06344 (SATT)Building
Address 54-727 Riviera
Owner
Sunrise - Company
Mailing
Address 75-005 Coltmtvv Club Y
City Zip ITel.
Contractor
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
State Lic. I City
& Classif. 288130 Lic. # 328
Arch., Engr.,
Designer
Address Tel.
No.
€6344
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number CA Tit PhAne '40B
Legal Description
Project Description ?rar_t 24317x1. Plan 40H
Sq. Ft. 3142 No. No. Dw.
Size StoHes Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
City Zip State
Lic. #
�y LICENSED CONTRACTORS 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
effect, i . ,r :mal.... . • i.
,cam. F .r l r1•� G
SIGNATURE '- - +++"t •+✓ .4:-:rDATE
OWNER -BUILDER DECLARATION ✓
I hereby affirin that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busrress and Professions Code: Any city or county which requires a
permit to construct, after, krprove, demolish, or repair any structure, prior to its issuance also
requires the applicant for such Permit to tie a sfgned'statement that he is licensed pursuant to
the provisions of the Canbactors 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 violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a ciW penafy of not more than rive hundred dollars ($500).
❑ 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, &.dsness and
Professions Code: The Conbadors License Law does not apply to an owner of property who
builds or improves thereon and who does such work hmself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold wdhim ore year of completion, the owner -builder wig have the burden
of proving that he did not build or krpmve for the purpose of safe.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to icor~
strucl the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of properly who bufids or Improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. ail P.C. for this reason
Date Owner
I
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. Co,,,pan,y
❑ Copy is filed with the city_ ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be co pleted ff the penin is for one hundred dollars ($100) 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.
Date Owner
NOTICE TO APPLICANT: fl, after maldng this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, You must forthwith
comply with such promoons or flus pemr7 shag 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, Ciel Code.)
Lender's Name
Lenders Address
This is abuilding permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that 1 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
Estimated Valuation
ilt3►834
PERMIT
�.
AMOUNT
Plan Chk. Dep.
Front Setback from Center Line
Plan Chk. Bal.
Rear Setback from Rear Prop. Line
$59•E�3
Const
1,045.50
Mech.
FINAL DATE
82.
Electrical
Permit
Date -Permit
153.47
Plumbing
210.00
S.M.I.
15.22.
Grading
Driveway Enc.
Infrastructure
$4s85.Z
2,428.13
Less Credit,
2, GU. LJ
TOTAL
t I
REMARKS
���_, IC,:;A.
t,
Hi Tiz 1 11 t.')
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
9AOP180
Issued by:
Permit
Date -Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES s ..
1ST FL. SO. FT. ® $
UNITS
PLUMB. BONDING
2ND FL SQ. FT.
STORAGE TANK
YARD SPKLR SYSTEM
/'ROUGH
�/�SEWER OR SEPTIC A Gv ROUGH WIRING.
MOBILEHOMESVC.
BAR SINK
POR SQ FT ®
GAS (ROUGH) !�'� METER LOOP
v
HEATING (FINAL)
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CAR P. I SQ. FT.
FINAL INSP.
WALL SQ. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
SQ FT ®
LUMBER GR.
URINAL
ESTIMATED CONSTRUC—ION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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.TJ.
SQ. FT. RESID ® 1 V. c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
FINAL INSPECTION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
TNST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
/'ROUGH
�/�SEWER OR SEPTIC A Gv ROUGH WIRING.
DUCT WORK
ROCK STORAGE
F ND. REINF. Z
GAS (ROUGH) !�'� METER LOOP
v
HEATING (FINAL)
OTHER APPJEQUIP.
EINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ —Plus—x$—=$
LUMBER GR.
NAL INSP-j? Gv
v
ff_FRAMING —� _.Q�
v
FINAL INSP.
ROOFING _
)
r�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
MESH
V� 1MSULATION/SOUND`
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL