04067 (SATT)P:O. BOX 1504
Buildin78-166Addrress 80-119 Cheryy Hills L A.QUIN..TA.,CAL FORNIA 92253
Owner
S+unri eo Company
Mailing 7
BUILDING: TYPE CONST. OCC. GRP.
Address75-005 Countnt Club Dr�w A,P. Number PGA t eSt
City Zip Tel.
Palm Desa rt 922GO B68-2923 Legal Description
Pane ZIP Plan 30MR
Contractor
Project Description
National vlortg<ago
Address
City Zip Tel.
State Lic. 209130 City 328 2028
& Classif. Lic. ff Sq. Ft. No. No. Dw.
Arch., Engr.,
Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. S
LICENSED CONTRACTOR'S DECLARATION
Thereby affirm that l am,licensed under provisions of Chapter 9 (commencing.,with Section
,=f Division1 of the Business and Professlons Code; and my license is In full force and,
aIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation a g
I her affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031'.5,Buslness and Professions Code: Any city or county which requires a
Permit to construct, alter. Improve, demolish, or repair .any structure, prior to ka issuance also -"
requires
e piovMons of th t cartractto��iicense Lor, Chapter 9 statement Mat
wiIs th 7000) to. PERMIT AMOUNT
Division 3 of the Business and Professions Code. or that. he Is exempt, therefrom, and the Dash plan Chk. De
for the alfegad exemption. Any violation o/ Ssetkxm '7031:5 DY any applicant for a pemtlt p•
subjects the applkant to a civil penalty ofnot more thanfivehundred dollars ($500), 11) � Z) 6
❑ 1, owner of the property, or my employees with wages_as their sole compensation, will Plaut Chk. 881.
do the work, and the structure'Is,not-Intended or offered for sale. (Sec. 7044, Buisness and Const: 30 10e J
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,
provided that such improvements are not Intended or offered for sale. ti, however, the budding Meeh. e
or Improvement is sold within one year of completion, the owner-Dukbr will have the burden Electrical o
of proving thathe diol not.buad or improve for the purpose ofsals.)
❑ 1, as owner of the property; am exclusively contracting with licensed contractors to con- Plumbing o
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's Lk ense Law
does not apply to an owner of property who bums or improves thereon. and who contracts for S.M.I. 7
such projects with a contractor(a) licensed pursuant to the Contractor's License Law.)
Grading
❑, I am exempt under Sec. B. ti P.C. for this reason
Driveway Eric.
Date Owner. Infrastructure p 350. a
WORKERS" COMPENSATION i DECLARATION
1 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
❑ Copy is flled'wlth the city. ❑ Certified copy is hereby furnished.
TOTAL $3 0 933a
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATION:INSURANCE
(This section need not be completed If the pemA Is for one hundred doears (8100) valuation
or leas.)
1 certlfy that •In Ihs performance of thg work for which this permit Is issued, 1: shall not
employ any person in any manner so as to become.subject to the Workers' Compensation
Laws:of California.
Date Owner
NOTICE TO APPLICANT ti; after malft this Certificate of Exemption you should bedpne
subject to the ttlorkera' Compensation provisions of Ilia Labor Code, you must forthwith
comply with such provisions or thio permit shall be deemed. revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there Is a construction lending; agency for the performance of the
woulc'for which this permit Is Issued. (Sec. 3087, CIv#C&M.)
Lender's Name
-
Lender's Address
This is a building permit_when properly filled out, signed and validated, and is: subject to
expiration It work thereunder is suspended for 180 days.
I certily that I have read this application and state that: the above Informationls correct.
1'agree to comply with all city and county ordinances and state laws .relating" to, building
construction; and hereby authorize representatives .of this city to enter the above-
mentioned property for Inspection purposes.
Signature of applicant Date
Mailing Address
City, state; Zip
WHITE- FINANCE, PINK -APPLICANT, GREEN -iBUIU
REMARKS
ZONE BY:
Minimum Setback Distances:.
Front Setback: from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from. Center Line
Side Setback from Property Line
FINAL DATE 17FICT�OR
Issued by: Date // �J Permit
Validated by:
Validation:
- A$S598OR'S OFFICE, HARD COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
tS1 FL SO F1 (p S
UNITS
I
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. Q,
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING "
MOBILEHOME SVC.
BAR SINK
POR SO FT m
GA OUGH)
METER LOOP
GAR SO. F7,
POWER OUTLET
ROOF DRAINS
AS IF AL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO FT. 6
GROUT
WATER HEATER
WALL SO- FT. III
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. M
=_
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION i
FINAL INSP.
WATER PIPING
NOTE, Not to be used as'property tax valuation
FLOOR DRAIN
MECHANICALFEESWATER
SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTONDISH)
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.1U,
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID q I% c
SEWAGE DISPOSAL
SO.FT.GAR C Uc
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.rEE
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.
GA OUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.lEOUIP.
REINF. STEEL
AS IF AL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
= p)ug xS
=_
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
GRADING
AL INSPECTIO
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
,
GARDEN WALL FINAL
Ownerf Sunrise Company
Contractor National Mortgage
Permit Number 4067
POST ON ,JOB IN C01t SMUOUG PUCE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 80-719 Cherry Hills
"Single Family Dwelling"
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL 'lC- AS/ C
MAIN GROUND SYSTEM y
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE. UNTIL ABOVE HA8 BEEN SIGNED
JOISTS
GROUND
JA- —.r- r I OG -.r --
DO NOT POUR C RETE UNTIL ABOVE HAS BEEN 81GNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT • A/C
FIREPLACE
BOND BEAM
O.K. TO WRAP
GROUT 0 4' 0 8'
FRAMING.
INSULATION /
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SKiNED
DRYWALL INTERIOR 10
EXTERIOR LATH Z
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
PLUMBING
HEATING - A/C
MBERS