002503 (RPL)Building 54-145 Oak. U
Address
Owner
Sunrim
Mailing'
Address 75.005 Cramtry 1
City Zip
... ia:
Contractor
%X=4 -
r3
Address
Tel
44
P.O. BOX 1504 No. 002-503
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description- WM WMr 1 5
Sam
City
Zip
Tel.' .. _
subject'to the Workers' Compensation provisions of the Labor Code, you must forthwith
Minimum Setback
Distances:
comply with such provisions or this permit shall be deemed revoked.
State Lic.
City
& Classif.
Lic. #
Sq. Ft. No.
No. DIN.
Side Street Setback from Center Line
'Ala
Size a Stories •
Units
Arch.,-Engr., _
Designer
New Og Add ❑ Alter ❑
a
Repair ❑ '" -Demolition ❑
Address
Tel.
expiration if work thereunder is suspended for 180 days.
I .certify that I have read this application and slate that. the above information is correct.
Issued by:
Date 7-24—PA Permit
VIA mwom r'wv)l
City
Zip
State
mentioned property for inspection purposes.
Lic. # -
Signature of applicant / ! Date -
' LICENSED CONTRACTOR'S DECLARATION: -.
Mailing Address '-' _ _ �'" '
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
City, State, Zip
effect.
SIGNATURE a,�..� f �.....r-'" "' . w - _. 'DATE
.. - ..
...
OWNER -BUILDER DECLARATION
Estimated Valuation,
I hereby affirm that I am exempt from the Contractor's' License Law for the following
. reason: (Sec. 703 1. 5, Business and Professions Code: Any city or. county which requires a.
permit to construct, alter, Improve, demolish, or repair ariy structure, prior to 4h; issuance •also
requires the applicant for such permit to file a signed statement that he•is..licensed pursuant to
...gym
~PERMIT -
AMOUNT
the provisions of the Contractor's License Law,. Chapter. 9. with Section 7000), of
' Division 3 of the Business and Professions' Code, or that. he' is exempt therefrom, and the basis
Any Section 7031.5 any. for
._
Chk: Dep. -
.
for the alleged exemption. violation of by applicant a permit
' subjects the applicant to a civil penalty of not more than five hundreddollars ($500).
.Plan
Plan Chk. Bal.
❑ 1, 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; &risness and '
COr1St:.
m
Professions Code: The Contractor's License Law does not apply, to. an owner. or property who
'
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
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-
Plumbing
-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
S.M.I.
such projects with a contractors) licensed pursuant to the Contractor's License taw.)
Grading
❑ I am exempt under Sec. B. & P.C. for .this, reason
Driveway Enc.
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's CompensationInsurance, 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 (E 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.
Infrastructure
TOTAL 7.2 _ 1;0
REMARKS
Date_" Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption - you should become
ZONE:-
BY:
subject'to the Workers' Compensation provisions of the Labor Code, you must forthwith
Minimum Setback
Distances:
comply with such provisions or this permit shall be deemed revoked.
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'perforriance of the
. work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE
INSPECTOR
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 slate that. the above information is correct.
Issued by:
Date 7-24—PA Permit
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.
Validated by:
Signature of applicant / ! Date -
Mailing Address '-' _ _ �'" '
Validation:
City, State, Zip
A6066
7 29. 225(i CK.
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ec
HOUSE SEWER
REMARKS:
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 ELECTRICAL 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 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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
I bl`M,1VK" A WUNN 1 UN rWIN I I IALJ.
GARDEN WALL FINAL