04060 (SATT)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 30-'593 Merry Vills LA QUINTA, CALIFORNIA 92253
Owner
sunrise COMM arAv BUILDING: TYPE CONST. OCC. GRP.
Mailin
Address 75-005 Country Club Dries PGA Went
� A.P. Number
City Zip Tel.
BI,aIfMesert 1 92260 SGBp207�q
Contractor
ationa;t? L%Ior$qtage
State Lic.
&Cls sif. 28$130 IL'Ic #
Arch., Engr.,
Designer
Address
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division -3 of the Business and Professions Code, and my license Is in full force and
effect. .
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I herebyaffirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.6,8rrsfiness and Professions Code: Any city or county whloh regtdree a
permit to construct, alter, Improve, demolish, or repair any structure, prior to Ns Issuance abo
requires the - 11cant for such permit to Ise a signed statement mat he Is licensed puisuanr -to
the prorlsI of the Contractor's License Law, Chapter 8 (commencing wrtli Section 7000) of
DllelsMe 3 of the Business and Professions Code; or mat. he Is exempt thomhom, and the beat
kN Me
aseged siempt(on. Any Woladdh of Section 7031.5 by 'any applicant fol a perms
subjectsthe applicant to a civupenalty of not more men five. hundred dosars(t500)•
0 I, as owner of the property, or my employees With wages," their sole compensation, will
do the work, and the structure is not Intended or offered for sale..(Sec. 7044, Sufeness and
Proless/ona Code., The Contractor's License Law does not appy to an owner of, property who
builds
'or "yes thereon and who does such work himself or through his own employees,
provided- that ;such Improvements are not Intended or offered for sale. h, however, the building
or Improvement is sold within one year of completion, the owner -builder wlN have the burden
of proving that he did not build or Improve for.the purpose of safe.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Susiress and Professions Code: The Contractor's License Law
doesnot apply to an owner of property who builds or Improves thereon, and who contracts for
such projectswsh a contractor(s),:Ncensed pursuant to me Contractor's License Law.)
0 1 am exempt under Sec. a„ & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm than 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 withthe,city. 0 Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS''COMPENSATION INSURANCE
(This Section need not be completed H the permit Is for one hundred-dohm (S 100) valuation
or less.)
I certify that in the performance of thg work for which this permit. Is issued; 1 shall not
employ any peraon.in any manner so as to become subject to the Workers'- Compensation
l awe of California.
Date Owner
NOTICE tO.APPLICANT. B, after makhg this Certificate of Exempffm you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit &halt be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there Is a construction lending agenq for the performance of the
work for which this permit WIssued. (Sec. 3087, Civil Code.)
lender's Name
Lenders Address
This iea building permltwhen'properlyiilled out, signed and validated, and Is subject to
expiration
it
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 clt(yy and county ordinances and state laws rotating to building
constructlon; and hereby aufhorize representatives of this city to enter the above.
mentioned property for inspection purposes.
Signature of applicant Date
Malling -Address
City, State, Zip
F 44c- I�v
Description
;t Description Phase 1113, Plan 10HR
1
WHITE FINANCE, PINK- APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE
Sq. Ft. 2272
Size
No. No. Dw.
Stories Units
New 0 Add 01
Alter O Repair O
Demolition 0
4 -
Estimated Valuation
a
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
see.,
5
Mech.
a (115
Electrical
162.t?
Plumbing
e 50
S.M.I.
'
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
r
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 DATET1R
Issued by: Date Permit
Validated by:
Validation:
1
WHITE FINANCE, PINK- APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO FT. Ur =
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYStEM
2ND FL. SO FT. a
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING -
MOBILEHOME SVC.
BAR SINK
POR M
G (ROUGH)
METER LOOP
GAR SO. FT. d.
POWER OUTLET
ROOF DRAINS
S (FINAL) / /2
TEMP. POLE
DRAINAGE PIPING
CARP SO FT C
GROUT
WATER HEATER
WALL SO. FT. N
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. y
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION S
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR'DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTONDISHi
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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 1% c
SEWAGE DISPOSAL
SO.FT.GAR C :laic
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 & 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.
G (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
S (FINAL) / /2
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
i plus xs
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR'
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
NAL INQ
Of CERT. OCC,
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL 7d
\ C
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
-21
Owner Sunrise Company
Contractor National Mortgage
Permit Number 4060
POST ON JOB IN CONSMUOUB PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-683 Cherry Hi -11G -
"Single Family Dwelling"
TYPE OF INSPECTION DATE INSP.
STEEL
MAIN
PRE-GUNITE I I
DO NOT POUR CONCRETE UNTILAOONE HAS BEEN OWNED
DO NOT POUR CONCRETE UNTILASOVE HAS BEEN SIGNED
HEATING 8 VENT- A/C I I
ROOF
BOND BEAM
O.K. TO WRAP /c -O
GROUT ❑ 4' 0 8' 1
_
JOB
COVER NO WORK UNTIL ABOVE HAS BEEN -SIGNED
PRE PLASTER
FENCE &.GATE
j'
91NG
GAS TEST
NG - A/C
E NUMBERS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING