003218 (SFD)44
J '
• P.O. BOX 1504 NQ. 0321$
Building 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner . .. _ . .
`sunrise Comioanv �
Mailing BUILDING: -TYPE CONST. OCC: GRP.
Address ih t~ir3w*% A.P. Number x F.ro
CityZip Tel. - - -
�m3ft~+"�3t5�. Legal Description
Contractor Project Description Phase 26A, Plan 3kR
Nat§.t71ial %iCrtagage a $sc" nd2 - - -
Address
City ~ Zip Tel..
State Lic.
City
LING 1627
& Classif. 288130
Lic. # 323
Sq. Ft. No. No. Dw.
Size - - C - -424-Stories Units
Arch., Engr:,'
• Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
_
City
Zip
State
_
Lic: #
. �i LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that.l `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
effect . !W / .%f - 1, s '- �a r .�i %. Ir
SIGNATURE - - DATE•
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
�t ey
reason:.(Sec._ 7031.5,Business and Professions Code: Any city or county which requires a
1. ! 2�
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permit to construct, alter, improve, demolish, or repair any structure; prior to its issuance also
ice.
requires the applicant for such permit to /ilea signed statement that he is licensed pursuant to
.PERMIT
- AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
r
' Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the Any Section 7031.5 by 'any for
Plan Chk. Dep.
- - -
alleged exemption. violation of applicant a. permit
subjects the applicant to a civil penalty of not more than five hundred:dollars ($500).
❑ 1, the
•
Plan Chk. Bal.
.
S 390_ AA
as owner of 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
Const.
w c�
Professions Code: The Contractors License Law does not apply to an owner of property who
Af &. On
builds or Improves thereon and who does such work himself or through his own employees,
that' improvements intended
Mech.
34.13}
provided such are not. or offered for sale. If, however, the building.
or improvement is :sold within one year of completion, the owner -builder will have the burden
Electrical
i
proving that he did not build or improve for the purpose of sale.)
67 > Al
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
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.I.
r - 7- 9 r
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
�
Grading
O.1 am exempt under Sec.. B. & P:C.•for this reason
Driveway Enc.
Date owner
Infrastructure
1 '705.91
WORKERS' COMPENSATION DECLARATION
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
ct? , rs 1_ 2
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE -
REMARKS
fif►5'? 10E;(}(2f7-}.�4—%_." „. 12
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
"' Y ��'
or less.) .... -
-
I certify that in the performance of th0 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:
subjectto 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.
I certify that I have read this application and slate that the above information incorrect,
Issued by:
Dated 1r'/g7 Permit
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.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CARP. , 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
FORMS
FLOOR DRAIN
MECHANICAL FEES
ROCK STORAGE
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (FINAL)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GROUT
LAUNDRYTRAY
AIR HANDLING UNIT CFM'
BOND BEAM
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/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FtE7 PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
^ V, 30
SETBACK
GROUND PILLION?
f0 17 UNDERGROUND A.C. UNIT
04
COLL. AREA
SLAB GRADE?
ROUGH PLUMB. / HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR S
'BONDING
C T 'ROUGH WIRING �(J /G r DUCT WORK
ROCK STORAGE
FOUND. REINF. �1 D
GAS (ROUGH)
l / l METER LOOP HEATING (FINAL)
OTHER APPJEOUIP:
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER SERVICE FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
FINAL INSP. %Z 7 cu. yd.
Z /�� $ plus x$
=$
LUMBER GR.
FRAMING /(% ��
ROOFING
Z c
VENTILATION
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n
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REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING J%/w
MESH
INSULATIONISOUND 0771-w
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL