003239 (SATT)Building
Address 55-837 OAK VILL
Owner
SUNRISE C:OMPAbY
Mailing
AddressIS-005 C:OONTRY CLUB DRIVE
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
CityTel.
PALM DESERZip92260 568-2828
Contractor
No. 003239
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description PGA WEST
Pte7)10... TRIPLEX MODEL' BLDG
f,7AYSE
City "Tip
Tel.
State Lic. s
City
& Classif. 28130
Lic. # 328
Sq. Ft.
No. No. Dw.
Size
Stories Units
Arch.,-Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. # '
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the 136siness:and Professions Code, and my license is in full force and
-
effect.
SIGNATURE` ," .. ..,r_ r ._. .- DATE
....
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
14 676
. reason: (Sec. 7031.5,Business and Professions Code: Any city.or county which requires a
!
permit to construci, alter, improve, demolish, or repair any structure, prior to -its issuance also
requires the applicant for such permit to rile a signed statement that.he is licensed pursuant. to
_
PERMIT-
'- AMOUNT "
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 Any Section 7031.5 'any fora
Plan.Chk. Dep.
the alleged exemption. violation of .by applicant permit
subjects the applicant to a'civil penalty or not more than five hundred dollars (S500).
Plan Chk. Bal.
460.07
0 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
Const.
fA
Professions. Code: The Contractor's Llrrense Law does not .apply to an owner of property who
s
builds or improves thereon and who does such work himself or through his own employees,
Mech:
45 7r)
provided that such improvements are not intended or offered for sale. If, however, the building
a
or improvement is. sold within one year of completion, the owner -builder will have the burden •
Electrical
_
C
of proving that he did not build or improve for the purpose of sale.)' .•
a
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
-112-00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner or property who builds or improves thereon, and who contracts for
S. M.I."
1 (1) . 4 0
such projects with a contractor(s)-licensed pursuant to the Contractor's License Law.)
Grading
O I am. exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date.Owner owner
Infrastructure
2.000.00
WORKERS' COMPENSATION DECLARATION
' I hereby affirm that 1 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.. O Certified copy is hereby furnished.
TOTAL
3.277.46
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.)
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 owner1U
GASH, .1 N t.I 9 RI_ 1 15 t' 11. 46
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 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
'
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 that I have
7126 / A7Permit
certify read this application and state that the above information is correct.
Issued by:
Date
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 FEE
IST FL. SO. FT. @ $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT. @
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SQ FT @
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP. f7
Y/
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR @ 3/ac
HOUSE SEWER
LATHING
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 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. f7
Y/
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
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
OWENS-CORNING'Fiberglas'-,,'.v
,Building, Insulation
The contractor named below certifies that the Owens-Corning Fiber -glas'
Building -Insulation used carries the NAHB' Research Foundation, Inc...
label for assured thermal performance and that the Building Insulation is `.
installed in conformance with.=current energy conservation regulations,
California Administrative Code, Title 24, State of California, in the building
located at: -
55-837 Oak Hill '11a Quintz : 20717-1
Address City Tract Number
Exterior Walls -
Owens-Corning Fiberglas Type BATTS Insulation 3 Z," R-11
- Thickness PI -Value
Ceilings
Owens-Corning Fiberglas Type-BInsulation 9" J R' 30
Thickness R -Value
Floorel. R INFILTRATION: AS PER TITLE 24.
Owens-Corning Fiberglas Type Insulation
' Thickness R -Value
Foundation Walls
Manufacturer Type Thickness R -Value
General Contractor NATIONAL MORTGAGE & LAND License No.
By _ - Title Date
(Signature) 7- ••
-Insulation Cont rac 0 HLAND_ INSULATION, INC. License No.445-813. _''7
By le MANAGER Date 9/10/87
ti (Signature)
Homeowner Copy (White) .
State Copy (Yellow)
Builder Copy (Pink).
OWENS-CORNING FIBERGLAS CORP. `
- ' Insulation Operating Division
Pub. N6.16 -BL -6995-8 -
` Litho in U.S.A., Jan., 1982 - Copyright 0 1982 Owens-Corning Fiberglas Corp. Fiberglas Tower, Toledo, Ohio 43659. -