11135 (SATT)r
! r
4
P.O. BOX 1504 ` N o . 11135
Building80-090 Hermitage 78-105 CALLE ESTADO
AddresLA QUINTA, CALIFORNIA 92253
Owner
Sunrise Company
Mailing
BUILDING: TYPE CONST. OCC: GRP. -
Address 42-600 Cook St 4200
A.P. Number
City Zip Tel.
PalmDesert 92260 564-6716 Legal Description Tractt25499-3
Contractor Project Description Plant T2R Phase 5T
same
Address
City
State Lic. City
& Classif. 280130 Lic. # 328
Arch., Engr.,
Designer
Address Tel.
City I
Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
71XX1) of Divis/ion of'the Business and Professions Code,/and my Itcensegis in/fu/llf}orce and
I
rX/ V-2
SIGNATURE f DATE
OWNER -BUILDER DECLARATION r
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, after, improve, 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
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
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
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bufsness and
Professions Code: The Contractor's License Law does not apply to an owner of properly who
.!wilds 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 of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to coir
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 contractof(s) licensed pursuant to the Contractor's License Law.)
l 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 '
O 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 California.
Date Owner ✓
NOTICE TO APPLICANT. It, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the tabor 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 for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
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
Sq. Ft. 1'i 0 o No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
stimated Valuation 132',437.70
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
6 2 4 _ 14
Const._55.
0i
Mech.
R
Electrical
Plumbing
5 00
S.M.I.
13 �In
Grading
r'3
Driveway Enc.
.00
Infrastructure
2979.85.
1489.93
aYi- C i" Dtv�%11 9
Pi.no
TOTAL
3301.69
30543 6 -9 ---
REMARKS
r1t
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:
/u
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
GAS (ROUGH)
DRAINAGE PIPING
CAR P. I SO. FT. ®
1
REINF. STEEL
WALL SQ. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SQ FT ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. ® c
BATH TUB
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
LATHING
SQ.FT.GAR ® 1✓ec
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.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
ROCKSTORAGE
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 SIGNATURES/INITIALS
GARDEN WALL FINAL
Plan T2B Phase 5T .4
a •r �:
CITY OF LA OUIMTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISIW
564-2246 `V%'
24-HOUR NOTICE FOR INSPEAhQPS
9
Owner Sunrise Company 'Or.
Contractor Same l
Permit Number 11135 l
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-090 Hermitage
Permit does not include any
block walls or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING �• �- C��
PRE—GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SI NED
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 .�. '7 �.
HEATING & VENT - AJC
FIREPLACE
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
C
�cl
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
- 1
FINAL
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
' TURN ON UTILITIES OR OCCUPY BUILDING
.SRA,