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04340 (SATT)�l 44Q P.O. BOX 1504 Building,{r ' 78-105 CALLE ESTADO Address l A.QUINT,A, CALIFORNIA 92253, nwnpr Sunrise Company BUILDING: °TYPE CONST. OCC. GRP Mailing �.�.04,340 Address - 75-003 Ct3'ElEkit ry Club Drive 1A.P. Number Pc,*,Jk wont, 0 ism It City Zip Tel. palm ��� ���� Legal Description Contractor „a --•• Project Descriptions eta 4> Ibsrac, °9 t$'Rf-A!"Jf\ FVit94"RSrldf�# Address i�rtlflrlrsle . City Zip Tel. ^ " w a. State Lic. City IN & Classif. Lic. # 398 Sq. Ft. 3,53 No. No. Dw 'rz Size ' ' " 'Stories ' Units Arch., Engr., 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' effect. .'!> r,fir. 1 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,Buslness 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 Division3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis for 'the. alleged. exemption. Any violation of Section 7031.5 by 'any applicant for a permit Estimated Valuation ggll PERMIT AMOUNT Plan Chk. Dep. subjects the applicant to a civi`penalty of not more than five hundred dollars (8500). Plan Chk. Bal. y ry,;7 6� a�:litfl2yld O 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 X30 Const. '„ V J ! :a�Y 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. ' rJ� 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 Electrical X9,;2.2 of proving that he did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 91 * 00. 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 A S.M.I. - 7* 6.0 such projects with a contractor(s) licensed pursuant tothe Contractor's License Law.) Grading O I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Infrastructure 4:20 441.61 Date owner LOON Credit xizzu,ul ~ WORKERS' COMPENSATION DECLARATION Vot AnA+•�`iastru : uri . I V R 404, I hereby affirm that I have a certificate of consent to self -insure, or a certificate of i Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) ' Policy No. Company �O Copy is filed with the city. O Certified copy is hereby furnished. ^ . +4W - ` Oil �9i O x i. TOTAL � � V W 0 �".aj.��ws A�t . �✓:.`� CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE { kG �}��3� e g 9y A • (This section need not be completed if the permit is for,one hundred dollars ($100) valuation f)05 .t. P d j6*, 1"?41� -MxzA .4-x 10 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 - NOTICE TO APPLICANT: If, after making this Certificate of 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 i work for which this permit is issued: (Sec. 3097, Civil Code.) Side Setback from Property Line E? ' Lender's Name • Lender's' Address- ' �r # FINAL'DATE This is a building permit when properly filled out, signed and validated; and is subject to p �Ir expiration if work thereunder is suspended for 180 days.. ` jINSPECTOR i Permit ' # I certify that I have read this application and state that the above information is correct: Issued by: Date ' . I agree to comply with all city and county ordinances and state laws,relating to building i construction, and -hereby authorize representatives -of this •city to enter the >, -above' mentioned property for inspection purposes. • - _Val ldated by: ` Signature of applicant Date �` • Mailing Address Validation: • '� _- City, State, Zip ti ASSESSOR'SCOPY,; FILE GOLDENROD SSESSOR'S OFFICE, -FINANCE, PINK REEN BUILDING, -WHITE -y APPLICANT, GREEN . v-; �. ..H.-�A.RD CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES ISI FL SO F1 y S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. e FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEMOME SVC. BAR SINK POR SO FT Qr GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. la TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO FT. rd FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN WALL SO. FT. (d -$ LUMBER GR. FINAL INSP. URINAL SO. FT. (d 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 MOOD SIGN WASH ER(AUTONDISH) 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 ;:c HOUSE SEWER CERT. 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 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. $ plus x$ -$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR - GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING TIO fJjIF�Ypf CERT. OCC. ' FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL t a $ CITY OF LA OUINTA E+orn� s� DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 5642246 24-HOUR NOTICE FOR INSPECTIONS Ower Sunrise Company 7/::�5 Contractor National Mortgage Permit Number 4340 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS 55-393 Tanglewood "S.F.D." TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL A• VNtI S MAIN GROUND SYSTEM GROUND PLUMBING,-.-,';' PRE-GUNITE DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIGNED— CONCRETE SLAB .f �( r,r, -; ^ , - . , - . G JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIED ROUGH ELECTRIC ROUGH PLUMBING UGH GAS & GAS TEST / HEATING & VENT- A/C FIREPLACE ROOF BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION v `7 S r/ 2 - PRE -ROOF PRE -ROOF COVER NO WORK UNTIL ABOVE HAP BEEN SKiNED DRYWALL INTERIOR 1 EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK z , ! d' _ �7 FINALS - ELECTRICAL '? -r3 PLUMBING F-FNAL GAS TEST H EATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER -71 -`:; 3 , 1 ABOVE APPROV'A`LS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY Run nINr.