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11145 (SFD)P.O. BOX 1504 Building 57-630' Interlachen78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 ise C:orkpa ny Mailing Address 42-600- Cock St #200 City Zip Tel. Falco Desert 192260 1 564-x6716 Contractor .Address _. Tel.: State Lic. City & Classif. 288130 Lic. # 328 Arch., Engr., Designer Address I Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licepsed`under provisions of Chapter 9 (commencing with Section lot of Divisloon'%33�pf the Business -and Professions Code, and my license isrin�fuull force and effec/ .Gi�i. � �!/.�..�ia'�1%•?a<.•-.1 / �a<�f �yi - SIGNATURE `�' - !/ / ,f f DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, 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 penally of not more than rive hundred dollars.(E500). ❑ 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.) - ❑ 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.) O l am exempt under Sec. B. ti P.C. for this reason No. 11145 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Tract 25499-3 Project Description Plan T 4B Ph4se 4T Sq. Ft. Size- 2182 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Permit does not include anv b1nok walls or goal Estimated Valuation 168,583.80 PERMIT i AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const: 881.00 Mech. 102.50 Electrical 153.27 Plumbing 174.00 S.M.I. 16.90 Grading 00 Driveway Enc. :00 Date Owner. Infrastructure 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 completed if the permit is for one hundred dollars ($100) valuation or less:) 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 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 certify that I have read this application and state that the above information is correct. 1 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 93.14 1 1896.57 TOTAL 1 388.3_:5.G=.o REMARKS S; 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 Issued by: Date Permit Validated - 13y: � r Validation:. r .- f r CONSTRUCTION ESTIMATE y NO. ELECTRICAL FEES �� NO. PLUMBING FEES 1ST FL.. SO. FT. ® $ 2ND FL SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT, WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEWPERM 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 ® 1Vi c SEWAGE DISPOSAL J SO.FT.GAR ® 3/ic HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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 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. FRAMING FINAL INSP. ROOFING J REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION• CERT 1,71CC. FENCE FINAL INSPECTOR'S SIGNATUREUN GARDEN WALL FINAL Plan T4B Phase 4T CITY OF LA OUINTA a DEPARTMENT OF PLANNING A DEVELOPMENT BUILDING DTVIAi 5642246 40F 24-HOUR NOTICE FOR jpISPEC� Owner Sunrise Company Contractor Same l Permit Number 11145 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 57-630 Interlachen Permit does not include any block walls or pool TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK .FOOTING STEEL _ MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HA&.BEEN SIG291 __N_EI CONCRETE SLAB JOISTS & GIRDERS , Iry AWA ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST _ 2 HEATING & VENT -A1C FIREPLACE BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ g' FRAMING INSULATION �(Wc- COVER PRE-ROOF NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR i : _ EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK _ g , ELECTRICAL FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4188.