07086 (SATT)4
P.O. BOX 1504
No. 47086
Building 71=105 CALLE ESTADO
Address 56-642 Riviera LA QUINTA, CALIFORNIA 92253 �
Owner UNI ( 2
Sunrise Company BUILDING: TYPE CONST. OCC: GRP.•
Mailing
Address 42-600 Cook St. Suite 200 A.P. Number P&A ST � � (- YG i - DG �
City Zip Tel. 1 UE
Tract 24$131
Palm Desert 92260 568-2828 Legal Description l I
Contractor Project Description Phase 348 — Plan 4014
National 13ortgarge $ Land
Address
Sam l
City Zip Tela
State Lic. City
& Classif.28813 Lic. 328 Sq. Ft. 3142 No. No. Dw.
Arch., Engr.,
Size . Stories Units
I
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
I
L1C®f5t DCONTR/ICWWSDECLARATION i
I hereby affirm that 1 am licensed under provision of Chapter 9 (commencing with Section
70pp) of Division 3 of the Business and Professions. Code, and my license is in full force and
SIGNATURE DATE
OVINER-BUDDER DECLARATION
I hereby affiryn that I am exempt frau the Corttractofs License Law for the following Estimated Valuation $215,834
reason: (Sec. 7031.5.19rsess and Rafessions Code.- Any offy or county which requires a
permit to construct. alter, :rprove. Benno- f or reps any structure, prior to its issuance also
requires the eAukard for such permit to Me a signed statement that he is licensed pursuant to i PERMIT AMOUNT
the provisions of the CantactorS license Law, CrAWrer 9 (conanenchrg with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exerpt therefrom, and the basis
for the alleged exemption. Any win an of Section 7031.5 by 'any appticart rot a permit Plan Chk. Dep.
subjects the appScarrt to a civil penalty of not more than five hundred dollars (6500). P Ian Chk. Bal. 6 . w it
•❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the wodc, and thestructure is not intended or offered for sale. (Sec_ 7044, Buisness an1
d y �y
Professions Code., The Coroactorls License Law does Trot appy to an owner of property who Const. ,045.
builds or improves thereon and who docs such work hinsell or through his own employees, Mech. i'iz.
provided that such iri roverrerts are not intended or offered for safe. 0, however. the building
50
or improvement is sold within oro year of arrpldar, the owner-tw7der wig have the burden 'Electrical -153,47
of proving that he did not buil or irpmve for the purpose of safe_)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- jPlumbing 2140.00
struct the project (Sec. 7044, Business and Poressions Code: The Contractor's License Law
does not apply to an owner of properly who Lxa'L1s or irproves thereon, and who contracts for S.W. 15.12
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - �G rad i ng
❑ 1 am exempt under Sec --------R & P.C_ for this reason
Driveway Enc.
Date owner Infrastructure i4,t3 6.26 2,4e"13.13
=Less UrRit CAZO. LJ
WORKERS' COMPENSATION DECLAM710H
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's hereby furnished.
=TOTAL sr5�.+�i► ' /'
CERTIFICATE OF EMIFFION FROM REMARKS
WORKERS C0194MSA710M INSURANCE
(rhes section need not be eonpkied 9 Ole pemt is for one hrardred doges (5700) vahration j_ sL 1`.' I. (.;�� T C�
`�'t#' T.r��4'-
or less.)
1 certify that in the performance of the war k 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 Cali .mile.
Date owner
NOTICE TO APPLICANT: f, atter mafdng tits certiticate of Exemption you should become ZONE: BY:
subject to the workers- compensation provisons of the labor Codeyou must forthwith
comply With such provisions or this permit shall be deemed revoked. 'Minimum Setback Distances:
Front Setback from Center Line
I Rear Setback from Rear Prop. Line
CONSTRUCTI0111UN INGAGENCY I Side Street Setback from Center Line
I hereby affirm that there is a construction tending agency for the performance of the
work for which this permit is issued. (Sec_ 3097, CiviCede_) I Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
This is a building permit when property filled out, signed and validated, and is subject to //9 �/9
expiration if work thereunder is su�ended for 18D days. 0
1 certify that I have read this application and state Nat the above information is correct. Issued by: Date Permit
I agree to comply with all city and county ordinances and state taws relating to building
construction, and hereby authotine renes ,of this city to enter the above.
mentioned property for inspection purposes- Validated by:
Signature of applicant— Date
Mailing Address Validation:
City, State, Zip
CJNSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOB]LEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCKSTORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SQ. FT.
TEMP. POLE
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
CSFNAL INS �L[ C
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR. HANDLING UNIT CFM
VENTILATION
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
FIREWALL
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® I Va c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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 PLR11W—?-0
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS�]
EWER OR
ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
v
AS (ROUGH)_ /_!?d
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
$ plus x$
=$
LUMBER GR./�
CSFNAL INS �L[ C
%y
FRAMING /n•
6/
FINAL INSP.
ROOFING ✓�
%/� V/V`X-�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
FIREWALL
/GAR.
,`LATHING
'/MESH
Jj INSULATIONISOUNDk-
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL