04346 (SATT)P.O. BOX 1504
Building78-105 CALLE ESTADO
Address 5 —219 Tanglewood LA,QU_INTA, CALIFORNIA 92253
Owner
-Sunrise-Company BUILDING: TYPE CONST. p OCC. GRP.Mailin
I `
Address 75-005 Country Club Drive_ PGA bleat • '.the Gra
A:P. Number ~
City Zip Tel.
Desert 9226th �5rDfj '�Q�i�_ z „ Legal Description
Contractor Vational Mortgage
' Same
City
State Lic. 2883
& Classif.
Arch., Engr.,
Designer
Project Description
Plan D Phase 7G
" 6 ^
Tel.
City
Lic. # " < Sq. Ft" No: ' "` No. Dw:•
Size 1555 Stories 2 Units
New 0 Add O Alter O Repair 0 Demolition O
Address
Tel.
)
,,'-'City
Zip
State
Lic. #
r�
CONTRACTOR'S DECLARATION
r"'LICENSED '
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.: ` r r
• SIGNATURE - DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following
1 ! �1 A0' 4 i
$110,
$
- reason; (Sec. 7031.5,Business and Professions Code: Any city or county which .requires a
rA A• , 15
- permit to construct, atter, 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 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 Any Section 7031.5 by any for
Plan Chk. Dep.
the alleged exemption. violation of applicant a permit
subjects the applicant to a civil penalty o/ not more than five hundred dollars ($500).
p. •�4i
Plan Chk. Bal. $ 4 a 9
0 I, as owner of the property, or my employees with wages as their sole compensation, will
cis .
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
t-J'�+
Const. 1a1
• Professions Code: The Contractor's License Law does not apply to an owner o/ property who
y;ry
builds or improves thereon and who does such work -himself or through his own employees,
` Mech. ', g
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
Electrical ',�.bQ
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-
Plumbing 107 i, 00
• 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. 1 1 7.81
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner
y
Infrastructure p 3
Less Credit it i, "ei,50.51
' WORKERS' COMPENSATION DECLARATION
fler'vntrazt -.5t re
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
li
❑ Copy is filed with the city. 0 Certified copy is hereby furnished.
•
TOTAL i i .► > r� �"= : i ,'
CERTIFICATE OF EXEMPTION FROM
REMARKS 71 3, : g. 7 0 1
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i/ the permit Is for one hundred dollars ($100) valuation
-
L 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
ZONE: BY: "
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
Setback Distances: -
comply with such provisions or this permit shall be deemed revoked.
Minimum -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
• CONSTRUCTION LENDING AGENCY ,t
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, Civil Code.) "-
Side Setback from Property Line
Lender's Name .
j;
Lender's Address 4
FINAL DATE 'INSPECTOR
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.
Issued by: Date r Permit
1, 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. r '
Validated by:
Signature of applicant —Date—
ate
Mailing
Mailing Address
Validation:
City, State, Zip
WHITE 7'FINANCE, PINK - APPLICANT,_ GREEN = BUILDING, GOLDENROD - ASSESSOR'S OFFICE HARD COPY - FILE
_t ,. H� (3 _'F'ti< • r .. .h _,._ t _.... yi. .5J .1-...aK� -. .. .. .: ik.•r�
-."r-.- - :•1. 1.. �..cf/.' _..- e - - .. .:�'.-1.--::±1 .•. - .♦ -.-. --..
CONSTRUCTION ESTIMATL
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO FT (a $
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. a
FORMS
SEWER OR SEP -IC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT. pr
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. *
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO FT. rpt
FINAL INSP.
WALL SO. FT. (U
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plu5 x$
=$
URINAL
SO FT 0
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
ILAUNDRYTRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ®c
IBATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT. B.T.U.
SO. FT. RESID a I'A c
SEWAGE DISPOSAL
SO.FT.GAR Q 3/,c
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 8 AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEP -IC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
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.
$ plu5 x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL 71