08462 (SFD); � G P.O. 60X'1504. y N O . 084#2 +
wdilding 78-105 CALLE ESTADO �.
dress ra r �� LA QUINTA, CALIFORNIA 92253
.
_—
--
Owner
SUNRISE COMPANY
BUILDING: TYPE CONST: ' OCC: GRP.
r/ Mailing �t T
Address A.P. Number Dr—A :.y
UxteCsQd 07509-3
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T
City Zi2 el
Legal DescriptionPALRESERT5&-
Contractor`s Project Description 010 C •':kv no Am _9Ug
NATIONAL MORTGAGE
Address
' 'SME
City Zip Tel.:
State Lic.
City
& Classif.
Lic. #
Sq. Ft. No. No. Dw. ,
Size 3355 'r" ,Stories Units
:Arch.; Engr., - -_ : ,
' Designer
New ❑ Add'❑ • Alter ❑ Repair ❑ Demolition ❑',
' Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION. '
'that
_
I heieby affirm I am licensed under provisions of Chapter 9 (commencing with Section',
7000) of Division 3 oftthe Business and Professions Code, and my license is in full force and
effect s
._ r•
' SIGNATURES A"•-- w•yc..?w^ ., i +.._...Lr a: tt.:cc..e..,,yr .. / J fi FD
ATE
OWNEfi•BUILDER DECLARATION • , ,
Estimated Valuation ft A L
hereby,, affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. - 7631.5,Business, and Professions Coder Any city or county which requires a
-
-
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
-for
+ requires.the applicant such permit to file a signed statement that he is licensed pursuant to
PERMIT -4 -
the provisions of the Contracfor's License Law, Chapter 9 (commencing' with. Section 7000) of
`
.' Division 3 of:the Business and Professions Code, or thathe is exempt therefrom, and the'basis
for the alleged exemption. Any violation Section 7031.5 by;'any-applicant for.
- -
'aPlan Chk. Dep.
' '
of a permit
- _ subjects the applicant to a civil penalty of not more than five hundred dollars ($500)...��
1'
.,r 1
• •Plan Chk. Bal. ' -
❑ 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
Const. " !a
-
Professions. Code: The Contractor's License Law.does not. apply to an owner of property who
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 im rovement. is sold within one
p year of completion, the owner -builder will have the burden
o% proving that he did not build or improve for the purpose of sale.)
Plumbing
3 80 i 50
OI; as owner of the property;'am exclusively contracting with licensed contractors to con-
st ruct the -project. (Sec. 7044, Business and Professions Code: The Contractor's License'Law
does not to builds improves
t
apply an owner of property who or thereon, and who contracts for
such:projects with a contractors) licensed pursuant to the Contractor's License Law.)
•, S,M•I,
Grading.
❑Tam exempt under Sec. B. 8 P.C. for this reason
Driveway Enc.
' -
' Date, owner
Infrastructure
WORKERS' COMPENSATION DECLARATION„�
IESS EDIT 2 735 61
ART PLACES
I hereby affirm that I,have a certificate of consent to self -insure, or a certificate of
'
• . UBLI
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
, ••
•• ' v -
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
REMARKS
` •.WORKERS' COMPENSATION INSURANCE
k�•.:h� { .�j•- c�yS,� {'r#e•�•„a�-” `A; •_ �;, ,#. -
(This. section' need not•be completed if the permit is for one hundred dollars ($100)'vaivation-
•Ol less.) -,'4:7
- I certify that in the performance of the work for which this permit is issued, I shall not
w"iJ'tG
employ any person inany manner so as to become subject to the Workers' Compensation
Laws of California.
'
.
NOTICE TO APPLICANT:r If, after making this Certificate of Exemption you should. become
ZONE: BY:
BY -
subject to 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
i
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 -
FINAL DATE INSPECTOR
Lender's Addressr'
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., • •.
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
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a ,, .Y 1..�`.+4•i -.. .i ..r a �. At
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SQ, FT, p
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. 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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FAS (ROUGH) �+� ),
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
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:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES 71�7EE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK /
ROUND PLUM `l"'7/j
UNDERGROUND
A.C. UNIT
COLL. AREA
''11
pjo SLAB GRADEg �� 7v
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER OR jVTIU/k2,% , J
1
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
FAS (ROUGH) �+� ),
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
OV7REINF STEEL a -
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
•4NAL INSP. d !,a -0E (
FRAMING 12ro
FINAL INSP.
ROOFING / 1`�V
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
MESH
9qASULATION/SOUNV
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL