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15408 (SATT)44 P.O. BOX 1504 No. 15408 Building _ 78-495 CALLE TAMPICO Address 5i%9{ Q P.ara� SS E��t1Mrls A_ UINTA, CALIFORNIA 92253 Owner E. G. William Development Corp BUILDING: TYPE CONST. VIN OCC. GRP. Rl Mailing Address 42-600 Cook St. Suite L20 A.P. Number City Zip Tel. Lot 1 Tract 28519 Palm Desert, 92211 1(619)341-68$0 Legal Description ContractorSFA — Aoartment Plan 1 same Project Description' Address Sensor dousing at The Seasons CityTel.: dZip State Lic. City & Classif. $ 493919 Lic. #. 1231 Sq. Ft. No. No. Dw. Arch., Engr., Size 609 Stories Units Designer Stoffgren Fuller & As&OCiates New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 68-487 E. Palm Canon (619)328-1801 City Zip State Cathedral Citi CA 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 jI 'f •»»� effect {{ �!c t t w, SIGNATUREDATE TA OWNER•BUILDERDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation $31,424.00 reason: (Sec. 7031.5,Busfness 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 rive hundred dollars ($500). O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 271.68 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisnessand Const. 27 Professions Code: The Contractor's License Law does not apply to an owner of property who • 50 builds or improves thereon and who does such work himself or through his own employees,McCh. 49.00 provided that such improvements are not intended or offered for -sale. If, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden Electrical 78 8.3 of proving that he did not build or knprove for the purpose or sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- PlumbingQ$ • �© 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 S.M.I.. • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 14 Grading 2_ �. ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. _0 Date Owner Infrastructure 707.04 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 AS Copy 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, I shall not employ anyperson 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 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 Cen a Line Rear Setback from Re o ine WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback Center e 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 erty L a DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. FINAL DATE SPEC 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. CnT 1 I certify that 1 have read this application and state that the above information is correct. Issued by: Dat ` y PeAit I agree to comply with all city and county ordinances and state laws relating to building n� construction, and hereby authorize representatives -of this city to enter the above-. J mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation:' City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO, FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET T YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTEN EF. VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED - LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/sc HOUSE SEWER FINAL INSP. ROOFING 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 P UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS io 3 9� SEWER 0 S ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /Q T 9J GAS (ROU J METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL /0 ,? 7S GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. / G FRAMING /�y /• FINAL INSP. ROOFING �� �` 9 f� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING / 9� MESH INSULATION/SOUND FINISH GRADING 71 FINAL INSPECTION,'` CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL