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003230 (SFD)ACA ' P.O. BOX 1504 No. 003230 Building 78-105 CALLE ESTADO Address 54-8163 Inverness LA QUINTA, CALIFORNIA 92253 Owner Sunrise C+azs'ria v BUILDING: -TYPE CONST. OCC: GRP. Mailing Address ®ltlrg,!'� w as t' i,• T?w•49ve A.P. Number PGA � est City -Zip -- - ..Palm Desert 92260 568-282a Legal Description Contractor Project Description Phase 26A. Pl^n IM National mortaAPP. Land Address City ]Zip _... Tel.. State Lic. City & Classif. Lic. # 328 Sq. Ft. DWG 1330 No. No. Dw. Arch., Engr., - Size >n _Q A,Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line City Zip State FINAL DATE Lic. # Issued.by: Date 71x6%8Permit ;,_LICENSED CONTRACTOR'S DECLARATION J 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 ,.i Ct.ii ///t, _SIGNATURE DATE _ OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $94'8 244.00 . reason: (Sec. 7031.5, Business. and Processions 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 . • PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter -9 (commencing with Sectiona7000). of - - Division'3 of the Buslness'and Professions'Code, or that: he is exempt. therefrom, and`the basis for the alleged exemption. Any Section 7031.5 by 'any for Plan Chk. Dep. - violation or applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will a A 4 0 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COt1St Professions Code: The Contractor's License Law does not apply to an owner of property who . - - AlA builds or improves thereon and who does such work himself or through his own employees, Mech. 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 Electrical V V of proving that he did not build or improve for the purpose of sale.), t. CA 04M ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing. struct the project. (Seca 7044, Business and Processions Code:. The Contractor's -License Law v does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. such projects with acontractor(s) licensed pursuant to the Contractor's License Law.) - _ Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure 2 Al i KF. 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. I Company ❑ Copy is filed with the city. 0. 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 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 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 Lhave 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 HARD COPY TOTAL .REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Linea Side Setback from Property Line FINAL DATE INSPECTOR Issued.by: Date 71x6%8Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL: SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® .CAR P. Q. FT. WALL SQ. FT. ® SQ. 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 OUGH PLUMB FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE 'UNIT WALL FLOOR SUSPENDED GAS (ROUGH) *1/ LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) KITCHEN SINK ABSORPTION SYSTEM, B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ®c BATH TUB BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER 1'O AL INSP. ROOFING w /( g' 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 i ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBINGOC UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE g vv OUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS ,/ EWER OR SEPTIC TA K ROUGH WIRING DUCT WORK ROCK STORAGE n FOUND. REINF. Aa' (� , ��/// GAS (ROUGH) *1/ METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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. �ifj /6 /1 FRAMING 1'O AL INSP. ROOFING w /( g' / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL