06808 (SFD)414
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P.O. BOX 1504 No. 4680
Building 78-105 CALLE ESTADO
Address 54-33.1 Shoal Creek LA QUINTA, CALIFORNIA 92253
Owner
Sunrise Company BUILDING: TYPE CONST. OCC: GRP.
Mailing -
Address 42-600 Cook St- Suite 200 A.P. Number- PaA WFIST —. Phaea' 91A
City Zip Tel.
Palo Dere . 92250 1 558-2828 Legal Description '
Contractor Project Description �f!'aG 2071.7-3+ Plaid 4CR
National Land A 14ortgaae
.Address
k
Salm '
.i
City
ZIp
Tel.
State Lic.
City
-
& Classif. 288130
Lic. # 328
Sq. Ft. 1918
No. No. Cw.
Size -
Stories Units.
Arch., Engr.,
.Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition.❑
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 Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNEWBUILDER DECLARATION
' I hereby affirm that I am exempt from the Contractor's License Law for the following
_
Estimated Valuation9
�yg�+
$1432;816
reason: (Sec. 7031.5,6usiness 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 applicant for such permit to rile 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
for the Any Section 7031.5 by any for
Plan'Chk. Dep.
'
alleged exemption. violation of applicant a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
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.
#��
7J
755.U0
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds
builds or improves thereon and who does such work himself or through his own employees,
Mech.
•.�,-
• 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
Electrical
11204
of proving that he did not build or onprove for the purpose of sale.)
•
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
131 QQ
' 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.l.
7
7,06
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
O I am exempt under Sec B. & P.C. for this reason
Driveway Enc.
Date owner
Infrastructure
± $. f! 19494a8'
LeS,; Z +
1,494.16
' 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
1
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL;
CERTIFICATE OF EXEMPTION FROM
• WORKERS' COMPENSATION INSURANCE
REMARKS
• (This section need not be completed if the permit is for one hundred dollars (8100). valuation
' ��'� " • "'`y1*>a•t•• r. 's •cx-€ v�-r.:• a �..s �..y . , .
-
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: If, after making this Certirtcate of Exemption you should become
ZONE:
BY:
- subject to the workers' Compensation provisions of the Labor Code, you mast 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
CONSTRUCTION LENDING AGENCY
$Ida Street Setback from Center Lire
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.Llne
Lender's . Name
Lenders Address
"
FINAL DATE
INSPECTOR
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.
'
Issued by:
Date .1/9/90 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
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT. ®
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT.
LUMBER GR.
FI AL INSP.
URINAL
SO. FT. @
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
WASHER(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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
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 & 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 APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FI AL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WALL FINAL