003227 (SFD)P.O. BOX 1504 No. 003227
Building 78-105 CALLE ESTADO
Address s'./f. 04A LA QUINTA, CALIFORNIA 92253
Owner ..
Sunrise Company x BUILDING: -TYPE CONST. OCC: GRP.
Mailing
Address 75-005 Country Club Drive A.P. Number PGA Ilest
City Zip Tel.
- _
PalmDe eat 9 5
� 5 8-2828 Legal Description
Contractor Project Description Phaa--- 26Ar P1 in 2X14
National ra it•ct�f�� ,, L . x�
City Zip .. - Tel..
State Lic. City
& Classif. 2881130 Lic. # 328
Arch., Engr:,
Designer
Address Tel.
City Zip State
Lic. #
/1 LICENSED CONTRACTOR'S DECLARATION
I hereby af.flr""m that I am: licensed under provisions of Chapter 9 (commencing with Section
7000) re, 3 of the Business,and Professions Code, and my license is in full force and
. Sq. Ft. DWG 1673 No. No. Dw.
Size r_a v A k -Stories* -Units
New ❑ Add ❑ Alter ❑' Repair ❑ Demolition ❑
�,-SIGNATURE— `- t - -. 'DATE
.. .. ... y. . .
OWNER -BUILDER DECLARATIONEstimated
I hereby affirm that I am exempt from the Contractor's License Law for the following
- reason: (Sec.. 7031.5, Business and Professions_ Code: Any city or county which requires a
permit to construct, after, 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
Valuation
p tw,
w7..a. s 2
PERMIT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
' 'Division 3 of the Business and Professions Code,' of 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): �.
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
Plan Chk. Bal.
Const.
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 of sale.).
Plumbing
0 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
S.M.I.-
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 to the Contractor's License Law.)
.... ❑ I am exempt under Sec. B. & P.C. for this reason
Grading
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that Ihave 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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COM P ENSATION 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 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: It, after making this Certificate of Exemption you should become
-subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY_
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.)
Lender's Name
Lender's Address
'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.
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.
Signature of applicant Date
Mailing Address
City, State, Zip
HARD COPY
TOTAL
REMARKS
AMOUNT
$ -399,.65
483.00
42.00
Paw 19
92.00
a.37
1.178.1.38
62:+893.59
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
Issued by:
Date? 15 87 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT. @
POR. SO. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
$'
YARD,SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FOUND. REINF.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY .
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID Q 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GRADING
cu. yd.
-plus-x$-=$
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 PLUMB G
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 8 Q,
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE O I A
ROUGH WIRING
UCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
ER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL IV
(FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP. -y
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
-plus-x$-=$
LUMBER GR.
FINAL INSP.
FRAMING IV le4-0, L .
FINAL INSP.
ROOFINGrj/7r Aq
�
!/�J
�O
/
REMARKS:
VENTILATION`? 7
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
v
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL