07089 (SATT)Buildin
Address 79--815 Pecan Vail
Owner
Sunri Se CflmDaoy
Address 42-500 Cook St. Suite 230
4
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 .
City Zip Tel.
Palm Deseir 92260 568-2828
Contractor
ha•tioml Mortgage, & Land
Address
Same
City lZip Tel.:
State Lic. City
& Classif. 130 Lic. # 328
Arch., Engr:,
Designer
Address' Tel.
City I
Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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.
0..:
SIGNATURE DATE
OWNEWBUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's. License Law for the following
reason: (Sec. 7031.5,8usbress and ,Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuancealso
requires the applicant for such pemrft to Me a signed statement that he is licensed pursuant to
the provisions o1 the Contractor's License taw, Chapter 9 (commencing with Section 7000) of
Division 3 of the of,
and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civg penally o1 not more than five hundred dollars (8500).
O 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. 7044, Buisness and
Professions Code: The Contractors license Law does not apply to an owner- of property who
builds or unprovas thereon and who does such work himself or through his own employees,
provided that' such mrprovements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not bu9d or 'reprove for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who buBds or improves thereon, and who contracts for
such projects with a contractor(s) Wensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date - Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No company
❑ 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 permit is for one hundred dollars ($100) valuation
or less.)
I certity'that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
DateOwner
NOTICE TO APPUCANT. ff. after making Oris 'Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or ti's permit shag be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lenders Address
This is a building 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.
Fagree 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
& _J s -
No. 07089
BUILDING: TYPE CONST. OCC: GRP...
A.P. Number PfiA VEST
Legal Description Tract, 24801
Project Description IF' age 04D — Pian 40MR
Sq. Ft. 3142
Size
No.
Stories
No. Dw.
Units
New ❑ Add_❑
Alter ❑ Repair ❑ 'Demolition ❑
Estimated Valuation
$.235,834
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
859,
Const.
a 0.5U
Mech.
82. *0
Electrical
5T, 4
Plumbing
le Ue Q
S.M.I.
J•
Grading
Driveway Enc.
Infrastructure
g e
2,4rb, 13
Less CreMT.
Gaon. 3
TOTAL
w4 .rmr r v
%�' / .P 'e1 � ✓ {`!
REMARKS
..,!<., �.. �.`-•d!`1a` ,Y •i kir ��>r ... _-a.•c ; ,� .. �
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—INSPECTOR
2JA3f�
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
(ROUGH) _ -ej
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT.
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT.
=$
LUMBER GR.
FINAL INSP.
URINAL
SO., FT.
ROOFING � .
ESTIMATED CONSTRUCTION VALUATION $
—)` �/
WATER PIPING
NOTE. Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
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
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
OUND PLUMBIN
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
n
POUND. REINF. L / `
[✓
(ROUGH) _ -ej
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
—Cu. cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING ��
FINAL INSP.
ROOFING � .
^
—)` �/
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
/MESH
CJNSULATION/SOUND
FINISH GRADING
F114AL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
)