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06997 (SFD)Building Address 56-366 Riviera Owner Sunrise CQfrman Address 42-600 Cook S$. Suite 200 City Zip Tel. . Palm ..0eser 92260 Contractor Address - Same P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 State Lic. I City & Classif. 2€ 8130 Lic. # 398 Arch.,-Engr., - Designer Address Tel. City( Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) tof Division 3 of the Business and Professions Code, and my license is in full force and effec- SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,19useness and Professions Code: Any city or county which requires a permit to construct. after, hwmve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rde 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 civilpenalty 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 stntcture is not intended or offered for sale. (Sec. 7044, euisness 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 irprovements are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the owner -budder will have the burden of proving that he did nor bbd of ftnive for the purpose of sale.) ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, 13siness 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. g, P.C. for this reason I Date _Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No (gmpyny ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be conpfeted it the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the 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.- 9, 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.) Lenders Name Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that 1 have n'ad this application and state that the above information is correct. 1 agree to comply with all aly and county ordinances and state laws relating to building construction and hereby authorae representatives -Of this city to enter the above-. mentioned properly for inspection purposes. Signature of applicant Date Mailing Address City, -State, Zip ILDING: TYPE CONST. No. 06997 !l 12_� OCC: GRP: A.P. Number ,Legal Description Tract 24801 Project Description Phase 'U - Plan HI A Sq. Ft. 2353 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ REMARKS *sc�rr.err«." .k: !sr��ir_dd«i+tr+^» r.Et;l1 L'\F "YrY'YSYiY .�-v+.-...- 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 2/9%90 Permit Validated by: Validation: Estimated Valuation $709470 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 4 20.04 Const. M.00 Mech. AJ. bt Electrical 1-13.$7 Plumbing 156.50 S.M.I. 11.9 Grading Driveway Enc. Infrastructure �3=. bu Less Credit 191 .tio Infra Due TOTAL P33T9 77,i4t REMARKS *sc�rr.err«." .k: !sr��ir_dd«i+tr+^» r.Et;l1 L'\F "YrY'YSYiY .�-v+.-...- 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 2/9%90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. `GAS (ROUGH)6 DRINKING FOUNTAIN. SQ FT ® OTHER APPJEQUIP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM F AL INSP.&? `6 _� 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. SQ. FT. RESID ® IV4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER SPARK ARRESTOR 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 —n — lv rr ROUND PLUMBING _ UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SlTt6 /J ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. `GAS (ROUGH)6 METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING Cu. yd. $ —plus—x$—=$ LUMBER GR. F AL INSP.&? `6 _� !2C.,/FRAMING�� \\\\\\ FINAL INSP. _ RROOFING 'r/^'� / v _ ��� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH I SULATIONISOUND/_C/ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL