07689 (SATT)' P.O. BOX 1504
No. 07889
Building 78-105 CALLE ESTADO
Address55"¢30 Laurel Valley LA QUINTA., CALIFORNIA 92253
Owner .
Mailing %✓`—
Sunrise n/ BUILDING: TYPE CONST. OCC: GRP.
Address 42 -AM tswkk St. SM # A.P. Number KA Hast
City . Zip Tel. Tract .26500.1
. Palm Desert 9U60568-2828 Legal Description
{ Contractor Project Description Phase ZN Pian 2dR
National Lmd & Hortgage.
Address
SM
City Zip Tela
State Lic. City
& Classif. 2MI30 Lic. # 328 Sq. Ft. 1515 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City ZipState
+
-_) Lic. #
f� LICENSED CONTRACTOR'S DECLARATION
r' I hereby affirm that I em 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
y/ { OWNER -BUILDER D LARATION Estimated Valuation
I hereby affirm3,that I am exempt from the tractor's License Law for the following $111,714 i q�
reason: -(Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, 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. \ PERMIT 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 -
r for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). i9
O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 55.4.22
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. ;�
Professions Code: The Contractor's License Law does not apply to an owner of property who e -
builds or improves thereon and who does such work himself or through his own employees, Mech. ��Q
provided that such improvements are not intended or offered for sale. If, however, the building fn
` or improvement is sold within one year of completion, the owner -builder will have the burden Electrical ��sG�
of proving that he did not build or improve for the purpose of sale.)
~ ❑ •I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 120.30
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 S.M.I.
4 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
O I am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc.
Date owner Infrastructure L513.57 1,255,79
Less Credit 1,256.79
C. 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
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 2,768.10
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be. completed if the permit is for one hundred dollars (S 100) valuation tt1 '�-j'yjyfi{� Y0
or less.)
. 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: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
Ihereby 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
Lender's Name
Lender's 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. a/2�/��
I certify that I have read this application and stale that the above information is correct. Issued by: Date ermlt
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
ateMailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
i
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO, FT, ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT.
(ROUGH) _��
v
DRAINAGE PIPING
WALL SO. FT. ®
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
I
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
,/� �• ' G
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/.c
HOUSE SEWER
_/'LATHING
MESH
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 PLUMBINt�.
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
IROUGH
FORMS
WER OR SEPTKtI`1� ,fo
�``'�•�/
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
'IkFOUND. REINF _ ��S
(ROUGH) _��
v
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.
Jr/FINALINSPra���-v
I
FRAMING
FINAL INSP.
;L ROOFING � • � . � J
,/� �• ' G
� - � � _ /%
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
Pt aJ
_/'LATHING
MESH
14'INSULATIONISOUND -�
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF LA QU
1NTA
OF - DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner Sunrise Company
Contractor
National Land & Mortgage
Permit Number 07689 .
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 55-430 Laurel Valley
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
;MAIN GROUND SYSTEM
;GROUND PLUMBING - - C
IPRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED
;CONCRETE SLAB
JOISTS & GIRDERS
'ELECTRICAL GROUND WORK
;DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING &VENT -A/C
1 FIREPLACE
ROOF - - J
BOND BEAM
IIO.K. TO WRAP Is
GROUT ❑ 4' ❑ 8'
FRAMING /S -- O
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH C
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING