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MISC (07235)TWyl _ P.O. BOX 1504 N o . .0 2, 5 , Buildinga 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253' ` Owner. Sunrise Company ' Mailing BUILDING: TYPE CONST. - ` OCC: GRP. Address 42-600 Cook St. Suite 200 'PGA _ A.P. Number City . , •� Zip Tel. -• Palm Desert 92260 $68•-28x$' Legal Description Ti�dC�. 24$8)1 Contractor L3, Description •' PhASL ' 5th' _ Plan H26 ' J National N0rtaaue A Lana Address 7 Safes City Zip Tel.: State Lic. City & Classif..'2 Lic. # 39$ Sq. Ft. 2645 No. No. Dw... Arch_, Engr., Size •- `Stories • -Units Designer New ❑ Add. ❑ ' Alter ❑ Repair ❑ Demolitiori ❑ t. ' Address Tel. 4 City Zip State . Lic. # LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm that [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. SIGNATURE I - DATE • ., , OWNER -BUILDER DECLARATION ' I hereby affimi thatl am exempt from the Contractors License Law for the following Estlmated V21UatlOn $1914449 ••, reason:' (Sec: 70.31.5,Business and Professions Code: Any city or county which requires a - t.' 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 - PERMIT - AMOUNT t ` the provisions of the Contractor's License taw, Chapter 9 (commencing with Section 7000) of - ' Drvision 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 •Plan'Chk. Dep. y' subjects the applicant to a civil penalty of not more than five hundred dollars (8500). - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. %$3. 40 ` do the work, and the structure is not intended or offered for. sale. .(Sec. 7044, Buisness and y . Professions Code: The Contractor's License Law does not apply to an owner, of property who Const. is builds or improves thereon and who does such work himself or through his own employees, Medh. provided that such improvements are not intended or.offered.for sale.•lf, however, the building orimprovement is sold within one year of completion, the owner -builder will have the burden Electrical -U;;�, 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- Plumbing �(S�+ ,struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 50 does not apply to an owner of property who builds or improves thereon.,and who contracts for S.M.I. • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure, s t• WORKERS' COMPENSATION DECLARATION 1• WfAr. `! Z -3 V 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of • • Workers Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) - - Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS' lint 'i..�?4166_.01-42-96­1 {.€ WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) valuation - - it! t.g9iTI 1. ;axtYi or less.).. . I certify that in the performance of the work for which this permit is issued, I shall not,. Temploy any person in any manner so as to become subject to the Workers' Compensation Laws of California DateL­- Owner . NOTICE TO APPLICANT: N, after making this Certificate of 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 from Rear Prop. Line- ' CONSTRUCTION LENDING AGENCY. "' ' Side Street Setback from Center. Line I hereby affirm that there is'a construction lending agency for the performance. of the - _ work for which•this permit is issued. (Sec. 3097, Cfvfl Code.) - Side Setback from Property Line Lenders Name t Lenders Address i This is a building permit when properly filled out; signed and validated, and is subject to FINAL" DATE: - INSPECTOR expiration if work thereunder is suspended for 180 days. • 2`28190. I 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 thiscity to, enter theabove•.: mentioned property for inspection purposes. Validated by: '- Signature of applicant Date— Mailing ate Mailing Address Validation: + I City,. State, Zip' p 4 r , CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® I 1POWER OUTLET ROOF DRAINS CAR P. I SO. FT. - ///GAS 239� DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SO FT ® 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 WASHER(AUTO)(DISH) APPLIANCE DRYER FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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 ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 SETBACKS(J OUND PLUM I UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS &WER OR ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF.� _ [[[[[[ - ///GAS 239� METER LOOP 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. INALINSP. o,6�d FRAMING FINAL INSP. OOFING 2` � . ? REMARKS: VENTILATION— FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH U—INSULATION/SOUND?-;,I-fe— FINISHGRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL I