15424 (SATT)4
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 50 970 Etainbow Court B LA QUINTA, CALIFORNIA 92253
Owner
E.G. Nall i ms Development Cor
Address 42-6#10 Cook Sic. Shite 124
City Zip Tel.
Pella Desert, C 92211 (619)341-6880
Contractor
Saline
Address
State Lic. City
& Classif. B 493919 Lic. # 1231
Arch., Engr.,
Designer Sto€fgren Fuller a Associates
Address I Tel.
City Zip State
Cathedral Cityl, CA 92234 iLic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t.of Division 3 of the Bu/siness an6ad�Professioonss,,�C�ode, and my license•is in full forcetand
effec' �lj F.,d fi L 15�-€.F•,r;.'.i ":r..s - i' r
SIGNATURE ! DATE
r OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,191usmass and Professions Code: Any city or county• which requires a
permit to construct, atter, 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
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 fora permit
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
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
orimprovement 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, am exclusively contracting with licensed contractors to torr
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) licensed 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.)
Policy, No. Company
opy 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: ff. after making this Certificate or Exemption you should become
subject to the Workers' Compensation provisions or 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 370�OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled o t, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 ays.
1 certify that I have read this application and st to that the above information is correct.
I agree to comply with all city and county ordina ces and state laws relating to building
construction, and hereby authorize representati s -of' this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing, Address
City, State, Zip
No. 15424
BUILDING: TYPE CONST. VX OCC: GRP. R1
A.P. Number
Legal Description Lot.1 Tract;.. "28019
Project Description 'SFS. —, Apartment Plan 1
Senior.Housing at The Seasons
Sq. Ft. No. No. Dw.
Size 509 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation .$31,424.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal
271..69
Const.
297.5E
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 Setba?• m enter Line
Side Setback frorn�perty tine
FINAL DATE vZL4NS
Issued by: ,bite F
Validated by: eJ
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIQI-�i FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. 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 3✓9�
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEGUIP.
LAUNDRYTRAY
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.
SO. FT. ® c
BATH TUB
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/<c
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 Q y
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS 3✓9�
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /(J p�
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEGUIP.
REINF. STEEL �O r
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING / 36 /%
FINAL INSP.
ROOFING 9�
D/jam ��
N'
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING Z
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION /9r/
CERT. OCC. / 9
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
NEW 19
it
i i II II I
I
it is
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i p
1 � OF TF�9
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 B '
li :i 9
i use Classification SFA Apartment Bldg. Permit No. 15424
I Group R-1 Type Construction VN Firs Zone Use Zone R-1
' I Owner of BuildingE.G. Williams Development address 42-600 Cook St. Suite 120 '
alm Desert, CA., 92211
Cit Bys Daniel P. Crawford Jr.
I
I�' • �� note; March 1, 1996
I
._ Building Official
•
POST IM A OONeTICUOUs MW [HIM
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