11150 (SFD)P.O. BOX 1504
Building 57855 I3aterlachen 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
No. 1115Q
Owner
Sunrise Company
BUILDING: TYPE CONST.
OCC: GRP.
Mailing
Address 42-600 Cocain St #200
A.P. Number
City
Zip
Tel.
Pall Desert
9226Q
564-6716
Legal Description
Description
Tract 25499.3
Plan T4SR Phase 5T
ContractorProject
Satire
Address
City '
Zip
TeL -
State Lic. -
& Classif. 288130
City
Lic. # 328
Sq. Ft. 2182
No. No. Dw.
Size
Stories Units
Arch., Engr.,
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Designer
Address
Tel.
Permit does not include anv
City
Zip
State
Lic. #
block walls or 6,001
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmthat I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisiionp3 oofithe Budinesd and Professions Code, and my license isiin.fulll force and
effect:
..
SIGNATURE i i DATE
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, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement thathe is licensed pursuant to
' the provisions or 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.(S500).
❑ 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 build or improve for the purpose or sale.) ,.
Estimated Valuation
9
-�
PERMIT
AMOUNT -
Plan Chk. Dep.
Plan Chk. Bal.
737.36
OnS.
Const.
yy 9 !!�� A
881.00
881. V0
Mech..
102.50
Electrical
153.27
15 3 . 2
Plumbing
174.00
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
-slruct 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.)
0 I am exempt under Sec. B. 8 P.C. for this reason
S.M.I.
16.90
Grading
. �3
Driveway Enc.
.00
Date Owner
Infrastructure
3793.14 1896..57
Less Credi-
1896.57
Arts in PT3bl
c 173_46
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.'
r f
%v
TOTAL
- ':'eft 883:Z0V-,=
CERTIFICATE EXEMPTION FROM
.WORKERS' COMPPEE NSATION INSURANCE
REMARKS
LOP" '
F
(This section need not be completed it 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, 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 or 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. -
ZONE: BY:
Minimum Setback Distances: -
Front 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.)
Lender's Name
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Address
FINAL DATE
Issued by:
Validated by:
INSPECTOR
Date Permit
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
'
Validation:
kk, "
City, State, Zi
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL.-, SQ. FT.
POR. SO. FT. ®
GAR. SO, FT, ®
CARP. SO. FT.
WALL SQ. 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 APPJEQUIP.
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
SHOWE_ R
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U:
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® Vic
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Plan T4BR , Phase 5T _
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIV ON .
22 46
564 -
24-HOUR NOTICE FOR IN IONS
J
Owner Sunrise Company, IQCU:l
Contractor Same
Permit Number 11150
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 57-856 Interlachen
Permit does not include any
block walls or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING _
PRE-GUNITE
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
nvuun tLMU i rnL, I I
ROUGH PLUMBING
COVER NO WORK UNTIL ABOVE AS PEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
SEWER SEPTIC TANK
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4.88