003346 (BLCK)44
P.O. BOX 1504 No. 003346
Building r a 78-105 CALLE ESTADO
Address 55-247 Oak Hill LA QUINTA, CALIFORNIA 92253
Owner ,
Sunrise C®mpan-Y BUILDING: TYPE CONST. OCC: GRP. -
Mailing
Address 715
0 l. try Moth 19rivp A.P. Number PGA Last
City Zip Tel.
Pzlyn Da Arst QQ25 Legal Description
Contractorh 11 175 lin. ft. X 6 §?St
• .. Project Description RlCkP% X21.
$
tl4rarwt�al ! nd R dRea» arta
Address _ _ . _ - - -'
City Zip
State Lic. City
& Classif. 288130 Lic. # 328 Sq. Ft. No. No. Dw.
' Arch.; Engr., ... _ .
Size- -Stories Units
Designer New ❑ Add ❑ Alter O` Repair ❑ . Demolition ❑
Address Tel.
City Zip State
_ Lic. # .
LICENSED CONTRACTOR'S DECLARATION -
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section'
7000) of Division'Yof the Business and Professions Code; and my license
aisYin full force and
effect*' . / .f• r;; ,; 3,-" .� '7 - . „sr
SIGNATURE 'r �''- F • DATE . .
OWNER -BUILDER DECLARATION. Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following d 7di3
reason: (Sec, 7031.5,Business and Professions Code: Any city.or county which -requires a 4
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also <V
requires the applicant for such permit to file a signed. statement that he is licensed pursuant -to PERMIT' -- - AMOUNT
t- the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000)' or. .
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 applicantfor a permit Plan Chk. Dep. -
_ subjects the applicant to a civil penalty of'nol more than five hundred dollars (5500). -
❑ I, as.owner of the property, or my employees with wages as theirsole compensation, will . Plan Chk. Bal...
do the work, and the structure is not intended or offered for sale. (Sec. .7044, Buisness and ' COn$t.�
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, Mech.. '
provided that' such improvements are not intended or oftered.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.)
O 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 •
Grading
O I am exempt under. Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
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..
TOTAL $51.00
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) .. v
I certify that in the performance of thg work for which this permit is issued, -1 shall not 'i'�(z>il la'3 41<1 �i.�iM'{ Ora•-~ g - g"-� _ _ _- j,,.
employ any person.in any manner so -as -to become subject to,the Workers' Compensation
Laws of California. J' tit
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 DlStdnC@S:
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 performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address
• This is's building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR
expiration it work thereunder is suspended for 180 days. g
I. certify that I have read this -application and state that the above information is -correct. Issued.by:• Date 8/31/89 ermit
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
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CARP. SQ. FT.
WALL SQ. FT. ®
SO. 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
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
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
SO.FT.GAR ® 3/ac
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 6 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 APPJEQUIP.
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
nsrCG 1 Un"J WUNA I UK C,llnl 11ALb
GARDEN WALL FINAL