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04507 (SATT)Ti '4 N . X. i - ' .4 , _.� \�IC�I/I / • 04-5407 iyEpynr•a P:O. BOX 1504 Building, .�78-105 CALLE ESTADO ` Address. ` '� - �.�� LA QUINTA;,CALIFORNIA 92253 Owner Sunrise _ unSunrisese Company BUILDING: TYPE CONST. 'SCC. GRP. Mailing Address s4. 75-005 Comtry Club �.V+� , « -, ..FCA Weat — TJW aizi a ys A.P. Number City : c, Zip Tel. w.M at c'Ct' ? Q X2260 5-68-282,8 , _ . Legal Description Contractor - °� Project -Description �-Plan _" National Mortqqge Address _ f Same- City. ss �. �r• Zip Tel. ` .State Llc r:� `;'2$33it# City e3g8'_ , 2645 & Classlf, Fqf., Lic. # :.. Sq:• Ft: �,•;_. _s -,.e, Size Arch.; Engr., ' Designer ,, , •.z - Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and,my,license is in full force and }t, effect. • $LGNATURE DATE OWNER -BUILDER DECLARATION . 1, 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 or 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 or not more than five hundred dollars (S500). ❑,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 Conlractor'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 or sale.) - ❑ I; as owner of the property, am exclusively contracting with licensed contractors to con- ' ` strucl 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 0 Copy is filed with the city. 0 Certified copy is hereby furnished. No. " No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ -, ' CERTIFICATE OF EXEMPTION FROM • REMARKS r •WORKERS' COMPENSATION INSURANCE (This section . need not be completed if the permit is for one hundred dollars, (S 100) valuation • r Of 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. Estimated Valuation �q PERMIT ZONE: AMOUNT Plan Chk. Dep. •Minimum Setback Distances: - Plan Chk. Bal. -Front Setback from Center Line 537,.63 Const. Rear Setback fro•"n Rear Prop. Line 663.00 Mech. Side Street Setback from Center Line 39.00 Electrical 1,0 •32 Plumbing Side Setback froiirt Property Line - 114.00 S.M.I. ' • 13 e.44. Grading I N3 P EC�T�O• - _ Driveway Enc. kg 1 certify that I have read this application and state that' the above information Is correct' Infrastructures Date Permit I agree to comply with all city and county ordinances and state laws relating to building Less croult. Zr A . r� ` +•.. r �• mpro entioned perty for inspection purposes.' ` Validated by: 'Signature of applicant— Date TOTAL' ' CERTIFICATE OF EXEMPTION FROM • REMARKS r •WORKERS' COMPENSATION INSURANCE (This section . need not be completed if the permit is for one hundred dollars, (S 100) valuation ��R f� FY'JNE� � `•1Xi -AP- it, °i-0 4P •V ty 274' -a 34 1 Q Of 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. O ff, NOTICE TOeAPPLICANT .alter making this Certificate or 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 fro•"n Rear Prop. Line A r CONSTRUCTION LENDING AGENCY ` , Side Street Setback from Center Line I hereby affirm that there js a construction lending agency for the performance of the, ` work for which this permit is Issued. (Sec. 3097, Civil Code.) .. Side Setback froiirt Property Line - '-'Lender's : Name Lender's • Address '• This is a building permit when filled out, signed and validated, and is subject to FINAL DATE I N3 P EC�T�O• - properly z expiration If work thereunder is suspended for 180 days. r kg 1 certify that I have read this application and state that' the above information Is correct' Issued by: Date Permit I agree to comply with all city and county ordinances and state laws relating to building construction, and -hereby. authorize representatives -of rthis city to enter. the above +•.. r �• mpro entioned perty for inspection purposes.' ` Validated by: 'Signature of applicant— Date Mailing Address.s ...Validation-.__. 'tCity, State, -Zip-"''. 4. f art = F WHITE FINANCE PINK APPLICANT, GREEN -BUILDING, GOLDENROD - ASSESSORS OFFICE HARD COPY - FILE ' i•a, s.,.S t{ :. ,. f, �... C<. '"?'r_a•"s.. ''t-:�:._.�:� .L -..:','+..4;r Lf-�ti= - ?�t...._ A ... � -%.. _ ....a ...-c..,-,a�kC...-_ .e r ,t'^•.._ .. .. ,-. ,a .,.�.� ..w_ .... � ..a �.r,... ;:e r..., ".'t .•�. _ _- _ .� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO F1 y $ UNITS SLAB GRADE 2ND FL SO FT. gr BONDING YARD SPKLR SYSTEM POR SO FTa MOBILEHOME SVC. BAR SINK GAR SO. FT. ra I IPOWER OUTLET I ROOF DRAINS CAR P. I SO FT. a GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. @ OTHER APP.IEOUIP. DRINKING FOUNTAIN SO. FT. 4T TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as Property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER FINAL INSP. 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID g 1'A c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR sg 3/.c HOUSE SEWER • 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 8 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.IEOUIP. REINF. STEEL (FINAL) l TEMP. POLE GROUT ATER 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 INSULATIONISOUND FINISH GRADING NAL INSPECTIO ,2,05 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 7d