07054 (SATT)C&tyl
Q.
44�C�_o �
P.O. BOX 1504 No. 07054
Building 78-105 CALLE ESTADO
Address 79-725 Northwood LA QUINTA, CALIFORNIA 92253 ! I � �
Owner V
MailinSunrise Cnipaay
BUILDING: TYPE CONST. OCC: GRP.
Address 42-600 Cook Sir
Suite 200 A.P. Number PGA WEST
City Zip Tel. Tract 24801Palm Deser 9226th 568-2828 Legal Description
Contractor Project Description Phase 336*— Plan 300
National Fbrtgage & Tatra
Address
Same
City Zip Tela
State Lic. City
& Classif.288130 Lic. # 328 Sq. Ft. 2826 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I 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.
TGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation ` cQ
I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, 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 PERMIT AMOUNT
the provistons of the Contractors 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 Plan Chk. Dep.
subjects the applicant to a civil penalty or not more than five hundred dollars (2500). Q t
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. a - 21
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. V 4.U(17 -
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or knproves thereon and who does such work himself or through his own employees, Mech.
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 -budder will have the burden Electrical �4 •:�
of proving that he did not build or inprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con. Plumbing L�4•
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner or property who builds or improves thereon, and who contracts for S.M.I. •.t3:3
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec B. 8 P.C. for this reason
Grading
Driveway Enc.
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 Me permit is for one hundred dollars ($100) vatuation
or less.)
I certify that in the performance of thg work for which this permit is issued, 1 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, ft, 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
1 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 property 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 Address
City, State, Zip
Infrastructure V41380. %37 i9 .29
ear erTdit 2,i90.29
TOTAL ~`��`� £ !f d,_,' j • t
REMARKS e)tt54i1' _#+I _;+1ft(3,F1'�� �:s_t7fF,t-. 10
XCY #:•r1.�f7 x fu1t,1,, x :vr..._.
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 2/13,x'90 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO. FT. ® $
UNITS
�t
9ALAB GRADE J� a-�
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
SEWER OR Tir !n
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT ®
AS (ROUGH)?&2q-,?()
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN
FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION E
=$
WATER PIPING
NOTE Not to be used as property tax valuation
FINAL INSP-/t)-fa
!d
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEWPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
THING 6 &2 0
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® VLc
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE 111PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
fBROUND PLUMBI @l 1?()
UNDERGROUND
A.C. UNIT
COLL. AREA
�t
9ALAB GRADE J� a-�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR Tir !n
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINFJ�,2-Q -q6
AS (ROUGH)?&2q-,?()
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
j plus xi
=$
LUMBER GR.
FINAL INSP-/t)-fa
!d
RAMING 6 -(�
FINAL INSP.
l OOFING -lv-Gt
REMARKS.
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING 6 &2 0
MESH
INSULATION/SOUN[&-/3- ?6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
'
GARDEN WALL FINAL
1