BLDG (08464)•IX ' G Cl/' : PHASE 3E/63BR
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P.O. BOX 1504 No'.- 08494
Building' 78-105 CALLE ESTADO
Address .. I: g I Atj LA QUINTA, CALIFORNIA 92253•\, � �_
Owner °.
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BUILDING: -TYPE CONST. OCC: GRP.-
Mailing 200 ..r 1 .. ...v ..
Address A.P. Number PGA �tES1 -� TRACT �—
City • " ' Zip Tel. ,
yr . Legal Description;
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Project Description PHASE
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A►tMOM<. i0R1rGAGiE1
' Address
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City Zip Tel..
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State Lia�q
& Classif. ,2%130 130
City
Lic. #
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Sq: Ft. g , _ No. No. Dw.
-Size 3.3i Stories Units
Arch.; Eng., : "�, • . ;
New ❑ Add O -:. (Alter ❑ Repair ❑ Demolition p
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_ Designer
Address
Tel. {
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' City
Zip
State
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PC. #
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/ LICENSED CONTRACTOR'S DECLARATION r '-
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(I hereby affirm that I am,licensed under provisions of Chapter 9 (commencing with Section .
7000)roff
Division -3 of t'hpe Business and Pr fessions Code, and my Iico se is. in full for e•end.,
ef.fec.
"
• • ,
SIGNA'TU9E' :v+' yr •r T ""f i ; / '.:r+ /'�• / AST
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. r OWNER -BUILDER DEC "RATION
=
+.
Estimated Valuation '
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thereby affirm that l am exempt from the Contractors License Law for the following
reason: (Sec. 7031- 5;ausiness and Professions Code: Any city or,- county which requires a
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- 272A03.00 lbty t'
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permit to construct, alter, improve, demolish, or repair any..structure, prior to its issuance also
• requires the applicant, for such permit .tofile a signed statement. that he is licensed pursuant to
•-the
PERMIT - - T •• ,
_ AMOUNT '
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-exemption. Any Section 7031.5 'any
•-Plan Chk. Dep.
-the'allegedviolation of by applicant for a permit
.i subjects the applicant to a civil penalty of not more than five hundred dollars (S500). - , •
-�'
..
Plan Chk. Bal. '
p 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
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 employees,
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p-rovided that. such improvements are not intended or offered. for sale. If,. however, the building
-
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"Electrical ' - a
or improvement 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.)
•..Plumbing •• :,,' '
'. ❑ I, 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
' S.M.I.
" '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:) -
-
Grading
O 1 am_ exempt under Seca B. & P.C. for this reason
Driveway Enc. _
I•
•
>Date owner
Infrastructure '. "
ESS -CRENIM:
WORKERS' COMPENSATION DECLARATION ,-
� .
I hereby affirm that I havea certificate of consent to self' insure; or a certificate. of
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Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
-
Policy No. Company "
❑ Copy is filed with the city. O Certified copy is hereby furnished.
t `'
TOTAL
CERTIFICATE OF EXEMPTION FROM r
REMARKS
WORKERS' COMPENSATION INSURANCE
rszti' ..a T.h-q '15412X.-t3d1` r. b
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(This Section need not be completed if the permit is for one hundred dollars ($100) valuationc
less.) ' ' -
or
I certify that in the performance of thg work.for which this permit'is issued, I shall not
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'employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California. ,
wner
O.NOTICE
TO APPLICANT., If, after making- this• Certificate of Exemptiod you should become
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.
�Minimtim'Setback'Distances:� -
' Front Setback from Center Line
:
Rear, Setback -from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side. Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
.workfor which'this permit is.issued (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lender's Name -
FINAL DATE INSPECTOR
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. • • '
.'Issued by: Date Permit
I agree to comply with all city and county ordinances and state laws relating to building
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construction, and • hereby -authorize representatives of. this city to enter the'•above•...
entoned property for inspection purposes. •
.me
Validated by:
Signature of applicant —Date—
ate
Mailing
Mailing Address
= Validation:
City, State, Zip
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CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SQ. FT. ®
GAR. SQ, FT. ®
CAR P. SQ. FT.
WALL SO. 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 APPIEQUIP.
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.
SO. FT. ®c
BATH TUB
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 rPL.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 APPIEQUIP.
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
PHSE 3E'/G3BR
CITY Of LA QUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner SUNRISE COMPANY
Contnwtor NATIONAL MORTGAGE
Pormft Nuftor 08464
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-235 mEgioN
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING& VENT- A/C
FIREPLACE
ROOF Y-1:�-lo
BOND BEAM
O.K. TO WRAP
GROUT 0 4' 0 8'
FRAMING
INSULATION
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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