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003290 (ELEC)P.O. BOX'1504 No. 003290 Building 78-105 CALLE ESTADO Address 55-069k OAK HYLLLA QUINTA, CALIFORNIA 92253 Owner SUNRISE COMPANY Mailing Address 75-005 COMM CLUB }1RUP. City Zip Tel. MM PAW DE -819 IT 92260 1 .568-2828 . Contractor SMONAL LOD RTQN6.E Address BUILDING: TYPE CONST. OCC: GRP. A.P. Number. PGA T Legal Description )i'lhase 30 Project Description $QO tllp M" Comm -AM- S—MVICE 'City' Zip Tela State Lic. City & Classif. Lic. # 328' 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 Chapter 9 (commencing with'Section 7000) of Division 3 of the Business'and Professions Code, and my license is in full force and effect. a. i _ - SIGNATURE N- Ar -f-4 /s • " •- - - DATE OWNER -BUILDER DECLARATION I hereby affirm.that I am exempt from the Contractor's License Law for the following Estimated Valuation 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_forsuch permit to file a signedstatement that he is licensed pursuant to ° PERMIT .- AMOUNT ' 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 • Plan Chk. Dep. - • - - -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 - Plan Chk. Bal. Cohst.. 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 Mech. - 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 -within Electrical A -2-- or improvement is sold 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.) , Plumbing ❑ 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 S.M.1. - such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑.I am exempt under Sec. .B. & P.C. for this reason - Grading Driveway Enc. - ' Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION ' 1 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. TOTAL ZzoSY! d CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS ' ' (This section need not be completed if the permit is for one hundred dollars (S100) 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. .v Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions o% the Labor Code, you 'must forthwith comply with such provisions or this permit shell be deemed revoked. ZONE: - BY: 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 permiUis issued. (Sec. 3097, Civil Code.) - Side Setback from.Property Line ' Lender's Name FINAL.DATE INSPECTOR 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 1 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. •" Issued by: Validated by: %l 22®�7 'Date Permit. Signature of applicant Date Mailing Address. Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® - POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING I 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.000L HOOD SIGN WASH ER(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 Va c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac USE SEWER REMARKS: 4PERM PERMIT FEE PERMIT FEE EITFEE E� 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL I r4bVrk:I VN'J WUNAI VKrbfI N1I IALb. GARDEN WALL FINAL