15423 (SATT)P.O. BOX 1504 N o .15423
Buildess
Addr50-970 Ra1 COUrt Ate\ LA OUINTA, CALIFORNIA 92253
Owner
E.G. Williams Development Corp BUILDING: TYPE CONST. V OCC. GRP. R1
Mailing
Address 42-600 Cook St. Suite 120
A.P. Number
CityZip Tel. ' ' Lot 1 Tract 28019
Palm Desert, CA 92.211 1(619) 341-6080 Legal Description
Contractor Project Description 'SIPA Apartment Plan 2
Safe Senior. Dousing at The Seasons
Address
City Zip Tel.:
State Lic. City
& Classif. $ 493919 Lic. # 1231 Sq. Ft.,� No. No. Dw.
Arch., Engr., Size 822 Stories Units
Designer Etoffgren Puller & AssoCiates New ❑ Add ❑ Alter ❑ Repair ❑ - Demolition ❑
Address Tel.
68-487 -E. Palm Canyon (61911328-1801
City Zi State
Cathedra!" City, � 92234 Lic. #
r
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division
3fof the Businesss�and,Prrofeesbions CCodde,'anad'my license is in full force and.,.-
effect-/;; rt. r �X • sPf 27 t✓� � /5� .
SIGNATURE ,Y DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $42r415.00
reason: (Sec. 7031.5,susiness and Professions Code._ Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT
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 Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 323.66
do the work, and thestructure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 3�9 • �4,
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, M@Ch. 49.00 .
provided that such improvements are not intended or offered for sale. If, however, the building p
•
or Improvement is sold within one year of completion, the owner -builder will have the burden Electrical C2 27
of proving that he did not build or 'reprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to cori- Plumbing 108.00
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. 4..24
such projects with a contractor(s) pcensed pursuant to the Contractor's License Law.)
Grading 20.00
❑ I am exempt under Sec B. 8 P.C. for this reason
Driveway Enc. •00
Date owner Infrastructure 954.34
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.)
Poli No
. Company
WCopy is filed with the city, ❑ Certified copy is hereby furnished.
> TOTAL 7 11rj . 51
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($700) 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 California -
Date Owner
NOTICE TO APPLICANT: n, after making this certificate of Exemption you should become ZONE: BY:
subject to 'the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shah be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rnr�t .Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE ISUNLAWFUL. AND Side Street Setback fir enter Line
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, Side Setback from6Pro rty Llne
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND JJ a
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE �I 'PE �i�R
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. Issued b Date"�+ ~Permit
I agree to comply with all city and county ordinances and state laws relating to building y s
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
• tom.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW3 FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SQ. 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
GAS (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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ®c
BATH TUB
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SO.FT.GAR p 3/ac
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
FIRE ZONE ROOFING
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS'
SEWER OR SEPTIC T NK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. �Q n�
Y
GAS (ROUGH)/
METER LOOP -
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL Q
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
-FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING / f6
FINAL INSP.
ROOFING � y1_
g
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND / 9�
FINISH GRADING
FINAL INSPECTION
s
CERT. OCC. 3 6
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
r
Di i iW
.C�it� r u�. �� uin�� •
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 50-970 Rainbow Court A
Use Classification SFA Apartment Bldg. Permit No. 15423
'Group R-1 Type Construction VN -Fre-Zone Use Zone . R-1
owner of Building
E.G. Williams 'DeveAddress
lopment 42-600 Cook St. $uite-120
Palm Desert, CA., 92211
City By; Daniel P. Crawford Jr.
Date: -.March 1, 1996
Building Official
_POST IN A CONSVICUO . US PLACt