15435 (SATT)P.O. BOX 1504
Bujldjn.0
AddresU0�9$Paise Eastbr_D �ACUINTA, CALIFORNIA 92253
-
R.G. Williams Deve looment. Cor
Address 92-643 Cook St. Suite 120
City Zip Tel.
Palm Desert, C� 92211 (613) 3191-6854
Contractor
Same
Address
Zip I Tel.:
State Lic. City
& Classif. B 493919 Lic. # 1231
Arch., Engr.,
Designer Stoffgren Puller & ASSOCiates
Address I Tel.
E. Palm Caavon 1 (619) 32Sm
City Zi State
ccai'6 dral C$t1Y, 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 BusineswAfnd Professions Code,.' -and my license is in full force and_-
! �4.-r-- �s�.1fi'`r• .i-t..-.G="�/r ~ _ • �.
3LGNATUREy - DATE
J 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, 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
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 penafty of not more than five 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 of offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner�bullder 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 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) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Dale 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. 31100, Labor Code.)
ROlicy No. Company
Jd2e ❑ Copy is filed with the city, O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 any person in any manner so as to become subject to the Workers' Compensation
Lawsof 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 property 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 cityand county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city. to enter the , above-. ,
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 15435
BUILDING: TYPE CONST. VV OCC: GRP. RI
A.P. Number
Legal Description liot 1 . fact 28019
SPA - Apartment Plan 1
Project Description
Senior...Housing A The Seasons
Sq. Ft. 609 No. No. Dw.
Size. Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
stimated Valuation *411, ce4 • UU
i
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
d •
Mech.
`�" •
Electrical
t% • Z
Plumbing
Ifit a ou
S.M.I.
• 74
Grading
IV • u..
Driveway Enc.
_ VU
Infrastructure
• U
TOTAL
+ •
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Cente/r Lfine
Rear Setback from Rear b. U- P
Side Street Setbackk6�enter L`i e
Side Setback frorryp.,F perty Lirl, ��
FINAL DATE
Issued by:
Validated by:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIN U FEES<..
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE �D
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS �O G 9
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO, FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (FINAL)
TEMP. POLE
WALL SO. FT.
DRINKING FOUNTAIN
SO FT ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING /D g7�J
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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
SO.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 PLUMBING OUNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �D
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS �O G 9
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. / 9J`
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL 6 9
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. /%
v
FRAMING �� p'
FINAL INSP.
ROOFING /D g7�J
!� �'"/J
O` L!/11/,/s
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING v O
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
- 4 It- A*'O 4* 111 �/
(fftrt
I
of Orr -rt,
nu
Tit�r of 149atntrz
llltitbin� .allb �Sdfet� 43 ill to,!5 ion
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 50-985 Paradise East Dr. B
SFA Apartment 15435
Use Classification Bldg. Permit No.
Group R-1 Type Construction VN. Fire Zone Use Zone R-1
Owner of Building Address
E.G. Williams Development 42-600 Cook St. Suite 120
_-Palin D7sert, CAS, 92211
By; Daniel P. Crawford Jr.
Date: March 1, 1996
Building Official POST IN A CON81PIC1,1101,13 PLACE