04063 (SATT)P.O. BOX 1504
Buildin.g.:. 7&105 CALLE ESTADO
Address 80. 575 Cherry Hills LA QUINTA, CALIFORNIA 92253
751-005 Country Club Drive
Zip Tel.
'Desert 1 92260 561A--20_�q
National mortgage a Land -
Address I
State Lic.
& Classif. 2881.30 ILicy# 328.. ,
Arch:, Engr.,.
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I'hereb affirm that am licensed under provisions of Chapter 9 (commencing with Section
7000) t. of Division 3'of.the Business and Professions Code, and my license 'IsJn full force and
effec
SIGNATURE 'DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5;Business and Professions Code: Any city or county which requires. a
permit to construct, atter, Improve, damollsh, or repair any structure, prior to Its Issuance also
requires the applicant lar such permlt to file a signed statement that he Is licensed pursuant to
the 1—.1 ns 11 the Contractor's License Law, Chapter 9 (consnencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, Arid the basis
toi the epeped exemption. Any vlolatlon of Section 7031.5 by 'any applicant for a permit
subjects the applicant to.a civil, penalty of not more than five hundred dollars ($500).
O'I, as owner of the property, or my employees with wages as their sole compensation, will
do the woi*, and the structure Is not Intended or offered for sale. (Sec. 7044, Bulsness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
bulbs 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. ff, however, the bu*ft
or Improvement Is sold within one year of completion, the owner -budder will have the burden
of proving thathe dld'natbufid or knprove for the purpose of.sale.)
0 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 contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. 3 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I 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.)
Policy No. Company
0 Copy Is filed with the city. 0 Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for ,one hundred ,do/km (1100) vahr~
or less.)
1 certify that In the performance of thq 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. 8, after making this Certificate of Exemption you should become
subject to the workers'" Compensation provisions of the Labor Code, you must todhwdh
comply with. such provisions or this,permit shat/ be deemed revoked.,
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work. for which this permit Is issued. (Sec. 3087, CW Code:)
Lenders Name
Lenders Address
This 1s a,building permit when property filled out, signed and validated, and is subject to
expiration it 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 sof this city to. enter 'the above-
mentioned property for Inspection purposes.
Signature.of applicant Date
Melling Address
city, State; zip
sf �,0 i6
1, ?:.� 13
BUILDING- TYPE CONST. OCC. GRP."
A:P. Number PG' West
Legal Description
Project Description Phase I 1 Plain 30MR
-Sq. Ft. " -
Size 2825
No. No. Dw.
Stories Units
New 0 Add 0 Alter 0 Repair 0 Demolition 0
Estimated Valuation
$1944,692
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
�_
Mech.
°
J
Electrical
'
Plumbing
50
S.M.I.
Grading
Driveway Enc.
y.
Infrastructure
• °
TOTAL
a = �+00 1'1 J .
REMARKS
- g} +_'�' i'�'i'�s^I'! �i,�`•�.�yl P.j�;•'�t}y'' is 1':.7,[ ('I�3 �",1
#1 y
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 /.6/88 Permit
Validated by:
Validation:.
1
WHITE FINANCE PINK APPLICANT, GREEN -BUILDING, GOLDENROD • ASSESSOR'S OFFICE, HARD COPY FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
Na PLUMBING FEES
*7 FL SO 'Fl dr t
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL. 80 FT.6
FORMS
SEWER.OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT 0
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET'
ROOF DRAINS
GAR SO. FT, M
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SO FT. M
FINAL. INSP.
WALL SO FTM
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
= plus zS
=S
URINAL
SO. FT. a
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION f
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECMANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTONDISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. FT, ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID a Iva c
SEWAGE DISPOSAL
SO.FT.GAR a -V c
HOUSE .SEWER
CTI
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE L.CK.FEE
CONST FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR GOND. 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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL. INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
= plus zS
=S
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATiONISOUND
FINISH GRADING
CTI
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
CITY OF LA OUINTA
a DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner Sunrise Company
Contractor National Mortgage
Permit Number 4,063
POSTON JOB IN CONSMCUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 8'0-575 Cherry Hills
"Single Family Dwelling"
TYPE OF INSPECTION DATE 1 INSP.
FOUNDATION & SETBACK xf - _ STT/ I 27,—,cE-_
MAIN GROUND SYSTEM
GROUND PLUMBING - (-
PRE-GUNITE
00 NOT POUR.CONCRETE UNTILABOVE HAS BEEN SIGNED
CONCRETE -SLAB I -) _Z/- d'Yi i_�c--c—
JOISTS &
WORK
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TE
HEATING & VENT- A/C
FIREPLACE
O.K. TO WRAP I I
GROUT ❑ 4' ❑ 8'
I INSULATION I /d / L-51 (AR -61t C -V
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH t
POOL PRE PLASTER
POOL FENCE & GATE
PLUMBING
FINAL GAS TEST
MAnrvU-wu
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING