11149 (SFD)P.O. BOX 1504 N o . 11149
Building 57-840 Snterlashen LA QUI 105 COAL ESTAD 92253
Address
Owner
Sunrise Compdny
'Mailing
Address 42_600 Cook St #200
City Zip Tel.
alit Desert 92260 1
564--6716
Contractor
Address
City Izip I Tel.:
State Lic. City
& Classif. 288130 Lic. # 328
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy atfirmdhat I am licensed under provisions of Chapter 9 (commencing'with Section
7000) of Divisionr3 of the Business and Professions Code, and my license is in full force and
..effect. . / - y ,r`S\J. w . - - _ . -- I - , it" rm.,_
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: Any city 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 .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 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,
subjects the applicant to a civil penalty of not 'more than five hundred dollars.(8500).
❑ 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
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 improvements are not intended or, offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did,not bui7d or improve for the. purpose of sale.)
❑ 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 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
Date Owner
WORKERS' COMPENSATION DECLARATION
Thereby 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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE,
(This section need not be completed fl the permit is for one hundred dollars ($100) valuation
or less.)
I. certify that in the performance of the work for which this permit is issued; I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT, ff. after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor. Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and Is subject to
expiration if work thereunder is suspended for 180 days.
I certity that I. have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives .of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST: OCC: GRP.-
A.P. Number
,Legal Description TY'rZ. ct. 25499-3
Project Description Plant T4B Phase
5T
Minimum Setback
Distances:
Front.Setback from.Center Line
Rear Setback from Rear Prop. Line
Sq. Ft. -4 18 2
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
Permit cedes
not include anis
block walls
or 000l
Validated by:
e
Validation:
'
Estimated Valuation
Iii$ � 583.80
-PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal
737.36
Const.
881.00 '
Mech.
102.50
Electrical
153:27 -
Plumbing
174.00
S.M.I.
16.90
Grading
.00
Driveway Enc.
.00
Infrastructure
3793.14
1896.57
Les< Credit
1896.57
Arts in clic
171.46 "
1).V
i � ^,
•__ l
TOTAL P't.%'1"23':'ei
REMARKS
)ti
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 Permit
Validated by:
e
Validation:
'
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. , SO. FT. ® $
2ND FL. SO. FT. @
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPIEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE.
IKITCHEN SINK
ABSORPTION SYSTEM B.T.U.
MP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
RM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
EJAMEPERESV 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 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3Yic
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCKFEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR -
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
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.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCG.
FENCE FINAL
INSPECTOR'S SIGNATURESIINMALS
GARDEN WALL FINAL
Plan "F4B Phase 5T
J
a
CITY OF u CNANTA
a ~ DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DI SION
564-22
24-HOUR NOTICE FOR I TIONS
Owner
Sunrise Compann`
Contractor Same
Permit Number 11149
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 57-840 Interlachen
Permit does not include any
block walls or pool
TYPE OF INSPECTION
DATE INSP.
'FOUNDATION & SETBACK
FOOTING STEEL
7. Z 0 -
MAIN GROUND SYSTEM
GROUND PLUMBING
c
PRE -GUN ITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGN -ED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
[ILA IINU&VtNI-A/c; I I
1-IRFPI nr.F
_ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNS
DRYWALL INTERIOR
_EXTERIOR LATH
_FOOL PRE PLASTER
_POOL FENCE & GATE
SEWER SEPTIC TANK - , 7
LS
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP PQWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88