003023 (SATT)Building
Address 55-568 Pins.$' rat
Owner
Sunrise Cay many
Mailing
Address 75-005 Co=try Club Drive
City lZip ITel.
Zip
State Lic.
& Classif.
Arch.; Engr-,
Designer
Address
Tela
I Lic. #
Tel.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City Zip State
Lic. # -
LICENSED CONTRACTOR'S DECLARATION ,F
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section/
70 00) of Division•3 of,the Business and Professions Code: and my.license is in'fullforce and;y '
effect i1. '
No. 003023
BUILDING: TYPE CONST. " OCC. GRP.-
A.P. Number
Legal Description
Project Description PGA West se' 4B
PIM 40 -%.1
Sq. Ft. DVG 3142 No. No. Dw.
Size M .. 5,99 Stories Units
New -&I Add ❑ Alter ❑ Repair ❑ Demolition ❑
f .. I S, . ft.�•1 I'•
-- -
SIGNATURE ' '-/: I —' % / -DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
Estimated Valuation
.42
PERMIT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or the Business 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
'
Plan Chk. Dep.
subjects -the applicant to a civil penalty of not more than five hundred dollars (3500)..'
❑ 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
Code: The Contractor's License Law does not apply to an owner of property who
Plan Chk. Bal.
Const..
Mech-
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: If, however, the building
Electrical '
or -improvement is sold within one year or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
Plumbing
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Seca 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
S' -M.1,
- such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under -Sec. B. & P.C. for this reason
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION /
I hereby affirm that I have a certificate of consent to. self -insure, or a certificate/of
�1 Worker's Compensation Insurance;'or a certified copy t�reof•`IS 3800, Labor
Policy No. Company, oO Copy is filed with the city. ❑ Certified copy is herebinished. .
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 certify 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall 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.)
Lender's Name
Lender's 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.-
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
�d
TOTAL
MAMI) l:V11y
REMARKS
" I AMOUNT
723.00
55.€ 0
128.65
140.50
15. Qq,
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
Issued by:
Date �l+t� .7 Permit
Validated by:
Validation:
A.7661,
4 3 _,655,68 TI
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
6.(,� 13 GRADE S �TT -��
iii
2ND FL. - SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
GAS (ROUGH) ko�!
V
DRAINAGE PIPING
WALL SQ. FT.
OTHER APP.IEOUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
Gi-KINALINSP.`�-j3-��
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
�- j��
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
n
064AT4N6
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
PIA/ -SETBACK L/�
GROUND PLUMBINGe�QJ r
44
UNDERGROUND
A.C. UNIT
COLL. AREA
6.(,� 13 GRADE S �TT -��
iii
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
S EWER OR SEPJF G-IAqj�- S
OUGH WIRING a�- q
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) ko�!
V
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
6KREINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
y .
cu. d
$ plus x$
_$
LUMBER GR.
Gi-KINALINSP.`�-j3-��
C&RAMING
FINAL INSP.
��
//'ROOFING 7�-/y -9- %
Fes `
�/w✓a<L
�- j��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
n
064AT4N6
MESH
�^
C611-1INSULATIONISOUND7 3U �a I
FINISH GRADING
gFINAL INSPECTION/G_�3-��
CERT. OCC.
FENCE FINAL.
IIVtorrti I UM"J 01UNA 1 UnrWINI 1 IALA,
GARDEN WALL FINAL