07029 (SFD)44150
O.4
No. 07029
Building 7&105 CALLE ESTADO
Address 3 2� Shoal Creek LA QUINTA, CALIFORNIA 92253 .
Owner
Sunrise C(x> Dany BUILDING: TYPE CONST. ' • • OCC: GRP.
Mailing
Address42,.600 Cook St. Suite tag IA.P..Number— PGA WEST - Phase
City Zip Tel. 2r37�2
Aal>n sect 52260, 568_2828 Legal Description
Tract ContractorProject Description Plan. 3CR '
41ati oval Hortgage & Land
Address
Sam
State Lic.
& Classif. 288230
Arch:, Engr.,,
Designer
Address
Lic. #
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 Division 3 of the Business and Professions Code, and my license is in full force and
effect. - --'�� r [ ..•%� �. 1� � � - � i r rk
SIGNATURE DATE
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
• reason: (Sec. 7031.5,Busimess,and Professions Code: Any city or county which requires a
Sq. Ft. 1627 No. No. Dw.
Size: Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑•.
Estimated Valuation
23a727
permit to construct, after, bnprove, demolish, or repair any structure, priorto its issuance also
requires the applicant for such permit to Me a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter, 9. (commencing with Section 7000) of
PERMIT
AMOUNT
-
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
Plan Chk. Dep.
-
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
01, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Bal.
6 ,��
Const.
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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
'
Mech.
rS
Lil•.
• 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
for the purpose of sale.)
":. of proving that he did not build or improve•
Electrical
�, ic2 22 t '
-
Plumbing
,.
131.00 -
❑ 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. _
' �'
- such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Grading
-
Driveway Enc.
Date Owner
InfraStrUC1Ure
42 558.86 $2*219.41
!Less Cre it
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.
O Copy is filed_ with the city. ❑ Certified copy is hereby furnished. +'
•
TOTAL
REMARKS
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
' (This section need not be completed it 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.
-
•-
:l. " ; { } ` >,- # 4 •tri'' -r a h �F •-
• -
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 shall be deemed revoked.
ZONE: BY:
- -
Minimum Setback Distances: ,
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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.)
Side Street Setback from Center Line
Side Setback from Property Line
Lenders Name
`
FINAL DATE
r a
INSPECTOR
2/12190
Lenders Address
This is a building permit when property 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.
I agree to comply with all city and county ordinances and state lawsrelating to building
construction, .and hereby authorize representatives .of this' city to enter the' above-.
mentioned property for inspection purposes. •
Issued by:
Validated by:
Date Permit
Signature of applicant Date
- Mailing,Address.
Validation:'
r _
" `City,. State,"Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCTWORK
ROCK STORAGE
OUND. REINF.3 /.(',-�j;
c
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
DRINKING FOUNTAIN.
WALL SO. FT.
FINAL INSP.
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. @
GRADING
CU. yd.
$ plus x$
=$
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
/ / - 1
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
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% c
SEWAGE DISPOSAL
INSULATION/SOUND4/ �N� -V
SO.FT.GAR ® V4c
HOUSE SEWER
FINISH GRADING
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
AOUND PLU
cj
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR
ROUGH WIRING
DUCTWORK
ROCK STORAGE
OUND. REINF.3 /.(',-�j;
c
GAS (ROUGH) �j^�
/
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$
=$
GR.
INAL INSP. -
/LUMBER
GSRAMING �il—�
v� vV
FINAL INSP.
(j OFING
/ / - 1
_
��Z
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
RING S
MESH
INSULATION/SOUND4/ �N� -V
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL