15453 (SATT)Building
AddresS50=9.$5 Pa� ffeyEa
Owner
B.C. Williams Development Corp
Mailing 42-600 Cook St. Suite 120
CityZip Tela
Palm Desedti, CA 92211 1(619)341-6880
P.O. BOX 1504
78-495 CALLE TAMPICO
rtTD' 7% LA QUINTA, CALIFORNIA 92253
SZf lue
Address
City 7 lZip I Tel.:
State Lic. City
& Classif. S 493919 Lic. # 1231
Arch., Engr.,
Designer Stoffgren Fuller & Associates
Address I Tel
City Zi State
Cathedral City,l'&'
92234 1Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of ther.B'usiness, anis Professions Code, and my ticense•is in full force and
effect.. °4- ;t-. e .:l� t ° `,+
V 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 cityor 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 fmprove 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) )Icensed 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.)
Policy No. Company
❑ 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 (S 100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any'parson 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 SUB.IECT-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 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. 15-453
BUILDING: TYPE CONST. Viii OCC: GRP. R1
A.P. Number
Legal Description Lot I Tract 28019
Project Description SPA Apartment Plan 1
Senior Housing at The Seasons
Sq. Ft. No. No. Dw.
Size 609 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $31,424.00
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Ce
Rear Setback from ReE
j_
Side Street Setback�ri
Side Setback fr � ro
FINAL DATE
1,N PE
Issued by:
Date
Validated by:
Validation:
0
Li
AMOUNT
271.6,8.*
297'.50
4r9.00
g
78.82 '
108.00.
3.14
20.00
. ..00-
707.04
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND /
i
UNDERGROUND
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING; FEES
1ST FL. SO. FT. ® $
UNITS
HEATING (ROUGH)
STORAGE TANK
FORMS ��
YARD SPKLR SYSTEM''
2ND FL. SO. FT.
DUCT WORK
,
FOUND. REINF. // J'r
7
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
OTHER APP.IEOUIP.
REINF. STEEL
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GROUT
DRAINAGE PIPING
CAR P. S0. FT.
0q FINAL INSP.
WALL S0. FT.
WATER.SYSTEM
FINAL INSP.
DRINKING FOUNTAIN.
SO FT ®
.
_$
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
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 ® 1+/4 c
SEWAGE -DISPOSAL
SO.FT.GAR ® Y4c
HOUSE SEWER
FINAL INSPECTION
CERT. OCC.
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 /
i
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUM,.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS ��
EWE OR C/GPg}0
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. // J'r
7
UG H�/l //1v
%
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER' HEATER
SERVICE
0q FINAL INSP.
BOND BEAM
WATER.SYSTEM
FINAL INSP.
p
�O
FINAL INSP.
.GRADING
CU. yd.
$ plus x$
.
_$
LUMBER GR.
FRAMING ��
ROOFING /�
�/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL