15427 (SATT)w ,r4-4 Q,
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Addressr50-910 Rainbow' Court B LA QUINTA, CALIFORNIA 92253
No. 15427
E.G. Williams
Development CorpBUILDING:
TYPE CONST.
OCC: GRP. R1
Mailing
Address 426*.0 Cook
St. Suite 120
Plan Chk. Bal.
323.66
Const.
36ji 0 )
A.P. Number
49:0-0.
CityZip
Palm Desert,.4
82.27
92211
Tel.
. (619) 341-688 3
�'
escription reit
Legal Description—
Tact 2 8019
Contractor
2.8 . 00
FA
Project Description M
Apattment Plan 2
Same
954.341
Senior Housing
-at The Seasons
Address
p
State Lic. City
& Classif.. B 493919 Lic. # 1231
Arch., Engr.,
Designer toffgren Fuller Associates
Address ,Tel.
66"487 R. Palm Canvan (6191328-1801
City Zip State
Cathedral City 92234 Lic. #
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,Business and Professions Code, and my license is -in full force.and..—
effect, f ��'�•�X. Luff ���''y s`�}�.�f.�/�� �S•r`✓ i� fes' ""iy�
SIGNATURE .'Y DATE
V OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Bustness 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 rde 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, 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 no, 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) [rcensed 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 ff 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 FINE& 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
ATTORNEY'S 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.
1 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, Zlp
Sq. Ft. No.
Size -022 Sto
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
stimated Valuation $42's-415.00
PERMIT
AMOUNT
Plan Chk.-Dep.
Plan Chk. Bal.
323.66
Const.
36ji 0 )
Mech.
49:0-0.
Electrical
82.27
Plumbing
108.00.
S.M.F.
4.24
Grading
2.8 . 00
Driveway Enc.
Oa
Infrastructure
954.341
TOTAL
1 510 a 51
REMARKS
ZONE: " BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center
Side Setback from Property LA
FINAL DATE INS
Issued
Validated by:,
Validation*:
Datee�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIN%•FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT_ ®
GAR. SO. FT, ®
CAR P. SQ. 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
FORMSZ
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
ROUGH / a
7
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
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.
SQ. FT. ®c
BATH TUB
FINAL INSP. �/ 9�
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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 I ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUl)
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE D G
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSZ
SEW OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /O �1
ROUGH / a
7
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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. �/ 9�
FRAMING
FINAL INSP.
ROOFING /D � �
/� �
Y)
J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �� 9S
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
iM
i
Ttot1 of Ka (011t-nta
�llt�iltltij ctlt1 ��-ct��'� ?�t�ti�t111t.
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 50-910 Rainbow Court Unit B
Apartment Bldg. Permit No. 15426
Use Classificofion P g•
Group R-1 Type Construction VN Fire Zone Use Zone R-3
Owner of Building Address Williams Development Address42-600 Cook St. Suite 120
C'+ 92211 D Bert, 92211 Daniel P. Crawford Jr.
Dote: February 1, 1996
Building Official
POST IN A coNe?ICUOU! PLACE