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07082 (SATT)Un Addrdess ,9—%4rJoC't Owner Sunrise Cta=anv P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 42-600 Cook St. Suite *200 City . Pala Reser Zip 9226() Tel. 5%8-228 Contractor National Mortgage ) Land Address Sante City Zip Tela State Lia City & Classif. M130 Lic. # 328 Arch., Engr., Designer Address I Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section de, 7000) of Division 3 of the Business and Professions Coand my license is in full force and effect. SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8usiness 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 pemdt to Be 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 exerrption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the appicant to a civilpenalty of not more than five hundred dollars (E500). ❑ 1, 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 budding or improvement is sold within one year of completion, the owner -budder wig have the burden of proving that he did not buil 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 appy 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 (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- d 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 the pennit 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 abuilding 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 Address _ City, State, Zip Lit �!) 1' No. 07082 U,,t' 2— BUILDING: BUILDING: TYPE CONST. OCC: GRP A.P. Number GA WEST Legal Description Project Description Tract . 24$071 rnaSe 33is Plan 40M Sq. Ft. 3142 Size No. No. Dw. Stories - Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $215,834 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 3bu Mech. 82.50 Electrical 3S. Plumbing ZIU.UU S.M.I. Grading Driveway Enc. Infrastructure 4,1550.21 2,426. Is Less rrt"C' GI . $2,428.13 TOTAL .Ytir.yi .r 4; r REMARKS r, NVY-x :rI 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 Issued by: Date 2/13/90Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. a $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL Sp. FT. FORMS EWER OR4e! bT1eV ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. Sp. FT. ® WS (ROUGH)-/.Crjrj METER LOOP GAR. SO. FT. is POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. ® GROUT WATER HEATER WALL Sp. FT. FINAL INSP. DRINKING FOUNTAIN. Sp FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation AL INS t/6 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 LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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. Sp. FT. ® c BATH TUB kATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c 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 SETBACKOUND PLUMBING TN UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR4e! bT1eV ROUGH WIRING DUCT WORK ROCK STORAGE ' 1 `, {1 FOUND. REINF� (G Q6 WWW ��—REINF. WS (ROUGH)-/.Crjrj METER LOOP HEATING (FINAL) OTHER APPJEGUIP. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. AL INS t/6 ttkFRAMING } �Cl"G�J FINAL INSP. ROOFING �0_CL� �(` ) �/3 _� Ace— V REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL kATHING MESH Q-INSULATIONISOUND 'GCS ' l l./ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL