11140 (SFD)s
r>i
T4ht 4
P.O. BOX 1504 N o . 1114 iJ �
Building 57-736 1nterl.aoh.erl 7&105 CALLE ESTADO
nQK11A
Address QUINTA CALIFORNIA 92253
Owner
Sunrise Company
Mailing
LA
Address 42-600 Cook St #200
City Zip Tel.
Palm Desert 92260 564-6716
Contractor
ty
Tel.:
State Lic. City
& Classif. 288130 Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
_ LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensedvnder provisions of Chapter 9'(co
7000)
t. of Division 3 the, Business aria Professions Code)and my lic
effecCode)
328
and
OWNER -BUILDER DECLARATION I %
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,, 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 appricant fora permit
subjects the applicant to a civil penafty of not more than rive 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 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 wig have the burden
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 torr
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.) -
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
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
❑ 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 ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, 1 shall not
employ any person in any manner so as to become subject to the Workers' Compensation'
Laws of California.
Date '� ' . Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to • the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work forwhich this permit is issued. (Sec. 3097, Civil Code.) .
Lender's Name
LDING: TYPE CONST. • OCC: GRP.
P. Number
Description `Pratt 25499--3
ct Description Plan lk3BR ' Phase 4T
Lender's Address
This is a building permit when properly filled out,•signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives .of this city to enter the above-. .
mentioned property for Inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ZONE: ' BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
•y�
Validation:
Sq. Ft. 1903
Size
No. No. Dw.
Stories . Units
New ❑ Add ❑
Alter ❑ Repair ❑
'Demolition ❑
Permit does
not include anv
blodk calls
or pool:
i
Estimated Valuation
1,4, 153.2Q
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
667.97
Const.
811 90
Mech.
62.30
Electrical
140.41
Plumbing
150.00
S.M.I.
14.94
Grading
. 00
Driveway Enc.
.00
Infrastructure
3333.45
16£6.73
Less Credit
1666.73
120.38
TOTAL-'�s�r3�,m'aa$,•
��$"3"'.»-'
REMARKS
;► �r
>'� _
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:
•y�
Validation:
• CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
a
2ND FL. SQ. FT. @
POR. SO. 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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE -UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
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 APPJEQUIP.
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Flan 'JBR Ynase 4T Li
ti
4
y CITY OF LA QUINTA
a . DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVkN
564-2246
24-HOUR NOTICE FOR INS NS
O,n Sunrise Company 7r
Contractor Same %h
Permit Number 11140
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 57-736 Interlachen
Permit does not include any
block walls or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL 2 -
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN 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 C%'�•
GROUT ❑ 4' ❑ 8'
FRAMING 0
INSULATION it
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO ,
TURN ON UTILITIES OR OCCUPY BUILDING
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