15471 (SATT)Buildi
Owner
E.G. Williams Development Corp
Mailing
Address 42-600 Coale St. Suite 120
CityZip Tel.
Palm Desert, Ct 92213 1 (619) 341-6880
4
P.O. BOX 1504
78-495 CALLE TAMPICO
M- D -2s } A OUINTA, CALIFORNIA 92253
_Same
Address
City lZip I Tel.:
State Lic. City
& Classif. B 493919 Lic. # 1231
Arch., Engr.,
Designer Stoffgren Fuller & Associates
Address Tel.
68-487 E. Palm Canyon (619)328-180:
CityZip State
Cathedral C1.ty CA 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 the. Business and'Professions Code, and my license.is in full force and-.
effeck `
SIGNATURE ry DATE
V OWNEWBUILDER DECLARATION
I hereby affirm that I amexempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Buslness aria Professions Code: Any city or county which requires a
permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file 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 nol more than five 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. Unprovements 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.)
❑ 1, 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
a=,such projects with a contractor(s) jfcensed 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.)
Po icy No. Company
Copy is filed with the city. ❑ Certified copy is hereby furnished.
,i
i
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE,
(This section need not be completed ff the permit is for one hundred dollars ($100) valuation
s or less.)
I certify that In the performance of thg work for which.this permit is issued, I shall not
employ anyparson 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 100 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
,l No. 15471
;UILDING: TYPE CONST. VN OCC: GRP. R'1'
,.P Number
_egal Description Sot 1 Tract 28019
Project Description ' FA' Apartment Plan 1
Senior Housing at The Seasons
Sq. Ft. No. No. Dw.
Size 609 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑`"' Demolition ❑
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin.-
Rear
i eRear Setback from Rear Pr i
Side Street Setback fro er Lin
Side Setback from Pro ine
FINAL DATE IN.C;PECTORA \I N.
d 4 �
Issued by: Date \y Pertfii
Validated by:
Validation:
r
Estimated Valuation $31,424.00
i
PERMIT
AMOUNT
Plan Chk. Dep.
f
Plan Chk. Bal.
271.58
Const.
297.50
Mech.
49.00
Electrical
78.82 -
Plumbing
10P.. Qb
S:M.I.
3.14
Grading
` 20.00
Driveway Enc.
00
Infrastructure
707.04
r
TOTAL
1,535.18
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin.-
Rear
i eRear Setback from Rear Pr i
Side Street Setback fro er Lin
Side Setback from Pro ine
FINAL DATE IN.C;PECTORA \I N.
d 4 �
Issued by: Date \y Pertfii
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FkS--ti
1ST FL. SO. FT. ® $
UNITS
'
2ND FL. SO. 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
CAR P. SO. 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 / / 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, TEM/PERM
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
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATION/SOUND 2/
FINISH GRADING
{
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUM �l
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 0
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS 9J
SEW OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /
GAS (ROUGH)METER
LOOP
HEATING (FINAL)
OTHER APPJEOUIP. .
REINF. STEEL 6 ��/9f
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
J�
GRADING
cu. yd:
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING / / Q�
FINAL INSP.
ROOFING �� 9 �L�REMARKS:-
41"eolv
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�s
LATHING
4
10001000MOsr-4
MESH
INSULATION/SOUND 2/
FINISH GRADING
{
FINAL INSPECTION
CERT. OCC. � l//1 wrr
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL
Tib t of a 10 Uinta
11lttbtll�. anb a fe t i t 111,11
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 50-740 P,aradise East Dr. B
use Classification SFA - Apartment Bldg. Pe I rmit No. 15471
Group -1 Type Construction VN -Fire Zone Use Zone R-1
Owner of Building E.G. Williams DevelopsmentAddress 42-600 Cook St. Suite 120
.City 'Palm -Desert, CA., 92211 Daniel P. Crawford Jr.
By.
Dote._March 21, 1996
Building Official,
I POST IN A CONSPICUOUS PLACE