The URL can be used to link to this page

04663 (MFD5)44 0 4 6 ^3 .; P.O. BOX 1504 ' Buildin678-105 CALLE ESTADO .Address," LA QUINTA, CALIFORNIA 92253 Owner ., f -Sunrise Company Mailing " BUILDING: TYPE CONST. OCC. GRP. Address' 15-001 Country Club .� � - . • . A.P. Number ..FGA Wast— a Greens 'City Zip Tel. e. alm. i?esort 92261 568-2.812$ lml ). National mottgage Address, « . same City Zip Tel. State Lic. 289.130 ` City �� & Classif: Lic. # Arch.,.Engr:;; , Designer-, i:, Address: ;s. .. 3T Tel. City Zip State ,. Lic. # J LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section TORO) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 4 A. s'1 / T (J SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that1I 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 permftlto construct, alter, improve, 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 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 bask for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penahy of not more than five hundred dollars ($500). O 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 of sale.) O 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 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.) 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. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sectlori need not be completed if the permit is for one hundred dollars ($100) valuation or less.) v• 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 NOTICE TO APPLICANT: If, after making this Certificate of 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. 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.) ,Legal Description Project Description Phase 6G w Plan Ad Sq. Ft. 1312 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuationrx7 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. �i • 7 X Const.? Mech. 39 . (,! U Electrical 64.74 Plumbing 87 * 00 S.M.I. Grading Driveway Enc. Infrastructure $2,,142 * 39 1,071.20 .es credit 10 07U 20 TOTAL REMARKS ti!'� x kl i �1tSfilf'� i=^�-"tttJri.A"i AV 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 Lender's -Name Lender'se, Address This is a building permit when properly filled out, signed and validated, and is subject to' FINAL DATE INSPECTOR— expiration If work thereunder is suspended for 180 days. JLVJ x3%uo 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, zip :T WHITE -FINANCE, PINK -APPLICANT, GREEN -BUILDING, GOLDENROD -ASSESSOR'S OFFICE, HARD COPY- FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT y S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. a FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT a G (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. fpr TEMP. POLE GROUT DRAINAGE PIPING CAR P. I SO FT. & FINAL INSP. WALL SO. FT. a WATER SYSTEM DRINKING FOUNTAIN GRADING cu. yd. $ plus xE =$ URINAL SO. FT. a FINAL INSP. FRAMING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOYDISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE ILAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP PO,LE,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 t V: cSEWAGE DISPOSAL SO.FT.GAR rg 3/4 c HOUSE SEWER WINAL INSPECTION .— GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE EPL.CK.FEE CONST FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 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. G (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL *KAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xE =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH tNSULATION/SOUND F ISM GRADING WINAL INSPECTION .— CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL