15475 (SATT)P.O. BOX t51)4. No. 15475
Builin8-4
Addaess.Mo $ vPS��
52
�X. a�
CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
Owner
.B. G. Willies is
DeVelopment Corp
Mailing
BUILDING: TYPE CONST.
_OCC. GRP.
Address 42—.600 Cbok
St. SUite 120
A.P. Number
CityZip
Pain Desert, .�,
s
92211"
Tel. y
( 619) 341'6880
'
Lot
Legal Description
..� Tract 20U019
ContractorProject
Description. SPA
� Apartment Plan 1
Shame
Senior Housing
at The seasons "
Address
City
State Lic.
& Classif. B 493919
Arch., Engr.,
Designer Stof figr ,
Address
Tel.:
City
Lic. # 1231 Sq. Ft.
Size 609
Fuller & Ass®Cga fes
Tel
CityZip State
Cathedral City CA 92234 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provlsions.of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and_'Professions'Code; and my licenswis in full force an
�1
effect.. f % I �..'
t "%.1 .! ...s
SIGNATURE, DATE
t; 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 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 or 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 theapplicant to a civil penalty of not more than rive hundred dollars (8500).
O 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 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 knprove 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) (censed 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. O 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 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' COMPENSATIONCOVERAGE 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,. INTER EST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and. validated, and is subject to
expiration it 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 tocomply 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.
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ .
uat
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
1,424.00
ZONE: BY:
Minimum Setback Distances:
Front Setback.f
Rear Setback fl
Side Street Set
Side Setbac
.FINAL D TE C �
Issued by* te.
Validated by:
Validation: I
I
AMOUNT
271.68
297.50-
49.00
78.82
108.00
3.14
20.00 .
.00
70.7.04
Line
)p. Line
enter Line
-Lm
1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINi .FEES.
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE 6
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
FORMS �Q Z 9
SEWER S
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)0 V �
!/ GfJSTEMP.
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. @
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
SO. FT. ®
_$
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FRAMING�/ - s
WATER PIPING
NOTE: Not to be used as property tax valuation
��
G
FLOOR DRAIN
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ILAUNDRYTRAY
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
MESH
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FINISH GRADING
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
GAS PIPING
PERMIT FEE
CERT. OCC.
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 6
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS �Q Z 9
SEWER S
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF. /0 f
GAS (ROUGH)0 V �
!/ GfJSTEMP.
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL /0 2
GAS (FINAL)
POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING�/ - s
FINAL INSP.
ROOFING QGf
��
G
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