04344 (SATT)Building 55-387 Ta>R 3,eo�c, ori
Address �
Owner
Sunrise CompanY
Mailing
Address 75-005 .CoWltr, Cl
City Zip
lull' : Desert 92260
Contractor
Address
City
State Lic.
& Classif. 288130
Arch., Engr.,
Designer .
Address
441au�itrCv .' .
X4344.
P.O. BOX 1504 :� ~
78-105 CALLE ESTADO
w LA QUINTA, CALIFORNIA 92253,
t BUILDING: TYPE CONST. OCC. GRP. - C
i !_ MViVS- _ .. A:P.,Number IPM,est - "The Gra—ons
Tel.
322'_1()20 Legal Description T
Project Description ~PIan tin — Phase W;
City
Lic. # 3212,- `10 . Sq, Ft. 155-5 NO...... .. «12 a
Size Stories
Tel.
CityI Zip I 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. r y YY
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I 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
• t
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
s
Estimated Valuation�ka f 1S6
- permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also
t.'Fr.requires the applicant /or such permit to lila a signed statement that he is licensed pursuant to
PERMIT
_
AMOUNT
y1 Dof
ivision v3 sons of the of the Businesslractor's License Law, and Professions Code.Corrtthat. hter 9e is exempt gwith therefrom, rion 700and he0 basis
-
r. the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permitPlan
Chk. Dep.
-
;; °•subjects the applicant to a civil penalty of not more than live hundred dollars ($SOO).
Plan Chk. Bal.
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const.
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
Mech.
II
4UU
provided that such improvements are not intended or offered for sale. If, however, the building
,4v,
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
r,bg 460
o/ proving that he did not build or improve for the purpose o/ sale.)
X'
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
A
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
r
does not apply to an owner of property who builds or improves thereon, and who contracts /or
S. M. 1.
f?' I .
such projects with a contractor(s) licensed pursuant tothe Contractor's License Law.)
Grading
❑ 1 amiexempt under Sec. B. & P.C. for this reason
Driveway Enc.
Infrastructure
Date Owner
*} y.
57GlsF ?�wecil 1�
,25v#51
' WORKERS' COMPENSATION DECLARATION
Net Intrastructurer ! .
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
-
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTALrp3a�1.51�.„�rfr^^
• CERTIFICATE OF EXEMPTION FROM
REMARKS
"/9�.yr��3r�,tc�
WORKERS' COMPENSATION INSURANCE
j���.j� �« ` �j #�
V ':'�i""
(This' section need. not be completed if the permit is for one hundred dollars ($ 100) valuation
�I7�iK��'•,� I'm 't r[ { A.ifi,710
or less.)
I certify that in the performance of tha 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 ,o/ Exemption you should become
ZONE:
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
-
Front 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, Civil Code.) - -
;
Side Setback from Property Line -
Lender's Name
Lender's AddressFINAL
This is a building permit when properly filled out, signed and validated, and is subject to
DATE
I.NS/PECO '
-
expiration if work thereunder is suspended for 180 days.
1 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-
f
mentioned property for inspection purposes.
Validated by:
r
'
,Signature of applicant Date-
Mailing Address-
Validation:
!' -
City, State, Zip
GOLDENROD -ASSESSOR'S
OFFICE, HARD COPY -FILE'
i WHITE FINANCE, PINK APPLICANT GREEN -BUILDING,
..♦ . _ .Y. �,A..' ` i. i ., .-L.r'..V-' ,. _. ... �9.� ...smolt' .. } .y _.:.P-ri ..t .^'1[.l hl .+rt LY :£'.s. M.wis _...... r ,� ... 1-..� a,:.+2.:•-1 ^'- .. .Y L .1 'Y.i _ i �:. -�2�fJ f.J__ - ..a _ .. ._. r..
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO Fl (a $
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. e
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR SO FT at
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. fpr
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO FT. fa
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
WALL SO. FT. fa
_$
LUMBER GR.
FINAL INSP.
URINAL
SO. FT. fp
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.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
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 @ 1'A c
SEWAGE DISPOSAL
SO.FT.GAR je 3/.c
HOUSE SEWER
CERVI. 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 & 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
ROCKSTORAGE
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
�J
Fal ION///
GG��
CERVI. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL