15415 (SFD)Building$ slti@
Aclttracc
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Owner
B.G. Williams Development Corp
Mailing
Address - 42-600 Crook 5t. Suite 120
City Zip 7(1i
.
Palm Desert, C 922119) 341-6�$+Q
Contractor
Same
Address
State Lic. City
& Classif. B 49393.9 Lic. # 1231
Arch., Engr., -
Designer Stoffgren Fuller & Associates
Address Tel.
City t= •-. Zip State
Cathedral -:G t CA 92234 1Lic.#
LICENSED CONTRACTOR'S DECLARATION
a.' I hereby affirm that I am licensed under provisions of Chapter 9 (commench
7000) of Division 3 of the Business and Professions Code, -andel may license•is i
effectV�l..f fti.i �.Ai`4_�Fi'?✓ c .!
-OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors 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).
O 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
i 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,
i 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 improve for the purpose or sale.)
O I, as owner of the property,
i 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
j such projects with a contractor(s) Licensed pursuant to the Contractor's License Law.)
D 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.).
Policy No. Company
Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 thg 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: 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. -
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 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 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
ateMailing Address
City, State, Zip
No. 15415
BUILDING: TYPE CONST` V14OCC. GRP. R1
A.P. Number
Legal Description loot. Z Tract 28019
Project Description SPS' — Apartment Plan 1
Senior Housing. at The Seasons
Sq. Ft. No. No. Dw.
Size 609 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
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 Permit
Validated by:
Validation: '
19
Estimated Valuation : $ 31, 4124.00
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. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation: '
19
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. f PLUMBIW! FEES
1ST FL. SQ. FT. ® $
UNITS
'
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM •',
2ND FL. SO. FT.
FORMS /p
EW OR S
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
.
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FRAMING
FLOOR DRAIN
MECHANICAL FEES
y p�
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
INSULATION/SOUND
FINISH GRADING
SO.FT.GAR ® 3/.c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE LPL.CK.FEE
I CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING Z
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE A1110
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /p
EW OR S
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. / p/
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL Q G
!/
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
.
_$
LUMBER GR.
- FINAL INSP. //�/r
!� J
FRAMING
FINAL INSP.
ROOFING � 9/
y p�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING / 9f
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
All
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
. 1 1:. ==i -
lid
j � 0 t
't/OP TiiE� T of �41&1 011thita
�lti�1111t�- c11t11 �.�ct�l`� 1 �1�tt�:�iltlt
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 C
Use Classification SFA — Apartment Bldg. Permit No. 15415
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
�09T IN A CONSPICUOUS PLACE