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07034 (SFD)Buildin Address 54-219 Shoal Creek Owner Sunrise Corgiany " Mailin - 44 P.O. BOX 1504 N o . 78-105 CALLE ESTADO ' LA QUINTA, CALIFORNIA 92253 Address 42��00 ©i4 $ Suite 20 CityZip Tel" , Palm Desert .92260 I. 5 £8-2828 .,Utr�td�t National Mortgage $ hand Address Same City Zip Tela State Lic. City & Classif.2$8130- Lic. # 328 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 SIGNATURE - DATE OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usness and Professions Code: Any city or county which requires a permit to construct, after, Improve, demorsh, or repair any structure, prior to its issuance also the provires es of the for Contracrons�License Law, Chhapteit to Me a signed ratement9 (commencing with Sectiot he is licensed nrsuant to 7000)of. Division 3 of the Business and Professons 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 rove hundred dollars (5500). ❑ 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, Suisness 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-bulider will have the burden of proving that he did not build or inprove or the purpose of sale.) ,. O 1, 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 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 - ' O 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 permit is for one hundred dollars (3100) 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 Date Owner NOTICE TO APPLICANT: ff. 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. ' BUILDING: TYPE CONST. OCC: GRP. A.P. Number PGA WEST + Phase 25A Legal Description • Tract 24317-2 Project Description Plan 9CR 07034 £SS (.real T., ffra ue 1' TOTAL�si.E)i5 ' "✓ t, o E° u _ REMARKS nn tt earrw NT_-1,•iISH r `(Uc AF 11 3405 tit~ , ZONE: BY: -Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Sq. Ft. GAR 420 Size No. Stones No. Dw. Units New ❑ Add ❑ Alter ❑' Repair ❑ Demolition ❑ Lender's Name Lenders Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to • expiration if work thereunder is suspended for 180 days. I that 1 have +r��l ' 12/90 certify read this application and state that the above information is correct. "I Issued by: Date L/ Pefmlt ' Estimated Valuation $111,741 • • - PERMIT AMOUNT - Plan Chk. Dep. Validated by: Plan Chk. Bal. J. Const. Validation: Mech. �. Electrical 11U. Zit Plumbing S.M.I. 12.t4 Grading Driveway Enc. Infrastructure $3,864.18 £SS (.real T., ffra ue 1' TOTAL�si.E)i5 ' "✓ t, o E° u _ REMARKS nn tt earrw NT_-1,•iISH r `(Uc AF 11 3405 tit~ , ZONE: BY: -Minimum Setback Distances: Front Setback from Center Line City,. State, Zip 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, CW1 Code.) • Side Setback from Property Line Lender's Name Lenders Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to • expiration if work thereunder is suspended for 180 days. I that 1 have +r��l ' 12/90 certify read this application and state that the above information is correct. "I Issued by: Date L/ Pefmlt ' 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 • - i Validated by: Signature of applicant Date Mailing Address Validation: City,. State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. Sp. FT. ® HEATING (ROUGH) STORAGE TANK FORMS I MOBILEHOME SVC. BAR SINK POR. Sp. FT. ® DUCT WORK ROCK STORAGE ��FOUND. REINF j -G V POWER OUTLET ROOF DRAINS GAR. SO. FT. ® HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL)((/ DRAINAGE PIPING CAR P. Sp. FT. @ WALL Sp. FT. WATER HEATER DRINKING FOUNTAIN. FINAL INSP. URINAL SO. FT. WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. plus x$ WATER PIPING NOTE: Not to be used as property tax valuation 1NAL INSP.?-,/C) _ FLOOR DRAIN MECHANICAL FEES 7RooFING v- V � WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 I WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 PL t�2U UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS I RJAWER OR SEg6) ROUGH WIRING. DUCT WORK ROCK STORAGE ��FOUND. REINF j -G V 14CAS (ROUGHI� _� / 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. 1NAL INSP.?-,/C) _ `, �AMING - U qA i FINAL INSP. 7RooFING v- V � W •V REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH U6SU LATION/SOON "-,ee/ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL