003225 (SFD)44
P.O. BOX 1504 No.
Building 78-105 CALLE ESTADO
AddressLA QUINTA, CALIFORNIA 92253
Owner
Sunrise CompaAy
Mailing BUILDING: TYPE CONST. OCC:.GRP."
Address 75-005 O tr ' Club Dr me A.P. Number PGA West
City Zip Tel. _ V
palm Denart 9,2251) �� _91-2422-, Legal Description
ContractorProject Description Y 1Phsa�s�c, ��= f'la�3a 7XAi
math i oral m,P3etc age is T :m.
Address
City. Zip Tel.. _
State Lic. City DWG 1573
& Classif. 288130 Lic. # 328 Sq. Ft. No. No. Dw.
:. Arch., Engr:,...
- - Size' - AR • �¢2k Stories ' Units
Designer " New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑.
Address
Tel.
City
Zip
State
Lic. #
_..
�< LICENSED CONTRACTOR'S DECLARATION
+l
I hereby affirm that -am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 -of the Business and Professions Code, and my license is in full force and
s
effect. /� <. y / {
� r? � t/ F'7� l• .��� A� rte. f%�( �,R'� ..
SIGNATURES".`.r __- ,DATE
.. .. .,-. .... _
` OWNER -BUILDER DECLARATION-
Estimated Valuation
I hereby affirm that Cam exempt from the Contractor's License Law for the'following
7031.5,Business. Code: Any
2,;
reason: (Sec: and. Professions city or county• which requires a
permit to construct; -alter, -improve, demolish, or repair any structure, .prior to its issuance.also
_ _ �1Q_ in
., requires the applicant. for such permit to file a signed statement that he is -licensed pursuant to
- -PERMIT '• _ AMOUNT
,,r 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 Section 7031.5 by 'any for
Plan Chk. -Dep.. -
of applicant a. permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
Plan Chk. BBI. - {�
. O I, as owner of the property, or my employees with wages as their'sole compensation, will
-
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do the work, and tie structure is not Intended or offered .for sale. (Sec. 7044, Buisness and.
COnSt• •.+ .. - .
Professions Code: The Contractor's License Law does not apply , town owner of property who
. 483w 0Q
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. ll, however,"the building
. �
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 of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing 9 nn
• struct the -project. (Sec. 7044,. Business and Professions Code:, The Contractor's License Law
, -
does not apply to an owner ofproperty 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. B. & P.C. for this reason
Driveway Enc.
Date owner
Infrastructure, 7.
WORKERS' COMPENSATION DECLARATION
I hereby "affirm that I have a certificate of consent'to self -insure, or'a certifibate 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.
TOTAL
CERTIFICATE OF EXEMPTION FROM
REMARKS v
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff•the permit is for one hundred dollars ($100) valuation
or less.) - -
-
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
-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
Ihereby affirm that thele is a construction lending agency for the performance of the
work for which this permit is issued, (Sec. 3097, Civil Code.)
Side Setback frorTt Property Line
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
FINAL DATE INSPECTOR'
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.
Issued by: Date M-5 18 lPel-mit. -
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. p
POR. SO. FT. ®.
GAR. SQ, FT, ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ, FT, ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
AS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4'c
SEWAGE DISPOSAL
LUMBER GR,
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING 2� �;
FINAL INSP.
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 P
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE S �8
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE A
ROUGH WIRING
DUCT WORK
ROCK STORAGE
�/
FOUND. REINF. /L' //
(�
AS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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. ' Lf 04
FRAMING 2� �;
FINAL INSP.
n
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!/_
ROOFING
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D, l�
/L
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING ff f, /
MESH
INSULATION/SOUND 1011-7
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS•
GARDEN WALL FINAL