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04344 (SATT)Building 55-387 Ta>R 3,eo�c, ori Address � Owner Sunrise CompanY Mailing Address 75-005 .CoWltr, Cl City Zip lull' : Desert 92260 Contractor Address City State Lic. & Classif. 288130 Arch., Engr., Designer . Address 441au�itrCv .' . X4344. P.O. BOX 1504 :� ~ 78-105 CALLE ESTADO w LA QUINTA, CALIFORNIA 92253, t BUILDING: TYPE CONST. OCC. GRP. - C i !_ MViVS- _ .. A:P.,Number IPM,est - "The Gra—ons Tel. 322'_1()20 Legal Description T Project Description ~PIan tin — Phase W; City Lic. # 3212,- `10 . Sq, Ft. 155-5 NO...... .. «12 a Size Stories Tel. CityI Zip I 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 y YY 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 • t No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ s Estimated Valuation�ka f 1S6 - permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also t.'Fr.requires the applicant /or such permit to lila a signed statement that he is licensed pursuant to PERMIT _ AMOUNT y1 Dof ivision v3 sons of the of the Businesslractor's License Law, and Professions Code.Corrtthat. hter 9e is exempt gwith therefrom, rion 700and he0 basis - r. the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permitPlan Chk. Dep. - ;; °•subjects the applicant to a civil penalty of not more than live hundred dollars ($SOO). Plan Chk. Bal. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, Mech. II 4UU provided that such improvements are not intended or offered for sale. If, however, the building ,4v, or improvement is sold within one year of completion, the owner -builder will have the burden Electrical r,bg 460 o/ proving that he did not build or improve for the purpose o/ sale.) X' O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing A struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law r does not apply to an owner of property who builds or improves thereon, and who contracts /or S. M. 1. f?' I . such projects with a contractor(s) licensed pursuant tothe Contractor's License Law.) Grading ❑ 1 amiexempt under Sec. B. & P.C. for this reason Driveway Enc. Infrastructure Date Owner *} y. 57GlsF ?�wecil 1� ,25v#51 ' WORKERS' COMPENSATION DECLARATION Net Intrastructurer ! . I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) - Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTALrp3a�1.51�.„�rfr^^ • CERTIFICATE OF EXEMPTION FROM REMARKS "/9�.yr��3r�,tc� WORKERS' COMPENSATION INSURANCE j���.j� �« ` �j #� V ':'�i"" (This' section need. not be completed if the permit is for one hundred dollars ($ 100) valuation �I7�iK��'•,� I'm 't r[ { A.ifi,710 or less.) I certify that in the performance of tha 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 ,o/ Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. - 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 Lender's AddressFINAL This is a building permit when properly filled out, signed and validated, and is subject to DATE I.NS/PECO ' - expiration if work thereunder is suspended for 180 days. 1 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- f mentioned property for inspection purposes. Validated by: r ' ,Signature of applicant Date- Mailing Address- Validation: !' - City, State, Zip GOLDENROD -ASSESSOR'S OFFICE, HARD COPY -FILE' i WHITE FINANCE, PINK APPLICANT GREEN -BUILDING, ..♦ . _ .Y. �,A..' ` i. i ., .-L.r'..V-' ,. _. ... �9.� ...smolt' .. } .y _.:.P-ri ..t .^'1[.l hl .+rt LY :£'.s. M.wis _...... r ,� ... 1-..� a,:.+2.:•-1 ^'- .. .Y L .1 'Y.i _ i �:. -�2�fJ f.J__ - ..a _ .. ._. r.. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO Fl (a $ UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. e FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK FOR SO FT at GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. fpr TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO FT. fa FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN WALL SO. FT. fa _$ LUMBER GR. FINAL INSP. URINAL SO. FT. fp 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(AUTO)(DISH) APPLIANCE DRYER FIREPLACE 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 SO. FT, @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1'A c SEWAGE DISPOSAL SO.FT.GAR je 3/.c HOUSE SEWER CERVI. OCC. 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 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 ROCKSTORAGE FOUND. REINF. GAS (ROUGH) 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. FINAL INSP. FRAMING FINAL INSP. ROOFING , ' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR - GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING �J Fal ION/// GG�� CERVI. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL