04007 (SATT)Aaaress I
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P
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State Lic. City
& Classif. 208130 Lic. # 398
Designer
Address Tel.
City I
Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 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. �1 y° tr' w _
_SIGNATURE 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 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 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
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ 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 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 build or improve for the purpose of sale.)
0 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 contractor(s) licensed 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
Worker's 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 ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration It work thereunder is suspended for 180 days. .
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and stale laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, ZIp
rojec escrlp
I
Of 64
0,41 007
Sq. Ft.. IS98
Size
No.. 2
Stories
No. Dw..
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
P.O. BOX 1504
y.
Building
Address
79-046
Olympia,
r''Lolds LA QUINTA, CAL FORNIA 92253
Owner
Sunrise Company
,
Mailing
;
PERMIT
BUILDING: TYPE CONST.
OCC. GRP.
Address
75-005
Countm
; `
elub Drive A.P. Number PGA West "
The Groo3' s
City
Zip
Tel.
Mech.
Palm
Desert v
52260
5a+G--2$.28 . Legal Description
70.44
Contractor
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' tion kap' AU
P t Do
`"` Phase 3C,
Aaaress I
+ x.
P
�w
State Lic. City
& Classif. 208130 Lic. # 398
Designer
Address Tel.
City I
Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 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. �1 y° tr' w _
_SIGNATURE 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 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 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
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ 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 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 build or improve for the purpose of sale.)
0 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 contractor(s) licensed 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
Worker's 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 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 of 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 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 stale 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
rojec escrlp
REMARKS
t ntl Ql> iii f►.A.4eA AA -0A -RR 4 t?
ZONE: BY:
Minimum Setback Distances:
Front Setback frcm Center Line
Rear Setback fro n Rear Prop. Line
Side Street SetbEck from Center Line
Side Setback -from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
1
WHITE -FINANCE, PINK APPLICANT, GREEN -BUILDING, GOLDENROD - ASSESSOR'S OFFICE; HA4D COPY - FILE
I
Sq. Ft.. IS98
Size
No.. 2
Stories
No. Dw..
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation,
;
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
40;,r *J V
Const.
! J
Mech.
J:y# .0 Q U
Electrical
70.44
Plumbing
# I •Ou
S.M.I.
Grading
Driveway Enc.
Infrastructure
A fi
TOTAL
v3 >7 62 2. 0 w ,•.' `+' :7 �3 j X
REMARKS
t ntl Ql> iii f►.A.4eA AA -0A -RR 4 t?
ZONE: BY:
Minimum Setback Distances:
Front Setback frcm Center Line
Rear Setback fro n Rear Prop. Line
Side Street SetbEck from Center Line
Side Setback -from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
1
WHITE -FINANCE, PINK APPLICANT, GREEN -BUILDING, GOLDENROD - ASSESSOR'S OFFICE; HA4D COPY - FILE
• J CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
ISI FL SO FT (a $
2ND FL SO FT. @
POR SO FT. or
GAR SO. FT. ro
CAR P. SO FT. 6
WALL SO. FT. Q
SO. FT. 0
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
p.
YARD SPKLR SYSTEM '
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMSIt
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTOXDISH)
APPLIANCE DRYER
ea AS GH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
I
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.
SO. FT. ® c
BATH TUB
SO. FT. @ c
IWATER HEATER
MAX. HEATER OUTPUT. B.T.U.
SO. FT. RESID g 1'A c
SEWAGE DISPOSAL
O✓i�i
SO.FT.GAR 1i c
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE JIL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACK �ZZ_
GRO
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE. �_
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSIt
S
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
ea AS GH)
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 x$
_.
=$
LUMBER GR.
FINAL INSP 2
FRAMING IOrt/ V
FINAL INSP.
ROOFING 7/�y �
�//2_
O✓i�i
i
l/O (�/.,_if�/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
6 S NISOUND�
FINISH GRADING
FINAL INSPECTION/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Ab
!/Y
CITY -OF LA OUINTA
�v
OF ;.,ckf%qtMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner Sunrise Company
Contractor National Mortgage & Land
Permit Number 4007
POST ON JOB IN CONSPICUOUS PUCE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-846 Olympia Fields
"Single Family Dwelling"
TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SETBACK
/" ^' '
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB ,e-Al.jr-
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR,CONCRETE UNTILABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & 6AS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION it- ^� /7
PRE -ROOF
0
COVER NO WORK UNTIL ABO HAS BEEN SHINED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & TE
SEWER SEPTIC TANK
9i+�v-z
1 --CIV 6`1,-/ 4'1f&- 3 6 -FINALS -//- 1 /5rt-
-7
PLUMBING
FINAL GAS TEST
HEATING - A/C
OUSE NUMBERS
JOB COMPLETED /
TEMP POWER
3-6 (/)
ABOVE APPROVALS.60 NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4/88