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04658 (MFD5)f i +Building Address 55-284 Tix©st©xte Owner 4:1`1 sunring Comnanv _.Mailing,, Address City r Zip 52264 Contractor ry ARROW PRINTING, INDIO, C, T4ht 4 04658 P.O. BOX 1504 78-105 CALLE ESTADO ' LA QUINTA, CALIFORNIA 92253 L 568-2928. Address City _, Ys Zip Tel. State,Lic.City & Classif. 288130 Lic. # �3€i Arch.,,Engr., Designer - Address' Tel. City y 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. SIGNATURE 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, atter, Improve, demolish, or repair any structure, prior to its issuance also requires the.epplicant 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 exempflgn.� 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). O 1,`9s'6wner, ofthe 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,Qontractor'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 nor build or improve for the purpose of sale.) 0 1, 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 contractors) 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company i] 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 pparson 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 fo ^ the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. BUILDING: TYPE CONST. A.P. Number P" Legal Description Project Description OCC. GRP. test -" The Greens Phase SAG " Pian E Sq. Ft. w 1700 No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $120,760 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. ;5 401.27 Const. 485.50 Mech. 39.00 Electrical 72.50 Plumbing 305.00 S.M.I. 8.44 Grading Driveway Enc. Infrastructure $2,717.31 1 356.6>6 +L � «i � • 4i t;S TOTAL REMARKS ZONE: BY: 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 work for which this permit is issued. (Sec. 3097, Civil Code.) $Ida Setback from Property Line Lender's 'Name Lender's ,Address FINAL DATE INS ECTOR This is a building permit when properly filled out, signed and validated, and is subject to �y X expiration If work thereunder is suspended for 180 days. Ir I certify that I have read this application and state that the above Information Is correct. Issued by: Date Permit 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. Validated by: Signature of applicant - 1 Date Melling Address Validation: City, State, ZIp t�..' WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE ECTRICAL FEES NO. PLUMBING FEES UNDERGROUND A.C. UNIT COLL. AREA YARD SPKLR SYSTEM SVC. BAR SINK T ROOF DRAINS FORMS DRAINAGE PIPING ROUGH WIRING DRINKING FOUNTAIN ROCK STORAGE URINAL GAS (ROUGH) WATER PIPING HEATING (FINAL) FLOOR DRAIN REINF. STEEL WATER SOFTENER TEMP. POLE WASHER(AUTOYDISH) GARBAGE DISPOSAL WATER HEATER LAUNDRYTRAY FINAL INSP. KITCHEN SINK NIT SVC WATER CLOSET IM LAVATORY (ENT SHOWER c BATH TUB Ic WATER HEATER 11A c SEWAGE DISPOSAL 3i C HOUSE SEWER REMARKS: GAS PIPING VENTILATION PERMIT FEE FEE ELECT.FEE SMIFEE PLUMB FEE HEATING 8 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 APP.IEOUIP. 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 - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FI ISH GRADING INSPECTION /�//104-AL ERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL