11159 (SATT)Buildin
Address 80-060 Hermitage
Owner
Sunrise COrtipany
T4ht
P.O. BOX 1504 ty�
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address 42_600 Cook St #200
City Zip Tel.
Palm Desert 1 92260 564-6716
rtaaress
City
State Lic.
& Classif. 288130
Arch., Engr.,
Designer
Address
City
Tel.:
City
Lic. #. 328
Tel.
Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affign !hat I am licensed under provisions of Chapter 9 (commenc
000) of Diviston'3 W the Bus riess and Professions Code, and rity license is
'OWNER -BUILDER' DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busihess and Professions Code: Any city.or county which. requires a
permit to construct, after, reprove, 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 Conlrwtor'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 bask
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penally 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, Bufsmess and
Professions Code: The Contractor's License Law does not apply to an owner of property who
s - buflds or improves thereon and who does such work himselforthrough his own employees,
provided that'such kMmvemenM are not intended or,offered.for sale. If, however, the budding
or improvement t is solid f within one year of completion, the owner -builder will have the burden
o/proving that he did not bro7d or,inprove for the purpose of sale.)
❑ I, 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 appy to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers 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, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of Calh omia.
Date Owner
NOTICE TO APPE)CANT: ff, after making this Certificate of Exemption you should become
subject to the 'Ilyorkers' Compensation provisions of the Labor Code, you must forthwith
comply with such provsfons 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.)
Lenders Name
Lenders Address
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 certity 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
No. 11159
BUILDING: TYPE CONST. OCC: GRP...
Number
Legal Description Tract 25499^-3
Project Description Plan TSA Phase 5T
Sq. Ft. 3
Size 3142
New ❑
No. No. Dw.
Stories Units
Add ❑ Alter ❑ Repair ❑ -Demolition ❑
itimated Valuation
182,124.90
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
780.14
Const.
.930.00
Mech.
109.00
Electrical
159.76
Plumbing
192.00
S.M.I.
18.30
Grading
.00
Driveway Enc.
00
Infrastructure
4097.81
2048.91
Less Credit
2048.91
-
rt -s in pnblia
205.31
TOTAL
4443.42
U-9aa-4.2
REMARKS
AI
/
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
wf
Validated by:
Validation: R
` 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. Fr.®
WALL SO. FT.
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC._grtcK,3• M
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
IROOF 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
SHOWER
BOILER. B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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
t.
Plan fi5A Phase 5T>
a
CITY OF LA QUANTA
�►o, - DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVIS
564-2146
24-HOUR NOTICE FOR INSP NS
//
Sunrise CompanyOwnw
Contractor Same jam,
Permit Number 11159
POST. ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-060 Hermitage
Permit does not include any
block walls or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL v
MAIN GROUND SYSTEM
GROUND PLUMBING
UNTIL ALL
JOISTS & GIRDERS I I
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SI
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
/ ' Z
ACe
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
—12—
2
(,
EXTERIOR LATH
EXTERIOR
r ,Cj Z
U
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
2
(,
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
OB COMPLETED
EMP POW -01
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
a.as �'-