001878 (SATT)P.O. BOX 1504
Building54-236 Oattftee78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Sunrise Company
Mailing 75-f�Dg Club �DriVe
Address
City Pain. Desert Zip92260 7el 558-287.5
Contractor Natio=1 Land and flortMe
Address saw
ILDING: TYPE CONST
P. Number
No. 001878
Legal Description
Project Description M WM 1QR
OCC. GRP.
r In e
'City .Sates.
Zip Stere
Tela m
State Lic.
& Classif.
City
Lic. # 328
D VG 133E
Sq. Ft. IM 626 No. 1
Size. Stories
No. Dw. j
Units
-Arch., Engr., '
Designer Robatrt Altevers Assoc.
Newli] Add ❑ Alter ❑' Repair ❑ Demolition ❑
Address
2915 Pied W1 Avg.
Tel.
(716) 540-5117
City
( a iia
Zip
SL2�5
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°Business: and Professions Code, and my license is in fu/ll-foorrce� and •-
affect.
'
-
SIGNATURE? f - ,! / DATE
I 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, atter, 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 thathe is exempt therefrom, and the basis
for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit
• subjects the applicant We civil penalty of not more than five hundred dollars (3500).
❑ 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 of completion, the owner -builder -will have the burden
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-
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.) .
❑ 1 am exempt under Sec. B. & P.C. for this reason
Estimated Valuation @ 8t5yess.00
V
-
PERMIT
- AMOUNT
Plan Chk. Dep-.
Plan Chk. Bal.
E • ��
4
Const.
391.00
'Mech.
�l3Ae00,rlA
�
Electrical
39.99-
Plumbing
t�
87.550
S.M.I.
5.99
Grading
Driveway Enc.
Date Owner
Infrastructure
1.276.00
WORKERS' COMPENSATION DECLARATION
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. 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 (x100) valuation
or less.) - � � �
I certify that in the performance of thg work for which thispermitis issued, I shall not
employ anyperson 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 of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
TOTAL L 2,.179,42.
REMARKS ' &WL' "A 6WX 1`JU" V1! LUY YXAW"
�[_
_
ZONE: BY:
Minimum Setback Distances:
Front Setback from Ce me Li
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 relatingto building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property fordrispection purposes. if
Signature of applicant �' Date
Mailing Address y
City, State, Zip
HARD COPY
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:_
Validated by:
Validation:
A3253 11 13
Permit
L.l )9,42 D,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FE
NO. PLUMBING FEES
IST FL. SQ. FT. ®
2ND FL. ! SQ. 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
FLOOR DRAIN
MECHANICAL FEES
FO S /� ��
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
`
FINAL INSP. S` �p
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION
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
ILI 4GROUND PLUMBING I %
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
HEATING (ROUGH)
STORAGE TANK
FO S /� ��
SEWER OR SEPTI A K
/BONDING
ROUGH WIRING O
DUCT WORK
ROCK STORAGE
I� r/ FOUND. REINF, f 1
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
j
US (FINAL) v
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
`
FINAL INSP. S` �p
FRAMING / ®�
FINAL INSP.
ROOFING %/ -r
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/
LATHING /f,
MESH
INSULATIONISOUND L
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL