04367 (SATT)Tityl`4 4 Q�KM4
04367
P.O. BOX 1504
Building•r< ,„, 78-105 CALLE ESTADO
Address � �� LA QUINTA;_CALIFORNIA 92253„
Owner «i::,
Sunrise empany
BUILDING`. TYPE CONST. OCC. GRP.
Mailing
00crmClub or;.iWest - The GreangAddress 7 t A.P. Number•.w
-
CityZip Tel. ,.
Palm 8 92264 ,:�C$M210,28 y ^ Legal Desc�riptionT -
Contractor ~
'14National
Address
Project Description PIrmC `"- Phase 70
• � �. . 6K w' . v a. '1 -
City . Zip Tel.
State Lic. Cit288130 Lic. 394 X400 '2
& Classif. �• Sq. Ft. No:.• .. No. Dw.
Size Stories Units
Arch., Engr., ,
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address I Tel.
City
Zip
State
Lic. If
' LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
;•. 701X)) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
i .• f
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 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) o/
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
subjects the applicant to a civil penalty of not more than live hundred dollars ($500).
ne O I, as owner of the property, or my employees with wages as their sole compensation, will
`do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
—Professions Code: The Contractor's License Law does not apply to an owner of property who
- ,.-builds or improves thereon and who does such work himself or through his own employees,
provided that such. improvements are not intended or offered for sale. If, however, the building
- - . or improvement is sold within one year of completion, the owner -builder will have the burden
o/ proving that he did not build or improve for the purpose o/ sale.)
Estimated Valuation
iQ$� t7J��Q
-
PERMIT
•' •.�
AMOUNT
Plan Chk. Dep.
'
Plan Chk. Bal.
S 3 L 97
Const.
A
Mech.
wt _
Electrical
Plumbing
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
S.M.I.
7.74
f such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
' ❑ I am exempt under Sec. B. ti P.C. for this reason
Grading
_
Driveway Enc.
,-
Date Owner
Infrastructure
S;2.4&7 .92
WORKERS' COMPENSATION DECLARATION
wet , xntrast
."•f ure a ry b- ;
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
b Copy is filed with the city. O Certified copy is hereby furnished.
. -
TOTALr�A
REMARKS
r • p r i , h
CERTIFICATE OF EXEMPTION FROM .
• WORKERS' COMPENSATION INSURANCE
t
(This section need not be completed 1/ the permit is for one hundred dollars (5100) 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.
- -
'
•1:
Date . ' Owner
NOTICE TO APPLICANT: If, after making this Certificate o/ Exemption you should become
ZONE:
BY: `
subject. to the, Workers•, .Compensation provisions o/ the Labor. Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
-Minimum Setback Distances:
•
Front Setback from Center Line
Rear Setback from Rear Prop. Line f '
- 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.) `
4
Side Street Setback from Center.Llne'
Side Setback from Property Line
Lender's' Name'
Lender's Address
. This Is a tiuildin g permit when properly filled days. and validated, and is subject to
expiration if work thereunder is suspended for 180 da s.
I certify that 1 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-
bove mentioned property for inspection purposes:
mentioned
FINAL'DATE '
Issued by:
Validated by:
t ;
x•
INSPECTOR
- •
Date Permit
^'
Signature of applicant Date'
- - Mailing Address
Validation:
GOLDENROD ASSESSOR'S OFFICE, HARD COPY - FILE
•. .a_,.., _...._.._ <s-.. ,.. �;a .. .-sk;;•:r". -. ,.*'x •.'... ... „is`,: } �• 1;. �. :�..�_,c ..
City, 'State: Zip
v. ,WHITE - FINANCE, PINK APPLICANT GREEN - BUILDING,
'll.. "yr-.�uilr_'..};ice?.:;•�f,3_ ra:.a:.ra•P;r,-. ..ei--, c-... i7 .-�.r .:,rsra•5.-_._:. _,:q ,..••:c .. .,•��..
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
iST FL SO FT pr T
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. C
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FTa
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO, FT, 0
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SO FT. rpt
FINAL INSP.
WALL SO. FT. Fd
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ _plus_x$
-$
URINAL
SO. FT. a
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.000L HOOD
SIGN
WASHER(AUTOHDISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRYTRAY
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
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID g VA c
SEWAGE DISPOSAL
SO.FT.GAR 3/.c
HOUSE SEWER
/ L
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 SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
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.
$ _plus_x$
-$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR•
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
/ L
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL 71