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04801 (MFD5)Building r Ss—.5 ,,6 FiL"eotone Address ,.Sunrise Company 4 4801 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 75.005 Country Club Drivo City Zip Tel. Palm vloz7art 92260 568-2928 Contractor National M©x'tgaao City IZip ITel. State Ljc. Cit288130 I Lic. & Classif. # 328 Arch., Engr., Designer Address Tel. CityI Zip I State ' Lic. # r t ! 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. '..�. , � f , ;e ' r ' ��: SIGNgTURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 five hundred dollars ($500). ❑ 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 o/ property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) O 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 O Copy is filed with the city. O 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 Of less.) I certify that in the performance of thg 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 isle 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 per it when properly filled out, signed and validated, and is subject to expiration if work thereun er is suspended for 180 days. I certify that I have rea this application and state that the above information is correct. I agree to comply with al city and county ordinances and state laws relating to building construction, and hereby uthorize representatives ,of this city to enter the above- mentioned property for insp ction purposes. Signature of applican Date Mailing Address BUILDING: TYPE CONST. OCC. GRP. A.P. Number PEVA West The Greens Legal Description Project Description Phase 8BG Plan ER Sq. Ft. 1700 _ Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 4124 t 769 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. %i 4Q .1 Const. 4 ti b. 5U- Mech. S9 . UU ElectricalZ « 5U Plumbing 105.OU S.M.I. U «4 4 Grading Driveway Enc. Infrastructure *2 t • JL I♦ 35t3 «bb JAQ�i.S Q=Ult I/J5D.bb TOTAL 4 144 0. 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: City, State, Zip I WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD .ASSESSOR'S OFFICE, HARD COPY - FILE CTRICAL FEES NO. PLUMBING FEES UNDERGROUND A.C. UNIT COLL. AREA YARD SPKLR SYSTEM VC, BAR SINK HEATING (ROUGH) ROOF DRAINS FORMS - DRAINAGE PIPING ROUGH WIRING DRINKING FOUNTAIN ROCK STORAGE URINAL GAS (ROUGH) WATER PIPING HEATING (FINAL) FLOOR DRAIN REINF. STEEL WATER SOFTENER TEM POLE WASHER(AUTONDISHI GARBAGE DISPOSAL WATER HEATER LAUNDRY TRAY FINAL INSP. KITCHEN SINK 11T SVC WATER CLOSET A LAVATORY ENT SHOWER c BATH TUB FRAMING WATER HEATER 1 V c SEWAGE DISPOSAL >rc HOUSE SEWER REMARKS: GAS PIPING VENTILATION PERMIT FEE -EE ELECT. FEE SMI FEE PLUMB FEE 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) TEM POLE GROUT WATER HEATER RV E b 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 FINISl GRADING RECTION/ j/y� u V CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL