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07024 (SFD)T a 0 419� 4 4Qw Building Address 56-425 Riviera Sunri se Company Address 42-604 Cook St. Suite 204 P.O. BOX 1504 78-105 CALLE ESTADO ..3 W No. ©7224 LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP.: City Zip Tel. Palm reser 92260 1 5£8-2828 Contractor National 14or tQaae & 1and City State Lic. City & Classif. 288130 Lic. # 338 Arch., Engr., Designer Address Tel. City (Zip ( State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Professions Code, and my license is in full force and effeq. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness 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 We a signed statement that he is licensed pursuant to Me 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 five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the worts, 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 bud& or improves thereon and who does such work himself or through his ownemployees, provided that such improvements are not intended or offered .for sale. If, however, the building or improvement is sold within one year of cotioletion, the owner -builder will have the burden 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- 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 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 frhis section need not be completed If 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 NOTLCE TO APPLICANT. N, 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 perms shelf be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name 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. 1 certify that I have read this application and state that the above information is correct. 1 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. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip P. Number Legal Description Tract 24801 Project Description Phase 3H — Plan H3a Sq. Ft. 2894 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation $2140923 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. • Const. 1,042. 00 Mech. 73.00 Electrical Liz J, Plumbing Abu, 50 S.M.I. is.05 Grading Driveway Enc. Infrastructure $4,836,77 140 • 89 tess L;rtd 1 t 214 It9 $4"60.7.732 TOTAL f— REMARKS 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 7/ 2/ 9N Issued by: Date 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. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS DUCT WORK DRAINAGE PIPING CAR P. SQ.FT. ® �AS (ROUGH)6,.,,9o-�it METER LOOP V WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as 3roperty tax valuation SERVICE 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 ] FRAMING 5� // LAUNDRYTRAY AIR HANDLING UNIT CFM W 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.L SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER r4KLATHING " I GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTA_ FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE. ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK ,ROUND PLUMBINC�A--/2— UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 10CSEWER OR ROUGH WIRING. DUCT WORK ROCKSTORAGE FOUND. REINF.3�C)- 'eV �AS (ROUGH)6,.,,9o-�it METER LOOP V HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING Cu. yd. plus x$ =$ LUMBER GR. l/�IAIAL INSP. ] FRAMING 5� // FINAL INSP. lAOFING W /t O X� (� REMARKS. VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL r4KLATHING " I MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL -,