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07078 (SATT)TAh 7 ` P.O. BOX 1504 No. 07078 Building78-105 CALLE ESTADO, Address 79-825 Northwood LA QUINTA, CALIFORNIA 92253 Owner .� � J, . . Sunrise Cd%3pt3y Mailing BUILDING:, TYPE CONST. OCC: GRP... ' '- Address 42-600 Cook St. - Suite 200 A.P..Number PGIA WEST City Zip Tel. Palm Deser 32250 5652$2$ Legal Description. Tract 24801 ContractorProject Description' Phot: 348 - Plan 30 National Mortgage Und Address.. 4_ same City . Zip Tel.: .t State Lic. City & Classif. 2$ �3 Lic. # 328 Sq. Ft. 2826 No. No. Dw. .a Arch., Engr., Size{'•:Stories - 1 Units Designer New ❑ Add.❑ Alter ❑ Repair ❑ Demolition ❑ Address' Tel. City Zip State Lic. # r 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. : - «,.: r r SIGNATURE - - '' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following Estimated Valuation - reason: (Sec. 7031.5,Bus-Dress and Professions Code: Any -city or county which requires a $194,692 permit to construct, after, improve, demolish, or repair any structure, prior to. its issuance also - requires the applicant for such permit to 1719 a signed statement that he is licensed pursuant to- PERMIT - _ AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 or the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any vitiation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a dv8 penalty of not more than live hundred dollars (S500). - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.. do the,work, and the structure is, not intended or offered for sale. (Sec. 7044, Buisness and'r d, Professions Code: The Contractors License Law does not apply to an owner of property who COr1St. , �• 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 Mech. a1z orimprovement is sold within one year of completion, the owner -builder will have the burden 'Electrical A 41k of proving that he did not build or improve for the purpose of sale.) • • ❑ k, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing • Struck 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 S•M•1• - �• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I am exempt under Sec B. F P.C. for this reason ' Driveway Eric.- Date nc.Date Owner Infrastructure 'sem • ,sn.id'3 WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 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.. , TOTAL a E� � - '` � C ) .t A F CERTIFICATE OF EXEMPTION FROM REMARKS t<i. a, ^.. g r �l�0'1. i,'1r-t da Y' „ iii WORKERS' COMPENSATION INSURANCE • (Tris section need not be completed it the pemvt is for one hundred dollars (S 100) valuation or less.) 1 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: fl, alter making this Certificateof Exemption you should become ZONE: 'BY: - subject to the Workers' Compensation provisions of the Labor Code, you must forthwith , - carnpyWith such Provisions orthisPermit 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 1 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.) Side Setback from Property Line Lenders Name Lenders Address - - 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 100 days. ' / 1+x/9 , 1 certify that I have read this application and state that the above information is correct. Issued by:, Date ! a7 Permit l 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 Validated by: Signature of applicant Date Mailing Address Validation: > City,. State, Zip ' CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE -.23--g a ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS 99 �,, W5WER OR SFFTIli aN jrU ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR SO FT ® (ROUGH)_ r%L/. Gni METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN. FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. �Q ��Q 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 VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® V/ao HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL -- TOTAL FEES I MICRO FEE I I MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUiw. UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE -.23--g a ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 99 �,, W5WER OR SFFTIli aN jrU ROUGH WIRING. DUCT WORK ROCK STORAGE e46OUND. REINF.3-,22 _OJ /,pf4,AS !! V (ROUGH)_ r%L/. Gni 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. �Q ��Q RAMING l J —�� FINAL INSP. 11600FING s-�� G ,^ G' w ' ` � _ ^ � ` � / ,/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH 46SULATIONISOUND,�,2 G L V FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL