11713 (RPL)Building
Address. 57-00`6 Marion
- Owner
Sunrise Compan
Mailing,
Address 42-=600 Cook St
City Zip
' P&lm Deserts CAI92260
'32260
Contractor
Tkident'"16bolls
P.O. BOX 1504 I N o .
78.105 CALLE ESTADO "
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.•
. #200
A.P. Number
Tel.
568--2'828 Legal Description '
Project Description Repiac pool he-ater Pool 611
_ Address
74045 �Iockinagbird Tram "
City Zip Tel.:
Indite We.175l2is , 92 - 341-112 7
State Lic, City
& Classif.. '2609-90 Lic. #. •351
Arch En r
Sq. Ft. ` No.
Size Stories
No. Dw. s
Units _
Designer ',. _ ;
New ❑ -Add ❑ ' Alter,❑ Repair ❑ Demolitiori ❑
Address*.. '
Tel.
City
Zip
State
Lic. # '
LICENSED CONTRACTOR'S_DECLARATION
I hereby affirm that I amlicensed, under Provisions of Chapter 9 (commencing with Section
7000) of Division 3.of°the Business and Professi�s•Code, and my license Is In full I,r '
and -effect
DATE
.. -
OWNER•BUILDERDECLARATION;
I hereby affirm that I am exempt from the Contractor's License Law for the following
..
Estimated Valuation
$ p'3'00 . 00 '
• reason:. (Sec. 7031.5,Buslness and. Professions' Code: Any.clty or county which -requires a
permit -to construct, alter, Improve, demolish, or repair any structure,prior to .Its Issuance also
'
-
�••�•
,PERMIT
-requires the applicant for such permit to file a signed statement -that he Is licensed pursuant to...
- AMOUNT •.
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) .of
Division 3 or 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
Plan..Chk. Dep. -
• " subjects the applicant to a civil penalty of not more than five hundred dollars ($500): ' ' - '
•,
Plan Chk. Bal.
❑ 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, Bulsness and
'Const.... >
. , Professions Code: The Contractor's License Law does not apply to an owner -of property. who .
"
builds or Improves thereon'and who does such work himself -or through his own•.employeas,.30
that'. Improvements
Mech.- 0®. - -
provided such are not Intended or offered for sale.' If,. however, the building a
or Improvement Is sold within. one-year of completion,. the owner -builder will have the burden
ivl t7
a
Electrical
of proving that he did not build or Improve for the purpose of sale.),
_ -
❑.l; as owner of the property, am exclusively contracting with licensed contractorsto 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,j,
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
,
Grading ,
0am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
.
' I hereby affirm that I have a certlficate of 'consent to self -Insure, or a -certificate of
nce, or a cered copy t(Sec.
Worker's Compensation Insuratiflhereof. 38001., Labor Code.)
r
Policy No. Company
• . O Copy Is flied with the city. ❑ Certified copy is hereby furnished... , ..
-
.
TOTAL _ _ . 30 . 0.0
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS'. OMPENSATION INSURANCE
(This. section need not be completed if the. permit Is, for. one hundred dollars '($100) valuation„..r,1,1.:,�`i+;t•r�t�tfJey'^}t�
-•
-
• or less.) , . ... s ..
- .
I certify that In the performance of the work for which this permit IsAssued, I shall not
employ -any parson in any manner so as to become subject to the Workers' Compensation' '
Laws of California.
. Date r°_ P ..5• "S Owner
NOTICE. -TO APPLICANT: If, -after making this Certificate of Exemption you.;should become
ZONE: BY: '
subject oto the' Workers' 'Compensation: 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.C.enter. 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, CmrtCode.)
e .
-Side Setback from Property Line
Lender's Name
Lender's ,Address
This is a building' permit -when properly filled out, signed and validated, and is subject to °•
FINAL DATE '' INSPECTOR
- ,
expiration if work thereunder Is suspended for 180 days.
I 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, andhereby authorize representatives -of this city to enter the •above•.
mentioned property for Inspection purposes.
Validated by:
Signature of applicant Date
Melling Address_
}Validation: -
City, State, Zip
4
• .s _
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SQ. FT. ®
GAR. SO, FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SO, 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
Ilk
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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
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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
Ilk
FINAL INSP.
FRAMING
INAL INSP. 2. 2
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL