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15426 (SATT)` P.O. BOX 1504 T No. 15426 Building78-495 CALLE TAMPICO Address 0.91 it8lnboW Court A LA QUINTA, CALIFORNIA 92253 Owner B.G. Williams Development Corp BUILDING: TYPE CONST. � OCC. GRP. Rl Mailing Address 42-600 Cook S` • Suite 120 A.P. Number Palm Desert, C,# Zlp 92211 Tel. 619) 391-688d Legal Description Lot 1 Tract 28019 Contractor SFA — Apartment Plan 1 same- Project Description Senior Mousing at The Seasone Address City Zip Tel.: State Lic. City & Classif. 8X493919 Lic. # 1231 Sq. Ft. No. No. Dw. Arch., Engr., - Size 609 Stories Units Designer Stoffgren Fulleir. & Associates New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition-❑ Address Tel. 68-487 E,• Palm Canyon r• f619) 328-'001 yzhe Tal City Zi8A 92231 Lic.t 'It # 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 Businessland Profes"sions,Corde, and my license is•in full force and : ° W effect. J�+�� / SIGNATURE ✓ `" DATE OWNER -BUILDER DECLARATION Estimated Valuation31 924 a� I herebyaffirm 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 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 (8500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal 271.68 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and (`,Oust- 297 �{� Professions Code: The Contractor's License Law does not appy to an owner of property who • - builds or improves thereon and who does such work himself or through his own employees, Mech.9pt7 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 Electrical `�� °� of proving that he did not build orenprove for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 108.00 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appy to an owner of property who builds or improves thereon, and who contracts for S.M.I. 3.14 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading ap V ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. .00 Date Owner Infrastructure 707.04 WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 yNo. Company Xopy is filed with the city,. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS. 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, 1 shall not - employ any pperson in any manner so as to become subject to the Workers' Compensation Laws of Calnf0 nia. Date Owner NOTICE TO .APPLICANT: If, akar making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply With such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop.�/Ldine WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Ce l'1 r Lin 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 from Propert e 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 FINAL DATE INSBECTOR Q expiration if work thereunder is suspended for 180 days. �� aA I certify that I have read this application and state that the above information is correct. Issued by: Date Pern�t' 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. Validated by: / Signature of applicant Date Mailing Address Validation: City, State, Zip S CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO, FT, ® GAR. SO. FT. ® CARP. SO. FT. ® WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET I 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/6 Z WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER AS (R UGH GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL O�/ ��, � ` GG� ��" yT!/ SO.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 6 f ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS/6 Z WER R ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /Q > /_�� AS (R UGH METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL /Q Z / GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING �� FINAL INSP. ROOFING O�/ ��, � ` GG� ��" yT!/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING // MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION /57 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL igt�1N�, " ON LIA .� �•� �.:ii% . _ . r wiz _ z - . %+Y . _. kj I rtt TitLl of "Ka(011inta �itillin�t �in1 �rtfet� �r1►i�i��n This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that of the time of issuance this structure wos in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 50-910 Rainbow Court Unit A Use Classification. Apartment _ Bldg. Permit No. 1-9426 Group R-1 Type Construction VN -Fire Zona Use Zone R-3 Owner of Building. Address Williams Development address 42-600 Cook St. Suite 120 ly aim e ert, 92211 By, Daniel P. Crawford Jr. Date. February 1, 1996 Building Official r /WJ1 IN A CONSPICUOUS /LAC[