15432 (SATT)` Q*&
P.O. BOX 1504
Building50—S7-5
P$ratli�@ ES3t i'1"• 7,8'495 CATAMPICO
Addrpcc �' LA;QUINTA, CALIFORNIA 92253
v.."� E.G. William DevelopMent Corp'
Mailing
Address 42— 6QQ GQCP it.ti$te 120
City lZip Tel.
Pala Desert,
Contractor
Saltie
Address
City
92212 1(619)34.1-6880
Zip j Tel.:
State Lic.
& Classif. 13 493919
Arch., Engr.,
Designer Stoffgre
Address
No. 15432
WING: TYPE CONST; VN OCC. GRP. Ri
4.P. Number
_egal Description Lot'.1. Tract 28019
project Description SFA — Agartzent Paan 1
Senior Housing at The Seasons
City
Lic. # 1231 Sq. Ft. No.
Size 609 Stories
Fuller Associates
Tel.
E a—%ii i z3 raA-'U 11—aU UU "L) ' i'140-10VA
IaYtedral CityZiph 9223 Lic.t#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 ofthe_gusiness and ProfessionvCode, and;my license is in full force;and
effect.'
.1J,;r/,.i ..
'! t .x-M.t°,//`•� ` , �'^^�-^Cid T�. �Y�
SIGNATURE Y~ DATE
!/
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, 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 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 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) ycensed 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 1 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
f"] Copy 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. 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 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. Dw.
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
78.8
Plumbing
108.00.
S.M.I.
3. 1-4
Grading
20.-00
Driveway Enc.
.00
Infrastructure
70-7.04.
TOTAL
1.535. 18
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback fr a er Line
Rear Setbackear P , pLine
Side Street tb c fr�nter LLine
Side Setback frorg-Pgoperty`, i n e��
FINAL DATE ° l�f� INSPEleT�R
Issued by: Date
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES''e�
1ST FL. SO. FT. ® $
UNITS
'
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. { SO. FT. ®
POWER OUTLET
ROOF DRAINS
- HEATING (FINAL)
OTHER APP./EOUIP.
DRAINAGE PIPING
CAR P. SO. FT.
TEMP. POLE
WALL { SO. FT. ®
GROUT
DRINKING FOUNTAIN
I.
SO. FT. a
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
1 MECHANICAL FEES
FRAMING /�
WATER SOFTENER
VENT SYSTEM FAN { EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
I
SO.FT.GAR ® 3/<c
HOUSE SEWER
{
GAS PIPING
PERMIT FEE J
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICROFEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
t
SLAB GRADE' O
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS �Q S 9�
EWER R S
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /j� S� f
GAS (ROUGH)
7�
METER LOOP
- HEATING (FINAL)
OTHER APP./EOUIP.
REINF. STEEL /Q J ��
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM }
WATER SYSTEM
GRADING
yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. /V—.cu.
FRAMING /�
FINAL INSP.
ROOFING 6 � /J�
i
Q/G ,/
e/ Q�/�/ ✓
��/Y
REMARKS:
VENTILATION
FIRE ZONE ROOFING 1
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL I
LATHING Z 9�
MESH
INSULATION/SOUND i
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
L Li
VA
4.7
At -
i
M'.
fit t
RT
t1 Of Itta
a , t
Dilikohill
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 50-975 Paradise East Dr. C
Apartment 419
Use Classification SFA Bldg. Permit No. 1r -
Use Zone R_1Group --__ R- _ 1 ___ Type ConstructionVN -- Fire Zone
Owner of BuildingE.G. Williams Development Address. 42-600 Cook St. Suite 120
-P-a 1 D.e's (V r t 9 0 211
tr�By. Daniel P. Crawford Jr.
Dote: February 27, 1996
—
Building Official
POST IN A CONSPICUOUS PLACIE
i