11918 (RPL)Building
Address 57-31i Ner on'
CV
r ,
P.O. BOX 1504 N O .
78-105 CALLE ESTADO
ax LA QUINTA, CALIFORNIA 92253
Sunrise Cmapany
BUILDING' TYPE CONST' OCC GRP
Mailing
Address .. 4�-7600 Cook St.', Ste. 200
Zi
- TTe�.C; 9226056-282
Contractor; • ,x.;�.
Trid4lit: Pools
Address ...>u ..
74045 tc ckingbird Trail
City:` = Zip Tel.:
Ixu�ia.:s�ls, C 92210 341-11271
State:•Llc.h City
& Clas"sif. ,'2x60950 Lie. # ' 351
-Arch: Efgr.; r
Designer`s'
'Address ." Tel. _> ,.
i a•_ -
Zip State
Lie. #
LICENSED•CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commenci g with' Section
e7000)
ffec of Division 3 of the•1j36siness and Professions Code, and my. license is+fn ff It force and
effect 9 1 S .;1 k
SIGNATURE DATE
OWNER•BUILDERDECLARATION
Ilhereby at that I am exempt from the Contractor's License Law for the following
reason: .'(Sec., 7031'.°5, Business and Professions Code: Any city ori county which requires a
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
the provisions, of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
•t, Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the'
exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty or not more than rive 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 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
orimprovement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
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
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
-Owner
WORKERS' COMPENSATION DECLARATION
14
Ishereby.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.
1. t.1 , CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Thissection,need not be completed if the permit 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: If, after making this Certificate of Exemption you should become
subject to the 'Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's• Address
This is a building permit when properly filled out, signed and validated, and is subject to
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.
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
A.P. Number i
Legal Description
Project Description - ChF nge ' pool heater "I
Sq. Ft. No.
Size "Stories
New ❑ Add'❑ r r—Alter ❑
No. Dw. 0; 4A tir
Units.
Repair ❑ ;:Demdlition ❑ ~
REMARKS
_
�+.''ASRYi�1l 6K::.'�M.V 9.•�kV•T'K S.7 ,[����tiJ . AiF .'Y i�'��'•.
,
Estimated Valuation
$1,300.00
�,.
PERMIT
AMOUNT.,',
Plan Chk. Dep.
Distances:
Plan Chk. Bal.
Front Setback,from Center Line
Const. '
Rear Setback from Rear Prop. Line
Mech. ,
30'. o
Electrical
' Side Setback from Property Line
Plumbing
FINAL DATE
S.M.I.
,
Grading ,
Validated by:
Driveway Enc.
Infrastructure
— 4
TOTAL
REMARKS
_
�+.''ASRYi�1l 6K::.'�M.V 9.•�kV•T'K S.7 ,[����tiJ . AiF .'Y i�'��'•.
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
INSPECTOR"
Issued by:
Date Permit
Validated by:
?'
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
^
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOB]LEHOME SVC.
BAR SINK
POR. SQ. FT. @
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. @
GROUT
WATER HEATER
WALL SQ. FT. @
FINAL INSP.
DRINKING FOUNTAIN.
SQ FT @
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
-$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 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 --JCONST.
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
ROCKSTORAGE
FOUND. REINF.
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.
FINAL INSP.
FRAMING
INAL INSP. . 4?lf
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL