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05975 (SFD)4 P.O. BOX 1504 No. 05975 Building. 7&105 CALLE ESTADO Address 53"�77aGL4L�2£i!ii�4 LA QUINTA, CALIFORNIA 92253 Owner Sunrise Co. _ BUILDING: TYPE CONST. • OCC: GRP. Mailing Address 75-005 100=try Club _ A.P. Number A L City Zip Tel. POD. 92240 568'-2828 Legal Description Contractor Project Description Pse 17"" Plan 2W Address City ZipTel.: State Lic. City & Classif. Lic. # 32$ 1., tngr.;, igner ress Tel. CityI Zip I State Lic. # ! LICENSED CONTRACTOR'S DECLARATION I heeW affirm that I am licensed under provisions of Chapter 9 (commencing with Section ,7110(1) of Ivision 3 of the Business and Professions Code, and my license is in full force and SIGNATURE DATE ti OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busimess and Professions Code: Any city or county which requires a permit to constrict, after, improve, demolish, or repair any structure, prior to its issuance also requires the appficant for such permit to rile 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 civmil penally of not more than rive hundred dollars ($500). ❑ I, as owner of the properly, 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 said within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) Cl 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 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. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be cormpleted if the permit 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 N 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 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 Mailing Address City, State, Zip ZONE: BY: Minimum Setback Distances: Front Setback from Center. Line Sq. Ft. Size 2596 No. Stories No. Dw. Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ FINAL DATE i 9-89 Issued by: Date Permit Validated by: Validation: Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. • Const. 1 •�+� 3 Mech. Electrical Plumbing v. S.M.I. 14• . Grading Driveway Enc. Infrastructure 9043. 90 Lam Creelftf­t 4t1 • J ra Due ;� • , TOTAL r; t.Y . �%%`%r: 6k -i REMARKS ... .., . ''�5��,.�'.�` � Y �.�c•� yP, tui Lr.r. 4.. G ^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 INSPECTOR 9-89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA LAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SO. FT. HEATING (ROUGH) STORAGE TANK F RMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCTWORK ROCKSTORAGE ND. REINF. POWER OUTLET ROOF DRAINS GAR. SO, FT. ® HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN. WALL SO. FT. FINAL INSP. BOND BEAM WATER SYSTEM URINAL SO FT ® GRADING cu. yd. plus x$ -$ ESTIMATED CONSTRUCTION VALUATION $ �/ FINAL INSP,,,) �Q WATER PIPING NOTE: Not to be used as property tax valuation OFING /� Z FLOOR DRAIN MECHANICAL FEES REMARKS: 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 I 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 MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Vi c SEWAGE DISPOSAL FINISH GRADING SO.FT.GAR ® Vic HOUSE SEWER 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 SETBACKOLIND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA LAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK F RMS ER OR SE ROUGH WIRING DUCTWORK ROCKSTORAGE ND. REINF. - GAS (ROUGH) /411-) 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,,,) �Q l4FRAMING �2 `/� '� v� r FINAL INSP. OFING /� Z �i- �. 1 // ! / Ole-- w /!� C�- (J Ll/r 'Loll REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR FIREWALL / C /GAR. r G LATHING MESH CLKNSULATION/SOUND 2,/�—,�� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUREWINITIALS GARDEN WALL FINAL 1