RR (002511)P.O. BOX 1504 No..
Building ,f 78-105 CALLE ESTADO 002511
Address 52-900 }* ,) LA QUINTA, CALIFORNIA 92253
Owner
1r .
Mailing BUILDING: TYPE CONST: OCC: GRP.-
Address P.O. B: 1740 A.P. Number_
City Zip Tel.
_. .La Vaizta, 92253 Legal Description
Contractor Project Description
Address... .
'ASPA T f�
City Zip- w . Tel. .
Palm Sprfnqs 92252. 3 305
State Lic. City
& Classif. . 471981 Lic. # 298 Sq. Ft. No. No. Dw.
Size Stories Units
Designer _ New ❑x Add ❑
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 Profession!s Code, and my license is'in full force and
*_
effect. sr.... w. l y ,/
!�
Alter ❑ Repair ❑
Demolition ❑
_SIGNATURE r' - DATE
OWNER -BUILDER DECLARATION
_
Estimated ValUatlon'
I hereby affirm that I am exempt from the Contractor's License Law for the following
r�
Qt -
reason:. (Sec. 7031.5,Business and Professions Code: Any city or county which requires 'a
. 0
permit to construct, after, improve, demolish, or repair any structure, prior to,fts issuance also
-
• .requires the applicant for -such permit to file a signed statement that he is licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
x
Division'3 of the Business and Professions Code, or. that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation Section 7031.5 by 'any for
Plan Chk. Dep...
-
of applicant, a permit .
' ' subjects the applicant to a civil penalty of not more than five hundred dollars (5500). ' • .'
Plan Chk.. Bal.
-
-
O 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, Bufsness and
Const.
so
38
Code: The Contractor's License Law: does not apply to_an owner of property who -
i.Professions
builds or improves thereon and who does such work himself or through his own employees,
Mech.
- 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
Electrical
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-
Plumbing
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
S.M:I:
- •-
- - suchprojects with a contractors) licensed pursuant to the Contractor's License Law.) -
Grading
❑ I am exempt under Sec.. B. & P.C. for this reason
Driveway Enc.
Date Owner
Infrastructure
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. 0 Certified copy is hereby furnished.'
TOTAL•
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($700) valuation
-
-
or less.) - - -
I certify that in the performance of thg work for which this permit is issued; I shall not
-C
•• 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
'
ZONE:
BY:
subject to the 'Workers''Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances: -
-
Front Setback -from Center Line
Rear Setback from Rear Prop., Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from.Center Line '
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.). - -
Side Setback -from Property Line
Lender's Name
Lenders Address
FINAL DATE
INSPECTOR'
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.
certify that I have this
f'-8('
,I read application and state that the above information is correct.
I
Issued by:
Date Permit. .
agree to comply with all cityand 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. r' { :>�
Validated by:
.
Signature of applicant Date
Mailing Address ✓
Validation:
City, State, Zip
A 6 0 8 3
7 30 9.06 CK
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
2ND FL. SO. FT. @
POR. SO. FT. @
GAR. SQ. FT, @
CAR P. SO. FT. @
WALL SQ. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
, BAR SINK r�
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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+/. c
SEWAGE DISPOSAL
Ir-
2LATHING DEC 17
SO.FT.GAR @ 3/ac
HOUSE SEWER
VENTILATION
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./EQUIP.
REINF. 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
Ir-
2LATHING DEC 17
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
oV,
i , •', j , ?: :
PalmSpr
3584 La.Campana Way,Iings, CA 92262
q.: r. ..
(619) 325-8304 (619). 325-8305
<: •i�. r'! ...I.. I-. '7' !i.;Ai !11ti:' ',? 'iii •rl',' .
California License. No. 471881
PROPOSAL- SUBMITTED TO
PHONE ...
DATE,;;
Eu ane' `;. I
... 7' . .
:i' 11213) •833-3555.
;, ;'! . Jul 25'` 1986
Yn6de1'
STREET'
JOB NAME,...t ii. �i.7+ J:1)�: tl.li:,• ;apt
P.o. Box 1740..
S.F.D.
CITY, STATE AND ZIP. CODE:
JOB LOCATION' " 19•:?{•1
...• .,.,. ..
•7.
'IC. .rt,? 'I:....! .•. .. ,..,, ..
' .ed o Ca�.if..
il' I. .
90733
,( ... ''it. :7'f :S IS; 1..� ;.,
52-900 ' Navarro
ARCHITECT,''" `:': "''' " "
DATE OF PLANS
; '
-JOB PHONE.';
La uitita "C1lif .
We hereby su4mit,8pecilicatIons and estimates for:
p
b, s.
I' "
Eali rrn :!;Irl
.. � .. � ...
'' � .� :f.i: �, :'I !Jt�.'•t '.LC�i �? '.Ir.l �. :i;.)!(�llli :.l:;i.1.'.i\ (3 i:!il�.�rl.
iil,�i.'j .IS .Ir Y'j�.•j ,�/" 'I11 f'„} �I{ .i: '1'. , !t.'.�:1 i'!;; .a II. 271 '.t?1•i.:l•`l Til' �7.
DIMENSIONS AS PER
.:BUILDING
,;`.... ,.. .:;:'R�otai `'to Baia)'' a11”. trash. and''Idehris • .
Roofer to tear off �xibtin roof.:
".—I, to ?'dum :. '.Roofer :`•to.:.:install
O.. C,.: :.Class ic_ lus composition '` shin• � les- 'its. `
er inanufacturers
s ecifications over one laver of 15 lb. ' felt nailed.•
1166fer`'tio'su 1 and "insta11''a11`' riinar roof. 'acY.�`'and:ed e!metahl.
r � `11 `r 1'' f�• 1'tf:: ;,1 , "' �!'�{'r�ll(' r '1.;:' :i;J:.,r �f'�':iii.?'.:!'i.:i,T'°i•;'�.;:t?!�.ei?';1;�'i;,•;t:i,c1?1;'.',1.11)1.73;. 1 r.'�'' .
'lIJL.-•1.Sfliil;'1{•.ltd.�..,..:7)�!rL;:`.i'•'i.71 If i•'r:,.r? 'i�i .�"J. '•!i:. i :,Iii,tii.
,1, .rte ,_F .�! „�• il'I ni: I�r� .; rl :I: �;'11,51:� - - '�,-, � h•.. ,-Yvr.,,1; �i:,'t,.;:,� ii' ;:>�(. :e;7 '>iy r.:�'•.'
'.ri(.!i C�.6I1(i ii �'e:?rl.(.;'}i_5�); '1, 'n':`�;V' ,:'iii :.ir)6;1 .I :�",:: :, j't.r,',i,%`•li in .. .•�i�,1.'i °f;:+f' i.li'ir.t1:1 'i ar! �,: it�t :{::I 111.:,1.! p;�;: :,}n. I.
ORO
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I�i Ir •1 /N��r l: '.fl�, .I til �l l�".I .I',';:1'! � , �I �:•' 't,..�i.'l.t:}�i':f �j'�.il il�•: .
ill l.i'::
:1' 1.+t •. .�, '.\2. i, 'A'11
.1: 1 11'+�!.1 •��,, 1; .. �' �.. IJ' �:� :1 ia'.•,'t P:•'j i,..(,
'
We PfopoSe hereby to furnish material and labor—complete in accordance with above spediffications,,tor the: sum of:;;
dollars .(S 2 6 8 -00 ).
Payment to be made as follows:1009, Upon
.,Completion,-
.. NOTICE, ,..i;:•I. ., ,; .::_•. ; ,
r.
'Under the Mechanics' Uen Law (California Code of Civil Procedure, Section 1181 et seq.), any contractor, subcontractor,,) borer, supplier or other person who helps to
Improve your property but is not paid for his work or supplies, has a right to enforce a claim against your property. This•ffieans that, after a court hearing, yourproperty .;.
could be sold by a court officer and the proceeds of the sale used to satisfy the Indebtedness. This can happen even if you have paid your own contractor in full, If the ;
subcontractor, laborer, or supplier remains unpaid" If legal action Is necessary to collect or enforce the terms of this contract, the prevailing party shell be entitled to Its
reasonable attorney tees plus all costs of suit. Interest shall accrue on all sums which are due 30 days after billing at the rate of 18%per annum. Armored Roofs, Inc. Is not
respon§ible for delays caused by weather, strike, material shortage or delay In material supplied to the Job orfor any other delay beyond Its control. Armored Roofs, Ino.;:::
'total liability under this contract or in negligence is limited solely to the amount of this contract.
We are fully covered by workmen's compensation and public liability Insurance. Carriers' names and policy numbers available on request.
Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for same, and will become an
extra charge over the sum mentioned in this proposal. All agreements must be made in writing. This offer is valid for one week from the date of estimate and is based on
free access to building for direct loading from our truck.
Prices are based on current cost of material and labor. Increases or decreases will be reflected at time of signing of contract.
ARMORED ROOFS, INC. aQV OP6obt6tlkf ei IDua�ri NI ADrrn of
1 � it bunk of lhintee * n.intrnHl 1.•+ ii :•nn years
wrof :mtf l„c rporron ntad of work. S O 2D IT (.Aar nEFULLY.- back Of this
C®t11i#Q:1t rFl � Y"r yvertan V t