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05633 (ELEC)TA P.O. BOX 1504 No. 0-5633 Building!(,.55? O ' RN t tli T• 7&105 CALLE ESTADO Address LA,QUINTA,'CALIFORNIA 92253 Owner Sunrise Desert F, hers ,.....� �.... BUILDING: TYPE rCONST. OCC: GRP. it Mailing Address 42-1600 i00 COOk St., Ste. 200, • PU W= -' � � . w > r A.P. Number-' City umber . .w City Zip Tel. i TRACT #22432 -3 WIA-D sere 9220 6119/564- 76 6__.� Legal,Description •'Contractorfi Project Description N A�" ELECMC � 1'9 lgatlOEBga MortgagePr Land C. , Address Sam City Zip Tel.: y Ste' State Lic. City & Classif. . . a$$Q Lic. # 32$_.. sq. Ft - Arch., Engr., Size ,Designer New , 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 3rof the Business and Professions Code, and my li,crens/e• lis in full force and effect. SIGNATURE c �":.!"at fr`e .fCl ✓t:-.�.'• / :.r.� ,. r a - a DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following c• reason: (Sec. 7031.5,Busness 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 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 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 civil penalty 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 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 -builder will have the burden 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 corn • 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 • Workers Compensation Insurance, or a aerti tt>ed copy thereof. (Sec. 3800, Labor Code.) Policy No. Company N':. •? ❑ Copy is filed with the city. . ❑ Certifla opy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE •. (This section need not be completed N the permit is for one hundred dollars (8100) 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. N, 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. i 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.) Lenders 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.slate 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. ;7 Signature of applicant Date' L Mailing Address City,.,State, State, . Zip r � r f No. - - v Stories No. W. Unitsl'' Add ❑ Alter ❑ Repair ❑ •• Demolition ❑ Infrastructure 0 . 7 Estimated Valuation I -:2� PERMIT - ;AMOUNT Plan Chk. Dep. Plan Chk. Bal.'f Const. i Mech. ![ ,. Electrical Distances: > Plumbing Front Setback from Center Line S.M.I. Rear Setback from Rear -Prop. Line +• - Gr, Grading Side Street Setback from Center Line Driveway Enc. Side Setback from Property Line I Infrastructure . 7 TOTAL I -:2� REMARKS 4"€a�i ffi4-4,':?- R91k K I.o ZONE: BY: Minimum Setback Distances: > Front Setback from Center Line Rear Setback from Rear -Prop. Line +• - Gr, Side Street Setback from Center Line Side Setback from Property Line I FINAL DATE ; INSPECTOR Issued by: Date 7 Permit- . Validated by: Validation: • , jp CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES PLUMBING FEES IST FL. SO. FT. ® $ UNITS r ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL Sp. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. Sp. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. @ FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SQ. FT. =$ LUMBER GR. FINAL INSP. URINAL SQ. FT. @ ROOFING 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 LAUNDRY TRAY 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. SQ. FT. ® c BATH TUB SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Vi c SEWAGE DISPOSAL FINAL INSPECTION- SO.FT.GAR ® 3/ac 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 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 APPJEQUIP. 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 J /( �Gl! REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION- CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL