BLDG (08467)414 PHASE WON
P.O. BOX 1504 N o . 08 467
Building 78-105 CALLE ESTADO
Address11 LA QUINTA, CALIFORNIA 92253
Owner 'T -
f t1iW BUILDING: TYPE CONST. OCC: GRP.
Mailing Cts -
Address t n ' �.. ,. :. A A.P. Number PGA WEST " TRAcT #25499-3
City v Zf�j tirn> • YeP.al
s
P DESERT 92260 5C8_2S28 Legal Description
Contractor Project Description PmAs 3F pl,Am a3ap
NAXIONAL MORTGAGE
Address
C
City Zip Tel.
State Lic. City
& Classif.288130 Lic. # Sq. Ft. No. No. Dw.
Arch., Engr.,
Size U:Stories Units
Designer New ❑ Add❑ Alter ❑ Repair ❑ -Demolition ❑
Address Tel.
City Zip State
j Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under proyisions of Chapter 9 (commencing with Section
7000) of Divisiori 3 of the,8_usiness and Professions Code, and my license i full force and
effect./
SIGNATURE A,?—�..'�.�Y�L. }!1 +. yc.,•+�r ✓'ti=4' �.,r/ �„SQ/ J` DATE -
% OWNER•BUIL'DERDECLARATION Estimated Valuation:
I her affirm that yam exempt from the Contractor's License law for the following
reason: (Sec. 7031.5,Bu"siness and Professions�-Code: Any city or 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 be is licensed pursuant to PERMIT AMOUNT '
the provisions of 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 Plan Chk. Dep.
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 Plan Chk. Bal.
do'the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
Professions Code: The Contractor's License Law does not apply to an owner of property who -
(10
builds-or improves thereon and who does such work himself or through his own employees, _ Mech
provided 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 the burden Electrical
of proving that he did not build or improve for the purpose of sale.) -
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
struct the project. (Sec. •7044, Business and Professions Code: The Contractor's License Law 50
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. & P.C. for this reason Grading
Driveway Enc.
Date owner Infrastructure _ n
legg Coe 1T.
WORKERS' COMPENSATION DECLARATION �1
I hereby affirm that I have a certificate of consent to self-insure, or a certificate of T. LPLACES
•-• rs .r•
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(Thioriss.section need not be completed if the permit is for one hundred dollars ($100) valuation d,, St i eri �pvA�Y�� fa
I certify that in the performance of thg work for which this permit is issued, I shall not #cri� '+�?'C�1,,`s
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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
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.
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 applicant Date
Mailing Address ';!Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL! SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. 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
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 APPJEOUIP.
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
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.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 /0—
ROUGH 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 APPJEOUIP.
W G S
REINF. STEEL /O-( - y'p
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
PHASE 3E - G3BR
CITY OF LA QUINTA
DEPARTMENT OF PLANNING a DEVELOPMEN-r
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner— SUNRISE COMPANY
Contmcior NATIONAL MORTGAGE
Penrift Number 08467
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 90-115 MFRTQN
TYPE OF INSPECTION DATE INSP.
UNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
FIRE-GLINITE
bO NOT POUR CONCRETE UNTIL ALL A13OVIE HAS BEEN SIGNED
CONCRETE SLAB C/o KAok--
JOISTS & GIRDERS
t:LECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST Z-12 -42
OEATING & VENT- A/C
FIREPLACE
BOND BEAM
O.K. TO WRAP
GROUT 0 4' 0 8'
FRAMING EFo�oel
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR /-.2 c-7- 4W I ^4�0c-
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK -'eq- i
FINALS
JOB WMPLETED
TFMP PnWFA
ABOVE APPROVALS DO NOT INCLUDE RIGHT
TURN ON UTIL171ES OR OCCUPY Bqg,%'d