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07686 (SATT)' 414Q u`�� N P.O. BOX 1504 No. 47686 Building78-105 CALLE ESTADO Address 55-302 Laurel Valley LA QUINTA, CALIFORNIA 92253 Owner Sunrise Company BUILDING: TYPE CONST. 'OCC. GRP. Mailing Address 42-600,Cook St, Sadie 20 A.P. Number PGA West City Zip Tel. Pals Rese 92260 568-2$28. Legal Description Tract 25500-1 Contractor _ _ Project Description Phase 21.1 Plan Iia Address Saw :City lZip Tela State Lic. I City & Classif. Milo Lic. # 328 -Arch., Enge., Designer Address Tel. City Zip State Lic. # JJc LICENSED CONTRACTOR'S DECLARATION I herebVaffirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business �and Professions Code; and my license is in full force and I hereby affirm that I am exempt from the Contractor's License Law for the following 'i reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 396,E 51 permit to thconstruct, alter, improve, demolish, or repair any structure, prior to its issuance also .. requires e applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT - 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 isexempt therefrom, and the basis .for. the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). Plan Chk. Bal. . ❑ 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 Const. 62 _ Professions Code: The Contractor's License Law does not apply to an owner of property who 1 builds or Improves thereon and who does such work himself or through his own employees, Mech. 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 $� - of proving that he did not build or improve for the purpose of sale.) , ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing e�ry c �4Ys J 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 -S.M.I, such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading t, 6. 79 ❑ I am exempt under,Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION Less Credit 11080.58 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. O Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS �� a WORKERS' COMPENSATION INSURANCE . _ (Thiss.section need not be completed if the permit is for one hundred dollars ($100) valuation 51 1 } I >.. 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 Owner 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 comply with such provisions or this permit shall be deemed revoked. ' Minimum Setback Distances: 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 whic work for h this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. Issued by: Date Permit I agree to comply with all city and county ordinances and state laws relating to building— construction, hereby �� *�! �� and authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant -Date- ateMailing MailingAddress Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT, ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. S (ROUG /J-,eC) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SO FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER F AL INSP/6 ej) v 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. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/<c HOUSE SEWER LATHING "r''� 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 UND PLUM BIN -f UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS WER OR STiC ROUGH WIRING DUCT WORK ROCK STORAGE LGC-FOUND. REINFb-1Y- eA VC S (ROUG /J-,eC) 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. F AL INSP/6 ej) v ^ / RAMING �/� FINAL INSP. ROOFING IV W REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING "r''� MESH �/ �NSULATIONISOUNe-f/-vii, / v FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL