06536 (SFD)T a 0
ity/ 4 4 a"
Building
Address 54-460 Riviera
Owner
Sunrise Company
Mailing
Address 42-600 Cook St.. #200
City I Zip ITel.
Contractor
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address _ I
Zip Tela
State Lic. City
& Classif. 2,48130 Lic. # 328
Arch., Engr.,
Designer
AddressTel.
City Zip State
Lic. #
'LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70D0) of Division 3 of the Business and Professions Code, and my license is in full force and
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Prolessicns Code: Any pity or county which requires a
permit to Instruct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to We a signed statement that hes licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
DMshm 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 applicant for a permit
su fliects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
buTds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sate. d, however, the building
or Improvement is sold within one year of completion, the owner -builder wig have the burden
of proving that he did not bind or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to com .
struct the project. (Sec. 7044, Business and Professions Code: The Contractors License Law
does riot 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 Contactors 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 fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the pemuit is for one hundred dollars ($100) valuation
or fess.)
1 certify that in the performance of the work for which this permit is issued, I shall not
employ anyperson in any manner so as to become subject to the Workers' Compensation
Laws of califomia.
Date Owner
NOTICE TO APPLICANT: ff, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Cade, you must forthwith
comply with such Provisions or this Permit 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 certity 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 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
No. 06536
ILDING: TYPE CONST. OCC: GRP.;
Number PGA West — Tract 24317-1
Legal Description
Project Description Pia" 2'Q. Plstn MA
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
10/1b/S9
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. 33-%0.-
Size Stories
Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ 'Demolition ❑
Estimated Valuation
ARNOM
`
A243,465
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
10
Mech.
81.5
Electrical{�
. ..1a
Plumbing
1$4.30
S.M.I.
17.03
Grading
Driveway Enc.
Infrastructure$s%a
i!«
2s'A
Leri Credit
'11 •" ,
TOTAL
REMARKS.,,:r•r',
rn4e,_ z f �t�
71"kAn{�jnr. inr,.Ayy
e
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
10/1b/S9
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. Fr. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
OR SEF/IC�
ROUGH WIRING.
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF/
C/GAS (ROUGH)` . _
)
DRAINAGE PIPING
CAR P. I SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
WALL SO. FT.
GAS (FINAL)
DRINKING FOUNTAIN.
$O FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER HEATER
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
4UJAL INSP.6—,�-
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
�ROOFING� _ /� - �vV
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. Ff. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.Ff.GAR ® V4c
HOUSE SEWER
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 QyW&UND
PLUMBING 17 ~
UNDERGROUND
A.C. UNIT
COLL. AREA
nn
/ ♦`SLAB GRADE.,
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
(LLEORMS�EWER
OR SEF/IC�
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF/
C/GAS (ROUGH)` . _
)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
4UJAL INSP.6—,�-
AMING 3,a4o)
FINAL INSP.
�ROOFING� _ /� - �vV
0 7-v c-�
� /-
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
FIREWALL
�,gGAR.
(/LOATHING _ U -
MESH
VR!1 iSU LATION/SOU N Dff-
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL