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07050 (SATT)Address 79-700 Northwood Owner Sunrise Company Mailing Address -42-600 Cook St. suite 200 City • Zip . Tel. P.O. BOX 1504 •• 78-105 CALLE ESTADO , LA QUINTA, CALIFORNIA 92253 Pala Oeserl 92263 568•-282 Contractor ... . fiatienal RoAgage 6 Land Address . , . • 07050 U .N I I ` BUILDING: TYPE CONST. OCC: GRP. A.P. Number' PSA' WEST Legal Description :Tract 24801 Project Description Phase 339 Plan 30MR Saiz City Zip Tela. State Lic. City & Classif. 288130 Lic. # 328 Sq. Ft. a$��g' No. No. Dw. Arch., Engr.; • • Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address' Tel. City Zip 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 effec•�^ ;<. t. SIGNATURE-_ - -- DATE i - - OWNER -BUILDER DECLARATION Estimated Valuation 1 hereby affirm that I am exempt from the Contractor's License Law for the following y R g y �Y 9G • reason:. (Sec. 7031.5,Busfness and Professions Code: Any city or county which requires a 1fY permit to construct, after, bnprove, demolish, or repair any structure, prior to its issuance also • requires the applicant for such to file that he is licensed PERMIT- + - permit a signed statement pursuant to AMOUNT the provisions of the Contractors License Law, Chapter 9 (commencing - with Section 7000) of ; and Professions 3 leged exec 07031`5 exempt therefrom,toepensit '�• •" - - • for the alon Any vkdation-o �Section or Plan Chk. Dep. - . subjects the applicant to a clo penafly of not more than five hundred dollars ($500). ❑ I, as owner of the prop", p party, or my employees with wages as their sole compensation, will Plan Chk. Bal. • ` ° '802.21 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.. Vle. uu Professions Code: The Contractor's License Law does not apply.to'an owner of property who, builds o rso � thereon and who does such work himself or through his own employees, p improvements are not intended or offered for sale. If, however, the building Mech. �. or improvement is sold within one year of completion,the owner -builder will have the burden Electrical ' y 4Z of proving that he did not build or improve for the purpose of sale.) .s' - • ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing Wc W strut( 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 contractors) licensed pursuant to the Contractor's License Law:) } Grading ' ' ❑ I am exempt under Sec B. 8 P.C.' for this reason Driveway Enc. '4a" Date owner Infrastructure U. )Z sJW.Z e Less Creal L .- — s so.ZY WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of n 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. _ -TOTAL, ;0,4,407. U6 C.1.-111�; jJ C,.� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE `REMARKS f (This sectbn need not be completed if the permit is for one hundred dollars ($100) valuation {' s/ w�� Fr.S�; ~� •-ri iA^ °�"� hZa`i' . . 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 NOTICE TO APPLICANT, ff. after malting this Certificate of Exemption you should become ZONE: BY: subject 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 Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the Side Street Setback from Center Line work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property, Line` - Lender's Name Fr. Lenders Address FINAL DATE ' INSPECTOR 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 f( 0 / 1 certify that I have read this application and state that the above information is correct.ISSued *to by: Date • Permit I agree 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.. fi mentioned property for inspection purposes. Validated by: ' Signature of applicant Date' .. MaflingAddress - - Validation: •- •• City- State, Zip 'i CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS �� 4IAtAB GRADE ��`�� ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® � (ROUGH - METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. FT. ® FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SQ FT ® _$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ NAL INSP. \ r —u/ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES 7 Gl l WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 SQ. FT. ®c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1A c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ic 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 UND PLU 6�1�3— UNDERGROUND A.C. UNIT COLL. AREA �� 4IAtAB GRADE ��`�� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE UND. REINF. —'v G G � (ROUGH - METER LOOP HEATING (FINAL) OTHER APPIEOUIP. REIN F. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. NAL INSP. \ r —u/ 6116AMING FINAL INSP. OFING S L i(i tel— ,1 7 Gl l REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING "�,2-[ p� ` MESH SULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL 1