07080 (SATT)P.O. BOX 1504 No. 07080
Building 78-105 CALLE ESTADO
Address •79-690 Northwood LA QUINTA, CALIFORNIA 92253 �
Owner
Sunrise Company lJ
Mailing
BUILDING: -TYPE CONST. OCC: GRP.--
- ' • - '
Address 421-600 Cook St. Suite 200 A:P._ Number PGA WEST
City e i Zip, Tel. f Tract 24801. Palin �Sr - g22�� Legal Description '
Contractor Phase 338 - 'Plan 4014
National Mortgage & Land Project Description
Address _
Same
City Zip Tela
State Lic. City
& Classif. 288130 Lic. # 328 Sq. Ft. 3142. No. No. Dw.
Size Stories Units
-Arch., Engr.,
Designer New ❑ • Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address' Tel.
City Zip 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 licensels in full force and
effect. � .+. �,•-•i ., ,!.- '" , r --, rC::���
SIGNATURE DATE '
OWNER -BUILDER DECLARATION �LiJ ft3�
I hereby affirhn that 1 am exempt from the Contractor's License Law for the followingEstimated Valuation ' r' i J
.. reason_ (Sec. 7031.5.8siness and Professions Code: Any city or county which requires a
permit to construct. after. srprove, demolish, or repair any structure, prior to its issuance also
requires the applicant for such pemoT to hie a signed statement that he is licensed pursuant to PERMIT AMOUNT -
file provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Bshess 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 wpbpnt to a civil penalty otnot more than rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
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 Const. six
builds or improves thereon and who does such work himself or through his own employees, Milch. .82" SO
provided that such improvements are not intended or offered for sale. If, however, the building,
or improvement is sold within one year .f
of completion, the owner -builder will have burden Electrical j c - e .
.(if proving that he did not bbd of improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- • Plumbing •
• • 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 S.M.I. - `J+
• • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading _
' ❑ 1 am exempt under Sec B. & P.C. for this reason
- Driveway Enc.
Date - Owner Infrastructure' 3s 2,4ra. i3
F.:► L+If
"t b.skl�:7.
_ r
WORKERS` COMPENSATION DECLARATION
t 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.. O Certified copy is hereby furnished. -11K t
TOTAL.
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(ibis section need not bei,is''••+'Q:prf�:•L1-' ••"1'tyT.FUG.:' A.'"" "'-i i'.Ja .i
rxxr>9leted ff 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
r
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate. of Exemption you should become ZONE:- BY:
subject to ,the Workers' Compensation provisions of the Labor Code, you must ' forthwith
comply with such provisions of On permft shag be deemed revoked. Minimum Setback Distances: - -
Feont Setback from Center Line
Rear Setback from Rear Prop. Line "
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, CfvflCode.) �. Side Setback from Property,Line
Lender's •Name -
Lenders Address . -
This is a building permit when propeAy'filled out, signed and validated, and is subject to' FINAL DATE —INSPECTOR
expiration if work thereunder is suspended for 180 days. 2/13/90
3( aV
I certify that I have read this application and state that the above information is correct. Issued by: Date Permit
'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 r
mentioned property for inspection purposes Validated by:
Signature of applicant V Date
.Mailing Address ,Validation: .
City, . state, Zip - r
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.
HEATING (ROUGH)
MOBILEHOME SVC.
I BAR SINK
POR. SO. FT. ®
ROUGH WIRING
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
RMFOUND. REINF.
/� !/
(� "s (ROUGH) zri7//
v v
DRAINAGE PIPING
CAR P. SQ. FT.
HEATING (FINAL)
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN
TEMP. POLE
URINAL
SOFT ®
GROUT
ESTIMATED CONSTRUCTION VALUATION $
SERVICE
WATER PIPING
NOTE: Not to be used as property lax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
AMING t L �1
LAUNDRY TRAY
AIR HANDLING UNIT CFM
OFING -�'� -G(,
KITCHEN 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
FIREPLACE
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
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 GOND. SOLAR
SETBACK
�iROUND PLUM 9-q-
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
��,�R//OUGH
(/GEWER OR SE I
rw
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
RMFOUND. REINF.
/� !/
(� "s (ROUGH) zri7//
v v
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.
NAL INSP. ��!—
AMING t L �1
FINAL INSP.
OFING -�'� -G(,
%0 w ' /�I A f
0�� tti� • ~J _ �� �((�'
'
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
"THING
MESH
//
(/�jySULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WALL FINAL