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15607 (SFD)\ QUMf44 - P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 2� er i:OVe �Ou lA'QUINTA, CALIFORNIA 92253 B.G.-Williams Devel©Azalent Corp. Mailing Address 42-tit`0 w i:: Vit. jute. 120 City Zip ITel- Palm Desert., 92-411 (619)341-6880 Contractor Same �is above Address City lZip Tel.: State Lic. City & Classif...21 493919 Lic. # 1231 Arch., Engr.,r Designer Stn fgren. FUlle1: & ASSOC. A��e�$i i42 Jit. Ste. TI 32--'Ql Cit ripCA, State G6athedral- Ci 92252 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. l rj f f> e f" br), � .i / ./ f _ lT�`'-. r" {V 1 "- SIGNATURE •` — '"'1.i' _ -'" - 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 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 rive 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.) p I, as owner of the property, am exclusively contracting with licensed contractors to torr 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 B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereoV 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 0 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 (S100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not =any pparson in any manner so as to become subjecttothe Workers' Compensation Laws of Cal rtornia- Date Owner NOTICE TO APPLICANT. N, after making this CertificateExemption you should become of 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This Is a building permit when properly filled out,•signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to ,enter the above-. mentioned property for inspection purposes. t Signature of applicant Date Mailing Address City, State, Zip No. 15607 JILDING: TYPE CONST. OCC: GRP. R. Number 769--74 -i- -;V' Lot .26 T7:'Ct 28019 :gal Description—- r oject Description sm - ?Ian I—A The Sea> oho 'Villas Sq. Ft- No. Size . 1285 Sto No. Dw Units New ❑ Add ❑ Alter ❑ ' Repair ❑ Demolition`'❑ Permit does notinclude block walls Oi - pool* Estimated Valuation PERMIT Plan Chk. Dep.- Plan ep:Plan Chk. Bal. Const. Mech. ' Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS AMOUNT 464.15 545-00.. 49.QV 1 116.9$ 132.00. .7.90. 20.00 .V0 ,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 Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date_ Permit Validated by: Validation: s rs CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINWFEES IST FL. SO. FT. ® $ UNITS r_ 2ND FL. SO. FT. STORAGE TANK YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. REINF. STEEL �3� DRAINAGE PIPING WALL SD. FT. DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ,a 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. J SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING 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 / 7 GROUN UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS;/ r SEWER R S� S ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. 3 pr GAS (ROUGH) �i/.��G METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL �3� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING , cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. .3 /si y FRAMING �%G !� FINAL INSP. ROOFING / / I �„�� /` ./ (O �!6 r REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND V FINISH GRADING FINAL INSPECTION 9� CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL A `( 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. 113878 1 Permit # .. Owner Name Seasons Villas Log No. 78250 Street Winter Cove rCt. i City La Quinta Zip 92253 Study Area 118 APN # 769-791-025 Tract # I Lot # 0 Square Footage 11286 ` Type of Development Single Family Residence No.f:)f 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 fee`s 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. Fees Paid By E.G. Williams Developement Corp: T2Zcphorie .341=6880 Name on the check Aff By Dolores A. Ballesteros 1,'` SuperintendentT Fee collected /exempted by Pauline Pearson �r P__Q Payment Received Signature � A.)-" I AkAA ZiyL,, ' $2,211.92,7300 Check No. 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 .4 Cer' tof-Oc,cu pan.CyC City of -La Quinta.- Building and Safety Department �°�MoF..E 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 comp ance with the various ordinances of the City regulating building construction or use. For the fol%wing:: - BUILDING ADDRESS: 78-250' Winter Cove Court .. Use Classification:, Single Family Dwelling Bldg. Permit No.: 15607 Occupancy Group: R-3' `Type of. Construction:. VN Land Use Zone: R-3 Owner -of Building: E.G. Williams Development t Building Official Address: 42-600 Cook St., Ste. 120 City:, Palm Desert, CA.,' 92211 Ry: Daniel P. Crawford Jr, Date: October 28, 1996 POST IN A CONSPICUOUS PLACE