04360 (SATT)Building SS -2!1,7 Tang, 40W
Address
Owner
Sunrise 04mpan
Mailing '
Address 75-005 Countxy
City Zip
palm Desart 92260
Contractor
4 4 -
Qaut
P.O. BOX 1504
78-105 CALLE ESTADO
,LA90,INTA,FCALIFORNIA 92253
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BUILDING:, TYPE CONST. OCC. GRP.
C •l Ub DriV% , .. > A.P. Number,.. :�GYI J1108t '" The Greens
Tel. .
Legal Description
Project Description a f Plan..Rid Phase 70
Aaaress '
City
Zip
Tel. �•
State Lic.
& Classif.��
City
Lic. #_ . , < .
.Sq.. Ft., : 700
No.; .. ,, No. Dw. ;
Size
Stories Units
Arch., Engr., "
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition O
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 Divisionof the Business and Professions Code, and my license is in full force and
.3
effect. F r ` - r' Jr ",
SIGNATURE a DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated Valuation
-69 y6 A
$120 l'tg;y
. reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
t
-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 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
Any Section 7031.5 by 'any for
Chk. Dep.
for the alleged exemption. violation of applicant a permitPlan
. subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
Plan Chk. Bal.
r
�r pd •{A y '-
1
O 1, as owner of the property, or my employees with wages as their sole compensation, will
V V e
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const.
u� s�
1,S ,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.
Mech.
- ". 9, 0.0
-S°s;';,•"provided that such improvements are not intended or offered for sale. If, however, the building
on improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
42.50
-,. of proving that he did not build or improve for the purpose of sale.)
^`OI, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
e
• • - 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.
- . ♦
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
O 1 am exempt under Sec. B. & P.C. for this reason
Driveway Eno.
Date Owner
Innfrastruesa
$247.17.31,
q��ccturey
10350.66
WORKERS' COMPENSATION DECLARATION
ra ur-ruc cure p,�;7i5 0,00
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.)
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Policy No. Company
O Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL
o . f4 , C j. ;:'o
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' ENSATI
�#
�t�i�dt:�.�t W).0.V+ f�UIR("' 1,i�f 3,41 0
d ifCOMPENSATION
(This section need not be completed it the permit Is for one hundred dollars (E 100) valuation
the for one
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.
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 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
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.)
r
Side Setback from Property Line '
Lender's : Name
f
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to '
FINAL DATE
INSPECTOR,
it is for 180 days.
II r
expiration work thereunder suspended ,
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- -
mentioned property for inspection purposes.
Validated by: -
Signature of applicant Date
Mailing Address •
Validation:
-"City, State„ Zip"
k ..
WHITE - FINANCE PINK APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE HARDCOPY - FILE i r
.n, i4. .�.'. 1: :!L... '�ii'd-`.Y?S.tiiif.. x'?•i'.tr.t.:L '2'•rY LV✓',-�"._ Y':t'.' :�":r,y.: .:.A.:•?.CSS-•: :: C.�t `.:'Y.ti� :L'K\3+.q .'_ i_.`a �- •,M.A- .[D-tIi'.'••- "�- 1"!�.'��'i� ..l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL - SO Fl rp $
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. a
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT of
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. Ft
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SO FT.
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
WALL SO. FT. !a
=$
LUMBER GR.
FINAL INSP.
URINAL
SO. FT. rd
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTONDISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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 a 1% c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
CERT. OCC.
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 APP.IEOUIP.
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
-�� TIO
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
,
GARDEN WALL FINAL