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07026 (SFD)T 4D 0 itit 4 4 a". Building Address 56_465 Riviera Sun ri se Corpany Mailing' Address 42-600 Cook St. Suite 200 City lZip ITel. Contractor Address. Same Zip I Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 State Lic. City & Classif. 288130 Lic. # 398 Arch., Engr., Designer Address I Tel. CityI Zip I 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. �i+ i . `. �GNATURE - Y� DATE OWNER -BUILDER DECLARATION I 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, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such pemtit to We 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 fire applicant to a civil penalty of not more than rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who ,builds or krproves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. if, however, the building or improvements sold within one year of completion, the owner -builder will have the burden • of proving that he did not build or 'improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec- 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city- ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the Pemyt is for one hundred dollars ($ 100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any Calir ppeerson in any manner so as to become subject to the Workers' Compensation Laws of Date Owner NOTICE TO APPLICANT: H, alter making this Certirrcate of Exemption you should become subject to the Workers' Cavrpensation provisions of the Labor Code, . you must forthwith comply with such Provisions or this permit shall 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. 3 09 7, Civil Code.) Lender's 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 certity that I 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. Signature of applicant Date Mailing Address City, State, Zip No. 07026 14.3f BUILDING: TYPE CONST. OCC: GRP.: A.P. Number Legal Description Tract 24801 Project Description Phase 3H - Plan H3A 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 2/4/90 Issued by: Date Permit Validated Validation: Sq. Ft. 2899 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated• Valuation $214,923 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 1:042.00 Mech. ' ` .UU Electrical 132.71 Plumbing 168,50 S.M.I. 15.05 Grading Driveway Enc. Infrastructure '.irr4,835..7 2,4 7.89 Less Credit 4411.W TOTAL REMARKS 00,) f�;✓� ,a .' ts:,�4 •'.-1x,wt .-. . ;,. XV 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 2/4/90 Issued by: Date Permit Validated Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. a $ UNITS GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR, $Q, FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEQUIP. DRAINAGE PIPING CAR P. SQ. FT. ® TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN. SQ FT a FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation -$ FLOOR DRAIN MECHANICAL FEES RYINAL INSP —1 _ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER _ � � �� GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION 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 GAR. FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 & AIR COND. SOLAR SETBACK 'Y-lGf jqk1SLAB ROUND PLUMB - UNDERGROUND A.C. UNIT COLL. AREA GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPT�W-t& ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF.AS (ROUGH)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. RYINAL INSP —1 _ FRAMING -�/) FINAL INSP. /,ROOFING �• �. � , � _ � � �� REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUN — ?a f FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL