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BPAT2015-005678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: LORRAYNE WILLIAMSON 44790 VIA MIRABEL LA QUINTA, CA 92253 `til•^ .,'�>, TAt V�/ -4`4 Q�46J. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT .BPAT2015-0056 44790 VIA MIRABEL 604610007 WILLIAMSON LOARRAINE ALUMAWOOD $1,650.00 VOICE (760) 777-7125 FAX (760) 777-7011• INSPECTIONS (760) 777-7153 Date: 8/25/2015 Owner: LORRAYNE WILLIAMSON 44790 VIA MIRABEL PATIO COVER LA QUINTA, CA 92253 Contractor: LORRAYNE WILLIAMSON 44790 VIA MIRABEL LA QUINTA, CA 92253 (760)202-7300 Llc. No:::CONV:140528101254117802 -------------------------------------- --,---------- -------------------------------------- LICENSED'CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury 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. License Class: License No.::CONV:140528101254117802 Date: Contractor: 7 OWN ER-BUILDER,DECLARATION I hereby affirm under penalty of perjury.that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a .signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and th basis r the alleged exemption. Any violation of Section 7031.5 by any applicant fo a per it subjects the applicant to a civil penalty of not more than five hundred dolla. s (� 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, Business and Professions Code:.The Contractors' State License Law dges.not apply to an owner of property,who builds or improves thereon,`and who does the work himself or herself through his or her own employees, provided that the improvements arenot 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 or she did not build or improve for the purpose of sale.). . ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' . State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: 5. / P�LneI� JCONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there isa construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). . Lender's Name: Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as.required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: - Policy Number: I ,certify that in -the performance of,thework for which this; permit.is issuedi I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of SectiV. 3700 of the Labor Code, I,shall forthwith comply with those provisions. Date: �l Appli t: 1 L� 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. . APPLICANT ACKNOWLEDGEMENT IMPORTANT:Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf.this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any actor omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 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 9'5y to enter upon th a ove m.enti�oi d property for inspection purposes. q /fes Date: �� 5jgnature (Applicant or Age 1 l ® • 1 $�`rt..€� fS !•>-��'.+. `fly .-�`� ri ;.s?xi'� �•x `,.�e w -+.-4A '. x 3 '�t�'�-�."�`t�*Y,. � z �.r-.�1.;.,!:C'�> �F..<�-7+. 4 r,. '�r � Fc't�si�S<r.`4j. z�'. i;:�;? } a.,, d13 3 a.T r,.+ps� ;: 3".Y ;" r4fn ,."�'g , � t � Y � � �`�"��� � �;�ANtOUNT � � $ PAID �•�'� �"�$',�;�D.ESCRI QTiY f;:PAID`�DATE ,"','4.,...`. l,.�Ft:a, a...l. <,-F:S:'h,. rv't'.,i.,t;.[,w.v ,#, 5v }.,.x, _. :t. S.s;:>:•,?Y.: S, ^F.1t:..::.<' u� s+.b.. 1i, ro TI/, � s!'"4 4 Mme- �'x 4E4xrc. E:.:-, BSAS SB1473 FEE 101-0000-20306 .0 $1.00 $0.00 !'kKF._:' i.� � '4}�=L h �'" �' yk �:. iCl .!„?lm� Y x. : u' :3�i' x v" 'Y'' i P.y'. C." -k. 3� � ?•,4� LS;'�'LY 5 t t. ,,��#. 9k' '' !E J CL,i t:: S .v F >Y.. �. f � .. K.:E'� :� cvf I! , 1_ ::,,,,, <�:;,� v:€.�.r,�a�.;� t�.jx..,"��s._��.,.a: ��.;€; .3?,�,:� . _.�...3� ? , ,�; <a,«� "� s:*s.t �.: ..r x��€� >< „�":� z�. �,<+r:_..�§..1`:�",; a5'„ x ,:a�;�CHECK,#,ti :r.��• � 'z� -�,n Total. Paid for BUILDING STANDARDS. ADMINISTRATION BSA .. $1.00.. $0:00 ZL'1 C3 't !y S'S. x.ae'•'}iY'a-L.e?�i :. • �.p�1.s"t�i: . Y N •; :Y.pYia'`xSY. r+°1. €. •! v .} _'3Y t1 .' RIS WyFxv y r3 DESCRIPTION i.,t (-. ",i.k -q l :. ,n h';' Yti =.x�,f f . 1 .. �b ,ie:. ''• "ih. rf{,tS "' `Y�t'+.-. s';, AMOUNT A az ',�..Yi::2Yk:.Y':f.i.3'vo-'?_i_x..Y.A�%..1..::.,...-sl 'R9 ,:4..i;:..=m :� .tvv��'.,�_.- t... ,: ACCOUNT�sr k y�.,,Cnl a.'d-.#.•..s.:fi:{'.1. ._ u h. tx€ 'r'��.Y , ...... t.. v..t ....., ',._ .... e.....: v QTY .. v..,: -v. n.. - �PAIDA t PAID,DAT;E PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $0.00 'fi'” fs .}re .:ti h' T`� N> "AI fs ; u PAID BYE i z "N ( "1 > P Vis, °„ *M1 t• h'? !R,`4�"+�e--43.,v„?y. � ^A CL,TD�BY,�� s a s'dl-.:-T,.+t.S. •xvt .. �i...k, i f :_. 3+ .,: ai.::<" .,:�?,_.:.< „,i . <S �,: .f R METHOD z* t ,;..; �a"6 u s�.••t:z,: xsA .,:.i n. ?r., �`n.'h{'. Vel dr.7. ro ,Ng 'RWEIPlr#t� a'a k.°u:. C^n...f.Al ;5� :�..-�„ t 1 < .. 'e'y)' 4 x'N K' E N .e .•.,:vy ,-vZ ` i':. a^ £d , 'Y +i t• L. -.: . ". t€, ifx Si ;h #'"'.R ae AM..OUNiNT . AIC:1'3? C> RUM. .v:.+�•'! .F� PATIO COVER, STD, OPEN PC 101-0000-42600 01. $95.72 $0.00 £"{} � ed s,' (: t fd 6 `rFr:, vv �'k i� >i, n:F.,:Y >�eL. � �'S Y ''�". 'A i wf, xSe^,�w1'4 ... :<%K:s .• %r�.�:i.%�=%.�YT' S Y F i'. . �- A�Fx :.:. �:. �aS i..... "y 4 � -. ?�,i3•n:a � �i':4."�.n ...oFvBy�.: �3 .. t�. .. .eSL'<F�;��. +'._,X.:=''�'. �; t''�s ..s''m CLTDBY Total Paid forPATIO COVER / COVERED PORCH / LATTICE $192.89 $0.00 . DE$CRIPTI ON� �I � ACCOUNT FF TY AMOUNT y� ::<r.s. 'u Y� PAID,UAT£r C , ..K ..T. n.._ -e r-..:l,'jt"` xw:;.,rrx,,..:..1;.4 .: `-::.xswt:. _.,rh-*;r.. K>. ,.�r'.i,--:�-_ M a .�:_.:'Y- -'i 3._' a.;`:wz �' -.:. .:..:.�:< _ .. .: w. ?-�• �::d..:y ..i :. .[�,. K :::" :Sp -,t 'N`h • � t, .i .?....: vv.. t! � - ti `SPyA1D'�y�e.. .�-Y. ^_:� rr...-..,^,`€:: f!� �Ffl t -- �.4.� ,€Fae: ,.�'.�i'c;.s SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.00 _�-. .�.�t:e�fi�.• w,�v,`!dd: h.- p ( t�..J' 4 'C�i �i Y 51YSk 'F� METHODw�2 rf;� i 'z,F:•R W 3'.:�xS-,/ '1 bi.'l\ '.:f..t f r^- i i u #� $ 5 LTOB, .x...�....xC+6: ....x,..�4X.., ...:.....:.,.:>... s.�..;.;m. ,,.. a-...<.,�.,.-..;;,_��, +RECEIP,T#z , :�:s, aCHECK CaY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.50 $0.00 t Description: WILLIAMSON *LOARRAINEALUMAWOOD PATIO COVER' Type: PATIO COVER Subtype: Status: UNDER REVIEW Applied: 8/25/2015 PJU Approved: 8/25/2015 PJU Parcel No: 604610007 Site Address: 44790 VIA MIRABEL LA QUINTACA 92253 Subdivision: TR 30521-2 Block: Lot: 33 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,650.00 Occupancy Typ.d-. Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CA Details: 11 FT X 17 FT TOTAL 187 SQUARE FEET PER APPROVED PLANS. ATTACHED FROM CASITA TO MAIN HOUSED. APPROVED, PER Al & Ji. '2013 CALIFORNIA BUILDING CODES. '--2Xjff Mod % -W P M . NT Y H -� '1Z A, � 2"! ' R _g .", gw1w 'ONEt "M � r P H ON A N �Nv - , R17RV _T— P , APPLICANT LORRAYNE WILLIAMSON 44790 VIA MIRABEL LA QUINTA CA 92253 (760)202-.7300 CONTRACTOR LORRAYNE WILLIAMSON 44790 VIA MIRABEL LA QUINTA CA 92253 (760)202-7300 OWNER LORRAYNE WILLIAMSON 44790 VIA MIRABEL LA QUINTA CA 92253 (760)202-7300 Printed: Tuesday, August 25, 2015 2:18:14 PM 1 of 2 CRWYSTEM'S Description: WILLIAMSON LOAARAINE ALUMAWOOD PATIO COVER' Type: PATIO COVER Subtype: Status: UNDER REVIEW Applied: 8/25/2015 PJU Approved: 8/25/ - 2015 PJU Parcel No: 604610007 Site Address: 44790 VIA MIRABEL LA CjUINTACA 92253 Subdivision: TR 30521-2 Block: Lot: 33 Issued: Lot Sq Ft: 0 Building Sq Ft: 0..,'* Zoning: Finaled: Valuation: $1,650.00 Occupancy Typd:-,, Construction Type: Expired: No. -Buildings: 0 No. Stories: 0 No. Unites: 0 CONTRACTOR- LORRAYNE WILLIAMSON 44790. VIA MIRABEL Details: 11 FT X 17 FT TOTAL 187 SQUARE FEET PER APPROVED PLANS. ATTACHED FROM CASITA TO MAIN HOUSED APPROVED PER Al & JJ. 2013 CALIFORNIA BUILDING CODES. "Of Lb'4NAME-T I r W� -T VE -5 N WE 'A'AD V2 p1m NNIANS P 4Z,2��Wc— .11, INNER gj r APPLICANT LORRAYNE WILLIAMSON 44790 VIA MIRABEL LA QUINTA CA 92253 (760)202-7300 CONTRACTOR- LORRAYNE WILLIAMSON 44790. VIA MIRABEL LA QUINTA CA .92253 (760)202-7300 OWNER LORRAYNE WILLIAMSON 44790 VIA MIRABEL LA QUINTA' CA 92253 (760)202-7300 D. �J-IQN j FA1U,,U&VtY, KRECEIPT:Mr.� B BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION -$1.00 $0.00,:. 9SA: Printed: Tuesday, August 25, 2015 2:18:14 PM 1 of 2 CRWIfsTrms 'DESCRIPTION. „ACCOUNTQTY AMOUNT,.' PAI DPAID DATE RECEIPT.# CHECK #' METHOD PAID BY BY CLT 'D PATIO COVER, STD, 101-0000-42404 0 OPEN $97.17 $0.00 PATIO COVER, STD, I 101-0000-42600I 0 I $95.72 I $0.00 OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $0.00 SMI - RESIDENTIAL101-0000-20308 0 $0.50 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 PARENT PROJECTS ATTACHMENTS : S' Printed: Tuesday, August 25, 2015 2:18:14 PM 2 of 2 C; sysTrms i Bin # Permit # Project Addr`sO City of La Quinta Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet A. P. Number: Ams:_ Legal Descri ' n: Ci : ty' ' Contractor: o i OS ~� T eleP hone• d � � Address:. ��J / Proje�e D cription: City, ST, Zip: Telephone: one: • S L P � 6ia State Lie. # : City Lie. #: t Arch., Engr., Designer: Address: City, ST, Zip: h Telephone: one: '. Construction Type: l� Occupancy: an cY• ic.#• ProJeState ct tYPa circle one): New Add'n Alter Repair Demo Name of Contact Person ? CW �� S N Sq. Ft.: 118 # Stories: # Units: 'Telephone # of Contact Person: q �J Qd t rEstimated Value of Proje APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. - Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for-corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN IiOUSE:- ''d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT 78-495 EPARTMENT78-495 CALLS TAMPICO (760)777-7012 LA QUINTA,'CALIFORNIA 92253 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a buildinb penmt has , b su cylmi in y07arn =1' .y If as the builder of the property' 41r mos e. improvements -specified at We are providing you with an Owner -Builder Acknowledgment and Inforrriahoil Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Buil&r. We will not issue a building permit until you have read, initialed your understanding of each provision, sign ' ed, and returned this form to. us at our official address indicated. An agent of the owner -cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DI CTIONS: Read and initial each statement below to signify you understand or verify this information. 1 understand a frequent practice of unlicensed persons is to have the property owner. obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. . . 1, as an Owner -Builder, may be held liable andsubjectto serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. Lam willfully acting as an Owner -Builder and am aware.of the limits of my insurance coverage for injuries to workers oy property. n72. 1 understand building permits are not required to I be signed by property owners unless they are responsible for the crction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an."Owrier-Builder" I am the . responsible party of record on the permit. I understand thatl may protect myself -from potential financial risk by hiring a licensed Contractor and1aving the permit filed in his or her name instead of my 074. l'und'erstand Contractors are required by law to be licensed and bonded in California and to list their ' license numbers on permits and contracts. �5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. 1 understand if I am considered an "employer" under state *and federal law, I must register with the state and federal government, 'withhold payroll taxes, provide workers' compensation dis Aility, insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject meto.s6rious financial risk. funderstand under California Contractors' State License Law, an Owner -Builder who builds single - family 'residential structures. cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any y financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the wor anship or materials. 79. I understand I may obtain more information regarding my, obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at I- 800-32 1 -CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. X0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally: and financially responsible for proposed construction activity at the following address: V 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all appl' -able laws and requirements that govern Owner -Builders as mell as employers. . 12. I agree to. notify the issuer of this form immediate) of an additions deletions, y y ns, or changes to any of the mformahon I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors` State License Board may be unable to assist you .with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable tto he age ne�t„is required to be presented when the permit is issued to verify the property owner's signature. t - ) Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agents) to apply for, sign, and file. the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature. Property Owner's Signature: _ Date: 01 •Y ��0�� Pre'c*islon-,.,,.,_� Ci CA Contractors License No. 928413 (C-29) Masonry 0..' (D- 3) Awnings Owners Name: Owner's Address 0IfKA%NE w1U,ChM--)0. LIcf7.10 U114 /"lIf4/3LL 68150 Louisan Rd. Desert Hot Springs, CA 92240 Phone......... 760.861.8953 Ryan@precisionpatios.com www. Precision Patios:com LO 001r\J i W 1 12? 53 I I I Project Address Project City Project Zip Code Proiea Phone I Date 5r& -1e-. I I Y -7. /S Constriction Fund Holder Name (If any) Construction Fund Holder Address Construction Fund Holder City, State, Zip IAVE, the Owners) of the premises described above authorize Precision Patios, hereinafter referred to as "Contractor", to furnish all materials and labor necessary to construct and/or improve these premises in a good, workmanlike and substantial manner according to the following terms, specifications and provisions: a. Description of the work and the materials to be used: I, ?"x. &IZl_ 0 Z 3L 00 b. Description of any areas thatwill NOT be worked on: City permits are not included in the price above. Contractor has no addi.ti,onal.fee for drawin.g.plans., pulling permits, and calling. inspections. Upon completion of project contractor will prov.ide.receip.t, and invoice for permit... .. This list of specifications may be continued on subsequent pages (see page number below). e. Payment: Contractor proposes to perform the above work, (subject to any additions and/or deductions pursuant to authorized change orders), for the Total Sum of $ Uy Down Payment (if any) S d ' D h PAYMENT DUE WHEN AMOUNT PAYMENTS TO BE MADE IN INSTALMENTS AS FOLLOWS: 1. At start of project._ C?- 00 By check upon receipt of invoice for draws as 2. Upon completion. T / 6 �Q , U described under "Payment Due when" to the left column. 3. 4. d. Commencement and Completion of Work: Commencement of work shall mean the physical delivery of materials onto the premises and/or the performance of any labor and commencement shall be subject to permissible delays as described in provision (4) on the reverse side. Approximate Start Date: � Approximate Completion Date: ���!a e. Acceptance: This contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the p!artics of this agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this agreement shall be done by written change order only and %vi a express approval of both parties. Changes may incur additional charges. 0. Md*al Pro' isions Of Tl Contract Are On The Reverse Side And May Be Continued On Subsequent Pages (ee page number below). OWNERIAGENT, see the "Arbitration of Disputes" roved and accepted (ovmerlageM) — date r . proviSJon on,tpage two,,'(provision 10) and the NOTICE following tFfs'pr#ovision ,. If you agree to arbitration', initial -- ---..- on the linebelow the 'NOTICE'where`indicated. Also, initial aPPrewcd and accepted (owner/agent)---'-•- x in the sameplace on EACHiGOPY; o'ahis contract. 9' _ _ __ _ "t ! • NOTE < Th(s contract maybe withdrawn after 7 days from if ��not approved and signed bytboth pAttes. orm PRC -C Copyright ©1996-2008 ACT Contractors Forms (800) 820-5656 www"calfonn corn y,� 5 "' Page one of 2 Total Pages a ti