003234 (SFD)P.O. BOX 1504 No..
Building 78-105 CALLE ESTADO
Address TI11ie nnewel LA QUINTA, CALIFORNIA 92253
Owner ,
sunrise Company
BUILDING: TYPE -CONST. OCC: GRP.
Mailing
Address
75-005 Country Club siri.are A.P. Number PGA test
City Zip Tel.
PPAIm �.?enert 32260 56,8—s$28. Legal Description
Contractor . ` Pase :,6 i Flan IRA
Project Description
R3 t-$ nwo 'tbiC)IZ"t-t;Y•age & Ta;<l3' d
Address _.... _ ....
City Zip Tela
State Lic. City
& Classif. 28$330 Lic. # 32.8 Sq..Ft. G 1330 No... . No. Dw.
Arch., Engr.; - --
Size CAR 424- Stories • Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that•I am licensed under provisions of Chapter (commencing with Section
7000) of Division 3 of the Business and Professions Code, and mylicense is in full force and
r,
. .. effect. , c-'?`..". ,.�',.'� ����-. iv �
SIGNATURE— DATE
OWNER -BUILDER DECLARATION
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
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
"• 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
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
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
or improvement is sold within one year of completion, the owner -builder will have theburden
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-
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
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Estimated Valuation
-
PERMIT
Plan Chk. Dep'
Plan Chk. Bal._
Const.
' Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Date Owner I I
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. O Certified copy is hereby furnished. `
CERTIFICAT '
ructure
TOTAL
-AMOUNT
418.00
3A. no
54.9_i
87-50
i:411.66
E OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE REMARKS t .2
(This section need not be completed If the permit is for one hundred dollars ($100) valuation ..i r..r e iii' ' `�lLf_ T4 6 u1362., ?6 w �.
- or less.) - -
I certify that in the performance of thg work for which this permit is issued, I shall not
emp oy any person in any manner so as to become subject to the Workers Compensation
Laws of California.
Date 'Owner '—
NOTICE TO APPLICANT: It,alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of -the Labor - Code, you muh 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 it 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 jaws 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
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 71/11. /A Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
FOR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
" WALL SQ. FT. ®
Sp 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
6 DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
AS (ROUGH)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
OTHER APPJEOUIP.
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
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
ROOFINGAff
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LL
o
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 PLUMBI G
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
leSEWER OR SEPTIC T rl
ROUGH WIRING�Q
6 DUCT WORK
ROCK STORAGE
FOUND. REINF.,IJP 7/ql (�
AS (ROUGH)
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. / cu. yd.
$ plus x$
_$
LUMBER GR.
L
FRAMING /v p �7 -/—/
ROOFINGAff
�/S
10 /
/
/,0,
7— r/
LL
o
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING td7'l
MESH
INSULATIONISOUND to
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
• FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL