15428 (SATT)44P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 5c9 --92a Ra#.nbcw Cflur A LA QUINTA, CALIFORNIA 92253
$.G. Williams De%relopmea:t Corp
Address 42-600 Cook St. Suite 120
Iggy.a� Desert, ' Zip el 92211 T(619) 341-6880
City
Zip I Tel.:
State Ljc. $ 493919
8� Classif.
Lic. # 1231
Arch., Engr., _
Designer atoffgren Fuller 4 Associates
ddress Tel.
8-487 E. PaLn Canyon (619)328-1801
�;�ycher rad City to 92234 Licta
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of.the.Busine�sr`s and.P�rofessions,Code, and.my license ijsin furlhforce and
I t .
effect. - L �=
SIGNATURE r - DATE
0/1 OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Businass 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 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).
❑ 1, 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 improve for the purpose of sale.)
❑ 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) 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
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
PoliFKNo. ICompany
LrCopy 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 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., ff, 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 ($100,1X%)), 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. Address
City, State, Zip
No. 15428
BUILDING: TYPE CONST. VN OCC. GRP. RI
A.P. Number
,Legal Description Lot l Tract 28019
Project Description 'SFA — Apartment Pler, 1
Senior Housing at The Seasons
Sq. Ft. No. No. Dw.
Size 609 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
-Demolition ❑
Estimated Valuation $31,424.00
'PERMIT
AMOUNT
Plan Chk:'Dep.
Plan Chk. Bal
271.68
Const.
297.$0'
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�he
Side Street Setback from �r r Line
Side,Setback from Prop ine
FINAL DATE
Issued by:.Date
Validated by:
Validation: �%�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
t
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 `
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
S ROUGH) iOr
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.
SO. FT. ® c
BATH TUB
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
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 PLU
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE `•
ROUGH PLUIE
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS `
SEW R
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
S ROUGH) iOr
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu.Y d.
$ plus -x$_=$
LUMBER GR.
FINAL INSP.
FRAMING �� ;� 9�
FINAL INSP.
ROOFING /6
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION /
CERT. OCC. /17
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
4*Sa*skit
(�trt
of
(VVr?'-r
mu
(fitL1.1of 3 -fa (011inta
1tI tltlj ctlt� - af,`t. .�ilttMon
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 50-920 Rainbow Court Unit A
Use Classification Apartment Bldg. Permit No. 15428
Group R-1 Type Construction VN Fire Zone Use Zone R-3
Owner of BulleingE.G. Williams Development Address
42-600 Cook St. Suite 120
City Palm Desert, CA., 92211 Daniel P. Crawford Jr.
By;
Oct.: February 1, 1996
Building Official
POST IN A cows?ICUOU! /LACE
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