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07038 (SFD)44 { P.O. BOX 1504 Building 78-105 CALLE ESTADO Address !j4-187 Shoal Creek LA QUINTA, CALIFORNIA 92253 Owner Sunrise CoWny Mailin Address 42-600 Cook St. -Sul te '20 City Pain. Desert Zip 92260 Tel. 568_2$2 8 Contractor national Mortgage & Land Address Salmi State Lic. City & Classif.288130 Lic. # 'Arch., Engr., • Designer 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. _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usiness 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 Ior such pemnft to We a- signed statement that he is licensed. pursuant to the provisions or the Conhacror'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 mvB penally 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 C ifnicior'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 C, r improvement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale. J' ❑ 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 does not apply to an owner of property who builds or improves thereon, and who contracts for • `such'projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec- B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION • 1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers 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 ff the pemrit. 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 DateOwner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption youshould become subject to the Workers' compensation provisions of the Labor Code, you must forthwith comply wiM such provisions of 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, Cfvd Code.) Lender's Name Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certity 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' .Mail - ing Address City,_ State, Zip No. 07038 BUILDING: TYPE CONST. OCC:•GRP.- A.P. Number PG WEST 4 Phase 26A Legal Description ' Tract 24317-2 Project Description Plan 9CR BIT Z48y Sq. Ft. GAR 420 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ . Repair ❑ Demolition ❑ Estimated Valuation $173,741 - PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. r b4 Y. bU Mech. 0 blu Electrical I . zu Plumbing f}�. S.M.I. 4404 Grading Driveway Enc. Infrastructure -$3,861.18 Less Creal i 1044COW Intra We ,1.Ci3 TOTAL yi53.3. D IICIVIHI'If\J n`�r^x rkr. .. ix d ft !,fb.. ./TTk _. d A._,f3}1, ,•.,.. ..- : � . �`�>., ti ;;�ct,a, . gid, 'T YJ; I r,t,: • +� � • ter.; •� � . v tY 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-, Issuedby:' Date 2%12/90Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS // ��SLAB GRADES /��6 ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® FORMS OVAWER OR SE Kf.V ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® t,&S (ROUGH) v�/ METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL Sp. FT. =$ LUMBER GR. FINAL INSP. URINAL SQ. FT. @ ROOFING 0 — Q v ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES 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, TEM/PERM 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+/. c SEWAGE DISPOSAL FINAL INSPECTION SQ.FT.GAR ® VAc 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 & AIR COND. SOLAR SETBACK GROUND PLUMBI l� UNDERGROUND A.C. UNIT COLL. AREA // ��SLAB GRADES /��6 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS OVAWER OR SE Kf.V ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF.3—/-q6 t,&S (ROUGH) v�/ 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. �u FRAMINGS' iC FINAL INSP. ROOFING 0 — Q v ©// -0 f . , � ,G1 /1 5- r)_eo 1 1��� J KJWC��' V� J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 946 THING MESH INSULATION/SOUND f -C�( FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL