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07766 (SFD)44 P.O. BOX 1504 No. 07766 Building - 78-105 CALLE ESTADO Address 55-605 iW, QUINTA, CALIFORNIA 92253 Owner Sunrise tpany Mailing BUILDING: TYPE CONST. OCC: GRP.- Address 42-6 an A.P. Number PRA WpSt City Zip Tel. � , ett S { i Legal Description Traf-t 7,4500).'2 RbAge+ 4H Contractor Project Description Moan 31(b 1iA a7 1am:i+v►p err Address City'°"""" Zip oO Tela State Lic. City & Classif. 3Q Lic. # 328 Sq. Ft. 2129 No. No. Dw. Arch., Engr., Size Stories Units � - Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition 0' - Address •;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 3 of the'Business and Professions Code, and my license is in full force and . effect. .....,..—� re y •..tom.#•�--`_ '�GNATURE f4"" ^`-=+:K+� —' - ✓'4' _1 + k—DATE , OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that Vern exempt from the Contractor's License Law for the following !!i•! p©p reason: '(Sec. 7031.5, Business and Professions Code: 'Any city or county which requires a 1154 {.[Gtt� permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also AMOUNT requires the applicant for:,such. permit to file a signed statement. that he is licensed pursuant to PERMIT the provisions of the Coritraciot'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 ezemptlon.;Ahy, violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant.to a:civilpenalty of not more than five hundred dollars ($500). ❑ I, as owner ofithe property„or'niy employees with wages as their sole compensation, will Plan Chk. Bal. 666.42 do the work, and the stPuctute is not intended or offered for sale. (Sec. 7044, Buisness and Const. ' . Professions Code: The Contractor's License Law does not apply to an owner of property who • 00 builds or improves thereon• and. who does such work himself or through his own employees, @p provided that such impMech. 60 rovements are not intended or offered for sale. If, however, the building +00 - 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.) - ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 120.50 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 O I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure 3;466.80 1.733.40 Less Credit 1.733.40 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. _ TOTAL 3,528.84 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE x+ ' �� �' «_ sh• x. (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 1 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 Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback frim Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from. Center Line Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address R FINAL DATE !INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to SPECT O� expiration if work thereunder is suspended for 180 days. .7 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, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, ZiIlep CCNSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CARP. SQ. FT. WALL SQ. FT. SQ FT @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF BRAINS 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 WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN 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. SQ. FT. ® c BATH TUB 2 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE LE 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. 2 FINAL INSP .�U 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 SIGNATURES/INITIALS GARDEN WALL FINAL