003448 (RPL)P.O. BOX 1504 No. 003448
Building 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner _
Sunrise Company __
Mailing BUILDING: TYPE CONST. OCC: GRP:
Address 75-005 CnnrxtXV c1r, , Dr. T^ A.P. Number PGA West
City Zip Tel.
-02240 _rfi8_2R2A Legal Description
Contractor Project Description 3�Ad�g1t
G A Pool Construction -
Address
68 -4C6 Perez Road
City Zip Tel. - -
Cathhdral Ctv 92234 328-2681
State Lic. City -
& Classif. 275796 Lic. # 6q Sq. Ft. No. No. Dw.
--
Size. Stories • Units
Arch:, Engr.,'
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
. Lic. #.
LICENSED CONTRACTOR'S DECLARATION.
• I hereby affirm that,l arri icensed under provisions of'Chapter 9 (co nencing with Section a
7000) of Division 16f thh6:B6sinesss and Professions= Code, and my.license is in full force and
effect. a >/ !r�✓ �r�,r'; isf — ? / r'_
SIGNATURE- DATE _
OWNER -BUILDER DECLARATION EStlmated.ValUatlOn '
I hereby affirm that I am exempt from the Contractor's License Law for the following $20,000
e rt* h!!f!
reason: (Sec.. 7031.5,Business and Professions Code: Any city or county_ which requires a' +72kiA 000
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also • .
requires the applicant for such permit to file a signed statement thathe is licensed pursuant to -.'PERMIT - AMOUNT
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 .Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ,
❑ I, as. owner of the. property, or my employees with wages as their sole compensation, will Plan Chk. Bal. $91.32
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 Const.'140.50
builds or improves thereon and who does such work himself or through his own employees, Mech. - - �;�
provided that such improvements are not intended or offered for sale. If, however, the building, s
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical� ��
of proving that he did not build or improve for the purpose or sale.) w
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing A>
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 S. M. 1.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec.. B. & P.C. for this reason
Driveway Enc. +
Date owner Infrastructure
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
❑ Copy. is filed with the city. - ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMP
TION FROMREMARKS
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
y4gs: { h+Y 4 !1 '7 3 +1 in—,)A-0t'7 k 1j
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
lig 1iiai4 I t Lt f t�L 1 a+ 4
_ Date Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become
ZONE:
BY:
'subject 'to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE
INSPECTOR -
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.
2i
I certify that I have read this application and state that the above information is correct.
Issued by:
Date Ay f permit
1 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
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT. ®
POR. SQ. FT. ®
GAR. SO. FT. ®
• CARP. SQ. FT. p
WALL SO. FT. ®
SQ. FT, ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
7
YARD SPKLR SYSTEM
BAR SINK
ROOF 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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEQUIP.
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
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 APP.IEQUIP.
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 SIGNATURES/INITIALS
GARDEN WALL FINAL r