08444 (SATT)T -A
OitaHA
,
P.O. BOX 1504 No. 08444
CALLE ESTADO
Buildingt� Mum
Address 55-030' Mum LA QUINTA, CALIFORNIA 92253
Owner
SUNRISE UkPANYBUILDING:
TYPE CONST. OCC: GRP.
Mailing
Address /�
6x -_ c A%QQ
A.P. Number 8%^#t f.PI'H'! — araw.. d3�4 49taG.
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City Zip •• el:
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Legal Description
Con Tac or.
Project Description R US'E RA •- R's At! 3MIR
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Address R. T G sq
RAMP
City Zip Tel.:
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State Lic.
City
& Classif.
Lic. #
Sq. Ft. No.. No. Dw."-
t
Size Stories Units '
.Arch., Engr.,'' "s
Designer `=
New ❑ Add.dl; ` Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
}
City
State
rL
]Zip
^r< r
LIC. #
LICENSED CONTRACTOR'S, DECLARATION
I hereby atfirm that I am licensed under provisions of Chapter 9 (commencing with Section
1r`700e0)t f DiJision 3 of the Business and Professions Code, and my license/,Is 'nl�ull force and
•-
RE'
SIGNATURE" le: "w4.'bR0 �i :_✓"ice /,l' ./r LJ - DI�T
OWNER-UILDER DEC RATION
I hereb(affirm that I License for following
Estimated Valuation
am exempt from the Co tr`actor's Law the
reason: 7031.5,Busiriess Professions Code: Any
7r -
L GO-
(Sec. and ,city. or county which requires a13
permit to construct,'alter, 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
PERMIT AMOUNT
.,the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
ry
Division 3 of'the Business and Professions. Code, or that. he is exempt therefrom, and the basis
for.the Any Section, 7031.5 'any for
Plan Chk. Dep.
alleged exemption. violation of. by applicant a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
Plan Chk. Bal.r% rzx n r.: .
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
Const. '
• 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
Mech. '51 DID
^' 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
. • • •
12
,
or Improidment -is sold within one year of completion, the owner -builder will have the burdenEI2CtrICal
>' of proving that'he did not build or improve for the purpose of sale.)
Plumbing -
Al
0, 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Seo. •7044, Business and Professions Code:.The Contractor's License Law
s. M.I. :,
,• does not apply to an owner of property who builds or improves thereon, and who contracts for
.such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
,
17.1 am exempt under Seca B. & P.C. for this reason
Driveway Enc.
- Date owner
Infrastructure
�r
c s CRUSTy�27Q ,43
WORKERSCOMPENSATION DECLARATION
"a
S R
S;
I hereby affirm that I have certificate of consent to self -insure, or a certificate of
- • v nCES «. _
7
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with. the city. ❑ Certified copy is hereby furnished.
-TOTAL 2 18
.. _ s
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
, 1
(This section need not. be completed if the permit 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' Compensation7
Laws of California.
C1 4 ,.
: - � 1' . : i F.yi� 4k' *r5f ^d es, 4
•�;
Date Ownert
1,5fu3F! x tutu; A x wr.r r
NOTICE TO APPLICANT: If,- after making this Certificate of Exemption you should become
ZONE:- - BY. -
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith,
comply with such provisions of this permit shall be deemed revoked. -
.Minimum Setback Distances: - -
_
Front Setback from Center Line
Rear Setback from Rear Prop. Line '
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's Name
FINAL DATE INSPECTOR "
Lender's Address
's
•' This isbuilding permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is corrects
Issued by: - Date -Permit
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 theabove-.
mentioned property for inspection purposes.
. Validated by:
Signature of applicant Date
Mailing Address
Validation:
-
4 -o �'�.• �`v
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City, State, Zip
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pti
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST 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
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WAS
//GAS (ROUGH) �/�_�il METER LOOP
[ �/ (VV
""666---G__AS
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
"NAL INSP. — 6 /
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
REMARKS:
SQ.FT.GAR ® 3/ec
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL-OTAL
FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTUFE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMG . UNDERGROUND
A.C. UNIT
COLL. AREA
kv—SLAB GRADE .-q-
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
@R-9EP�19 TAi�fr ROUGH WIRING.
DUCT WORK
ROCK STORAGE
/'
FOUND. REINF �V
L
W141—REINF.
WAS
//GAS (ROUGH) �/�_�il METER LOOP
[ �/ (VV
""666---G__AS
HEATING (FINAL)
OTHER APPJEQUIP.
STEEL
(FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—X$—=$
LUMBER GR.
"NAL INSP. — 6 /
/� � ,� Cl /
/(//!FRAMING / �_n V
FINAL I//NSP.
&FOOFING f)—/2 -`TU
//''
p[C �v ��" 1/' i]%CI
wI ^ I �j V C1 ✓ /� ul`—
��j�jC
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
j4iATHING
MESH
L0SULATION/SOUNDfl r— 6 v
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINIAL