RPL (10129)79-985 HEEION -P.O. BOX 1504 \ No., 10129
Building SbURISE•78-105 CALLE ESTADO _
.Address ` LA QUINTA; CALIFORNIA92253 .'
_ Owner
SUNRISE BUILDING: TYPE CONST., OCC. GRP..
Mailing
Address a
A.P. Number
City Zip Tel.
Legal Description
Contractor Project Description POOL AND SPA
C H•PODL CONSTRUCTION
Address
683465 PERRY RDS
City ' Zip - Tel.: '
CATHEDRAI i CIT' 9.2243 328-2681
State Lic.
City
-
• & Classif. C53-275796
Lic. # 69
Sq. Ft.
No. No. Dw. "
Arch., Engc,
Size
Stories -Units
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition'❑.
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that Iam licensed under.provisions_of Chapter 9 (commencing with Section
7000) of Division 3 ofrhe BusInessanq,,Piofb6gions Code, arid -my license is in full force and
'
j effect. a
SIGNATURE DATE
.. -
�* - - OWNER -BUILDER DECLARATION - . ' ' _- - -I I
Estimated-,V81UatlOn
- -'
I hereby affirm that I am exempt from the Contractor's License Law.for the following
.$20000
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
.,
permit to construct, atter, Improve, - demolish, . or repair .any structure, prior to itsissuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
'
- PERMIT
S
AMOUNT'.•'- -
° the provisions o/ 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
-.. /or the alleged exemption.. • Any • Section. 7031.5 by 'any /or
Plan Chk. Dep.-
- -
violation o/ applicant • a permit
�, subjects the applicant to a civil penalty o/ not more than rive hundred dollars .($500).--
❑ I the
Plan Chk. Bal.
$134.551`,
as owner of property, or my employees with. wages as their sole compensation, will
'
'
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
'•-Pro/essions
Const.
207.00."
Code: The Contractor's License Law does not apply to an owner of property who
,,� builds or improves thereon and who does such work himself or through his own employees,
-,.provided
Mech. -'
-
- 00
that such improvements are not intended or offered for sale. If, however,. the building •
.
or improvement is sold within one year of completion, the owner -builder will have 4he burden
Electrical
- 4*). U
. ,. o/ proving that he did not build or Improve /or the purpose of sale.)
O 1, as owner of the property, am exclusively contracting withlicensed contractors to coo-
'.. Plumbing..
- .. Z 7 • U0
..,� struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
.»,. does not apply to an owner of property -who builds or Improves thereon, and who contracts for
S.M.I.
_
, - - Z . Uj
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law:) -
-
Grading
0 1 am exempt under Sec. B. & P.C. for this reason,
Driveway Enc.
,
Date owner
Infrastructure
�•
- WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a `certificate of consent to self -insure; or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poli!cy'No. Company
• / lFrCopy is filed with the,city. ❑Certified copy is hereby furnished. -
a
'
TOTALj
A -z 90 -
CERTIFICATE OF EXEMPTION FROM'
REMARKS
o,051'C?.• V. a
WORKERS' COMPENSATION INSURANCE -
(This section need not. be, completed if the peimit is for one hundred dollars ($ 100) valuation
- •- -
- ' or less.) - -
• •I certify that in the performance ofthg.work forwhich this permit is issued, 1 shall not
employ any peon in any manner so as to become subject to the Workers' Compensation'
_
'
Laws of Cal ifornirsa._
Date !-owner
Owner
NOTICE TO APPLICANT: 1f, alter making this ,•Certificate of Exemption you should become
ZONE:
BY:
' subject to 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 Center.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; Civil Code.)
Side Setback from Property Line
Lender's Name
Lender's Address
- FINAL DATE
INSPECTOR
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.
y'
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, and hereby authorize representatives, -of - this • city to enter' the -above-.
,
mentioned property for inspection purposes.
`
Validated by:
Signature of epplicanL Date
• Mailing Address
Validation:
City, State, Zip
t:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT, ®
CAR P. SQ. FT.
WALL SQ. 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
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 APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
1BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ®'V4c
HOUSE SEWER
VENTILATION
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
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
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL