11134 (SFD)(:e-,ityiiir 4
P.O. BOX 1504. N o . 11134
Building 57-766 Interlachen78-105 CALLE ESIFADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Sunrise Company
Mailing
Address 42-600 Cook St #200
City Zip Tel.
. pair Dese-"t 192260 1 564-671.6
Contractor
BUILDING: TYPE CONST. OCC: GRP..
Number
Legal Description Tract 25499-3
Project Description Phar T2AR Phase 4T
Address
City
Zip '
Tel.:
State Lic.
& Classif.. 288134
City
Lic. # 328
Sq. Ft. 1706
Size
No. No. Dw.
Stories Units
Arch., Engr., -
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Permit doer;
not include any
''. City
Zip
State
Lic. #
block walls
or pool
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Char I am licensed under provisions of Chapter 9 (commencing,with Section
7000) of Divisi/on3 of the . Busin[ess and Professions Code, and my license is iijfJull.fore�e.a�d)
- effect. ! �.G2. /i= :✓ �i7.i/i��,lf;,A/Ti �% // ?�1��.�.s�°/
_SIGNATURE P/ V " f r DATE
OWNER -BUILDER DECLARATION %
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec.. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, 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 ($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, Buisness and
. Professions Code: The Contractor's License Law does not apply to am 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. It, however, the building
or improvement is sold within one year of completion, the owner -budder will have the burden,
of proving that he did not build or improve. for the purpose of sale.) I _
❑ 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.)
❑ I am exempt under Sec- B. 8 P.C. for this reason
Estimated Valuation
132��
PERMIT
F AMOUNT
Plan Chk. Dep.
. .
Plan ChkBdl
624 -14
Const.
'
Mech.
(in
�f
Electrical
7 _ n Z
Plumbing
Q
S.M,I,
.i
Grading
An
Driveway Enc.
n
Date owner
Infrastructure
2978.5 1499.93
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
i
❑ 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 (5100) valuation
or less:)
I certify that in the performance of lhg 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 O
T.taG_m rAA ' $
w, , 1 p�ij�1 Y ri - 1 Act
TOTAL 3301.69 3+*S2=
REMARKS
�•.
caner
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 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 it work thereunder is suspended for 180 days.
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
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:
3
Validation:'
1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ 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 APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. RESID ® 1Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3'ic
HOUSE SEWER
REMARKS:
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
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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus'
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
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
wARD.EN WALL FINAL
Plan T2AR Phase 4T
a
a
CITY OF LA OUINTA
°'of
DEPARTMENT OF PLANNING &DEVELOPMENT
BUILDING DIVI ION
5642246
24-HOUR NOTICE FOR INSIONS
Owner Sunrise Company
Contractor Same
Permit Number 11134
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 57-766 Interlachen
Permit does not include any
block walls or pool
TYPE OF INSPECTION
DATE
INSP.
FOUNDATION & SETBACK
FOOTING STEEL
7 3
/(
MAIN GROUND SYSTEM
GROUND PLUMBING
_ 2- 72
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE NAS ®EEN 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
2
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
j
G�
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
;
PRE -ROOF
COVER
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
_
EXTERIOR LATH
L
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
JUti UUMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO '.
TURN ON UTILITIES OR OCCUPY BUILDING