11136 (SATT)Titif 4
P.O. BOX 1504 N 0. 11136 `
Building 1 r7 r.: ;. 78-105 CALLE ESTADO
Address t`� 1 '�' LA QUINTA, CALIFORNIA 92253
Owner
Mailing BUILDING: TYPE CONST. OCC. GRP_
Address 42--60 0 0i
A.P. Number
City Zip Tel.
? 1. ta.?�+;+ �!)Y- is !.6 Legal Description -l'T a, f 23 <!`L49 3
Contractor Project Description R Pity ,>' ri T
s am'a
Address
City Zip Tel.
State Lic. r City
& Classif. y 9 _ 3 Lic. # ? Sq. Ft. No. No. Dw.
Arch., Engr.,
Size h r Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
Permit does not include anv
City Zip State blocky o3�ills Or gaol
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am Iicenaed under provisions of Chapter 9 (commencing with Section
7000) of Divisipn 3 of the Bualness and Professions Cade, and my license is in full -force and
effect. -
SIGIJAnIRE - DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's license Law for the following ,
reason: j5ec. 703 1.5,Busfnass and Professions Cade: Any city or county which requiros a
permit to constmcf, alter, improva, demolish, or repair mny structure, prior to its issuance also
requires the apptfcani for such permlt to fife a signed stalemarnf that he is licensed pursuanf to PERMIT AMOUNT
the previsions of the Contractor's License Law, Chapter 9 (commencing with section 7000) of
Division 3 of the Business and Professions Cade, or that he Is ex®mpt Therefrom, and the basis
for the 0eged exemption. Any vfolation of Sectun 7031.5 by any app,@canf for a permit Plan Chk. Dep.
subjecfs the apphcanf to a civil penalty of not more than live hundred doMrs ($500).
0 I, as oviner of the property, or my employees with wages as their sale compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for safe. (Sec. 7044, Bubness and COrISt.
Prelessmns Cade: The Contractor's License Law does not apply to an owner of properly who
builds or improves thereon and who doss such work hlmseff or through his own employees, Mech. r
provided that such improvements are not intended or offered for safe, ff. however, the building
or Improvement is sold wnhhr one year of compfeUon, the owner -builder wffl havo the burderr Electrical
of proving that he did not build or improve for the purpose of safe.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 4 Ci
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. i .
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading n
O I am exempt under Sec. B. 8 P.C. for this reason —
Driveway Enc. r; .
Date Owner Infrastructure 2* 79 `i 14 82
18Rq 7�
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certifrr:ata 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 fumished.
TOTAL 3f5.1 =�+^
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify chat In the performance of thV 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 Califomla.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
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 if work thereunder is suspended for 180 days.
I certify that I have read this applicatlon and state that the above information Is correct. Issued by: Date 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
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
r F L_ SQ. FT. ®
InO F L_ SO. FT. ®
�Fi SQ Fr. ®
Fi_ SQ. FT. ®
FR F-_ SO. FT. ®
kLL SQ. FT. ®
SQ. FT. ® I
:TI MATED CONSTRUCTION VALUATION Is
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOMESVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
I
I
DRINKING FOUNTAIN
URINAL
WATER PIPING
DoTE- Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
I A N GE DRYER
GARBAGE DISPOSAL
IACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
A ""LING UNIT CFM
KITCHEN SINK
FR<PTI4ON SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
'R ESSOR HP
POLE, TEM/PERM
LAVATORY
I"G SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
:F3 B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
Fi EATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
HOUSE SEWER
GAS PIPING
T FEE
PERMIT FEE
PERMIT FEE
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
= m BACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
A B GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
> F-R MS
SEWER OR SEPTIC TANK
HUUUH WIHING
DUCT WORK
ROCK STORAGE
U ND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
A m,-a F. STEEL
GAS (FINAL)
TEMP. POLE
tpUT
WATER HEATER
SERVICE
FINAL INSP.
N to BEAM
j
WATER SYSTEM
I
FINAL INSP.
GRADING
Cu. yd.
$ plus x$
=$
AA tBER GR.
A NIING
FINAL INSP.
,O FING
REMARKS:
TILATION
11111E—� ZONE ROOFING
PLACE
K ARRESTOR
==ft _ FIREWALL
II —� MG
"TION/SOUND
I H GRADING
ftvk-- L INSPECTION
4 OCC.
��= FINAL
INSPECTOR'S SIGNATURESIINITIALS
��EN WALL FINAL
Plan T2BR Phase 5T
CITY OF LA QUINTA
401 DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-224SIZ
24-HOUR NOTICE FOR I16v,IONS
Owner Sunrise Company
Contractor Same
Permit Number 11136
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-106 Hermitacte
Permit does not include any
block walls or pool
TYPE OF INSPECTION
DATE
INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN
SIGNED
CONCRETE SLAB
-2
oG
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN
SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE
HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
c•
'r
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
•) , -
! -/-
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING