11153 (SFD)r _
{
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� � Irk l li
r No.,. `t11153
P.O. BOX 1 �i)4
Address 1=600 Interlachen LA QUINBuilinTACCALIFORNIA 92253
Owner
Sunrise 4;fliilpJany
Mailing BUILDING: TYPE CONST. OCC: GRP. -
Address 42«-600 Cook St #200 A.P. Number
City Palm Desert
Tel.
alm Aesert 92260 564-6716 Legal Description Tract 25499-3
Contractor Project Description Plan T5A Phase 4T
Sa ;n
Address
City' Zip Tel.:
State Lic. City
& Classif. 2$$130 Lic. # 328 Sq. Ft. 3342 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Address Tel.
Permit does not include an
City Zip State block walls or vool
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. _
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following182f124.90
reason: (Sec. 7031.5,Busutess and Professions Code: Any city or county which requires a
permit to construct, atter, onprove, demolish, or repair any structure, prior.to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT
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 Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 780. 14
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.! F+/�
Professions Code: The Contractor's License Law does not apply to an owner of property who 930 • 00
builds or Improves thereon and who does such work himself or through his. own employees, S Mich. •qt 0a90
0
provided that'such improvements are not intended or offered for sale. If, however, the buidang �! • V V
or improvement is saki within aria year of completion, the owner -builder will have the burden Electrical 159. 7 6
of proving that he did not build or improve for the purpose of sale.) d
❑ I, as owner of the property, am exclusively contracting with licensed contractors to cot► Plumbing 192. 00
struct the -project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner or property who builds or improves thereon, and who contracts for S.M-I,-g ^�
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading {�0
0 am exempt under Sec B. &,P.C. for this reason
Driveway Eno .00
Date Owner Infrastructure 4097.81 2048-91
Less Credit '2043.91
WORKERS' COMPENSATION DECLARATION Arts $ L1�3a 1 ;
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. O Certified.copy is hereby furnished.
TOTAL 4443.42 43,93
CERTIFICATE OF EXEMPTION FROM' REMARKS i t (..
WORKERS'COMPENSATIONINSURANCE .
(This section need not be completed if the permit Is for one hundred dollars ($100) vaketion
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
aliforniaDateOwner
NOTICE TO APPLICANT. If, after making this Certificate or 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 tr
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 complywith 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.
Validated by:
Signature of applicant Date
•4
Mailing Address
Validation:_
r
City, State, Zip
i
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 APPJEOUIP.
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.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
a
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 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.
i
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIAL6
GARDEN WALL FINAL
151an�T5A Phase 4T
CITY OF u QUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING D��IVII��SIION
24-HOUR NOTICE FOR'(IVTaI0
A
Al. 7 ,: 10,
Owner Sunrise Compan�Nq ,,,,, �
Contractor Same �6UT
Permit Number 11153
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 57-600 Interlachen
Permit does not include any
block walls or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS 13EEN 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
HEATING & VENT -AJC
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT O 4' O 8'
FRAMING
G
INSULATION
-
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
HUUlE NUMBERS I
JOB COMPLETED R1 I III
i'
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4.88