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07014 (SFD)4 P.O. BOX 1504 No. 07014 Building 78-105 CALLE ESTADO Address 55-005 Riviera LA QUINTA, CALIFORNIA 92253 14-0 Owner Sunrise Cant' _ _.... BUILDING: TYPE CONST. -OCC: GRP. Addiiess 42-600 Cook 5t. Sure. 200 City Zip Tel. Palm, DeserAZ 92250 . 568-2828 . National Mortgage & Land S city State Lic. I City & Classif.2�1�� Lic. # �9s Arch., Engr., Designer Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION A= ffirm that I am licensed under provisions of Chapter 9 (commencing with Section asion 3 of the Business and Professions Code, and my license is in full force and effect .Y r SIGNATURE DATE OWNER -BUILDER DECLARATION hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, 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 rive 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 Milds or knproves thereon and who does such work himself or through his own employees, provided Mat 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 Mat he did not build or improve for the purpose of sale.) O 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 net 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.) 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: lf, after making this Certffrcate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply wfth 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.) Lenders Name Lenders Address This is abuilding 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. 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. l Signature of applicant Date Mailing Adder' City,. State, Zip A.P.,Number Legal Description Tract 24801 Project Description Phase 2H a Plan H38 _ T TOTALAl 1j fs r� REMARKS _ ..�:.. . r,2._-- - s.0 :L't;�.� : s♦r.'i'i.°.�3" 3�'°�i'l�"l tit~ • :k' "� "tKtYs i > a,v3 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 INSp � TOR Issued by: Date YY// Permit Validated by: Validation: Sq. Ft. 2894 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation �>,2 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. • r� Const. Mech. + w Electrical a= >r�_ Plumbing S.M.I. +� Grading Driveway Enc. w I frastructure w h wA 2107. _ T TOTALAl 1j fs r� REMARKS _ ..�:.. . r,2._-- - s.0 :L't;�.� : s♦r.'i'i.°.�3" 3�'°�i'l�"l tit~ • :k' "� "tKtYs i > a,v3 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 INSp � TOR Issued by: Date YY// Permit Validated by: Validation: ill CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. I SO. FT. WALL SO. FT. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS1 WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) �� O�a GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEOUIP. 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL n � J � /� � _� RJ SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR' SETBACKaROUND PLUMB I {^� UNDERGROUND A.C. UNIT COLL. AREA R46LAB GRADE -� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS1 S EWER ORS e ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. _ �}/ , / ! V GAS (ROUGH) �� O�a METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. 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 .�v 0kl`RAMING /- �a FINAL INSP. R�R00FING 41-1'6 o1 v ��111 n � J � /� � _� RJ / /� _ \ r-410 / "`�`�J J'� REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL % � G ATHING MESH NSULATIONISOUNDI/ ^� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL