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4008 (SATT)„ 4 1C�C�li��/ .- 04008 � t�� F _. 008 4 P.O. BOX 1504 L� S 6 Building 78-105 CALLE ESTADO Address 79-762 Olympbla Fields LA QUINTA, CALIFORNIA 92253 Owner Sunrise Comoany Mailing Address 75-005 CoUntr Club Drive City Zip Tel. 1?_ -4 1 C11 T%sa'»•:f s*Y'i• I a 31,4 G9 1 12% A ,fd ti I A 11 Q Contractor Address BUILDING: TYPE CONST. OCC. GRP. A.P. Number FGA 'West °” The Greens Legal Description Project Description Phan Ata . • • Phase 3G City Zip Tel. ' State Lic. City & Classif. 288130 Lic. # 398____ Sq. Ft. 1598 No. 2 No. Dw. Arch., Engr., t Size Stories Units Designer ; New ❑ Add O Alter ❑ Repair ❑ Demolition ❑ Address I Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing,with Section 70 OO) of Division 3 of the Business and Professions Code, and my license is WWII force and effect. .y— ' f C 1 , 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, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant /or 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 o/ 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 o/ not more than five hundred dollars (8500). O 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 o/ completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O 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 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 or less.) I certify that in the performance of thg work for which this permit is issued, 1 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 o/ 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 ateMailing Address City, State, Zip stimated Valuation $114,179 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. , ) a 54 Const. JQ 47-050 Mech. . ExfJ Electrical lei a 46 Plumbing 87.00 S.M.I. 3 . Grading Driveway Enc. Infrastructure TOTALI+6".C1? �� u REMARKS ��i'�f<8:t� ..�� .hof.^�_.�;^�i-•t?�•-�3��...;. r �i� ZONE: BY: Minimum Setback Distances: Front Setback frcm Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback fron Property Line FINAL DATE INSPECTOR Issued by: Date ! Permit Validated by: Validation: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT (a $ 2ND FL SO !Z. a POR SO FT GAR SO. FT. ra CAR P. I SO FT. 6 WALL SO. FT. rd SO. FT. fd 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 De used as property tax valuation - FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SO. FT. ® c BATH TUB BOND BEAM SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID (9? 1 V. c SEWAGE DISPOSAL SO.FT.GAR @ 3/4c HOUSE SEWER FINAL INSP.s • GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEEPLUMB FEE STRUCTURE PLUMBING ELECTRICAL 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 ' t . x$ _ $ LUMBER GR. FINAL INSP. FRAMING FINAL INSP.s ROOFING c REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR' GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING L1�A4 TION CERT.. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL CITY OF LA GIUINTA DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 584-2248 24-HOUR NOTICE FOR INSPECTIONS Owner Sunrise Company Contractor National Mortgage Permit Number 4008 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES ;.JOB ADDRESS . 79=762 .Ol is Fields IlSin4i� �&Aly Dwellih4 TURN ON UTILITIES OR OCCUPY BUILDING 4/88