05066 (SFD)P.O. BOX 1504
Buildingj 7&105 CALLE ESTADO
Address 54-349 Inverness LA QUINTA, CALIFORNIA 92253
Owner
Sunrise
Mailing Y -
Address
42-60n Conk S t.. S A to e'2 0'
City lZip ITel.
Contractor
No. 05066
BUILDING: TYPE CONST. - OCC: GRP.
A.P. Number FICA. West — Phase 40A
Legal Description
Project Description' PIA" Q('*Q
+" 6
City
Zip
Tela
State Lic.
City
& Classif. 288130
Lic. # M
Sq. Ft. No. No. Dw.
Size - 2489 Stories - Units _
Arch:,fngr.;
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Designer
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section
700f!) of Division 3 of the Business and Professions -Code, and my.license is in full force and
M 1
SIGNATURE DATE
OWNER -BUILDER DECLARATION'
I hereby affirm that I am exempt from the Contractor's License Law for the following
mason: (Sec. 7031.5,Busiress 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 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 basis
fur the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
suf4ects the applicant to a rinl penally of not more than five hundred dollars (E500). '
❑ 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 safe. fl, however, the building
or improvement is sold within one year of comtofetfon, the owner -budder will have the burden
Of proving that he did not bold or improve for the purpose of sale.)
Estimated Valuation
9170.20R'
PERMIT AMOUNT "
Plan Chk. Dep.
Plan Chk. Bal. $ 500.90
(`,Otn
r1S. i� v ,. jV
Mech. 33.00
Electrical
Z 11.52
Plumbing
❑ 1, 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
S.M.I. f♦
Z mi
' does not apply to an owner of property who buOdIs or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
' 131 am exempt under Sec B. & P.C. for this reason
Grading
Driveway Enc.
Date owner
Infrastructure S3,829.68 914.84
•1^nn
1 q I,&..`,
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 mpany
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(ibis section need not be completed ff the permit is for one hundred dollars (5100) valuation
or less.) .
1 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 Calitomia',
' Date ' t Owner
NOTICE TO APPLICANT. fl, after making this-Cedflrcate of Exemption you should become
sobyect to the Workers' Compensation provisions of the Labor Code, you must forthwith
Comply wmbm such Provisions or this permit snarl be deemed revoked.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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, CiwiCode.)
Lenders Name
Side Street Setback from Center Line
Side Setback from Property Line
Lenders Address
FINAL DATE INSPECTOR
12./27/88
Z/271$8
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.
1 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.
Issued by: Date Permit
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IIT FL. SQ. FT. ® $
UNITS
GRADE —
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
F99MS
EWER OR SEPTI AROUGH
WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
G (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
S (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP. SQ. Ff.
GROUT
WATER HEATER Fa
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
SQ FT ®
i
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
F MING&[V _
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
I
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 ® 11/4 c
SEWAGE DISPOSAL
VNSULATIONISOUND /
t
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FINISH GRADING
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
UND PLUMBING-
UNDERGROUND
A.C. UNIT
COLL. AREA
GRADE —
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
F99MS
EWER OR SEPTI AROUGH
WIRING
DUCT WORK
ROCK STORAGE
D. REI NF. [�
I/
G (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
/ REINF. STEEL
S (FINAL)
TEMP. POLE
GROUT
WATER HEATER Fa
ER
FINAL INSP.
BOND BEAM
i
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—X$—=$
LUMBER GR.
FINAL INSP.
F MING&[V _
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
YWVC
R.FIREWALL `
LATHING
MESH
VNSULATIONISOUND /
t
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL