06258 (CP)4
P.O. BOX 1504 No. 06258
Building 78-105 CALLE ESTADO
Address 54-707 Shoal Creek LA QUINTA, CALIFORNIA 92253
Owner
Sunrise _Desert Partners
Mailing BUILDING: TYPE CONST:OCC: GRP.
Address 42-400 Cook St., Su6200 A.P. Number.. PQ West - Tract 2071.7-3, Phase 19A
City Zip Tel.
Pain Desert 922601,568-2828 Legal Description
Contractor Project Description Pools SP$s Electrical Pedestal
Hational Hartaime b L=d
Address
.P -
City Zip Tela
State Lic. City
& Classif. 288134 Lic. # 328 Sq. Ft. w No. No. Dw.
Arch., Engr.,'
Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing wilh'Section
7000) of Division 3 of Bu arid Professions Code, and my license is in'fulll:for+ce�'and
effect t O 2 +S t �,6 :s� ' If
v. ! 71 '-A <- !
SIGNATURE L -w-- F t ♦e i:.+^' + r.T irk b ±'„" P.F t / DATE
OWNER -BUILDER DECLARATION 5
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following .. 0—
reasort_ (Sec. 7031-5,8usrhess and Professions Code: Any city or county which requires a
pemtit to construct, ater, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rite a signed statement that he is licensed pursuant to PERMIT AMOUNT
the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) of
Oivaion 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 avi penally of not more than rive hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Suisness and
Professions Code: The Contractors License Law does not apply to an owner of property who Const.
builds or improves thereon and who does such work himself or through his own employees. Mech.
provided that such improvements aha not intended or offered for sale. If, however, the building
or improvements sold within one year of completion, the owner -builder wig have the burden Electricalim $30.00
of proving that he ufrd not build or improve for the purpose of safe.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con Plumbing
struct the project (Sec- 7044, Bhrsihess and Professions Code: The Contractors License Law
does not apply to -ah owner of property who builds or improves thereon, and who contracts for S.M.I.
such projects with a.cardractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec B. 8 P.C. for this reason '
_11t Driveway Enc.
Date Owner �'4w "r Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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 fumished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS {r')3 ..(� ,P,;'.!?a`i�s�''�:3•"
WORKERS'COMPENSATIONINSURANCE
(This section need not be enmWeted it the permit is for one hundred dogars ($100) valuation
or less.)
I certify that in the performance of thF 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
N017CE TO APPLICANT: 9, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Nbdms' Compensation provisions of the Labor Cade, you must forthwith
conVYwith such provisions orthis Permit Shall bedeemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
1 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 '
Lenders Name
Lenders Address
- This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR
expiration if work thereunder is suspended for 180 days. 9/6/89
1 car tity 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, arch hereby authorize representatives -of this city to enter the above.
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Adder Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SQ. 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. SQ, FT. ®
TMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT. ®
_$
LUMBER GR.
FINAL INSP.
FRAMING
URINAL
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
REMARKS:
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
SPARK ARRESTOR
LAUNDRYTRAY
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
F ISH GRADING
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3bc
HOUSE SEWER
GAS PIPING
FEE
PERMIT FEE
PERMIT FEE
IPERMIT
DBL
TOTAL FEESMICRO
FEE
MECH.FEE PL.CK.FEE
NST. FEE ELECT. FEE
r
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)
TMP. POLE
GROUT
WATER HEATER
VICEQ�
v
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
F ISH GRADING
J�/�At- INSPECTION g
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1