07074 (SATT)Addrresildings —,, fit�rt ad
Owner
Sunrise
T 0 _ihf 4 4Q�rw
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address 42-500 Cook St. Suite 200
City Zip Tel.
Palm Desi 92260 1
568-2028
National Nortgage & Land
Address
Satter
City Zip Tela
State Lic. I City
& Classif. 2MI30 Lic. # 328
Arch., Engr.,
Designer
Address Tel.
City I
Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION.
1 hereby affirm that I 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
SIGNATURE DATE
OWNER-BUILOER DECLARATION
1 hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec- 7031.5,13usiress and Professions Code: Any city or county which requires a
permit to construct, ager, irpiove, demoish, 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 of 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
sutyecfs the appi mat to a ciW penally 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 Contractors License Law does not apply to an owner or property who
bwlds or ihproves thereon and who does such work himself or through his own employees,
provided that such improvements are not untended 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 reprove for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project (Sec. 7044, Business and Prolessions Code: The Contractor's License Law
does not appy 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
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 perinit is for one hundred dollars ($100) valuation
or less-)
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 Califomia
Date Owner
NOTICE TO APPLK;ANT: 9, 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 proviskm or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby 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.
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 Addr�
City, State, Trp
d tC � D GI
No. 07074
Uti l I �,
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number REST
,Legal Description graft 24801
Project Description Phase 34B - Plan 3014
Sq. Ft. 2826 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Estimated Valuation os„ y
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$ 802.21
Const.
J G,
Mech.
tit. su
Electrical
14Z.4
Plumbing
ZV4, 0
S. M.I.
Grading
Driveway Enc.
Infrastructure$4V36-1i•
�% r �i.Yy
:ss CrMl x
2390129
TOTAL
ILK I.( .
REMARKS
.khcci ._4ri ..h_ tsR _.
V l -tit I tuttiL t —1-tvf �V7 J
ZONE: BY:
Minimum Setback Distances:
Fiont 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 2f 13/90 Permit
Validated by -
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
��'IER ORS
ROUGH WIRING
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
OUND. REINF. "G
DRAINAGE PIPING
CAR P. I SQ. FT. ®
HEATING (FINAL)
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN.
FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LUMBER GR++.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
//
FRAMING �.
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
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID 0 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK�aROUND
PLUM
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
��'IER ORS
ROUGH WIRING
DUCT WORK
ROCK STORAGE
OUND. REINF. "G
GAS (ROUGH
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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.
//
FRAMING �.
FINAL INSP.
�GROOFING Go
I
4it7
,�/
/� t(
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE .
SPARK ARRESTOR
GAR. FIREWALL
P_LATHING
MESH
?wJV NSULATION/SOUND?—(/
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
l