003814 (SATT)P.O. BOX 1504 No.. 003814
Building78-105 CALLE ESTADO
Address 56--150 Pebble Beach LA QUINTA, CALIFORNIA 92253
Owner
Sunrise Comoany ` ' BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 75-005 t"s3u3 try Club Drive A.P. Number _PGA .t1est
City Zip Tel.
Palm N nP_ t_ 5A'S•b2$2$ Legal Description .
Contractor
Project Description Pbase 29$ Plan 400
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Ad[ess-
same
City . Zip Tel..
State Ljc. 288130 City 32 DWG 314
& Classif. Lic. # Sq: Ft. No. No`Dw.
Arch., Engr.; •
Size'71�.F • Stories - Units
Designer New ❑ Add ❑ Alter ❑` Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lia #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated.Valuation y 3
I hereby affirm that I am exempt from the Contractor's License Law for the following >J
reason: (Sec.,. 7031.5,Business and Professions Code: Any city or county which requires a o'.
permit io construct, alter, improve, demolish, or repair any structure, prior -to its issuance also -
requires the applicant for 'such permit to file a signed statementthat he is licensed pursuant to PERMIT AMOUNT
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 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 Plan Chk. Bal.A R.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.. `
Professions Code: The Contractor's License Law does not apply to an owner of.property who - - 72- Aft
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. If, however, the building lin
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical
of proving that he did not build of improve for the purpose of sale.) 12
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 140.50
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. 1. - ' 1-5.09
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
O. I am exempt under Sec. B. 8 P.C. for this reason Grading
Driveway Enc,
Date owner Infrastructure 4,856.26
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. p Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, l shall not
employ any person in any manner so as to becomesubjectto the Workers' Compensation
Laws of California.
-Date Owner `
NOTICE TO APPLICANT: If, after making this Certificate of Exemptionyou should become
subject to the 'Workers' Compensation provisions of the Labor Code; you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. . '
I certify. that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant . Date
Mailing Address
City, State, Zip
HARD COPY
TOTAL ..19 T"i'i>i 1 AA ad
REMARKS
r r.R 4 ta. , tel 9", 0 AA- t t —PR ! f1
f6 CAN I TOTAL i 651
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
DateiII%$ Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT. ®
POR. SO. FT. ®
GAR. SO. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
tc i una alunwl unt�lni 1 iww.
GARDEN WALL FINAL