04370 (SATT)Building 5.$4315 T.anglego d
Address
Owner
Sunrise Company
Mailing
Address,, 7s- 05 ct,?E]ntry ct
City, , " , Zip
P41 -1i -Desert 1 92260
Contractor
Address
CityZip
State Lic.
& Classif. 283130
Arch., Engr.,
Designer
Address .
;
P.O. BOX 1504 -
78-105 CALLE ESTADO.
LA QUINTA, CALIFORNIA 92253
" *
BUILDING: TYPE CONST.
A.P. Number
Legal Description.
Project Description
OCC. GRP.
PGA Viefat The Greons
Plays CR ~"' Phase 7
• ^#
TeL
ZONE:
BY:
Tel.
Distances:
Estimated Valuation�Q
,
City
Lic. #
Sq. Ft., _ ,, ,17.QO .
Size
. No.2 .
Stories
No. Dw.6
Units
Plan Chk. Dep.
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Tel.
F . 3 a T.7V.7
Const.
V) u . W)
4
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.
SIGNATURE. DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors 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) of
Division 3 or 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 five hundred dollars ($500).
❑ 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
ofproving that he did not build or, improve for the purpose of sale.)
y -
OLI, 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
'such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
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. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation
or less.)
. I certify that in the performance of thg work for which this permit is issued, I shall not
employ any paon in any manner so as to become subject to the Workers' Compensation
Laws of
Cal ifornirsa.
Date 'rs Owner
NOTICE TO APPLICANT. If, after making this Certificate of 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
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.)
Lender's' Name .
Lender's 1Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration It 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
REMARKS
ZONE:
BY:
Minimum Setback
Distances:
Estimated Valuation�Q
Front Setback from Center Line
PERMIT
1
AMOUNT
Plan Chk. Dep.
Side Setback from Property. Line
FINAL DATE
Plan,Chk. Bal.
Issued by:
F . 3 a T.7V.7
Const.
V) u . W)
Mech.
3yll
Electrical
Plumbing
99.00S.M.I.
7.T4
Grading
Driveway Enc.
Infrastructure,.
"
1&aa Credit
10, 244 i vii
Not Infrastructure
TOTAL
$2.0.2.95 r`.!t
REMARKS
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
I.,N PECTOR. 1.
Issued by:
Date Permit
Validated by:
Validation:
11
WHITE FINANCE PINK APPLICANT, GREEN - BUILDING, GOLDENROD' -'ASSESSOR'S OFFICE HARD COPY - PILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO FT (p =
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. C
FORMS
SEWER OR SEP --IC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT ar
GAS (ROUGH)
METER LOOP
GAR SO. FT. iK
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP. SO FT. 0
GROUT
WATER HEATER
WALL SO. FT. (d
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. ra
= $
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTONDISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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 @ 1 V. c
SEWAGE DISPOSAL
SO.FT.GAR (g V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.VEE
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.
$ plus xE
= $
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR'
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
N
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
,
GARDEN WALL FINAL