07036 (SFD)Address 54-203 Shoal Creak
Owner
Sunrise Comany
Mailin
Address 42-600 C60k St. Suite 200
City Zip Tel.
Palm Desert 92260
Contractor
. .-$Atiastai 14ortgage. & Land
Sate
State Lic.
& Classif.2$$130
-Arch_, Engr.,
Designer
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
568-2828
City
Lic. # 323
Tel.
City IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 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'
SI_GNATLRE Y DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,13usrness and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to • its issuance also
requires the apprcam 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
Oftft n 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
sWects the aiop6cant to a civil penally of not more than five hundred dollars (8500).
❑ 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 Contractors 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
y: of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of thero
p party, 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 contractors) licensed pursuant to the Contractor's License Law.) .
❑ 1 am exempt under Sec B. & P.C. for this reason
r.
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers 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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff 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 person in any manner so as to become subject to the Workers' Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT: ff, 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 she be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lenders Address
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.
•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.
Signature of applicant Date
Mailing Address
City,. state, zip
No. 07036
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number PGJA WEST - Phase 25,A
Legal Description Tract 24317-2
Project Description Pian 9CR
IS3 2409
Sq. Ft. GAR 42.0
Size
No. No. Dw.
Stories -Units.. ;
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑.
Estimated Valuation
$171,741
PERMIT
AMOUNT
Plan Chk. bep.
Plan Chk. Bal.
Const.
tsyl. U
Mech.`.�.
Electrical
I l2. M
Plumbing
S.M.I.
il.
Grading
Driveway Enc.
Infrastructure
$3,864.1§
Less
Intra ue
TOTAL
REMARKS
44TZA r?•+ .r r Xtri a- s 7 <4 �_ r xb �: 's i
'
3.L' -. — i.1 "1:Y �-1 1- '} e r i53;.• i( 3i% i / r.re.;.
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
i -
FINAL DATE INSPECTOR
Issued by:-, Date 2/12/90 Permit.;
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL: AREA
LAB GRADE ` 2- w
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
&FOUND. REINF.�. -
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAU
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
DRINKING FOUNTAIN.
WALL SQ. Ff.
FINAL INSP.
BOND BEAM
WATER SYSTEM
URINAL
SQ FT ®
GRADING
cu. yd.
-Plus-x$-=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
//��I
` NAL INSP�'�Q �
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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAR. FIREWALL
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. ® c
BATH TUB
CERT. OCC.
SQ. Fr. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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 & AIR COND. SOLAR
SETBACK
GROUND PL U NS,4'�5-�
UNDERGROUND
A.C. UNIT
COLL: AREA
LAB GRADE ` 2- w
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR
EWS
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
&FOUND. REINF.�. -
' ^
aAS (ROUGH _a.J�C7
METER LOOP
HEATING (FINAU
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
-Plus-x$-=$
LUMBER GR.
//��I
` NAL INSP�'�Q �
&SAMING -
FINAL INSP.
jA_ROOFING G -2
Dv //� \ OKI
!L (V � J_ y V
( 6 �rA
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
1AATHING
MESH
&WSULATION/SOUNI
r
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WALL FINAL