15422 (SATT)P.O. BOX 1504 No. 15422
Building 78-495 CALLE TAMPICO
Address,_'! .6� 0.g5J : 312�901yi �'O1;i= LA OUINTA, CALIFORNIA 92253
Owner
AMOUNT
Plan Chk. Dep.
.,.G. Williams
Development Corp,BUILDING:
Const.
tNL Rl
Mailing
49,10
TYPE CONST.
OCC: GRP."
Address 42-6.00 Cook
9t.. Suite 12.0
s.M.l.
3.14
Grading
20.10
A.P. Number
. 01 0
Cit
Pair.& D-ese s 4IP
9221.1
_
T(6.19) 341-6880
Legal Description %@T
3 Z'RKtt 28019
ContractorProject
"
Description $F, A
e Apartment Plan 1
Vaasa
TOTAL
1,535.18
REMARKS
Senior Housing
at The Seasons
'
Address"
=.�
Zip
State Lic. City
& Classif. 3 493919 Lic. # 1231
Arch., Engr.,
Designer 3toffgren ?caller & Associates
Address I Tel.
^'E. Pa ba Canyon 1(619)328-180
Cathedral Cityl I M 92234 1stLic.t#
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed underprovisionsof Chapter 9 (commencing with Section
70pp) of Drivisi.. 3 of.the Business and' Professions Cod_e,and my license iis,in full force and
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's 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 rive 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, euisness 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 improve for the purpose of safe.)
❑ 1, 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 contractor(s) (tensed pursuant to the Contractor's License Law.)
O t 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
AO Copy is filed with the city, ❑ 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 pperson in any manner so as to become subject to the Workers' Compensation
Laws of 71 omnia._
Date Owner
NOTICE TO APPLICANT: N, 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
ATTORNEYS 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, Zip
Sq. Ft. No. No. Dw.
Size 609 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $31r424.00
1
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
271.68
Const.
297. .50.
Mech.
49,10
Electrical
78.82
Plumbing
00
1081400
s.M.l.
3.14
Grading
20.10
Driveway Enc.
. 01 0
Infrastructure
70-7.04
TOTAL
1,535.18
REMARKS
ZONE: • BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setb ac'fyrortt Center Line
Side Setback fro��rra��tbpe`rt Line
FINAL DATE /�/ SP� E C -
Issued
Validat
Validat
Ito
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMB114U FEES"
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
FOR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO. 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 �Q,r y
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH) / /l
i
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
I
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
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 V. c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
FIRE ZONE ROOFING
ERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.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 �Q G 7
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS �Q,r y
SE R�
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 9f
GAS (ROUGH) / /l
i
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL /O 9J
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING /JAI 9F
FINAL INSP.
ROOFING 00V
d/G�p� /4-a
�/�� nr
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
N
IIIII1�1111�����11111 .
v �
'y OF 1'iiF.�
�4-1
i t 1 of ll i It �I
.3
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 50-995 Rainbow Court D
SFA — Apartment Bldg. Use Classification 0• Permit No. 15422
Group R-1 Type Construction VN Fre Zone Use Zone R-1
Owner of BuildingE.G. Williams Development Address 42-600 Cook St. Suite 120
P lm Desert, CA., 92211 Daniel P. Crawford Jr.
-7 By.
� Date: February 27, 1996
Building Official
POST IN A CONNTICUOU! /LACE