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04375 (CP)T4ht 4 4 Qumm P.O. BOX 1504 Building f u1 78-105 CALLE ESTADO Address 3,0 7i Cherry 1_1.l. LA QUINTA, CALIFORNIA 92253 Owner sunrise caxpany Mailing Address 755--003 co untn,7 C Wj -DriW City Zip Tel. r.1a !"t �.4� 3e3i t ��.f ,�1� �fa—2" Contractor is H P001 ,construction Address Sri,$il,41+1 } _Peraz ' ad City Zip Tel C'Wt'hedral rityl 14 State Lic. City & Classif. 532.7 Lic. #3 Arch., Engr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provislons at Chapter 9 (commencing with Section 7DOO) of Division 3 of the Business and Professions Code, and my license is In lull force and 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,Buslness and Professions Code: Any city or county which r®quires 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 violallon 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, Bussness and Professions Code: The Contractor's License Law does not apply to an owner of properly 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 1, as owner of the property, am exclusively contracting wlih licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does nor apply to an owner of property who builds or improves thereon. and who confracls for such projects with a confractor(s) 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 ❑ 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 person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: It, altar making this CertlOcale of Exempflon you should become subject to the Workers' Compensation provfslons of fire Labor Code, you must forthwith comply with such provisions or this pem* 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 stale that the above Information is correct. I agree to comply with all elty 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 JILDING: TYPE CONST. OCC. GRP, P. Number "GA Legal Description Description Pool & 11.3a Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation �23P000 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing� i ` M S.M.I. - Grading Driveway Enc. Infrastructure TOTAL 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: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO PLUMBING FEES tST FL SO FT rp 2ND FL SO FT e POR SO FT Br GAR SO FT. & CARP SO FT a WALL SO FT m _ I SO FT a ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE Not to be 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 LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM BTU TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B T.0 SO. FT ® c BATH TUB SO FT. I& c WATER HEATER MAX HEATER OUTPUT, B T U SO. FT. RESID @ 1 Y. c SEWAGE DISPOSAL SO FT.GAR (a i/.c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DEL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST FEE ELECT FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.0 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./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 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 SIGNATURE5fiNITIALS GARDEN WALL FINAL