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07043 (SATT)Building Addrress 79-710 tort wood Owner Sunrise ComDan;r 13� 3 P.O. BOX 1504 N0, ��ft �� 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 mailing Address 42-600 took St. Suite 200 City Zip 7­568-2828 Palm Desert 92260 Contractor National Mortgage & Land Address Sara►. City Zip Tel. State Lic. City & Classif.28al3o Lic. # 326 Arch., Engr., Designer Address 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness 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 permit to file a signed statement that he is licensed pursuant to theprovisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 of the Bus -mess and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exempfkm. Any violation or Section 7031.5 by 'any applicant for a permit 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 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 or 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.) O I, 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 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 B the permit is for one hundred dollars ($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: If, 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 permft 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.) Lenders Name Lender's Address This is a building permit when property 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. 1 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 Ur LT 2 - BUILDING: TYPE CONST. -OCC: GRP.' A.P. Number PG. WEST Legal Description Tract 24$02 Project Description Phase 333 - Plar. 20M Sq. Ft. No. No. Dw. Size Stories • Units New ❑ Add O Alter ❑ Repair O Demolition 0 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. ,• • ,� Plan Chk. Bal. V : • Aw Y Const. s • 5 Mech. QfPI ♦ s� 1 ^ Electrical • Plumbing _ ^'�• S.M.I. u Grading Driveway Enc. rtn in P' Infrastructure °A. • � •►w rna TOTAL +17 s sax • v REMARKSoFn,' 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 DATEINSPECTOR 2/13/90 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL AREA LAB GRADE 3 -I -e-1- ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. Sp, FT. ® DUCT WORK ROCKSTORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN GROUT WATER HEATER URINAL SQ FT ® FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation GRADING CU. yd. $ plus x$ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER O,& I Q �'� / �Q GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Vi c SEWAGE DISPOSAL MESH SQ.FT.GAR ® iLc HOUSE SEWER 1NSULATIONISOUND 5��7�-- 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 UND PLUWti � 2j- G UNDERGROUND A.C. UNIT COLL AREA LAB GRADE 3 -I -e-1- ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS #14EWER OR A� ROUGH WIRING DUCT WORK ROCKSTORAGE GIUND. REINF. �� (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. NAL INSP. ((p 4fffIAMIN01' 1;Z- r FINAL INSP. Alwo—OFING ��[ `� O,& I Q �'� / �Q 1Qe.,4c- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL ��yy "THING �- MESH 1NSULATIONISOUND 5��7�-- FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL t