003024 (SATT)Building
Address 55-592 Pinehnr,
Owner slmrise company
y at
P.O. BOX 1504 No; 003094
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
maning
Address 75-005 5 + try Club Drive
City Zip . Tel.
Palm Desert 92260 568--2828.
Contractor
NationAl Nor awe and Land
Address .
City . Zip 7 Tela
State Lic. I.City
& Classif..288130 Lic. # 328
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic: #
LICENSED CONTRACTOR'S DECLARATION•'
I hereby affirm lhat.l 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 aii�dIf
effect. ✓' r - , a -f
SIGNATURE— - F ""-" i� - • DATE
OWNER -BUILDER DECLARATION 7-
1 hereby affirm that I am exempt from the/Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness and Professions Code: Any city ,or county which requires a
permii to construct, alter, improve, demolish, or repair any structure,prior to its issuance also
.requires the applicant forsuchpermit to file a signed, statement that 'he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter. 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that.he is exempt therefrom, and -Ilia basis.
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500)., -
0- 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 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 offeredfor 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 build or improve for the purpose of sale.) . _
❑ 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 builds or improves thereon, and who contracts for
such projects with a contraclor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt.under Sec. _,B. & P.C. for this reason
BUILDING: TYPE CONST: OCC: GRP.
A.P. Number
Legal Description
Project Description PGA West Phase 4B
Plan •30 M
Sq. Ft. MM2825 No. No. Dw.
Size GAS 568 Stories- Units
New. CIX Add ❑ Alter ❑ Repair ❑ Demolition ❑
Date Owner
WORKERS' -COMPENSATION DECLARATION j
hereby affirm that I have a`certificate' of consent; to`self-ih'sure, or a•.certificale of.
Worker's Compensation Insurance, or a cert if ied•,copy�th'eieof.,(Sec. 3800, Laboo;Code -:.,
Policy No. Company f ✓
O Copy is filed with I e-clty"... ❑
. Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the 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 or the Labor Code, you most 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 it 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 -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
HARD COPY
;timated Valuation
S".194,592.00
BY:
PERMIT
AMOUNT
Plan •Chk. Dep.
-
Plan Chk. _Bal.
Const.
13Fb,50
.Meth.
55.00
Electrical
121.71:
Plumbing-
135.50
S.M.L.-
13.62
Grading
Validation:
Driveway Enc.
Infrastructure
20{30,00
TOTAL355��r3
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
INSPECTOR
Issued by:.
Date 4/287 Permit
Validated by:
Validation:
A7663
4 52,43 11
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN
SO. FT. ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN '
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
plus x$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
IKITCHEN 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.
SQ. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
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
e!� ETBACK Ll -,2 (0 -� 1
ROUND PLUMBINGV��C`�fl
UNDERGROUND
A.C. UNIT
COLL. AREA
�XSLAB GRADE / —�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
(EWER OR SEPTI(5UI4?-S?
fiZROUGH WIRING/ -)S% � �
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
/REINF. STEELL/ � ' 1
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
FINAL INSP.
e(,<FRAMINGG 7-?-?
�� "-E
E�
FINAL INSP.
_G 1
ecetROOFINCJ/ �l ?
�G�� /.� Q
� GciW L� � ` � � ,— ��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
//''
!�<LATHING
MESH
'%(./QINSULATION/SOUND
FINISH GRADING
'/
J(,6INAL INSPECTION /0
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL