06723 (ELEC)4
P.O. BOX 1504 No. 06723
Building 713105 CALLE ESTADO
Address 54-770 Riviera LA QUINTA, CALIFORNIA 92253
Owner
Sunrise 0C8—It Pewtuers BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 42-600 t. Suite a 200 A.P. Number PA Rent — Tracit 24317. Phase 28
City Zip Tel.
Fabs Desert 1.92260 1 568-28287. Legal Description
Contractor Project Description 100 amp co mon area electric
Nat 1 I�t?rt A:;= ,b Land... _
.Address
City Zip Tela
State Lic. City
& Classif. 288130 Lic. # 328 µ Sq. Ft. No. No. Dw.
Arch., Engr.,
Size - Stories' Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CON PACTOws DECLARATION
1 hereby affirm that I am licensed under prOvlskm of Chapter 9 (commencing with Section
7�0) of Division 3 o/f the Business and Professions Code, land my license is in full forceandeffect. 17 • r
SIGNATURE b -'r <"f •.f} i d �' DATE
owNEWERULDERDECLARATION Estimated Valuation
I hereby affirm from the I am exempt frothe Contractors License Lary for the following ��
reason: (Sec. 7031.5,1 and F4dessans Code: Any ray or county w/nGh requires a
permit to construct, after, kni rove, demolish, or repair any structure. prior to its issuance also AMOUNT
requires the applicant for such pemhi to tie a signed sfaternerf that hes icersed pursuant to PERMIT
the provisions of the Contr2CtorS Licensew Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Cw%d , or Orat.he is excerpt therefrom, and the basis -
for the alleged exemption. Any rictaN of Section 7031.5 oy any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty of not more Man srehuncireddollars (s500). Plan Chk. Bal.
O I, as owner of the properly, 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, Badwess and Const.
Professions Code: The CanbactorS Lke se Law does sot apply to an owner of property who
builds or Improves thereon and who does such wok himself or through In own employees,
Mech.
provided that such soldwithin
improvements aro not ffandM o altered for sate_ (/ fall have
the bounden
or Improvement is sob wdriih ohs year d oorrpielim, the owneraider a nave the burden Electrical
of proving that he did not bald o knprove for the purpose of sate.) •
00
O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
struct the project (Sec. 7044, Business and PYdesaoris Code: The Oorfradoes License Law
does not apply to an owner of properly who bids or irprovw thereon, and who contracts for S.M.1.
such projects with a contractor(s) Ecelsed passu f to the Conbador's License Law.)
Grading
❑ I am exempt under Sec_ a ti P-C. for this reason
Driveway Enc.
Date Owner Infrastructure
WORKERS' COSIPBBATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self-insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof_ (Sec. 3800, Labor Code.)
Policy No. y 4r.-i,a ..
❑ Copy is filed with thecity. ❑ Certified copy is hereby furnished
TOTAL
CERTIFICATE OF E103EPlWN FROM REMARKS
WORKERS! CON043MATWN INSURANCE
(This section need not be oenpierad i the paami is for one hundred dokars (5100) vahsbiorh
or less.)
I certify that in the perfomnanee of ft work for which this permit is issued, 1 shall not
employ any pornierson in any manner so as to become subject to the Workers' Compensation
Laws of Califa
Date Owner
NOTICE TO APPLICANT: O, after mat g this Ceruirate of Exempaw you sho,dd become ZONE: BY:
subject h
complywithsuchprovsioso rya °fed rewbed Code. you must forthwith Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued (sec_ 3097. ChdCode.) Side Setback from Property Line
Lenders Name
Lender's Address FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days d
I certify that I have read this application and slate that Bm
re above information is correct. IsSued.by:' Date 12/7/89 89 Permit
['agree to comply with all city and county ordnwnces and state laws relating to building
construction, and hereby authotme 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
ZONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2N0 FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCKSTORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
OTHER APPJEQUIP.
DRAINAGE PIPING
WALL SQ. F7:
TEMP. POLE
DRINKING FOUNTAIN.
SQ FT ®
GROUT
URINAL
ESTIMATED CONSTRUCT ON VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
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
REMARKS:
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.J.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOT>L 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
ROCKSTORAGE
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.
FAL INSP
FRAMING
FINAL INSP.
ROOFING
,
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL