003221 (SFD)4
P.O. BOX 1504 No.. 003221
Building54-836 Invex oris ' LA QUINOTAC
Address CALIFORNIA 92253
Owner
Sunrise C=pa.n _ _
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BUILDING: TYPE CONST. OCC: GRP:
Mailing
r-»
Address 75-005 COiY)<9trv' Club Drive A.P. Number PGA *rtTeat
City Zip Tel.
al Description
. .4sAtm, _41ht,a..a... � .mss. sc.fti 'i�•GtT_9d:SA Le g P
Contractor
City' Zip Tel...
Project Description A_ ;>�S_A 2,6A. Plan Im
State Lic.
& Classif. 288130
City
Lic. # 328
Sq. Ft. DWG 1627 No.
No. Dw.
_
Size qR Stories 7
Units
Arch., Engr:, -- --
I certify that in the performance of thg work for which this permit is issued, I shall not
Designer
New ❑ Add ❑ Alter ❑
Repair ❑ -Demolition ❑
Address
Tel.
City
Zip
State
' to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
_
d� rL e1 �„• ,a,
i
Minimum Setback. Distance$:" .+��yM •- �r4T , 1 � i 751
Lic. #
•.r.'vaav %� LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter9 (commencing with Section'
7000) of Division 3 of the Business and Professions Code; and,my license is'in/full force and"
effect... ... t� r. • d — /.%%^./-�' ar.
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
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SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following$113,727.00
reason:, (Sec. 7031.5,Business and Professions Code: Any city pr county_ which requires a
Estimated Valuation
-
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 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
for the alleged exemption. Any violation o/ Section 7031.5•by''any applicant for a permit.
• subjects'the applicant to a civil penalty 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. 7644, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
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PERMIT =
.rr
.
AMOUNT
I -
Plan Chk. Dep. '
-
Plan Chk. Bal.
Q 'A ft A
Const. t'
v
Mech.
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
. Electrical
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 o/sale.) .,
Plumbing
$7 :7
.p.l, as owner of. the property, am exclusively contracting with licensed contractors to con-
• struct the project. (Sec. 7.044, 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 the Contractor's License Law.) -
❑ I am exempt under Sec. B. 8 P.C. for this reason
S.M.I.
'� *5.
Grading
-
Driveway Enc.
mentioned property for inspection purposes.
Date Owner
Infrastructure
1,705.51
WORKERS' COMPENSATION DECLARATION
Mailing Address .
Validation:
hereby affirm thatA 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. O Certified copy is hereby furnished.
TOTAL
$2.7.51.' i
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed ff the permit is for one hundred dollars ($100) valuation
• or less.) •-
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any -manner -so as to become subject to the Workers' Compensation
Laws of California.
Date Owner —'
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
'subject
ZONE:
BY:
' to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
_
d� rL e1 �„• ,a,
i
Minimum Setback. Distance$:" .+��yM •- �r4T , 1 � i 751
't
Front Setback fromFCenter _I Line C 1 1
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 Properly 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 if 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`7 l�07Permit f
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-
I
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address .
Validation:
City, Slate, Zip
HARD COPY
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
,CAR P. SQ. FT..®
WALL SO. FT. ®
SO 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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
REINF.. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FIRE ZONE ROOFING
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FIREPLACE
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 61V13NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE s'7
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS_
SEWER OR SE I ,A K —ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 7/7-711,0,6
AS (ROUGH) /�®/ f 4AETER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF.. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu.Y d.
$ —plus—x$_=
$
LUMBER GR.
FINAL INSP. 'Z
FRAMING �0/
FINAL INSP.
ROOFING /D �%�
p
D �D �leo 110//Z 7
,
f •�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 116-N,4
MESH
INSULATIONISOUND ��' 'TiZ
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL