06423 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54-756 Shoal Creed. LA QUINTA, CALIFORNIA 92253
Owner
Sunrise Company
Address 42-600 Cook St., #240
City Zip
Pd M Desert 92260
Contractor
Address
565--2820
1-3
No. 06423
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number M& f':est -- PhiSe 18A
#gal Description
oject Description 'ra1Ct 20717-3. PlanM
City
Zip
Tela
State Lic.
& Classif. 288.130
City
Lic. # 328
Sq. Ft. 1548
No. NO..DW.
Size
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby'affinn 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
effe�ct� I
' -
SIGNATURE -*" +� " I" 1., / DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031-5,�ess and Professions Code: Any city or county which requires a
permit to construct, after, frrprove, demolish, or repair any structure, prior to its issuance also
requires the.apptxard for such permit to We a signed statement that he is licensed pursuant to
the provisions of the Contraaoes License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Cade, or that. he is exempt therefrom, and the basisy
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a cW penally of not more than rive hundred dollars ($500).
❑ I, as owner of the properly, 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
Professors Code: The ConbacWs License Law does not appy to an owner of property who
builds or irproves thereon and who does such work himself or through his own employees,
provided that such irprovements are not intended or offered for sale. If, however, the building
or improvement is sold whin we year of completion, the owner -builder wall have the burden
of proving that he did not build or improve for the purpose of sale.)
Estimated Valuation;�8'
545
PERMIT
-
a AMOUNT
Plan CF k" bep.
-
Plan Chk. Bal.4
549.84
Const.
�r.j�
i6lIJJ
M@Ch.
f�oqu�
•S1U
Electrical
- 9p8 16
3 1
Plumbing
�3 '
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project (Sea 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 contractor(s) Evened pursuant to the Contractor's License Law.)
❑ I am exempt under Sec B. g P.C. for this reason
S.M.I.
te
7.63
Grading
Driveway Enc.
Date Owner
Infrastructure
$2,442.28 1,22.1.14
Less"'Qredit
1.221.14
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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
$2,729.77 /:.,A*/i ✓ /
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the 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 or Exemption youshould become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
Comply with such provisibm or this penmit shall be deemed revokea.
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.)
Lenders Name
Lenders Address
This is abuilding 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
REMARKS
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
FINAL DATE INSPECTOR
9ij28/€39
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. @ $
UNITS
R GH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SO. FT.
DUCT WORK
ROCK STORAGE
F ND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
F. STEEL
1-7
GAS (FINAL) TEMP. POLE
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
CAR P. SQ. FT. ®
LUMBER GR,
FINAL INSP,2
n
KFRAMING /�.
G
FINAL INSP.
DRINKING FOUNTAIN
WALL SO. FT. ®
REMARKS:
URINAL
SQ. FT. a
ESTIMATED CONSTRUCTION VALUATION $
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
MESH
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
CERT. OCC.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
INSPECTOR'S SIGNATURES/INITIALS
SO.FT.GAR ® 3/ic
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
ROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
B GRADE 16 C s
R GH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR SEPTI ROUGH WIRING
DUCT WORK
ROCK STORAGE
F ND. REINF.
AS(ROUGH) ��Jj METER LOOP
V
HEATING (FINAL)
OTHER APPJEOUIP.
F. STEEL
1-7
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—x$—=$
LUMBER GR,
FINAL INSP,2
n
KFRAMING /�.
G
FINAL INSP.
J OOFING " 2
`v
REMARKS:
1/0-/9
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
*THING ��'
MESH
INSULATIONISOUND -,
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL