06541 (SFD)4
4
4o
P.O. BOX 1504 No. 0 6 5 4 l
Building( -55Q $g$grg LA QUINTA8-105 C
Address CALIFORNIA 92253
Owner Sunrise Cony
Mailing I BUILDING: TYPE CONST. OCC: GRP.
Address 42-600 Cook St• s 0200
A.P. Number
PGA West — Tract 24317--1
CityZip
Tel. ,
Palm Desert
92260
1
Legal Description
Project Description
Ph 2E Plan G3A
Contractor
National Mortgage
Address
Sante
City
Zip ,
Tela
State Lic. 28813th
& Classif.
City 32€
Lic. #
Sq. Ft. 3831
No.— No. Dw.
Size •
Stories Units
Arch., Engr.,
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Designer
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 Business and Professions Code, and my license'is in full force and
�GNATLRE DATE
OWNEA-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: fSec. 7031.5,19uushess and Pm fessbons Code: Any city of county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
'requires the applicant for such permit to tie a signed statement that he is licensed pursuant to
the provisions of the Contractors 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 the alleged exemption. Any vioftion of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civilpenally of not more than five hundred dollars ($500).
O 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 Contractors 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 suchnmmprovanents are not untended 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 irpmve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to coo-
Strutt 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.)
❑ I am exempt under Sec_ B. & P.C. for this reason
Estimated Valuation
$272,603
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal..:
.
Const.
> _
Mech.
fJ
Electrical
2p •
Plumbing
19, t)
S. M. 1.
Grading
Driveway Enc.
Date owner
Infrastructure
0,UUu.U0 3.1U t• 00
Er eE4.fl:
1:U, U•
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 furnished.
TOTAL
s J , is % "i
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Thi section need not be corrplded it the permit is for one hundred dollars (S100) 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
REMARKS
4
Date Owner
NOTICE TO APPLICANT: tl 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 shag be deemed revoked.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for whichthis permit is issued. fSec. 3097, civ/ code.)
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Name
FINAL DATE
INSPECT
iS jCTY,
!! ��
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 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 relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes
Issued by:
Validated by:
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEE -
1ST FL SO. FT. ® $
UNITS
COLL. AREA
2ND FL Sp. FT. qp
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
SQ FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WA --L FLOOR SUSPENDED
GRADING
cu. yd.
plus x$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP
L
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
FIRE ZONE ROOFING:
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3yic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE IPL.CK.FEE-7NST.
FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR GOND. SOLAR
ETBACK
ROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSEWER
OR SE I
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
ND. REINF.Uir A
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
EINF. STE
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
-$
LUMBER GR.
FINAL INSP
L
FRAMING
FINAL INSP./�—
ROOFING � _ �1
�/� (� J(
�7 �j�p�� .iG`
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
Ot/LATHING
MESH
SULATIONISOUND3 —,V/—j
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL