05415 (SFD)P.O. BOX 1504 No. 0541..
Building' 7&105 CALLE ESTADO
Address 5�f"�� St3 �+ pLA QUINTA,.CALIFORNIA 92253' -.'-
Owner
SUNPUSR CE3Iway - '
' Mailing BG:UILDINTYPE CONST. OCC: GRP.
Address. 142-600 COOK STREM 'STE 20.0
A.P. Number
City Zip
PAL14 -DESERT Legal Description €al_ BR.
Contractor Project Description gME 19. SVD
Address
SAYS
City JZip Tel.:
State Lic.. City
& Classif. 2$8130. Lic. # 208 .. _ .. Sq. Ft. - 3401 No. No. Dw..
Size - •- -Stories Units.
Arch.,'En
Designer
'Address Tel.
•~ City v7�Zip State -
:b
Sic. e .
LICENSED CONTRACTOR'S DECLARATION
1 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. ":..:.. ; ? < I •, t _ #:J
SIGNATURE -i DATE
OWNER -BUILDER DECLARATION'
I hereby affirm that I am exempt from the Contractor's License Law for the following
'reason:'(Sec. 7031.5,Business and Professions Code: Anycityor county which requires a
New ❑ Add ❑' Alter ❑ Repair ❑ -Demolition ❑
Estimated Valuation�,30 r _
permit to constructs. alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is •licensed pursuant to
the provisions of the Contractor's License 'Law, Chapter 9 (commencing with Section 7000) of
_ Division 3 of the Business and ProfessionsCode, 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
subjects the applicant to a civil penalty 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, Bussness and
Professions Code:, The Contractor's License Law does not apply to an owner of property who
- •- PERMIT
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..AMOUNT
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Plan Chk. Dep.
; •
Plan Chk. Bal..
- -
2 .. ►
.'
Const.
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Mech. -
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builds or improves thereon and who does such work himself or through his own - employees,
provided that such improvements are not intended or offered for -sale. If, however, the building
Electrical
or improvement is sold within one year of completion, the owner-bullder will have the burden
. of proving that he did not build or improve for the purpose of sale.) .. _
Plumbing
❑ 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B--& P.C. for this reason
S.M.I.•��C�d.I
Grading
•
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
Wra Due
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. 300, Labor Code.)
_
1
Policy No. Company
❑ Copyis fife with the city- '❑ Certified copy is hereby furnished. -
-
•�•- 't
TOTAL
s� .etrrw' ��;� �'• t'<-
a i a+.7
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
is section need not, be • com leted if the
(This p 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..
REMARKS
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Date Owner
NOTICE TO • APPLICANT: It, after making 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 permit shag be deemed revoked. ., +
ZONE: ' '
' .Minimum Setback
if
•BY: -
'
Distances: '� ?
Feont.Setback from Center. Line
Rear Setback from Rear Prop. Line';
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.) ,
Side Street Setback from Center Line
f i
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE
•Issued by:
Validated by:
I
+
INSPECTOR
±_' '3/3/89
-
Date Permit -
y
r -
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.
1 certi that I have read this
fy application and state that the above information is Correa:-''
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
Validation:
City,. State, Zip _.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. a $
UNITS
GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SqVER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
(ROUGH)
/ V
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TE P. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
WALL SQ. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ ptus x$
=$
URINAL
SQ FT_ ®
FINAL INSP.
MING (� 6
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
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3Ac
HOUSE SEWER
FINAL INSPECTION
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
GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SqVER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
N0. REINF.
(ROUGH)
/ V
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL /
GAS (FINAL)
TE P. POLE
GROUT
WATER HEATER
S VICE '4
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ ptus x$
=$
LUMBER GR.
FINAL INSP.
MING (� 6
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LA NG C(
MESH
N8ULATION/SOUND
00, FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
1