05973 (SFD)P.O. BOX 1504 No. 0597
Building 78-105 CALLE ESTADO
Address 5'•5--359 fher-n H_JJ16 LA QUINTA, CALIFORNIA 92253 '
Owner
SunriseCo_.
Mailing BUILDING: TYPE CONST: OCC: GRP.• -
Address 75-005 try Club A.P. Number PGA West r
CityZip Tel.
3P.b. 92260 568-`2.$283 Legal Description
Contractor. Project Description PhaGe417D Plan 40M
-$0=
Address
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City Zip Tel-:
' State Lic:- , -
City
& Classif.
288130
Lic. #
3283
S Ft. No. No. DW.'
316'2
Size Stories Units -
` -Arch.,•En r
New Add ❑ Alter ❑ Repair ❑ Demolition ❑.
Designer. .,
Andress "
Tel.
City
Zip
State
• .. ...
Lic. #
LICENSED CONTRACTOR'S DECLARATION
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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
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- IGNUdFe - DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following
- 215 ,834.00
reason: (Sec. -7031-5, Business and Professions Code:, Any Icily 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 pursuanttoPERMIT
.�� '
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 alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
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:Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
• ,i
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. u�a It
Professions Code: The Contractor's License Law does not apply to an owner of property who
•Mech. �.•
' builds or improves thereon.. and who does such work himself -or through his own employees,
provided Nat such improvements are'not Intended or offered for sale. B, however,the building
Electrical_ 3*
'. or improvement is sold within 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.) . .
-
Plumbing a
❑ 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 to Improves
1_ _
not apply an owner of property who builds or thereon, and who contracts for
- such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
S•M,l• - .
Grading
, ❑. I am exempt under Sec B. 8 P.C. for this reason
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Driveway Enc.
,.
Date Owner
Infrastructure '3 • : -.
ss Crecilt 24ZO. 13
WORKERS' COMPENSATION DECLARATION
Infra Due Z "Lfi. ,i
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-
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TOTAL `I 'Y`
' CERTIFICATE OF EXEMPTION FROM:
WORKERS' COMPENSATION, INSURANCE
REMARKS s _
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
Jv i K 4 Gr S F ,s :vt
E m
or less.)
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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: 8,after making this Certificate, of Exemption you should become
ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.`
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Minimum Setback Distances:' -• '; ,
Front.Setback from Center Line
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Rear Setback from Rear_Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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 Line
Lenders 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. : .
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I certify 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, 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
loo
)45k6B GRADE tizg
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT. ®
FORMS
ER OR SE
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
�p
G S (ROUGH) �-- /�
c
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. Q
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SO. FT.
=$
LUMBER GR.
/FINAL INSP3 ,?—%v
'/t
FRA ING ;lk—
URINAL
SO. FT. @
v Ir
:
REMARKS
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
H1
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
CERT. OCC.
SO.FT.GAR ® V4c
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
OUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
loo
)45k6B GRADE tizg
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR SE
ROUGH WIRING
DUCT WORK
ROCK STORAGE
OUND. REINF.
�p
G S (ROUGH) �-- /�
c
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$
=$
LUMBER GR.
/FINAL INSP3 ,?—%v
'/t
FRA ING ;lk—
FINAL INSP.
W06-/
FING � Z �'
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:
REMARKS
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND(/�^
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL