15473 (SATT)44
P.O. BOX 1504 No. 15473
Building 78-495 CALLE TAMPICO
Address5_0�$5 Parsdis .East Pr.A LA QUINTA, CALIFORNIA 92253
Owner
B.G. Williams Development Corp
Mailing
Address 42®600 CookSuite 120
City Zip Tel.
Palm Desert, 4 92211 A619)341-6380
Contractor
Same
Address
City izip I Tel.:
State Lic. I City
& Classif. H 493939 Lic. # 1231
Arch., Engr.,
Designer S toff'gren Fuller & Associates
Address Tel.
6.8-487 B. Palm Canyon (619)328-1801
CityState
Cathedra. CityZip CA 92234 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Diviiiion 3 of the Business.and Profess/ions Code, and my license is in full force and
effect. 4r /./ 1.' !,.i.
E' } -1 `:--'
J? s
SIGNATURE] "i' -" DATE
l 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,alter, Improve, demolish, or'repair any structure, prior to its issuance also
requires the applicant for such permit to Ole 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 chill penalty 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, Bussness and
Professions Code: The Contractor's- License Law does not apply to an owner or 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.)
O 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.)
Policy No. Company
O 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 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' CompensationE .
Laws of California.
Date Owner
NOTICE TO APPLICANT., If, 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 slate 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
BUILDING: TYPE CONST: VN OCC. GRP. R1
A.P. Number
Legal Description Lot J .T`a.ct 28019
Project Description SPA-...FiLOartment Plan 1
Sf"nibir Housing at The Seasons
Sq. Ft. No. No. Dw.
Size 609 Stories Units
New ❑ Add ❑ Alter ❑- Repair ❑ Demolition ❑
Estimated Valuation $311,424.00
1
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal
271.68
Const.
297.50
Mech.
49.00
Electrical
78 12
Plumbing
108.00
S.M.I.
3.14.
Grading
20.00
Driveway Enc.
00
Infrastructure
707.04.
TOTAL
1.535.18
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback �fr m Rear Prop. Line
Side Street t a from Center Line
Side Setb� om Pro erty Line
FINAL DATE �.IINSP�TOR //��
Issued by: �'p' Date-��frnit+
Validated by:
Validation:
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINi3 FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE L'
2ND FL. SQ. 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 APPJEOUIP.
DRAINAGE PIPING
CARP. SQ. FT. ®
TEMP. POLE
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FRAMING ZO 9•
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN c
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c .
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/e c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATIONISOUND
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 l
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE L'
ROUGH PLUMB.
BONDING
1HEATING (ROUGH)
STORAGE TANK
FORMS
OR S
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 9�
GAS (ROUGH) tel/
METER 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. /
FRAMING ZO 9•
FINAL INSP.
ROOFING ��07��
G
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE '
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
pFINAL INSPECTION
CERT. OCC.
G
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL