15609 (SFD)A2
4 4 �` _
fG+G�,ICt/
P.O. BOX 1504 N o . 15609
Building 78,495 CALLE TAMPICO
Address. 78--215 sett Pali Way LA QUINTA, CALIFORNIA 92253
I Owner
E.G. Williams Development Corp.BUILDING: TYPE CONST. OCC. GRP..R3
Mailing
Address 42-600 'Cook St., Ste. 120 A.P. Number 769-791-0.27
CityZip Tel. - I�ot 2$ Tra,gt 213019
Palm Desert, *. 92211 6193 341-6880 Legal Description
Contractor Project Description SFD Plan 2—$
Sate as above' The Seasons Villas
Address
City Zip Tela
State Lic. City
& Classif. $ 493919 Lic. # 1231 Sq. Ft. No. No. Dw.
Arch., Engr.;. Size 1371 Stories Units
Designer .�tf� fgren Fuller Assoc. New ❑ Add O Alter ❑ Repair ❑ Demolition ❑
M87 L. Palm Cyn. Ste., 1e4 328--1,.l Permit does not include block wails. or
��athe'dral CitylZiPCA 92262 LLict# ool.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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.
/SIGNATURE - - DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following $82,677.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance also m
requires the applicant for such permit to hie a signed statement that he is licensed pursuant to PERMIT AMOUNT
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 Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than rove hundred dollars ($500).
O 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 477.77-
do the work, and the structure is not intended or offeredfor sale. (Sec. 7044, Bulsness and Const.ti 3.00
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, Mech. lig 00
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 Electrical ��� ��'
of proving that he did not build or improve for the purpose of sale.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 132.00
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 S.M.I. 8.27
such projects with a contractors) Pcensed pursuant to the Contractor's License Law.)
Grading 20.00
O 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc. 00
Date Owner Infrastructure 1,860.2+
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�o C
ompany
9 Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL 3,230.17
CERTIFICATE OF EXEMPTION FROM REMARKS
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 person 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 ZONE: BY:
subject to the Workers' Compensation provisions of the -Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Center Line
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, Side Setback from Property Line
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 FINAL DATE INSPECTOR
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. 'Issued by: Date Permit
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.Validated by:
Signature of applicant Date
Mailing Address Validation: '
City, State, Zip
r.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE �?/
ROUGH PLUMB.
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. SO. FT. p
FORMS 2 �� 9U
EWE O
7
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH) 1 D
i 7
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SD. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. ®
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FRAMING / /Ar,
WATER PIPING
NOTE: Not to be used as property tax valuation
/� /
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ®" 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
FINAL INSPECTION
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 //� /�
GROU
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �?/
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS 2 �� 9U
EWE O
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.r
GAS (ROUGH) 1 D
i 7
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL /Tj / fJ�
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. Z 6
FRAMING / /Ar,
FINAL INSP.
ROOFING / /9 �
/� /
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR.
LATHING
MESH
INSULATION/SOUND Ox
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 11/14/95 Type of Permit I La Quinta
No. 113880 Permit #
Log
Owner Name Seasons Villas
No. 78215 Street Desert Falls Way
City La Quinta Zip 92253 Study Area 118
APN # 769-791-027 Tract # Lot # 0 Square Footage 11371
Type of Development Single Family Residence No. of units 0
Comments
At the present time, the Desert Sands Unified School District does not collect fees -on
garages/carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or'replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 1371 or $ 2,358.12 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By E.G. Williams Development Corp
Name on the check
By
Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson ;
�?l
Payment Received
Signature DaA �� n ALAALA-/� $2,358.12 Check No. 7300
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
Telephone
c-
w
Fee collected /exempted by Pauline Pearson ;
�?l
Payment Received
Signature DaA �� n ALAALA-/� $2,358.12 Check No. 7300
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting