15614 (SFD)Building
ArldrPQQ 118-26S
4
I/Q y(
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
Owner
E.C. Williams Development Corp.
Mailing
Address 42-600 Cook St., Ste. 120
CityZip Tel.
Pal.an Desert, °2.211 (619) 341--6880
Contractor .
Some as above
Address
Tela
State Lic. City
& Classef. B 493919 Lic. # 1231
Arch., Engr.,
Designer Btpf$t ren Fuller ASSOC.
Ad,Wls487 E. Palm Cyn. Ste. T9i4 328-1801
cit
y� Zlp , State
c:at%edsal. Ci �, CA 9225 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 Zzj
3LGNATURE -, DATE
OWNER -BUILDER DECLARATION .
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busfness 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 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 Processions Code, or that. he is exempt therefrom, and the basts
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).
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
orImprovement 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec S. & 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 !p:_ Company
0 --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 it 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. If, alter 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 ($100,0)0), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
Tliis is a building permit when properly filled out, signed and validated, and is subject to
expiration It work thereunder is suspended for 160 days.
I car Illy 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. 15614
BUILDING: TYPE CONST. VW OCC. GRP. R3
A.P. Number 769-791-032
LOt 33 ` ract 28019
Legal Description
SPD Plan 2_]BR
Project Description
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: 1
1
Validation: �...
t
Sq- Ft. 1332
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Permit does
not include
block walls or
pool.
Estimated Valuation
T3211577.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
r5 3•
Mech.
R
Electrical
! •
Plumbing
t32• 00
S.M.I.
• 27
Grading
20.00
Driveway Enc.
• 00
^
Infrastructure
, 3 D •
..
TOTAL
i
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: 1
1
Validation: �...
t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SO. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF. / / /JGAS(ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SO. FT.
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SO. FT.
LUMBER GR.
DRINKING FOUNTAIN
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
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 ® 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FENCE FINAL
GAS PIPING
PERMIT FEE
INSPECTOR'S SIQNATURESIINITIALS
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 PLUW39 UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. / / /JGAS(ROUGH)
�j METER LOOP
S�
HEATING (FINAL)
OTHER APPJEOUIF.
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. 3/5/96
FRAMING 4161111ek
FINAL INSP.
ROOFING /G
4y`'^!/�/� /�/��5!
3 G AL
REMARKS:
VENTILATION
FIRE ZONE ROOFINGAl/G'-n4
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�y
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION �J
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIQNATURESIINITIALS
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. 113885 1 Permit #
Owner Name Seasons Villas Log
No. 78265 Street Desert Falls Way
City La Quinta zip 92253 Study Area 118
APN # 796-791-032 1 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 Developement Corp Telepho-ie
Name on the check
W
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson
Payment Received
Signature a_k." \G (� SLnAse.v� $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
of
Tit�t. of Iltt Ouinta-'
1111ilbing anb $-afvt�r 31tolitshin
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 78-265
Desert
Fall Way
Use Classification
Single Family. Dwelling
Bldg. Permit No. 15614
Group R-3
Type Construction VN
Fire Zone
Use Zone R-3
6wner of Building
E.G. Williams Development
Address
42-600 Cook St. ;STe .120
C Palm D
sert, C., 92211
Daniel P. Crawford Jr.
Dots:
September 11, 1996]
Building Official
POST IN A CONSPICUOUS 'LACt