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15414 (SFD)1 78-275 Bu i Id i ng _.,� 414 Q".. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Owner- I E.C. Williams Develo raent Coria mantng Address 42-600 Cook St. Suite x.2O Paha Desert,, Zip 92211 Tel#619) 341-6880 Contractor Sams; Address State Lic.Gity & Classif. P„ 493919 Lic. # *x 231 Arch., Engr., Designer Steff!4ren Fuller &. ASSOdiates Address Tel. 68-487 E. Palmi Canyon (61.9) 328-180 V.yithedacal Cit Z'1p CA 92234 Lict# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7l>�11 of Division 3 of the Business and Professions Code, and my license,is in full force and,'aNe t. ! n , ` f�r� j- q c SIGNATURE OATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness 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 Re 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 thathe 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 penahy of not more than Ove 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 the burden of proving that he did not build or knprove for the purpose of sale.) O 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 contractors) peened pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner 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.) Po icy No. Company Copy is filed with the city, O 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, 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: d, 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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, Zlp No. 15414 BUILDING: TYPE CONST. OCC. GRP. Rl A.P. Number Legal Description Lot 1 Tract 28019 Project Description SFA - .Apartment Plan 1 Senior Housing at The Seasons Sq. Ft. No. No. Dw. Size 609 Stories Units New O Add El Alter O Repair O Demolition O stimated Valuation $31,424.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 271.68 Const. 297.50 Mech. 49.00 Electrical 78.82 Plumbing 108..00 S.M.I. 3.14 Grading 20.00 Driveway Enc. 00 Infrastructure 707.04 TOTAL 1,535.18 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. I Side Street Setback from Ce t r Li Side Setback from Propertq LI FINAL DATE Issued by: Date Per it Validated by: Validat CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES IST FL. SO. FT. ® $ UNITS ' COLL. AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL. SO. FT. ROUGH PLUMB. BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® EW OR SEPyf� �js GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. O DRAINAGE PIPING CAR P. I SO. FT. METER LOOP HEATING (FINAL) WALL SO. F7. REINF. STEEL az DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GRADING cu. yd. $ —Plus—X$—=$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM ROOFING �� , 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR @ 3/<c HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE I CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING/6 Z UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS /4 d �� EW OR SEPyf� �js ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. O GAS (ROUGH) ! METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL az 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 �� , o, // y ` y( N,—• i/�/�/�,/. // n REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND zz FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL �nL��L-�■ Tit�r of art 011thitc-1 Tsllflt)1011� This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 78-275 Blue Sky Way B Use Classification SFA — Apartment r Bldg. Permit No. 15414 Group R-1 Type Construction VN Fire Zone Use Zone R-1 Owner of Building E.G. Williams Development Address 42-600 Cook St. Suite 120 City Palm Desert, CA., 92211 By; Daniel. P. Crawford Jr. Date; February 27, 1996 Building Official �09TIN A CON9TIC000! PLACE 1— - NJ �tl�lo� p ■�� MUM■1 1I"M