07022 (SFD)Building
Address 56-345 Riviera
Owner
Sunri se Company
Mailin
Address 42-600 Cook S$. SUito 200
City Zip Tel.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
. Pair Deserl 92260 568-2 328
Contractor
National Mortgage & land
Address Sam I
State Lic. City
& Classif. ZSSS Lic. # 398
Designer '
Address Tel.
CityI Zip I 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
_ 'r
r
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, 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
the provisions or the Contractor's 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 civil penalty of not more than five 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds orsnproves thereon and who does such work himself or through his own employees,
provided that'such improvements are not intended or offered for safe. If, however, the building
orimprovement is sold within one year of completion, the owner -budder wig have the burden
or proving that he did not build oranprove for the purpose of sate.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Conractoes 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 Conlrector's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date owner
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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(ibis section need not be completed if the pernit is for one hundred dollars ($100) valuation
or less.)
I 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: ff, after making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I=firm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
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.
I car ity 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:
Signature of applicant Date'
Mailing Address
City,. State, Zip
ILDING: TYPE CONST.
i. Number
til Description Tract 24MI
Project Description "ase 311 - Plan HHB
No. 07022
. t'1 _2_'�
OCC: GRP.
Sq. Ft. 2899' No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
r
Estimated Valuation U14,923
PERMIT
AMOUNT
Plan Chk. Dep.
a �A
Plan Chk. Bal.
V • 5s
w
Const.
+ • ua
66Mech. �_—•
Electrical
���•—
Plumbing
. • �„
S.M.I.
xa.
Grading
Driveway Enc.
V 4
dp ♦ 9
Infrastructure
Y''°�a`'
ew a
sit � •�'�
caxrr
'H .• �
$4,687.73
TOTAL
REMARKS
.-iii')&i , .. f.r stl
r.ct.
i . � sitif.::
<K
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 INS ECTTO�R
Issued by: Date Permit
I
Validated by:
Validati
r t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
'CAR P. SQ. FT. ®
WALL SO. 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
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
puS (ROUGH) .� Q -to
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
1AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ®c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/, c
SEWAGE DISPOSAL
LUMBER GR.'PINAL
SO.FT.GAR ® 3/,c
HOUSE SEWER
FINAL INSP. ' - --
�pOFING .G� ' 1 _ --
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
SETBACKROUND
PLUMBINGG - -(
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE _J-X-q�-Q
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
G�1NER OR SEPT,!#6W/_
ROUGH WIRING
DUCT WORK
ROCK STORAGE
A
FOUND. REINF.VV —/Q-1, o
puS (ROUGH) .� Q -to
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
= SERVICE
FINAL INSP.
BOND BEAM
WATER.,SYSTEM
y
"
GRADING
cu.yd,
$ —Plus—X$—=$
LUMBER GR.'PINAL
INS�u'
{vG�FRAMING .-`
FINAL INSP. ' - --
�pOFING .G� ' 1 _ --
{ ,.
-
A
s.�
Ly
/1 ./ _
-
s/ ��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
(SPARK ARRESTOR
GAR. FIREWALL
"THING
MESH
INSULATION/SOUND
kd
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIG ATURESIINITIALS
GARDEN WALL FINAL