05974 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 55.4395 Southern U11s' LA QUINTA, CALIFORNIA 92253
Owner r
Sunrise -Co.
Mailing
AddressM'
I5d005 gsijantry Clt*b
City Zip Tel.
4 .
'F..D. 1 92260 1 568-2826,
Contractor
State Lic.
& Classif.. 2881.30
' Arph', Engr.,
Designer'
No. 05974
BUILDING: TYPE CONST.- .. OCC: GRP.-
A.P. Number ' PGAVIP-at
Legal Description
Project Description Phase 17B Plan 201M
clty
Lic. # 328 _ Sq. Ft. 2596 No. No. Dw.
Size • Stories 'Units.
a- •.
AddressTel.
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
OWNER -BUILDER DECLARATION ^"
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,13csimess and Professions Code: Any city or county which requires a -
permit to -construct, after, irprove, demofish, or repair any structure, prior to its issuance also
requires the applicant for such permit to fie a signed statement that he is licensed pursuant to
the provisions of the Conbactmes License taw, 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 alleged exemption. Any vfotation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a cavi penally of not more than five hundred dollars ($500).
❑ 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, Suisness and
Professions Code: The Contractor's 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 irprovemerds are not intended or offered for sale. If,•however, the building
or improvement is sold wiffib one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for.the purpose of sale.)
O 1, 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
such projects with a rndractor(s) icensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sof B. & P.C. for this reason
Date owner
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. C . parry
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
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 tlmg 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: d after maldmg 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 pemmft shag be deemed revoked.
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.)
Lender's 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 1130 days. I .
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 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
New C] Add•❑
Alter ❑
Repair ❑ Demolition ❑
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
Issued, by:
Date 6-19-89 Permit
•.
Estimated Valuation
179,818.00
PERMIT
AMOUNT
Plan Chk. Dep.
Validation:
Plan Chk. Bal.
•
Const.
Mech.
OZ •.7U
Electrical
•A
Plumbing
S.M.I.
I Z �tf
Grading
Driveway Enc.
Infrastructure
W43•
Less 11;
9
mfrs Due
i .. .y
ti.
TOTAL
4131MI5.
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
Issued, by:
Date 6-19-89 Permit
•.
Vali di ted by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
LAB GRADE
ROUGH PLUMB.OJ
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMSER
OR SEPTA K
ROUGH WIRING,
MOBILEHOME SVC.
BAR SINK
POR. Sp. FT. ®
(ROUGH) j . g=
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
WALL Sp. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ —Plus—X$—=$
URINAL
SD FT ®
FRAMING �- ,�%
- 1
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
%�` _ / _ p1� {�J/!j`
�`�
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
I
ILAUNDRYTRAY
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 V. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
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 GOND. SOLAR
S BACK
ND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB GRADE
ROUGH PLUMB.OJ
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSER
OR SEPTA K
ROUGH WIRING,
DUCT WORK
ROCK STORAGE
OUND. REINF.AS
(ROUGH) j . g=
METER LOOP
HEATING (FINAL)
OTHER APPIEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—X$—=$
LUMBER GR.
ZINAL INSP.3-7
FRAMING �- ,�%
- 1
FINAL INSP.
G tc z`
%�` _ / _ p1� {�J/!j`
�`�
REMARKS:
VENTILATION
FIRE ZONE ROOFING _
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/
�G t/ LATHING
MESH
ej INSULATION/SOUND - A --
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
N
y ' . CITY
OF #-A
ti
AP o JON TANDY
i
R ,REQ0630 Medjool Ave,.
- 13UILDING dye Palm Desert, CA 92211 ;
fficel'(760) ,772-7192
9 r Fax (760),-,772-7193
{ Pager. .'(760).,776-3338
REGISTERED INSPECTOWS 1NEEKLY REPORT
TYPE OF '
INSPECTION
PERFORMED
0 REINFORCED CONCRETE VdTRUCT. STEEL'ASSEMBLY_
❑ POST TENSIONED CONCRETE b ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCAVPM0
X5=3
LA
REPORT SEQUENCE NO.
t Tp6�:URE L� ( I
zS
PERMIT NO. ' i
17- fj
DAV OF WEEK
MATERIAL DES IPTIO�A- --!;o
ARCHITECT - -
INSP CTOR�
N Cv
HRS. CHARGED
ENGINEER p
ASSISTANTS
HRS. CHARGED
INSPECTION 'GENERAL
CONTRACTOR DATE COTOR o
W , CONTRACTOR S .
(,t�Z lv 6
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L�.t
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i
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COPY SENT TO CLIENT 0
CONTINUED ON NEXT PAGE O
+
PAGE 1OF
CERTIFICATION OF COMPLIANCE. y M It
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY SIGNATURE OF'REGIST INSPECTO
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE �- _ O X��
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS, , AND APPLICABLE SECTIONS' OF THE
GOVERNING BUILDING LAWS. DATE OF REPORT REGISTER NUMBER