15610 (SFD)Gv
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address ?8Z2 i@$�eZ;t�� Yiny LA OUINTA, CALIFORNIA 92253
E.G. Williams Development Caro.
Address 42-600 Cook St., Ste. 120
City Izip Tel.
Palm 'Desert, qA 92211 1'1619)341-6880
Contractor
Same as above
Address
el.:
State Lic. City
& Classif. 8 4939:9 Lic. # 1231
Arch., Engr.,
Designer �Stoff ren Faller Assoc.
Aida e's 87 E. Palm Cyn. Ste, 44 3.28-1801
Cityy Zip State
Eathedr-al CSI t• r, Cis 92262 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I 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
effect.`. 4,
SIGNATURE DATE
"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, after. Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such penrit 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 not more than five hundred dollars ($500).
0 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 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
or proving that he did not build or inprove 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 confractor(s) ycensed 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'Vompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Nb. 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 ($100) valuation
or less.)
I certify that In the performance of the 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: d, 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 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 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. 15610
BUILDING: TYPE CONST. Vii OCC. GRP. R3
A.P. Number 763-791-028
Legal Description a.ot 29 Tr -act 28019
Project Description SFD Plan "'"9
The Seasons Villas
Sq. Ft. No. No. Dw.
Size 1286 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block walls or
pool.
$78,953.00
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
.Infrastructure
TOTAL
REMARKS
AMOUNT
46+4.15
545.00
49..00
115.9.
132.00
7.90
20.00
.00
1,756.39
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
I Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: • Date Permit
Validated by:
Validation: \ I %
�. # .
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE �1
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS O
SEWE R I�
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
(ROUGH) �G
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
I
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.cu.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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 ® 11A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
I 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 �1
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS O
SEWE R I�
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. �� 9JGAS
.007
(ROUGH) �G
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.cu.
FRAMING / �
FINAL INSP.
r (/
ROOFING / /_G���
!I//" /
4W
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC. //9G
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 111/14/951 Type of Permit I La Quinta
No. 113881 Permit #
' Log
Owner Name Seasons Villas
No. 78225 street Desert Falls Way
City La Quinta Zip 92253 Study Area 118
APN # 769-791-028 Tract # Lot # 0 Square Footage 11286
Type of Development Single Family Residence INo. of units
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 1286 or $ 2,211.92 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.
,r.
Fees Paid By E.G. Williams Developement Corp Telephone '
Name on the check
By Dolores A. Ballesteros7,=�
Superintendent
Fee collected /exempted by Pauline Pearson
Payment Received
Signature U" -A Q,;,,, 0 '�)Q xixnA_aA-- $2,211.92 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
III
r lltr e %jj�/
art
i�
t of 'Ila (011inta
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that of 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 78-225 Desert Fall Way
Use Classification Single Family Dwelling Bldg. Permit No.
15610-
Group R-3 Type Construction VN Fire Zone Use Zone R-3
Owner of Building E.G. Williams Development Address 42-600 Cook St., Ste. 120
City Palm Des .rt CA. 92211
By; Daniel P. Crawford'Jr.
April l: , 1996
Building Official
COST IN A OONlTICUOU! PLACE