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07049 (SATT)P.O. BOX 1504 4 " No. X7049 Building 78-105 CALLE ESTADO Address 79" 7� florthwindLA QUINTA, CALIFORNIA 92253•-$' Owner Sunrise se Company BUILDING: TYPE CONST: "Mailing OCC: GRP. ` Address 42-600 Cook $t, Sui to 200 A.P. Number � PGA WEST City lZip Tel. Tract 20 Palm $Iwai' 922 .568—n2a Legal Description Contractor Project Description Phase '33B --Plan 3€ 9 P�ai.fairtg8§ $s lark? Address . . . . • . Sam City Zip Tel.: State Lic. . City & Classif.288130 Lic. # 328 Sq. Ft. 2826 No. No. Dw. Arch., Engr., Size r .Stories Units ' � . - • Designer New ❑ Add ❑ . Alter ❑ Repair ❑ - Demolition.❑ Address Tel. CityZip 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. - r• •.i t__ - ., ,. ` •^..+ i •" �'•tr• i SIGNATURE DATE - - ,' OWNER -BUILDER DECLARATION Estimated VdIUBYIon 1 hereby affirm that I am exempt from the Contractor's License Law for the following :$194,692 reason: (Sec.? 7031.5,Business 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 lor.such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions ol. the `Contractors 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 i exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. - subjects the app8cant to a civra penalty of not more than five hundred dollars ($500).- - O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. ,t 024� do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 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 building Mech. C1' or improvement is said within one year of completion, the owner-buUder will have the burden Electrical ,,,� r' �' ' 2.41 of proving that he did not build or rnprove for the purpose of safe.), ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing .% 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 S.M.I. f. ' such projects with a contractors) licensed pursuant to the Contractor's License Law.) . • . . Grading ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure0.6 a_ • 9 'vss Cri. 21M.29 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of , Wo ricer's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL . , 4114* Yip[! . U0 t_r' CERTIFICATE OF EXEMPTION FROM REMARKS i•11c't,�c,^4 .j r'5 - aria; ii!R-'t F..+r?1 : x f WORKERS' COMPENSATION INSURANCE _ (This section need not be completed ff the permit is for one hundred dollars ($100) valuation'Y .. v+� F- x f } j 4-W. Y 44+.? ..• W4 or less.) I certify that in the performance of thg work for which this permit is issued, I shall not ' • employ any ppeerson in any manner so as to become subject to the Workers' Compensation • _ Laws of Cal Famia r Date' - Owner NOTICE TO APPLICANT: ft, after making 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 Provsions or this permit shall be deemed revoked. .. Minimum Setback Distances:' - Front Setback from Center Line Rear Setback from Rear'Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line _ Lender's Name Lenders Address FINAL DATE INSPECTOR This is a building permit when property filled out, signed and validated, and is subject to ...TE expiration if work thereunder is suspended for 180 days. i�`(�. I certify that I have read this application and state that the above information is correct. • Issued by: Date Permit 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. Validated by: Signature of applicant Date ' Mailing Address Validation:' •, City,. State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL AREA ,,,,//SETBACK -R" LAB GRADE' 3 �� ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ, FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. I SQ. FT. ® GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN SQ FT ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. —Plus—x$—=$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED /$ ©/—Ta �2n/7 Co — / _-7d f✓� 1�1Y'� 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 SPARK ARRESTOR SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® I+/. c SEWAGE DISPOSAL �J THING — — SQ.FT.GAR ® Vic 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 ROUND PLU -� UNDERGROUND A.C. UNIT COLL AREA ,,,,//SETBACK -R" LAB GRADE' 3 �� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS AEWER OR OPTI r4 ROUGH WIRING DUCT WORK ROCK STORAGE G�66UND. REINF. �_/� 6 v GAS (ROUGH) �1_L)j/ ��CC!! METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. —Plus—x$—=$ LUMBER GR. OaO4NAL INSP.-/— MINGt! FINAL INSP. 00FING /$ ©/—Ta �2n/7 Co — / _-7d f✓� 1�1Y'� REMARKS:�6�� VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL �J THING — — MESH , gNSULATION/SOUND S/o. /. FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL I