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15433 (SATT)Aka P.O. BOX 1504 Building 78-495 CALLE TAMPICO AddreLA QUINTA, CALIFORNIA 92253 Owner No. 15433 E.C. Williams Developsment Corp BUILDING: TYPECONST.VW_ OCC. GRP. Rl Mallmg Address 42—GOO Cook St. ""ilk£ 126 A.P. Number City zip Tel. of :1 ,-Tract 28019 Pala Deser�a 92211 (619) 341-6880 Legal Description Contractor -SPA 1+i a;r tment Plan 1 Project Description Saxae Address Senior Housing at The Seasons State Lic. City & Classif. S 493919 Lic. # 1234 Arch., Engr., Designer Stoffgren-Fuller & Associates Address Tel. 68-487 E. Palm Canyon (619)328-180: City_ Zip State Car edral Cit1 s 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— effect. , ir' -,'.f i G `�i'L. d..• ' � / ..7 - SIGNATURE r DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 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 rite 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 or. Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars (5500). ❑ 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 or 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 contractor(s) licensed 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.) Py No. Company 4 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 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: ff, 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 ateMailing Address City, State, Zip Sq. Ft. No.' No. Dw. Size 6099 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑. Estimated Valuation $31r424.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 271.68 Const. 257.50 Mech. 4 a._ 00 , Electrical 78.82 Plumbing 1083.00 S.M.I. 3.14 Grading AI.EI.00 Driveway Enc. a 135Q-. a Infrastructure 707.04 TOTAL 1 X35.19 - REMARKS' ZONE: BY: Minimum Setback Distances: - Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Ce - e lne Side Setback from Propery FINAL DATE I Issued by Validated Validation:_ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE /Q �9 ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. Q FORMS / �j EWER SEP v ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUG ETER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL)' TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN. SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as property tax valuation FRAMING FLOOR DRAIN MECHANICAL FEES Q WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL INSULATIONISOUND SO.FT.GAR ® 3/ic HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PC.CK.FEE CONST. FEE ELECT. FEE SMI FEi7 PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /Q �9 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK Q FORMS / �j EWER SEP v ROUGH WIRING r; DUCT WORK ROCK STORAGE FOUND. REINF. /O 9� GAS (ROUG ETER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL)' TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. Q u FRAMING FINAL INSP. ROOFING / �o Q REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL p LATHING 2 d 93 MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL V r W LA 1LJ 9 14 77, _UV77 ill fe t1 0111 i 11 It 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. Use Classification SFA = Apartment Bldg. Permit No. 15433 Group_ R-1 Type Construction VN Fire Zone Use Zone R-1 E G. Williams Development 42-600 Cook .St. Suite 120 Owner of Building Address lm Des._rt C 92211 By. Daniel' P.,-' Crawford Jr. Date; F(e-bruary 27, 1996 Building Official POST IN A CONSPiCUOUS PLACE