04070 (SATT)T4ht 4 4 Q"
P.O. BOX 1504
78-105 CALLE ESTADO
Irdess ` 0 -�J9 f.'hafry Hills LA.QUINTA, CALIFORNIA 92253
Owner.
sunrise Gomany
Mailing
Address 7s- ooS couimry club Drivo
City Zip Tel.
Palm Deso t 922GO I ,50_- P;q
National ?*)rtgage
Address
State LIC. ?88130I city 3� 4
A Classif. sic. N
Designer
Address Tel.
City I Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby afflr n'that I.am.licensed'under provisions of Chapter 9 (commencing,mith Section
7000) of Division 3 of theeiisiness and-Professlons.Code, and my license is in,ful/lofts and
effect.
S16NATLRE ' - DATE'
OWNER -BUILDER DECLARATION
1 hereby affir* that.I am exempt from the Contractor's License Law for. the following
reason: (Sec. 7031.5,Businessand Professions Code: Any city or county which requires a
permit to construct, aper, Improve, demolish, or .repair any struehwe, . pdor to hs Issuance also
requires the applicant forsuch permit to rile a signed statement that he to licensed pursuantto
the provisions of the Contractor's License Law; Chapter g (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that- he Is exempt therefrom, and Me but
for the Mod .exemption. Any vlfat/on of Section 703.1.5 by 'any' applicant for a permit
subjects;the epppcantio a civil penalty ofnot more them five hundred dollars (1500).
❑ 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. 7014, Bui ness and
Professions Code: The Contractor's License Law does not appy to an owner of property who
builds or Improves thereon and who does such work himself or through his own employees,
provided Mat such Improvementsare not Intended or offered for sale. If, however, the building
or Inprovsment is sold within one year of completion, the owner -budder wll have Me burden
of proNng enathe did not build or Improve for the purpose or sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7041, Business and ,Professions Code: The Contractor's License Law
does not apply to an owner of, property who bolds or Improves thereon, and who contracts for
such projects with a contractor(a) licensed pursuant to the Contractor's License Law:)
❑ 1 am, exempt under Sec. B. Jit P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to sell -Insure, or a certificate of
Worker's Compensation Insurance, or`s certified copy thereof. (Sec. 3800, Labor Code.),
Policy No Company
❑ 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 perml Ia for one hundred dollars (9100) valuation
or less.)
I certify that in the performance of the work for which this permit Is Issued, I shall not,
employ any pperaon in any manner so as to become subject to the Workers' Compensation
Laws of Callforrila.
Date Owner
NOTICE TO APPLICANT: 9. after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
conpy with such proviekrns or this permit shall be deemed revoked.'
CONSTRUCTION' LENDING AGENCY
Ihereby•afflrm that there Is a construction' lending agency for.the performance of the
work for which this,permit Is issued. (Sec. 3007, Clod code.)
Lenders Name
Lender's Address
This Is ebullding permit when properly 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 of this city to enter` the above-
mantloned.property for inspectiomourposes.
Signature of applicant Date
Mailing Address _
City, state; Zip
101 a 0-?, 0
BUILDING: TYPE CONST. OCC. GRP.
A.P: Number
Legal Description
Project Description Phase 11% mien 31M
Sq. Ft.�
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$213g133
PERMIT
AMOUNT
Plan Chk. Dep.
.Plan Chk. Bal.
5139.06
Const.
718.00
Mech.
35.00
Electrical
12o o
Plumbing
'S.M.I.
. .b
Grading
Driveway Enc.
Infrastructure
e . 'D
TOTAL
f9 0 0 `a
REMARKS
". _r:k'�?`•'ii``r�j �.7 f��-Il��rS••�)is.`'=f5�'s.3 :� 'vey 9,'
`Yi i4
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 DATE1147P�C�T�OR
Issued -by: Date. // Permit
Validated by:
Validation:'
l,
WHITE FINANCE,, PINK APPLICANT, GREEN - BUILDING,. GOLDENROD ASSESSOR'S OFFICE,HARD COPY FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IS7 FL SO F7 ( S
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT.B
FORMS
SEWER OR SEPTIC TANK
ROUGH' WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT a
GAS (ROUGH)
METER LOOP
GAR SO. FT. aPOWER
OUT
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP SO FT a
GROUT
WATER HEATER
WALL SO FT a
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. a
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION f
= $
WATER PIPING
NOTE: Not to be usedlas 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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEWPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ®c
IBATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT.. REBID a' I'A c
SEWAGE DISPOSAL
SO.FT.GAR a 44c
HOUSE SEWER
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 b 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 APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
_ GRADING
cu. yd.
f plus xf
= $
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
NSPECTION.
C RT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINRUILS
GARDEN WALL FINAL
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner Sunrise Company
Contractor National Mortgage
Permit Number 4070
POSTON JOB IN CONOCUOUG PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 80-599 Cherry Hills
"Single Family Dwelling"
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
MAIN GROUND SYSTEM
PRE-GUNITE I I
DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIGNED
9;ONCRETE SLAB I I I
JOISTS & GIRDERS I / -.Z /-Is" Urnara�_-
DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST �'l -7 /'xpg
HEATING&VENT-A/C
FIREPLACE
O.K. TO WRAP
GROUT 0 4! 13 V
FRAMING 7egq'I A
INSULATION
PRE -ROOF
COVER NO WORK UNTIL tIASIJEEN SWNED
DRYWALL INTERIOR e—
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK.
FINAL GAS TEST
HEATING -A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING