15404 (SATT). 1
Building
Address
414
P.O. BOX 1504 No. 15404
.a,
,MIEN
78-495 CALLE TAMPICO
OUI�NTA�CALI
F.C. Williams Development Casa
Address 42-600 Cook fit. Suite 120
CityZip Tel.
Palm Desert,Ci 92211 1 (619) 341-688tf
Same.
Address
City lZip JTel.:
State Lic. City
& Classif. B 493919 Lic. # 1231
Arch., Engr.,
'Designer Stoffgsen Fuller & Associates
Address Tel.
68-487 E. Palm Canyon. (619)328-280
/Ccity�,-� ,yam •g p Zip w� State
Cathedr, it city CA 92234 LIC. #
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm that I -am licensed under provisions of, Chapter 9 (commencing with Section
7000) of Divislon 3 of the Business and Professions Code, and my license is in,full force and
etfect.�— .- ?"_r , _f / ). ` a Ji , f -it *i_ 4t1.'
Y OWNER -BUILDER DECLARATION
I hereby affirm 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, 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 for a permit
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
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.)
O I, as owner of the property, am exclusively contracting with licensed contractors to corn
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 contractor(s) Pcensed 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.)
Po icy No. _Company
115 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 (8100) 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. N, 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 ($100,000), 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 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
FORNIA 92253
ILDING: -TYPE CONST. - VN OCC. GRP. _ - Rd
'. Number
tal Description Lot I Tract 28019
eject Description SF's " Apart stent Plari 2
Senior Housing at The Seasons
I .
Sq. Ft. No. No. Dw.
Size 822 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $421415.00
PERMIT
AMOUNT
Plan Chk. Dep.
Distances:
Plan Chk. Bal
323.66
Const.
369.00
Mech.
49..00 "
Electrical
82.27
Plumbing
1.08.,00
S.M.I.
4.24 -
.24 -Grading
Grading
20.00
Driveway Enc.
00
Infrastructure
954.34
TOTAL
1,910.51
REMARKS
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Cen
Rear Setback from Rear
Side Street SetbYPP
Side Setback froFINAL
DATE
Issued by:
Date
Validated by:
.Validation:
Line
Line
6nte ine
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
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 U� A 0�
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
FINAL INSP. f 13
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3Y.c
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
FIRE ZONE ROOFING
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE FPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PL _ "J
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE /U
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS 3 9�
SEW R �9
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. Z �f
GAS U� A 0�
'METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL U 3 f!!r
J
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. f 13
FRAMING
FINAL INSP.
ROOFING �0 �lf. S
�% ..
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING f?j
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
1111101!A1111111111111
fu�
In Ouinta
ui��tu u est t MUM
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 Paradise West Dr. D
Use Classification Apartment, Bldg. Permit No. 15404
Group R1 Type � Construction VN Fire Zone Use Zone R1
Owner of Building E.G. Williams Development- Address 42-600 Cook St. Siiite- 120
City Palm Desert, Ca., 92211
banie-ord Jr.
l --P. CraWf
Date; February. 12, 1.996
Building Official• ;.7M9T'1M A CONINVICUOUS FLACt