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15452 (SATT)4 P.O. BOX 1504 Buildin _78-495 CALLE TAMPICO Address �Q �,9'1'j I�SZA1�� 3!4 iad8t gr. A LA QUINTA, CALIFORNIA 92253 No. 15452 Mailing BUILDING: TYPE CONST. VN OCC. GRP. R1 Address 42-6500 Cook St. Suite 120 A.P. Number City Zip Tel. Lot 1 Tract 28019 Palm Desert, C k 92211 (619) 341-6$80 Legal Description Contractor Project Description SPA — Apartment Plan 1 Same Senior Housing at The Seasons Address Sq. Ft. No. No. Dw. Size 609 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition. ❑ Estimated Valuation $31,424.00 Zip State Lic. City & Classif. g 493919 Lic. # 1231 Arch., Engr., Designer Stoffgren Fuller 6 Associates Address Tel. CityZip State Cathedra. 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 effect.•,t_ SIGNATURE "' '" :�"' ��"""� ! "- DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8usiness 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 or 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). ❑ 1, 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 orenprove 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 contractor(s) licensed pursuant to the Contractor's License Law.) O 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.) Plicy No. Company I 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 thF 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. It 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 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 271.63 Const. 297.50 Mech. 49.04 Electrical 78.82 Plumbing 104.00 S.M.I. 3.14 Grading 20.00 Driveway Enc. 00 Infrastructure 707.04 TOTAL 1,535. 19 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from RearPr� in Side Street Setback from r Line Side Setback from Propy ine ll FINAL DATE Issued by: Date Validated Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. p $ UNITS SLAB GRADE ROUGH PLUMB. BONDING Y ARD SPKLR SYSTEM 2ND FL. SQ. FT. p FORMS WER R S ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. p / METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. p TEMP. POLE GROUT DRAINAGE PIPING CARP. SO. FT. p FINAL INSP. WALL SQ. FT. p WATER SYSTEM FINAL INSP. DRINKING FOUNTAIN. SO. FT. p =$ URINAL ESTIMATED CONSTRUCTION VALUATION $ ROOFING WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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. SQ. FT. p c - BATH TUB SO. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID p 114 c SEWAGE DISPOSAL SO.FT.GAR p 3/ac HOUSE SEWER 2 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 PLU i UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS WER R S ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. / METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. / FINAL INSP. - GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING / / ROOFING aw- p 2>6dal //1 95A REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESJINITIALS GARDEN WALL FINAL AF � 1-4 of O,rj _ tf t JCIA T 1 illf 14-a (011ionta Tsldtlbilll This Certificate issued pursuant 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=915 Paradise East Dr.- Unit A — 15452 Use Classification Apartment Bldg. Permit No. Group R-1 Type Construction VN Fire Zone Use Zone R*– 3 Owner of Building Address E.G�, Williams Development 42-600 Cook St. Suite 120 - C.1111t Palm Desert, CA., 92211 By; Daniel P. Crawford Jr. 7, Ale Dots; F ebruary .1, 1996 Building Officiol POST IN A CONS14000US PLACE