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07084 (SATT)Addrress 79-705 fit7rth�fy: i Owner Sunrise Ciwanv Ti-tyl 4 4 Q" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 42-600 Cook St.. suite 200 City Zip Tel. Ral® Deser 92260 568-2> Contractor National Mortgage & Land Address Same State Lic. City & Classif.2N13 Lic. # 328 Arch., Engr., Designer Address Tel. L;ITy Ic Zip I Lic. LICENSED CONTRACTOR'S DECLARATION 1 hereby off"um that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ]vision 3 of the Business and Professions Code, and my license is in full force and effect SIGNATURE • DATE OWNER -BUILDER DECLARATION I hereby affign that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8usiriess and Professions Code: Any city or county which requires a permit to construct. ager. Iirprove, demolish. or repair any struchae, prior to its issuance also requires the applicant for such permit to rde a signed statement that he is licensed pursuant to the Provskm of the Contractors License law, Chapter 9 (commencirg 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 sub(eds Uhe :ant to a civilpenally of not more than rive hundred dollas ($500). ❑ 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, Busness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves theraaon and who does such work himself or through his own employees, provided UW such irpormnmds are not intended or offered for sale. If, however, the building or irprovement is sold wdhn one year of completion, the owner -builder will have the burden of proving that he dd not build or improve for the purpose of safe.) .❑ I, as owner of the property, am exclusively contracting with licensed contractors to com. struct the project (Sec- 7044, Business and Professions Code: The Contractors 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 1 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 tf Me permit is for one hundred dollars ($100) valuation or less.) 1 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 0, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you. must forthwith campy with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency forthe performance of the work for which this permit is issued. (Sec. 3097, CAd Code.) Lender's Name Lender's Address This is abuilding permit when propeity 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 No�) -7U7084 U,vl.jz ILDING: TYPECONST. OCC: GRP. Number PGA WEST Legal Description Tra.tt 24801 Project Description Phase 338 — Plan 40H Sq. Ft. 3142 No. No. Dw. Size Stories Units New ❑ Add-❑ Alter ❑ Repair ❑ Demolition ❑ REMARKS 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: 0 Date 2/13/90 Permit Validated by: Validation: Estimated Valuation $216,834 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. .3 Const.. Mech. 82. bu Electrical Plumbing MI. 00 S. M.I. 3,,z Grading Driveway Enc. Infrastructure 1•s `� .Gt3� �f3.I3 55 Credit $Zoas. n Q n as TOTAL w s7 5 REMARKS 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: 0 Date 2/13/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRAD U ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS A14EWER OR (j�Al POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. I SO. FT. ® TEMP. POLE WALL SO. FT. GROUT DRINKING FOUNTAIN FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES AL INS�s VV WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER I _ q O QV GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION 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. SO. FT. ® c BATH TUB GAR. FIREWALL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/sc 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 SETBACK ROUND PLUMBI 9Cl '?.c7 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRAD U ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS A14EWER OR (j�Al ROUGH WIRING DUCT WORK ROCK STORAGE Y&OUND. REINF.3•v_.v-2 _ AS (ROUGH) - , %1/ G20 O 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. AL INS�s VV // &1AMING /�13—�U FINAL INSP. AW—ROOFING oz 0 —�/` AW—ROOFING V �/` tiJ 6 -,2 I _ q O QV REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL kil THING MESH INSULATION/SOUND&�,?- O, FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL