15612 (SFD)Building 78"'
Address _
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
E, G. Williams Development ent Corp.
Address 42^600 CO®C St., Ste. 120
City Zip ITel.
Palm Desert,, dA 92,211 1619)3'41-6880
Contractor
Sate as above
Address
City lZip I Tel.:
State Lic. City
& Classif. g 493919 Lic. # 1231
Designer
AVUH.,
toffgren Fuller & Assoc.
'914.7 E. Palm Cyn. Ste. A 328-1801
City Zip State
Cathedral ^W3.t, CA 92262 Lic. #
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
effect:, J / P .
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 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 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 rove hundred dollars ($500).
O 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, 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
of proving that he did not build or improve 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 contractors) pcensed pursuant to the Contractor's License Law.)
0 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
QCopy is filed with the city, ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need *not be completed N 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 person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: N, 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 ($100,000),'IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 160 days.
I certify that I have read this application and state that the 'above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter .the. above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
h
No. 15612
BUILDING: TYPE CONST.'W OCC. GRP. R3
A.P. Number 769-79 0,30
Legal Descriptiof- t-73` — act 28019
Project Description SFD Plan 3 -AR
The Seasons Villas
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation: f ;`/
Sq. Ft.
Size 1533
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit doe8
not include block Malls or
pool.
Estimated Valuation
X92, 432.00
I
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
517. 4$•- -
Const.
608.00
Mech.
55.50 7
Electrical
Plumbing
150.00
S.M.I.
9.24
Grading
20. S0.
Driveway Enc.
00
Infrastructure
20,058.16
TOTAL
3, 543.94
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation: f ;`/
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE 0Opvk
ROUGH PLUMB.
BONDING
YARD SPKLR SYST,E`!
2ND FL. SQ. FT.
FORMSeI4�1 t�
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH) 3 9 6
J
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
I
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP. /� 276
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(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,TEMIPERM
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 ® 11/e c
SEWAGE DISPOSAL
A
e,15 INSULATION/SOUND
v r
SO.FT.GAR ® V4c
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
FINAL INSPECTION
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 /1/ ��77
GROUND PL
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 0Opvk
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSeI4�1 t�
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.�j'j��Q�
GAS (ROUGH) 3 9 6
J
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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. /� 276
FRAMING 2
FINAL INSP.
ROOFING Q
��,✓
/
REMARKS:
VENTILATION/—
FIRE ZONE ROOFING
FIREPLACE/(D/��
SPARK ARRESTOR
GAR. FIREWALL
LATHING 2
MESH
A
e,15 INSULATION/SOUND
v r
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 111/14/951 Type of Permit I La Quinta
No. 113883 Permit #
Owner Name Seasons Villas Log
No. 78245 Street Desert Falls Way
City La Quinta Zip 92253 Study Area 118
APN # 769-791-030 Tract # I j Lot # 0 Square Footage 11533
Type of Development Single Family Residence I 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 1 533 or $ 2,636.76 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 Developement Corp Te_lephoite
Name on the check
B Dolores A. Ballesteros -° y
Superintendent
Fee collected /exempted by Pauline Pearson
�'&A
Payment Received -
.Signature ak , Q,,,,, , A oWl— $2,636.76 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
Certificate of Occupancy
City of La QuintaAfto
Building and Safety Department OF,�
This Certificate issued pursuant to the requirements of Section 109 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: 78-245 DESERT FALL WAY
Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 15612
Occupancy Group:. R-3 Type of Construction: VN Land Use Zone: R-3
Owner of Building: E.G. WILLIAMS DEVELOPMENT Address:- 42-600 COOK ST:, .STE 120
M,
Building Official
City: PALM DESERT, CA:, 92211
By: DANIEL P. CRAWFORD JR.
Date: DECEMBER 2, 1996
POST IN A CONSPICUOUS PLACE