04968 (SFD)4 4v Q"
Q �!f
P.O. BOX 1504 No. 049
V
Building 78-105 CALLE ESTADO
Address 54-440 Inverness LA QUINTA, CALIFORNIA 92253
Owner
--Sunrise 4dotN"a env 7��BUILDING: -TYPE CONST. OCC: GRP.
Address
City
Address.
State Lic_
& Classif. •$ ��
Arch_, Engr.,
Designer
Address
. f741A A.P. Number J9CA �pgt `f° -age 12419_2
Te.
_ ._
#�9 Legal Description
Project Description 'Pliase -26S* Plaa 26.R
tF _
Tel.:
City
Lic. # 32 s _ Sq. Ft. 2596 No. No. Dw.
Size -1~9 Stories Units
New ❑ Add ❑• Alter ❑ Repair ❑ -Demolition ❑
city IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I !, iH that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of bivisian 3 of the Business arch Professions Code, and my license is in full force and
effect
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason (Sec_ 7031.5,aisness and Professions. Code: Any city or county which requires a
Permit to canstroct, atter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to We a signed statement that he is licensed pursuant to
the provi icim of the Contractor'5.li ense Law, Chapter 9 (commencing with Section 7000) of
Livrsion 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
dor the alleged exemption- Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil peraty of not more than five hundred dollars ($500).
❑ 1, 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, Suisness and
Pldessons Code The Contracfars License Law does not apply to an owner of property who
bulls or irproves tfrrseon and who does such work himself or through his own employees,
provided that such iriprovemeds are not tidended or offered for sale. If, however, the building
or Improvement is said within one year of completion, the owner -budder will have the burden
of provag that he oil not build or inprove for the purpose of sale.)
O I, as owner of the properly, on exclusively contracting with licensed contractors to con-
StfUCt the proiect (Sec 7044, aseness and Professions Code: The Contractors License Law
does
not apply to art owner of property who builds or improves thereon, and who contracts for
such projects with a contracrogs) licensed pursuant to the Contractor's License Law.)
11 1 am exempt under Sec B. & P.C. for this reason
Date owner
WORKERS' COMPENSATION DECLARATION
1 try 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
O Copy is filed with the city_ ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need — be rnrVdeed ff the permit is for one hundred dollars ($100) valuation
or less.)
1 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
NOnCE TO APPLICAW- i►, after matoig this Certificate of Exemption you should become
subject to the Wer4e+s' CimpersaGan provisions of the Labor Code, you must forthwith
campy with such proads im or this permit shag be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby afrrm that tfrere isa construction lending agency for the performance of the
e
work for which chis pmit is issued (Sec. 3097, Civil Code.)
Lenders Name_
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
1 certify that 1 have read this application and state that the above information is correct.
I agree to rwmply 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
REMARKS p'
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
12/8/88
Issued by: Date . Permit
Validated by:
Validation:
Estimated Valuation
? g s $
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
525.10
Const.
633.00
Mech.
55.00
Electrical
113.06
Plumbing
132
S.M.I.
1 5%
Grading
Driveway Enc.
Infrastructure
�4 045 . 90
2.02.2.95
T-i*AA Credit
2.022.95
TOTAL
S 3 .4 9 4. 1 a
REMARKS p'
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
12/8/88
Issued by: Date . Permit
Validated by:
Validation:
> CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1c. FL. SO. FT. ® $
UNITS
SLAB GRADE
t
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SO FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
IKITCHEN 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
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
RVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
�s�
FINAL INSP.
EMING
OOFING z7 -S7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
MAS H
#SULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL