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11141 (SFD)P.O. BOX 1504 Building -7-814 Intel` 1achen 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Sunrise Company Mailing Address 42-600 Coale St #200 City Zip Tel. a1.ra Aeserd 92260 1 564.6716 Contractor Address ty State Lic. & Classif. ' 288130 ' -Arch., Engr.,- Designer Address No. 11141/ BUILDING: TYPE CONST.. OCC: GRP. P. Number Legal Description Trac 25499-3 Project DescriptionPlan w3A Pease 52 City Lic. # 328 Sq. Ft. 1803 No. No. Dw. Size Stories Units Tel. City Zip State Lica # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I'am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3pof,the B irhM1ess and Professions Code, and my license is irl full fotce and effect. .y 1 T J - I. . 'r'/ / I si OWNER -BUILDER DECLARATION I 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, 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). ❑ 1, 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 orofferedfor 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 Contractors 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'COMPENSATIONINSURANCE (This section need not be completed if the permit is for one hundred dollars (5100) .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 if work thereunder is suspended for 180 days. I certify 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 New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Lstlmateo valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const.. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure Less Credit )krtsq in Publ: TOTAL 14vr153.20 333.45 AMOUNT 667.97 811.00 62.©pp0. 140.41 150.00 14.90 .00 1666.73 �[ .00 1' 66.6 . / 3 120.38 REMARKS 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 by: Validation: r 1 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST 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 IKITCHEN 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 WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 I 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$ c$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING 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 Plan T3A Phase 5T a CITY OF u OUINTA or ~ b DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-2246 24-HOUR NOTICE FOR IN TIONS Owner Sunrise Compar�6,, Contractor Same Permit Number 11141 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 57-810 Interlachen Permit does not include any block walls or pool TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL 2 MAIN GROUND SYSTEM GROUND PLUMBING - _ - • — DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIG_NED CONCRETE SLAB r _ JOISTS &GIRDERS ELECTRICAL GROUND WORK' DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST L HEATING & VENT- A/C FIREPLACE ROOF BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION – PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK ELECTRICAL - !� PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED T —EM P POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88