15401 (SATT)14uilding r 92A' r
Addressab%y- -- 3_i4 +al�is_ia Wj
Owner -
B.
B.G. Williams Leve
Mailjng
4
P.O. BOX 1504
78-495 CALLE TAMPICO
t__i%r._A LA QUINTA, CALIFORNIA 92253
Address 42-6€301 Cook Sts Suite 120
CitZip Tel.
Pain Desert, C 922 .1 1(619) 341-6880
Contractor
Some
Address
City
Zip Tel.:
State Lic.
City
& Classif. S 493919
Lic. # 1.231
Arch., Engr.,
271.68
Designer Stoffgren Puller 6
ASSOCiates
Address
Tel.
68-487 E. Palm Canyon
619) 328-I1
8A;heM&,t 3City
CA 922341
Lic.t#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sec
7000) of Division 3 of the. Business and Professions_ Code, and my license is.in full force
effect: -1-1/.6- / %r'71, i. Ct i f €
V_ /C__— :
it OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Buse7ass 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 file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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, Suisness 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 riot Intended or offered for sale. If, however, the, building
or Improvement is sold wither 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 andProfessions 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 contractor(s) #censed pursuant to the Contractor's License Law.)
O 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.)
PkPolicy No. Company
icy
Copy 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 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, h, after making this Certificate or Exemption you should become
subject to the Workers' Com;msation 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 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.
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. 15401
BUILDING: TYPE CONST. OCC: GRP. R1
A . Number
Legal Description Lot 1 Tract 2801.9
Project Description SFA.— Apartment Plan 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.,50
Mech.
'49.00
Electrical,
78.82
Plumbing
108.00
S.M.I.
3.14
Grading
20.00
Driveway Enc.
.00
Infrastructure
707.04
TOTAL IL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Ce a ine
Rear Setback from prop. ine
Side Street Setbapk Ce e
Side Setback fir / Property I
FINAL DATE AGNS
Issued by:
Validated by:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SQ. FT. $
2ND FL. SO. FT. ®
POR. SO. FT_ ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
S r
YARD SPKLR SYSTEM
BAR SINK i}
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
'BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS /d
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
AlrYli
GAS (ROUGH / / 9e'
!/
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,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
FRAMING 4
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 l c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
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 PLUMBI
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE IdI3 J
ROUGH PLUMB.
'BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /d
EW OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. p !!/
AlrYli
GAS (ROUGH / / 9e'
!/
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL 3 9
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
'FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP. .3 �6
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING 4
ROOFING �6 a,/�l /
,S//J�' �
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTIO
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
T�I
. . I r 1&~i * Ak /'
(�tr
of
Orr-r-k1ft'-,
tau
Ttft� Df 14aI�uinta
�iiilbtn� dnbs�s''dfet� 34t*11t*-!eQ*Vu
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 Pam. d_s;,, West Dr. A
Use Classification AnartI entBldq. Permit No. 15401
Group Rl Type Construction VN Fire Zone Use Zone R3
Owner of Building E.G Williams Development Address 42-600 Cook St. Suite 120
City Palm Desert, Ca 92211 By: Daniel P. Crawford Jr.
oats:
February 12, 1996
Building Official
P IN A OONe?ICUOU! PLACE