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04440 (SATT)' •+� ! r ��1��r�� Citi � � ia�.'y�' %�? P.O. BOX 1504 i; µ - 78-105 CALLE E,S.TADO . Address Tanglewood LAQUINTA,CALIFORNIA 92253. • Owner. t Sunrise Company Mailing Address 75-005 Ct1t191�� : rZjttl rivxa CityZip Tel. - Palra t?e3��t 92260 _568.«4 Contractor National Mortaacte t�uucaa - Alter ❑ Repair ❑ » . City Zip Tel. ., State Lic.City BY: Minimum Setback & Classif. ! ,28800 Lic. # Arch., Engr., Rear Setback from Rear Prop. Line Designer' $95,217 Z7 Address PERMIT Tel. AMOUNT Plan Chk. Dep. Date Permit'' City - Zip $ State Const. .421.00 Lic. # BUILDING:.TYPE CONST. OCC. GRP. A.P. Number PGA West - They Grberaa - LegalDescription Project Description Phatse3 4a — Plan Ada 39 . Sq. Ft...�312 No. Size Stories 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,Susiness 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 for such permit to file a signed statement that he is licensed pursuant to the provisions of 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 of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($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, Buisness and Professions 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 or improvement is sold.within one year of completion, the owner -builder will have the burden r of proving that he did not build or improve for the purpose of sale.) ❑ 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 T 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. ' O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1 (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less.) I 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 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 Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration It 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 ateMailing Address City, - State, 'Zip WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDII „t• 'No.•Dw. �•• • Units.. New ❑ Add ❑ Alter ❑ Repair ❑ » . Demolition ❑ elE(t?�^'P�I�C I•�.i.++��i�l-jP-J ii :�, a•f'i45i "R 4.3 Y�111 �''i/ ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Estimated Valuation $95,217 Z7 PERMIT FINAL DATE AMOUNT Plan Chk. Dep. Date Permit'' Validated by: Plan Chk. Bal. $ 346 •71 Const. .421.00 Mech. 39-00 Electrical -64.74 Plumbing 87.00 S.M.I. tt: 6 4 69 Grading Driveway Enc. Infrastructure $2;142-39 LOSS C re~ lslt 10071.919 Mt 1nrrastru;tune • N M rw:I� A. ii ` TOTALS vr.ra • - ra'1-" ` r REMARKS elE(t?�^'P�I�C I•�.i.++��i�l-jP-J ii :�, a•f'i45i "R 4.3 Y�111 �''i/ 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 IN�Sf A.QT0 ^�^ Issued by: Date Permit'' Validated by: Validation: r 4G, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE `` = CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT rp S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. Qt FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT. 0 GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. ((t TEMP. POLE GROUT PIPING CAR P. SO FT. rd FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN WALL SO. FT. @ =s LUMBER GR. FINAL INSP. URINAL SO. FT. (@ ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTONDISH I APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM IKITCHEN 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID C 1 Y: c SEWAGE DISPOSAL SO.FT.GAR rg 3/.c HOUSE SEWER CERT. OCC. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE bL.CK.rEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. y plus xb =s LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION L FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND 'FINISH GRADING �4 CTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATLRESIINITIALS GARDEN WALL FINAL