14118 (BLCK)P.O. BOX 1504
Building 78-720 Via Sonata. 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
uwner Mr. Charles Bishop
Mailing SaMe
Address
City Zip
L Quinta, CA 92253 $64-0114
Contractor
Randy Boyd C(mstruction
AidN�44 Bouldur give
chdio, CA. Zip 92201 Te�42-3555
&tCla sif. C29/C8 466580 Licy#
2036
Arch.; Engr,, - - -_ ._ _ -_. --- -
Designer
Address Tel.
City Zip State
tic. #
.....^^---�..,� LICENSED CONTRACTOR'S DECLARATION
Ifttereb affirmthat I am lcensedwnder p visions of Chapter 9 (commencing with Section
000) of ivision 3 of the B giness and Pr XIo"ns Code, and my license is in full force and
SIGNATURE V 1: I- DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. .703 1.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, 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 or 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
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 did not build or improve for the purpose of sale.)
❑ 1, 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 or 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
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 No .Company
❑ 13151py 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., It, 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.
CONSTRUCTION LENDING AGENCY
I 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.)
Lender's Name
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 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 Address
City, State, Zip
BUILDING: TYPE CONST.-_
.P. Number
ICl
OCC: GRP.
14118
Legal Description
Project Description 71' of 61 high block wall
C=ull approved. by President of H.O.A.
Sq. Ft.
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑.
Alter ❑
Repair ❑ Demolition ❑
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
/ / \l
Issued by:
Date P_ermmit
Estimated Valuation
$1,775.00
Validated by:
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
45.00
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
4b*UU
REMARKS
Validati
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
/ / \l
Issued by:
Date P_ermmit
L �
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
i
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
HEATING (ROUGH)
"
FORMSa
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
1/
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. SQ. FT. ®
WALL SO. FT. ®
DRINKING FOUNTAIN.
SERVICE
FINAL INSP.
URINAL
SQ. FT.
,i�l/
l
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ec
HOUSE SEWER
INSULATION/SOUND
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
L
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSa
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
1/
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM 9
c
,i�l/
l
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION ��t6.�[,
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
RANDY BOYD CONSTRUCTION
80-844 BOULDER DR. INDIO, CA. 92201
(619) 342-9620 LIC. #466580
DATE: ,j I . ,19 TO:zit ip P>`SY1C, `
ADDRESS:►moo
TELEPHONE: .6 :RANDY,BOYD CONSTRUCTION (HEREIN.
PROPOSES TO FURNISH ALL MATERIALS AND PERFORM ALL LABOR N'
COMPLETE THE FOLLOWING: #71 . L j nQc,,I Pee 4 o4
af.r.,de., %J/ I/ - ��<.�. oqA� ..4- &J- /-,-- T
ER'CONTRACTOR)
SSARY TO
7-i4/u SlUrx pS k of r_
-TTofgl-8.2,lo9,a5' 02 = )ave�Z-
Y rEEXCLUSIONS:
rA7� a "'17)OVA n [er-nco c O boo-/i,� ir! n, - /0b S! �P
DUE TO THE NATURE OF CONCRETE AND THE CONSTAN MOVEMENT OF TEE EARTH,
THERE IS NO WARRANTY, GUARANTEED.OR-IMPLIED FOR CRACKING OF NEW CONCRETE
SLABS. INT.
ALL WORK'TO BE COMPLETED IN A SUBSTANTIAL AND WORKMAN LIKE MANNER ACCORDING
TO STTAffNDARD ' P C-TrI10ES FOR THE/ SUM OF $
i!!►�Ct_-hvhclr[� tU2 a'n /daS
PAYMENTS AS- FOOLOWS:
% OF TOTAL -OR THE SUM OF $_ AT SIGNING OF CONTRACT.
% OF TOTAL SUM $_ PON DELIVERY OF MATERIALS.
$ 430q, tk2-DUE UPON COMPLETION
1.) ALL CONTRACTS ARE DUE AS SCHEDULED. PAST DUE CONTRACTS WILL BE SUBJECT
TO A 2% CARRYING CHARGE. CONTRACTS PAST DUE 30 DAYS WILL BE SENT TO COLLECTION.
2.) OWNER FURTHER AGREES THAT IN CASE IT SHALL -BECOME NECESSARY, IN .THE t
OPTION OF THE CONTRACTOR TO EMPLOY AN ATTORNEY OR COLLECTION AGENT,�THEN.
AND IN THAT CASE, HE THE OWNER WILL PAY ALL COURT COSTS, REASONABLE
'. ATTORNEY'S FEES AND COLLECTION CHARGES.
THIS PROPOSAL IS VALID UNTIL �a+I�l 9 -1 AND IF ACCEPTED BY THAT
TIME, WORK WILL COMMENCE 1 DAYS AFTER ACCEPTANCE AND WILL BE
-
SUBSTANTIALLY COMPLETED APPROXIMATELY WORKING DAYS THEREAFTER
SUBJECT TO DELAYS CAUSED BY ACTS OF GOD, STORMY WEATHER, WIND, RAIN,:
UNCONTROLLABLE LABOR.TROUBLE, OR UNFORSEEN CONTINGENCIES.,_:
ANY ALTERATION OR DEVIATION FROM THE ABOVE SPECIFICATIONS INVOLVING
EXTRA COST OF MATERIAL OR LABOR WILL BE EXCUTED ONLY UPON WRITTEN ORDERS
FOR SAME, AND WILL BECOME AN EXTRA CHARGE OVER THE SUM MENTIONED IN THIS
CONTRACT. ALL ADDITIONAL AGREEMENTS MUST BE IN WRITING. THIS COMPANY
IS NOT RESPONSIBLE FOR ANY VERBAL AGREEMENTS OR PROMISES.
•
"S
ACCEPTED f• RANDY BOYD CONSTRUCTION
DATE DATE 1 f 4
'y dr � .! :t;' t ;Jaa.�. �` + v�.2i� �-a `•' rte".,_ --•a _ -' _ . _. f ��fa.►. ��� ;
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+ P� � 'J 9.'k Y^"v`S `�"� f•._e'I�k' a A - s . �t � 't� a �'ts 4- �Y%t' _
r " z FROTO-UTm WALL SYSTEMS
'SPECIAL DEPUTY INSPECTION FORM
.1tiJ li ..
, r' ,As an accredited and certified Deputy Inspector of 'roto -H Wall
' Y s.,K -z .`�'w�, y N #^A- s •k - - i <,' ,vr' ""i'�1 tf<.
:Systems, Ilwe hereby witnessed and certified the tor'queing of the post-
,«tri `tension rods by k �`.•,r.
r i
t< =This day of S e-! je ' ,19
A. Wall System Description (Bfock Pyoduct and Hei�hh t).
f
B. Location an Builder:
-1�
V i" A SC)A) t4 k 4 7t--2
C. Length of Wa!)d
number of reds and spaciJn
7� 6 Q C 3 � 6 � GT'
1 a'
. Torque App�ieeach Rod:
i, Sa,
- .lbs --'a•_•�
Deputy Inspector '
A< •� '^G�;� 'Y
Distrig ution: Department of Building and Safety
Proto-XI Wall Systems
- Builder/Developer �'' ��x w�, �� �} ��t� � ,_?� .���.; �.. � �s-�.�, ; • �,�-
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bs
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