04071 (SATT)P.O. BOX 1504
BuildinAddress 80"721 Cherry Ttillo LA QUINTACCALIFORNIA 92253
Owner
Mailing
`S'unri'se Company BUILDING: TYPE CONST. OCC. GRP.
Address 73-005 Country Club iglus.- PGA West
A.P. Number
City Zip Tel.
Palm Desert 5)22.60 563--2378
Contractor ,t
Wat
Address
State Lic. City
& Classif. 28130 Lic. N 323
Arch., Engr.,
Designer
Address Tel.
State
Lic. N
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with. Section
701 of Division 3 of the. Business and Professions Code, and my license is in fulLforce`and
effect. I .
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec.. 703,1.5, Business and Professions Cade: Any city or county which requhm a
penin to construct,. alter, "Improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant ,for such permit to Me a a ed statement that he Is ncensed pursuant to
the provisions of the Contractors License law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he Is exampu therefrom, and Me Dealt
for the alleged exemption: Any violation of Section 7031.5 by "shy applicant for a pormt
subjects th applicant to a c/vf/ penally of not more than flee hundred doilera, (1500).
❑ 1, 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. '7041, Badness 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 h8ttsell or through his own employees,
provided that such Improvements are .not Intended or offered for sale. if, however. Me buitddtg
or Improvement Is sold within one year of completion. the owner-buBder will have the burden
of proving that he did not build or Improve for the purpose of sale.),
❑ I, as owner of the property, am exclusively contracting, with licensed contractorsto 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 contractor(s) licensed pursuant to the Contractor's License. Law.)
❑ l am exempVunder Sec. B. 3 P.C. for this reason
Date Owner
WORKERS' COMPENSATION' 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 Cods.)
Policy No company
O Copy Is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION, INSURANCE
(This section need not be completed If the porn* Is for one hundred dopers (1100) valuation
or less.)
1 certify that in the performance of the work forwhich thispermit is Issued; I shall not
employ any pperson In any manner so as to become subject to the Workers' Compensation
Lewa of California.
Date Owner
NOTICE TO APPLICANT: it, alter making this Certificate or Exemption you should became
subject to the Workers' Compensation provisions of Me Labor Code, you must forthwith
comply with. such provisions or this permit shallbe deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for. the performance of the
work forwhich this permit Is Issued. (Sec. 9097; Civil Code.)
Lenders Name
Lenders Address
This is abuilding permit.when properly filled out, signed and validated, and Is'subject to
expiration if 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;trullding
construction, and hereby authorize representatives sof this city to enter the above-
mentloned property for Inspectlon,'purposes.
Signaturerof,applicant Date
Mailing Address
City, State, ZIP
(_11.4 - �
ba. t
Legal Description
Project Description Phase 11n, Plan 3177A
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 IINr.�I �TO�R
Issued by: Date Permit
Validated by:
Validation:
1
WHITE - FINANCE, PINK - APPIICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE
Sq. Ft. 3054
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$213 ti,133
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
589.06
Const.
710 .
Mech.
. Ci
Electrical
17-0,474
Plumbing
1126.00
S.M.I.
14.95
Grading
Driveway Enc.
Infrastructure
4 i< $)J • TO
TOTAL
4915o419.25•
"L5,
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 IINr.�I �TO�R
Issued by: Date Permit
Validated by:
Validation:
1
WHITE - FINANCE, PINK - APPIICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO FT (;r S
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. Cr
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR @
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. R
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP SO FT EI
FINAL INSP..
1
WALL SO. FT. 0
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
Cu: yd.
= plus xS
=S
URINAL
SO. FT. M
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION S
WATER PIPING
NOTE: Not to be used as propertyla: valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT.SYSTEM FAN EVAP:COOL HOOD
SIGN
WASHER(AUTOUDISHI
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
IBATH TUB
SO. FT. a c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID C 1 w C
SEWAGE DISPOSAL
SO.FT.GARc
HOUSE SEWER
INSPECTION
GAS PIPING
PERMIT FEE
PERMIT FEE
EDBL
PERMIT FEE
TOTAL FEES
MICRO FEE
MECH.FEEFLCK
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.
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
FI H GRADING
INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINRUILS
.-
GARDEN WALL FINAL
Yer
C
Owner - 9u' nrise Company
Contractor National Mortgage
Permit Number 4 071
POST ON JOB IN CONBPICLXXM PLACE
INSPECTOR MUST SIGN ALL.APPLICABLE SPACES
JOBADDRESS 80-721 Cherry Hills
"Single Family Dwelling"
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
MAIN GROUND SYSTEM, G ► 1p - YY' I jc-� C-
olanuNn pi HURON-
PRE-GUNITE I I
DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS &GIRDERS
ELECTRICAL GROUND WORK
1" F 7- �c
DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
v�Z�(8�s �J/• y
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ W ❑ V
FRAMING
► F y/'t
INSULATION
LQ
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS Bg.EN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
eOer -
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
Z4112 tU
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS