11146 (SFD)P.O. BOX 1504
No. 11145
Building 78-105 CALLE ESTADO
Address 57-546 Interaachen LA QUINTA, CALIFORNIA 92253
Owner
Sunrise Company
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 42 -600 -Cook $t #200 A.P. Number
City Zip Tel.
Palm Desert 92260 -56446736 Legal Description Tract 25499-3
Contractor Project Description Plan a Phase 4
same
Address
City' Zip Tel.:
State Lic. City
& Classif. 288130 Lic. # 328 Sq. Ft. 2182 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
'Address Tel.
Permit dons not include anv
City Zip State block walls or uool
Lic. #
LICENSED CONTRACTOR'S DECLARATION.
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 hof the Business.a'rid Professions Code, aC`d my license in full force and'
effect. % 1 i+ rp°""%'/v'a t ! //f�
SIGNATURE f 1W JA. !.f i ,/'.Y./�'I �� 7o`Y'!J fZ f r• DATE' '
OWNER•BUILDER DECLARATION / // Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
..reason: (Sec. 7031.5,8usiness. and Professions Code: Any city or county which requires a I
permit to
thconstruct, after, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires e applicant for such permit to file a signedstatementthat he is licensed, pursuant to PERMIT
., 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• PIan.Chk. Dep.
subjects the'applicant to a civil penalty of not more than five hundred dollars.($500). .
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 737.36
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 881.�'
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, McCtl. 102.50
provided that such improvements are not intended or offered. for sale. 1l„however, the building _
or improvement is sold within one year of, completion, the owner -builder will have the burden Electrical 153. 27
of proving that he did not build or Improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to coo- Plumbing - 174. 00
. struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law G
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. i ir9 . 90
.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) •
Grading
0 am exempt under.Sec. B. ti P.C. for this reason
` 00
Driveway Enc. GO
Date owner, Infrastructure 3793.14 1896.57
less Credit, 1896.57
WORKERS' COMPENSATION DECLARATION } n �i k11 �,
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
17.1.46
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)_
Policy No. Company ev p f ry
- . ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.i 6.t J • (",7
TOTAL 4+2-1746- 3 &8 3w -a --
CERTIFICATE OF EXEMPTION FROM REMARKS {J
WORKERS' COMPENSATION INSURANCE
cr r•
(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, 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
comply with such provisions or this permit shall be deemed revoked. .Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) 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.
I certify that I have read this application and state that the above information is correct. Issued by: Date Permit
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. Valid ted by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip A- r
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL' SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SQ 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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
�1
IKITCHEN 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% c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® V4c
HOUSE SEWER
LATHING
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
�1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE OVAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
a
CITY OF LA OUINTA -
a DEPARTMENT- OF PLA&DEVELOPMENT
BUILDING DI
564-2246 F
24-HOUR NOTICE FOS, INSPE��q
Owner Sunrise Company
Contractor Same T
Permit Number 11146,
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR.•MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 57-646. Interlachen
Permit does not -include any
block walls or pool
TYPE OF INSPECTION I DATE I INSP.
FOUNDATION & SETBACK
MAIN GROUND SYSTEM -
GROUND PLUMBING -. z //,
DO NOT POUR CONCRETE UNTIL A ABOV HAS BEEN SIG_N_ED
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 L .
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED •
DRYWALL INTERIOR
_
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
v-- _
FINALS
ELECTRICAL I .
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
AOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88