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15069 (PLBG)r Qum& P.O. BOX 1504 Address 54-217 Eisenhower Dr. 78'495 CALLE CALIFORNIATAMPIO Address LA QUINTA, ORNIA 92253 Owner Mr. & Mrs. Charles wine Mailing Address Same City Zip Tel. La Quinta, CA 92253 Contractor Denboer Engineering & Construction Address 68-175 Berros Court No. 15069 BUILDING: TYPE CONST. OCC. GRP.; P. Number Legal Description Project Description Sewer Connect Uthadrai City;`CA 92234 '327-2260 State Lic. A 684563 & Classif. City 3577 Lic. # Sq. Ft. Size- No. No. Dw. Stories Units Arch., Engr., 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 Chappter 9 (commencing with Section 7000) of Divisiori 3f of the Business Professions ,Cpde,s3nd my license is io�fu�ll f rce a_nd effect. fi ', .�t/✓ _ l�F'Jia �� � SIGNATUREDATE 7 . BUILDER DECLARATION ge exempt I herebyaffirm that 1 exem t from the Contractors 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 statementthat he Is licensed pursuant to the provisions of the Contractors 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 penalty of not more than five hundred dollars ($500). ❑ 1, 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 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 did not build or improve for the purpose of sale.) ❑ 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 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Estimated Valuation $1, 700.80 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. ) Const. Mech. Electrical Plumbing 30.00 i S.M.I. Grading Driveway Enc. 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.) Policy N��O.rr—y✓"~' Company (VCispy is filed with the city. ❑ Certified 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 any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. d, 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 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 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 ateMailing Address City, State, ZIp Infrastructure TOTAL 30 * 00 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop, Line Side Street Setback from Cel Jr Line Side Setback from Property it Z FINAL DATE INSPI Issued by: Date yr Permit r Validated by: Validation: �j� / CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ UNITS COLL. AREA o ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. ® FORMS SEW O I • DUCT WORK MOBILEHOME SVC. BAR SINK FOUND. REINF. POR. SO. FT. ® METER LOOP HEATING (FINAL) GAR. SO. FT. ® POWER OUTLET ROOF DRAINS TEMP. POLE DRAINAGE PIPING GROUT CAR P. SO. FT. ® SERVICE FINAL INSP. WALL SO. FT. BOND BEAM DRINKING FOUNTAIN SO. FT. ® =$ URINAL a' 9 FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER � VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED SPARK ARRESTOR LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK LATHING ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY INSULATION/SOUND HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB FINAL INSPECTION CERT. OCC. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1'A c SEWAGE DISPOSAL INSPECTOR'S SIGNATURESIINITIALS SO.FT.GAR ® 3/ac HOUSE SEWER GARDEN WALL FINAL 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 GOND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEW O I ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING yd. $ plus x$ =$ LUMBER GR,cu. a' 9 FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION � L FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL i f_Rom 0000000000++++++++ e 8U JUN•21.95 8:47 AM P.003 i June 15, 1995 TRI -STAR CONSTRUCTION P.O. BOX 542 CATHEDRAL CITY, CA. 92235 ph. (619) 321-0898 fax. (619) 321-7798 TO; CITY OF LA QUINTA RE: 54-217 EISENHOWER PER MY AGREEMENT WITH TRT -STAR CONSTRUCTION I WILL RE -SEED OR OTHERWISE COMPLETE MY YARD AFTER THE INSTALLATION OF THE SEWER. i THANK YOU, sib bture PI ease Ptint-, name - y HAMMER PUMPING INC. JOB INVOICE .s `, P.O. Box 2448 CAT41nRAL CITY, CALIFORNIA 92235-2448 i&ld% -Owwe wa� (619) 321-7448 CUSTOMER'S ORDER NO. DATF ORDERED a" IFS ORDER TAKEN BY DATE PROMISED ❑ A.M. ❑ P.M. BILL TO V\ PHONE I ADDRESS MECVIC �- 1 CITY HELPER JOB NAME AQIq LQCATIflQN7 j""� , 7 O r _ .P V 1.1,1 A O -b -A -Y WORK DESCRIPTION(ti �1K WORK ' r rl— Q�1 ! O N _ EXTRA r CONTRACT ❑ Se A -v e r- o 0 QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT 166U Gallons 06 0 Pumping Fee per 1000 gal. Dumping Fee per 1000 gal. S-0 S� Out of Area Fee Locating / Opening Fee (per hour) Size System: r C C- _ A SERVICE CHARGE OF $20 WILL BE DUE A 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 cQ HELPERS Q TOTAL LABOR 1 hereby acknowledge the satisfactory TOTAL LABOR completion of the above described work: TAX S, dNAT RE DATE COMPLETED TOTAL �3�� C =•_ J NOTICE TO OWNER Under the California Mechanics Lien.LaW any, coptractor,, subcontractor, laborer, supplier or -other person who helps to improve your property, biit 'is not paid for his/her work or supplies, has a right to enforce a claim against yodr property. This means that after a court hearing, your property could be sold by a court officer and the proceeds -of the sate 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 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. ks purpose is to notify you of persons who.may have a right to file a lien against your propbrty 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 materiaf supplier`s through a joint control. Any -joint control agreement'should include the addendum approved by,the Registrar of Contractors. f 2)X .Issue joint checks for.payment, made out to both your contractor and subcontractors or material suppliers involved in the project. This will 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.