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07056 (SATT)W " T 4 4 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 79-695 Northwood LA QUINTA, CALIFORNIA 92253 Owner I Sunrise Cwpany Address 42-600 Cook SL. Suite 200 CityZip Tel. Palm Desert 922010 1. 568-2828 Contractor . . National Portgaae & Land Same city Izip State Lic. I City & Classif. 288130 Lic. # s28 Arch., Engr., Designer Address I 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 effect. , SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business 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 Me a signed statement that he is licensed pursuant to the provisions or 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 exemption. Any violation or Section 7031.5 by 'any applicant for a permit subjects the applicant to a ctO penalty of not more than two hundred dollars (E500). ❑ 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 knprove for the purpose or 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 doesnot 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 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 alifornia bate Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit 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 Lenders Address 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 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 LDING: TYPE CONST. NO.�S 07056 _OCC: GRP. A.P. Number PGA WEST Legal Description Tract 201 Project Description phase 338 — Flag 3COR REMARKS ft65iM1.-.i f, ,744,;A, -d:) --y i,- 94x ,... Itj 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 2/13/90 Permit Validated by: Validation: Sq. Ft. 2826 Size _ No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Estimated Valuation $194,692 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.( , Const. V1 e.. VU Mech. S MO - Electrical 42.4 Plumbing, 204. 0 S.M.I. Grading Driveway Enc. Infrastructure MC► TOTAL 'ts i1� . ; .��-� I ._ .0 . REMARKS ft65iM1.-.i f, ,744,;A, -d:) --y i,- 94x ,... Itj 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 2/13/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. Fr. ® $ UNITS SLAB GRADE 3p� -L?'U ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SO. FT. FORMS ,SEWER OR 4 �YANeO ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO Fr. ® GAS (ROUGFq; (/ Q �� METER LOOP GAR. SO. Fr. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. GROUT WATER HEATER WALL SO. Fr. ® FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL FT ® -$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ RAMING ! ���/i c//iV WATER PIPING NOTE: Not to be used as property tax valuation / 6 FLOOR DRAIN MECHANICAL FEES REMARKS: 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 11/. c SEWAGE DISPOSAL FINISH GRADING SO.FT.GAR ® 3/ac 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 SETBACKROUND PLLig UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 3p� -L?'U ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ,SEWER OR 4 �YANeO ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGFq; (/ Q �� METER LOOP HEATING (FINAL) OTHER APPJEOUIP. q1/6 EINF. STEEL_(.;—G�U GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING _...yd. $ plus x$ -$ LUMBER GR. INAL INSPy� RAMING ! ���/i c//iV FINAL INSP. UROOFING [ - 0 / 6 � 6 ?-pv w REMARKS: VENTILATION/ FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING 40 MESH `4NSULATIONISOUN4-/'-C U FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL