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14117 (BLCK)Building 78--710 Via. Somata Address Owner . Cary Avis• f4 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Sa%s Address City Zip T564 -0405 %a Quinta, CA•412253 Contractor Randy Boyd Construction I CA IZip 92201 ITei3.42-^3555 State Lic. City & Classif. , G29/C8 466580 Lic. # 2€336 Arch:, Engr., Designer - Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm 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. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,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 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). ❑ 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, 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.) ❑ 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 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 ❑ Copy 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. If, 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 No. 14117 11LDING: TYPE CONST.. OCC: GRP. P. Number Legal Description Project Description 3 ¢ >i - of 416 • block wall Homeowner has agreed to share 6' black Side yard wall.. See permit 014118.* Wall approved by President of Vit.©.A. Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 25.00 Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL 25. OU REMARKS 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 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS SLAB GRADE 1ST FL. SQ. FT. BONDING HEATING (ROUGH) N FORMS YARD SPKLR SYSTEM 2ND FL. SO. FT. DUCT WORK ROCK STORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK FOR. SQ. FT. ® OTHER APPJEOUIP. REIN F. STEEL GAS (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GROUT WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. SO. FT. ® WATER SYSTEM WALL SQ. FT. ® =$ DRINKING FOUNTAIN. FINAL INSP. URINAL SQ. FT. ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER CERT. OCC. 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. REIN F. 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. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL RANDY BOYD CONSTRUCTION 80-844 BOULDER DR. INDIO, CA. 92201 (619) 342-9620.LIC. 4466580 DATE : S ,19 TO:- ADDRESS: TELEPHONE; 5G,5/- D�i0S RANDY-BOYD CONSTRUCTION (HEREINAFTER CONTRACTOR) PROPOSES TO FURNISH ALL MATERIALS AND PERFORM ALL LABOR NECESSARY` TO COMPLETE THE FOLLOWING: L; 1 _e lo, -r J L Vo TA CA t,+r);,c -shoo - aue i o �— EXCLUSIONS: e^oVA-I anll lrmo /& o (W DUE TO THE NATURE OF CONCRETE AND THE CONSTANT M VEMENT OF THE EARTH, THERE IS NO WARRANTY, GUARANTEED OR IMPLIED FOR CRACKING OF NEW CONCRETE SLABS. INT. ALL WORK TO BE COMPLETED IN A SUBSTANTIAL AND WORKMANLIKE MANNER ACCORDING ASTgDARD PRACTIC S FO THE UM OF Ov.3/rr oviry Get D 1) ) T- RS PAYME TS AS FOOLOWS: % OF TOTAL OR -THE S OF $ AT SIGNING OF CONTRACT. % OF TOTAL SUM -THE DELIVERY OF MATERIALS. $ Q"LBUE 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 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 AND IF ACCEPTED BY THAT TIME, WORK WILL COMMENCE DAYS A TER ACCEPTANCE AND WILL BE ,;SUBSTANTIALLY COMPLETED APPROXIMATELY WORKING DAYS THEREAFTER :j 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. ACCEPTED RANDWBOONSTRUCT2 DATE J -/!o .r! DATE. 7-) l 7/ . �E 1oVG Exls X,:54JC,6 ct heOh� SPIi��- 6of�a AV, 5 E R E5.'cve v cle- T��'s � v ' C- 17B _ 7/0 a So,�a rlo( 7B ` 7a o I/, a so.,ja t� ,8 y . cOF L ,,'Y 17- 7i U(I i l'-3A. � ��. k ;- .....q-� w •-_. •tom» ,a L- -T TO RSTALi.A-1.�` J AND ALL �� /V// L••/ Ci�• �T 9� =D FOR �A G SU3Jl:CT TO l'NSTfALLATlOi\J A PLEB i DAT.V,� ALL APPLICABLE CC7c:cS t�07- 7-0 5'l 4- � ,gv1s.4 tv �� �� s /Jc�Ji