. .1.4482 JILDING: TYPE CONST:, OCC: GRP. P. Number :gal Description 'oject Description`©fig -La Quint&. Country Club tthe€irai L1 DIpC;� 92234 TeL328--1509 State Lic. "C---!39 691270City & Classif:. Lic. # Sq: Ft. No. No. Dw: 1. Size 'Stories.- Units Arch., Engr:, Designer New ❑ Add ❑ Alter -0 Repair ❑ Demolition O Address Tel. City f Zip State .'J Lic: # I CONTRACTOR'S DECLARATION I hereby 1 ain under provisions of Chapter 9 (commencing with Section FOf Dfao/nktf loses and Professions Code, and my license Is in full force and ffect.. . SIGNATl1RE \._. DATE - OwNEWBUILDER_DECLARATION I hereby '1 Brom the Contractor's License for following Estimated Valuation ' @@ q-00 affirm thatam exempt Law the reason: (Sec. 7031:5,B_ trues& and Professions. Gbde: Any city- or county whh . requbes . a - W4 1273. permit to construct. alter.'dmPmvs. derno8sh, or repair any structure, prior to hs /entrance also requfrea the ..appBearrt- Iorsuch, pemxt to. roe a signed umtement Z,he Is itcensed pursuant to - • - - PERMIT - . -. - - . '_ AMOUNT the provisions of the Contractor's License law; CfpPp 8 (commenting wah' Section. 7000) of Dlvislon'.3 of the', Business. and Rolesetons Code, or Mat. he la ex'therefrom, and the bash - .tor the alkped exsnwU-.. Airy vb;atlon of Balston 7031.5 by -arty applicant for a permit Plan Chk. Dep. 5444 is the'apPecant to a chiperwAy of not more Men tive hundred dopers ($500). Plan Chk: Bal'. ❑ 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, Bulsness and . Const. 30.00 Profession Cade: The Coneactarb License Law does not apply to. an, owner of -property who - builds or Improves therein and who does such work himself or through his own employees, .. ' Mech. provided that. such Lmpmremarrts are not Intended, or uttered for sale. ;ti;, However, ,the building - - or d7tprovanlenI I add witMrr one year of conpkfUon, ,the owner -builder writ have the burden Electrical - - . o! provhry that he tfld not bu9d of iitpmre for Me purpose o/3800.) _ ❑ 1, as.owner of the property, am exclusively contracting -with licensed contractors to.com Plumbing . _ struct the project (Sec. 7044, Bushess.and.Professions 'Code: The Contractor's License Law does nortrppyro.an;owrrero/property who builds or krproves thereon, and who contracts for S.M.I.. - .. . such pro/ects wlf/r:a contractor(s)�censedpursuaM fo Ms Contractor's License Law.) Grading ❑ 1 am exempt under Sea - R..& P.C. for this reason Driveway Enc. Date owner WORKERS COMPENSATION DECLARATION 1 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 Cade.) Poly/ Company opy Is filed with the city, 17 Certified copy is hereby furnished. , CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need 'not be completed N Me permit is for -one hundred dopers ($100) Valuation `or lose.) .- 1 certify that In the performance of the work for which this permit, is issued,: l shall not Laws o Callfentia in any manner so as'to become subject to'the Workers' Compensation Date - J0wner NOTICE TO APPLICANT:. if; slier making iters - Certificate, of Exemption- you should beooine. sugleef tothe Workers, Opmperreatlon pmvlsions of the Labor Code, you must forthwith-. txrmply .Ah such profti ns a tiNa perrNtahaO 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,WG), IN ADDITION TO THE COST OF'COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. This is a building Omit urhen property filled out; signed and validated; andas subject to ' expiration If work thereunder Is suspended for 180 days. I certify that I have read.thls application and state that the above information is correct: I agree to;comply with all cit1yy and county ordinances and state .laws relating ,to building construction, and hereby autltortze representatives, ,of -this city to enter lthe,' above- mentioned property for inspection. purposes. Signature of applicant Date Mailing.Addresa City, State, Zip Infrastructure TOTAL ZONE BY: ! f Minimum Setback,Distances: j Front.Setback from Center Line Rear Setback from Rear Prop. Line r Side Street Setback from Center. Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by,Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW%l FEES 1ST FL. SO. FT. ® $ UNITS A.C. UNIT 2ND FL. SO. FT. SLAB GRADE YARD SPKLR SYSTEM FOR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. I SO. FT. DRAINAGE PIPING DUCT WORK DRINKING FOUNTAIN WALL SO. FT. GAS (ROUGH) SO. FT. @ URINAL ESTIMATED: CONSTRUCTION VALUATION $ REINF.-STEEL WATER PIPING NOTE: Not to be.used, as property tax valuation TEMP,. POLE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL _FLOOR SUSPENDED WATER SYSTEM 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 iBATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® I'A c SEWAGE DISPOSAL SO.FT.GAR ® 34c 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 APP.IEOUIP. REINF.-STEEL GAS (FINAL) TEMP,. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING - cu. yd. $ plug 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 CERT. OCC, FENCE'FINAC INSPECTOR'S SIONATURESIINITUILS GARDEN WALL FINAL BUNDE ROOFING & ASSOCIATES AJC . 36-3.99 CATHEDRAL CANYON SUITE 3 * CATHEDRAL'CITY, CA 92234 ( 619) 328--1 09 * FAX ( 619 ): 329 2519. BRENT BOURDE_AU POST OFFICE BOX 869 LA Q'UINTA, CA 92253 RE -ROOF ESTIMATE FOR THE NET SUM $4,273.00' JOB ADDRESS: 78-165 Hacienda La, Quinta., CA. 92253 WE PROPOSE TO FURNISH AND APPLY THE FOLLOWING: COMPLETELY TEAR OFF EXISTING ROOF AND HAUL AWAY. INSPECT SHEATHING fOR DRY -ROT REPLACE ANY DAMAGED WOOD ONA TIME AND MATERIAL BASIS.RE-ROOF AS PER tELOTEX G/A 4 -W -G SPECIFICATION (OR EQUAL) WHICH CONSISTS OF ONE LAYER #28'BASESHEET NAILED TO SECURE. OVER BASE APPLY THREE LAYERS #11 PLYSHEET INDIVIDUALLY MOPPED WITH HOT ASPHALT. ON TOP OF NEW MEMBRANE, I"NSTALL JEW METAL TRIM PRIMED ON.BOTH SIDES AND SET IN PLASTIC CEMENT. SEAL TOP OF METAL WITH TWO LAYERS #11 PLYSHEET AND HOT ASPHALT. SEAL ALL CORNERS AT TURN UP WITH IRISH FLAX FELT SATURATED WITH HOT ASPHALT, IN ALL ANGLES INSTALL ONE LAYER #72 POUND FIBERGLASS CAPSHEET BACK MOPPED AND SET IN HOT ASPHALT. FLOOD COAT ENTIRE WATER- TIGHT MEMBRANE WITH HOT ASPHALT AND APPLY ROOFING GRANITE AT A RATE OF 350-400 POUNDS PER 100 SQUARE FEET OF ROOF AREA. HAUL AWAY ALL DEHR'IS CAUSED FROM ABOVE WORK AND LEAVE AREA CLEAN, THIS ESTIMATE INCLUDES NO EXTRAS. ANY QUESTIONS REGARDING THIS ESTIMATEPLEASE FEEL FREE TO CALL. A TRANSFERABLE 5 YEAR GUARANTEE TO BE GIVEN UPON PAYMENT IN FULL. TERMS:100% UPON COMPLETION, UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE. THIS ESTIMATE IS GOOD FOR -15- DAYS FROM ABOVE DATE:. IT IS HEREBY AGREED BY BUNDE ROOFING & ASSOCIATES INC. AND THE' OWNER THAT'WE THE CONTRACTOR SHALL NOT BE LIABLE FOR ANY OF THE FOLLOWING: DIRT, ROCK, OR ANC+ DEBRIS THAT MAY FALL BETWEEN THE. SHEATHING BOARDS ONTO LIVING AREA. DAMAGES TO ANY CEILING MOUNTED FIXTURES, VENT AND/OR CONDUIT PIPES., STRUCTURAL DEFECTS IN BUILDING. IT. WILL BE OWNER'S RESPONSIBILITY TO REMOVE AND 'REPLACE ANY ROOF MOUNTED ANTENNAS AND/OR SOLAR PANELS. IF THE SERVICES OF AN ATTORNEY MUST BE EMPLOYED TO ENFORCE COLLECTION, THE OWNER AGREES TO PAY ANY ATTORNEY AND/OR COURT COSTS, CONTRACTOR'S ARE REQUIRED BY LAW TO BE LICENSED AND REGULATED BY THE, CONTRACTAR'S STATE LICENSE BOARD. 1020 N STREET CONTRACTOR'S LICENSE # 691270 SACRAMENTO,CA. 95814 RESPECTFULLY SUBMITTED BY: 0 JDATE: ACCEPTED BY: DATE: