07011 (SFD)4
P.O. BOX 1504 No. 07011
Building 78-105 CALLE ESTADO
Address 66-1.20 Riviera LA QUINTA, CALIFORNIA 92253 [ /`
Owner
Sunrise Company
MailinBUILDING: TYPE CONST. OCC: GRP.•
Address 42-600 Cook St. Suite 200
A.P. Number
City Zip Tel. Tract 24.801Pail® �Sert V4260668-2828 Legal Description
Contractor Project Description Phase IH - Plan H3A
tlational Nortcgage A Lana
Address
Same
City Zip Tela
State Lic. City
& Classif.2$8130 Lic. # 338 Sq. Ft. 2899 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip . State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation $214.923
I hereby affirm that 1 am exempt from the Contractors License Law for the following e
reason: (Sec. 7031.5.aysihess and Professions Code: Any city or county which requires a
permit to construct, altar, improve, demmolish, or repair any structure, prior to its issuance also
requires the app5cant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT
the provisions of the conbaetors 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 aAeged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. _
subjects the applicant to a civilpenalty o1 not'm ore than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. '� �_ • a
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. j aR3�iL'R{U
Professions Code: The contractors License Law does not apply to an owner of property who
builds orxmproves thereon and who does such work himself or through his own employees, - Mech.
.provided that suchimprovements are not intended or offered for sale. If, however, the building
or improvement is , on
sold within e year of completion, the owner-bwlder will have the burden
of proving that. he did. not build or irprove for the purpose of sale.) Electrical
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
struct 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 S,M.I.
such projects with a contractor(a) licensed pursuant to the Contractor's License Law.)
Grading
❑ 1 am exempt under Sec_ a_ & P.C. for this reason
Driveway Enc. _
w
Date owner Infrastructure ,�•f p�/lr!8?i
Ltr,. t,: F _U i t 2,40.89
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Workers 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 • y , - - =�� � � , 1 .:..✓
CERTIFICATE OF EXEMPTION FROM REMARKSa
WORKERS' COMPENSATION INSURANCE ^- -.' " '" •.� ". - ^ �:
(This section need not be completed if the permit is for one hundred dollars (E100) valuation �•'-.nt3a ✓ k�"`f�=K'f'tt $'�'' 'risK' i . :.t {•
or less.)
1 certify that in the performance of the 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: If, after rnalft this Certificate of Exemption you should become - ZONE: BY:
subject to the Workers' Cortpernsation provisions of the . Labor Code, you must forthwith
comply with such provisions or 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
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, CW Code.) Side Setback from Property Line
Lenders Name
Lenders Address FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to t�
expiration if work thereunder is suspended for 1110 days., 219/90
1 certify that I have read this application and state that the above information is correct. 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 the 'above-.
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City,. State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT.
SOFT @
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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ec
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
ROUND PLUMI/` UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADEg—
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING.
DUCT WORK
ROCK STORAGE
n l
FOUND. REINF. '/ •�; /
000 "
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.
"NAL INSP. �—�
RAMING15
FINAL INSP.
ROOFING
D�
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
t THING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL