04061 (SATT)T4ht 4 4 QuAro
P.O. BOX 1504
Building78-105 CALLE ESTADO
Address 90-6,13.5 C"or Bills LA QUINTA, CALIFORNIA 92253
Address 75-005 Country Club Drive
BUILDING: TYPE CONST.
A.P. Number PGA
Legal Description
Project Description
OCC. GRP.
Iles+t:
Phaco 111 a 'PlIa 20MB
City Palm DeZG
Zt Tel.
f��2�0
—2823 X60
Contractor
W;�%tiornal mortgage
Address
Sax.90
City
Zip
Tei.
State Lic. 2V8130
& Classif.
City 329
Lic. #
2596
Sq., Ft.
Size
No. No. Dw.
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition O
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencingrwith Section
7000) of Division 3 of the Business and Professions Code, and my license is intfull force and
effect.
SIGNATURE DATE.
OWNEWBUILDER DECLARATION
1 hereby affirm thatA am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,15usiness and Professions Code: Any city or county which requires. a
or repah any amueture,, prior to Its issuance also
permit to construct, alter, Improve, and, file
et Contractto 'permit
Meprovisionires the s applicant
License Low, Chapter (commencing wiIs th Sections70o) a
Dv4sion.3 of the Business and Professions Code, or Mat -he is exempt Meretrom, and the peals
for the allayed akemplion: Any violation of Section 7031.5 by any applicant for a permN
subjects the applicant to a civil penally of not more Man five Hundred dollars (1500)..
❑ 1, as`owner of the propertyi or my employees withwe.gea ea heir sole compensation, will
do the work, and the structure is -not Intended or offered for sale. (Sec. 7044; Bulmoss and
Professions Code: fie Contractor's License Law does not appy to an owner of property who
butkis or Improves thereon and who does such work himself or through his own enpAoyesa,McCh.
provided that such brprovements are not intended or offered for sale. If, .however, the building
or Improvement is sold within one year of completion, Me ownerbuilder wighaveMe burden
of provin0;that he did not build "or Inprove"for the purpose of sale.)
❑ I, 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 builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under, Sec. B. B P.C. for this reason
Estimated Valuation
a" i
w .v ♦ :
PERMIT
AMOUNT
plan Cttk. De p.
Pian Chk. Bal.
� � D • � 0
Const.
_1 e f]
1 AqM
IS e V
Electrical
123.06
Plumbing
132.1-50
S.M.I.
12.57
Grading
-
Driveway Enc.
Date Owner
Infrastructure
41 X24 9.49 0
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, tabor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy Is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need ,not be completed N the permit is for one hundred dollars ($100) valuation
or less.)
I'certify that In the performance of the work for which this permit is Issued, I shall not
employ any pparson In any manner so as to become subjectao the Workers' Compensation
Laws of California.,
Date Owner
NOTICE TO APPLICANT., N, after making this Certilkate of EkemplLan you should bassos
subject Io the Workers' Compensation provisions of the Labor Code, you must "with
comply with such provisions or this permit shag 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 lasued.,(Sec. 3087, CM Cads.)
Lender's .Name
Lender's Address
This Is &,building permlf when properly filled out,signed.and validated, and'is subject,,to
expiration If work thereunder Is suspended for 100 days.
I certify that I. have read this application and state that the above information Is Correct.
I agree to complywith all city and county ordinances end -state laws heisting to building
construction, and hereby authorize representatives of this city to enter the above.
mentloned.property for Inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
WHITE -. FINANCE, PINK, =APPLICANT, GREEN - BUILT
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
FI NAL' DATE IN l w! �wl
Issued by: Date Permit
Validated by -
Validation:
11614111110.0 - ASSESSOR'S_ OFFICE,: HARD .COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO Fl or =
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM'`
2ND FL SO FT. C
FORMS
SEWER OR SEPTIC TANK
POR SO F"T O
MOBILEHOME SVC.
BAR SINK
GAR SO. FT. Cr
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APP.IEOUIP.
DRAINAGE PIPING
CARP SO FT g
TEMP. POLE
WALL SO FT Qt
GROUT
DRINKING FOUNTAIN
SO. FT. @
FINAL INSP..
URINAL
ESTIMATED CONSTRUCTION VALUATION S
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=S
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHEMALITONDISHI
APPLIANCE DRYER
IGARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
f
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
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. REBID a 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR a -?Wc
HOUSE SEWER
GASiPIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
D8L
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEEPLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 3 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 APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP..
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
= plus xS
=S
LUMBER GR:
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
^ PECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
5642246
24-HOUR NOTICE. FOR INSPECTIONS
Owner Sunrise Company
Contractor__ National Mortgage
Permit Number 4061,
POST ON JOB IN CONSPICUOUS PLAICE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS_ 80-6.3.5 Cherry Hills
"Single Family Dwelling"
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTILABOVE HAS BEEN SIGNED
CONCRETE SLAB — l
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
/•'•T -� ./77
DO NOT POUR C014CRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH PLUMBING
ROUGH GASH GAS TEST I
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP r
GROUT ❑ 4' ❑ V
FRAMING / a(
INSULATION /D iA .1s /
COVER NO WORK UNTIL ABOVE HAS BEEN SKiNED
DRYWALL INTERIOR Oct•
EXTERIOR LATH
POOL PRE PLASTER.
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
PLUMBING
FINAL GAS TEST
HEATING -AIC
HOUSE NUMBERS
P
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING