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SFD (14625)__ M - t P.O. BOX ; 504 N o . -.1462& Buildingt 78-495 CALLE TAMPICO Address 52' 270 AgTpa Navarro LA OUINTA, CALIFORNIA 92253 . Owner S_11nros6 Corporation , BUILDING:' TYPE CONST.- OCC:'GRP.'' R3 Mailing Addre§s 72'~850 - S-omera Road. A.P. Number 7:73®275-001 City Zip Tel. t, 22 Block 103 a P$ :AeS�r�i Cif 32260 346--2840 Legal Description _'• Contractor- S�tci2 . • > , _ Project Description. Address. _City Zip Tel.::r , State Lic. City & Classlf: •. Lic. # S Ft. No. No. Dw. . � �33E3i0 xi3� -� 4• Size . 153 Stories -Units �,.. DesignerNew ❑ '�. Add, El Alter ❑••�.` .Repair.❑ 'Demolition ❑ Address F Tel.. Fermit..does.,' not AnClAade block wail' City r <• Zip 4 State - OIC pool* Lic. # , LICENSED CONTRACTOR'S DECLARATION.. I hereby affirm that Tram=licensed—und0ODrovisions of Chapter 9 (commencing'with Section, ( ' 7000) of Owislon 3; Gthe Bus nese and+Professions Code,'and my license is in full forceaDd effect. . �� �, _ 3LGNATURE DATE v� OWNER-BUILDER DECLARATION Estimated Valuation y$94o,411000 I hereby affirm that I am exempt from the Contractor's License Law for.the following f-.' - 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 1. requires the applicant for such permit to file a signed statement that he'is licensed pursuant to `. .-PERMIT 'AMOUNT the provlslons 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 therefroin, and the basisp �q - - for the alleged exemption. -Any violation of Section 7031.5 .. by 'any applicant for a permit. Plan.Chk, Dep. •-.- 250.00 - ' subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - O I, as owner of the property, or my employees with wages as their sole compensation, will - .. Plan Chk. Bal. 269.46 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Professions Code: •The Contractor's. License Law.does not apply to an owner of property who COrISt. - >617 a 0V , + -, builds or Improves thereon and who does such work himselfor through his own 'employees, Meich.' r . � .1�. provided that such Improvements are not Intended. or offered for sate., If, however,. the building _ or improvement is sold within one year of completion,. the owner-builder will have the burden Electrical � � � otproving that he did not build. or bnprove.for. the purpose.of sale.) - . , - y . y ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-. Plumbing .� �. struct the project. (Sec. 7044,' Business and Professions Code: The Contractor's License Law _ _ 7,3 does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I.- - 79.44 such projects with contractors) Pcensed pursuant to the. Contractor's License Law.) 11 1 am exempt under Sec. B. & P.C. for this reason Grading20.'00 , Driveway Enc. W •gate Owner Infrastructure 2086.00. Precise Plan 25.00. WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate'of consent to self-insure, or a certificate of •• Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) -I F_.,. PolicYl — Company . WCopy is filed with the city. ❑ Certified copy is hereby furnished.. - y TOTAL 30530.1$ 1 3,.340.11 CERTIFICATE OF EXEMPTION FROM REMARKS. - WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit or less.) is for one hundred dollars ($100) valuation, - - .. .. _ I certify that In the performance of the work for which this permit is issued, I shall not employ any psn in any manner.so as to become subject to the Workers' Compensation • Laws of Califoreronia pL-,a Date Owner NOTICE TO APPLICANT., alter making- thin-Certlgcate of ,Exemption youshould become :. ZONE: = � •' ` BY: "- - '-" •- �` - subJeci 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 Pro ,,Line\ WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street.SetbaC�fLO.r Eenter Line\ SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE v HUNDRED THOUSAND DOLLARS ($100,000), IN-ADDITION TO THE COST OF COMPENSATION,- Side Setback from PropertAine�� ��. DAMAGES AS PROVIDED' FOR IN SECTION 3706 OF. THE LABOR CODE, INTEREST, AND 5 ) / ATTORNEY'S FEES. /i' �4 . V This Is a building permit when properly'.filled out; signed and validated, and is subject to FINAL ;DATE - INSPECTOR -ti. expiration it work thereunder is suspended for-180 days. + .d 01. I certify that.I have read this application and state that the above information is correct Issued by:' "=' Date Perm t� 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•.+Sr J �r�n mentioned property for Inspection purposes. - Validated by: 4r A t! Signature of applicant Date `} Mailing. Address Validation: 'City, State, Zip ////. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIN�i UNDERGROUND i 1ST FL. SQ. FT. $ UNITS r BONDING l 2ND FL. SQ. FT. FORMS YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DRAINAGE PIPING WALL SO. FT. REINF. STEEL DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES BOND BEAM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER LUMBER GR. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRYTRAY AIR HANDLING UNIT CFM /// � 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER LATHING 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 GROUND PL I UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. IF BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER R SE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL �y GAS (FINAL) % TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. �{ FRAMING �a FINAL INSP. ROOFING � �, �% ✓��/� /1 r(� 7/ 7 /// � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND 3 FINISH GRADING 1 %f FINAL INSPECTION 01111-f CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL s7 .. *� - P.O. BOX 1504 APPLICATION ONLY Building_ // 7&105 CALLE ESTADO �9 ;t�4 ,i !4 Address 6�� 1111 ,5�/9A QUINTA, CALIFORNIA 92253 Owner Mailing Address Ity// Zip Contractor Address Tel. 2-66 3YB� City Zip Tel.. State Lic. & Classif. !"� �® City Lic. # Arch., Engr., Designer Address 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. 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,Business and Professions Code: Any city or county which requires a permit to construct, alter, 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 five hundred dollars ($500). 1:1 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 improves 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 improvement is 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.) I 1 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.) 1 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'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I 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: ff, 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.) 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. I certify 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 ateMailing Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP: A.P. Number -773 040 , — D Legal Description 401111- 7-7— Project Description ��" ► REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line FINAL DA' Issued by: Validated Validation Sq. F, t. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL _- S?�� 00 1 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line FINAL DA' Issued by: Validated Validation CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. @ $ 2ND FL. SO. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CARP. SO. FT. WALL SO. FT. SO. 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 FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SU. FT. RESID ® 1 Y. c SEWAGE DISPOSAL SO.FT.GAR @ 3/4c HOUSE SEWER REMARKS: VENTILATION 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 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 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. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION _ FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL In J1'C\.1 Vn J OIUnA 1 URCWINH IALJ GARDEN WALL FINAL r, DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 2/24/95 Type of Permit La Quinta No. 13313 Permit. # Log Owner Name Sunrose Corporation No.- 52-270 Street Ave. Navarro City La Quinta Zip 92253 Study Area 113 APN # 773-275-001 Tract # I Lot # 22 Square Footage 11563 Type of Development Single Family Residence No. of units 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios /walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.72 x 1563 or $ 2,688.36 have been paid to D.S.U.S.D. for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By Sunrose Corporation Telephone 346-2840 Name on the check By Dolores A. Ballesteros Superintendent Fee collected exempted b Ellen Patino Signature Payment Received Check No..6524 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting r Check No..6524 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting