15605 (SFD)ci
x•: .164
P.O. BOX 1504 ,s ; No.'�;�'
Buildm 78-495 CALLE TAMPICO
' Address !$ 2 � . 3���w-GOA ' i}Y2 1- LA OUINTA„CALIFORNIA 92253
Owner Y
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� ♦ C . F��.1laams ae�elop�.��t' Cs�tp. ; � � ' � ' k '.
BUILDING TYPE CONST'. +• "OCC',GRP: '-
Mailing -
Address 2 6fl3 Cook Ste., Ste. 120 _23 F�f A.P. Number
CityZip Tel.$ 8�;0$9
paw sexy>�t.::: �, 92'2x1_... (61.91341: �'� Legal Description-
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Contractor,-_` .} x°, S nr4�y;,an 3
Sam s� &! tBVe Project Description t
The Sea�44
Address
City - Zip Tel:: FH
State Lic City
B Classif $ X9391.9, Lic. # i123
1 Sq. Ft. No ...: No. DW.
Size - Sones _ Units 1;=
J1S33 t
Arch'. Engr`+z
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demohtlon ❑ s
I rt•, raY't,-
' A ss .. Tel
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Ste. +e 32 -1�Ai Pettitc 0,e-S:1-,,,A-0.`.inc•1Ud0 block Wa'
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Cit u ZState.` o
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L:<��2t?K�;E�i. C�.t � P GAL- Lic. #
'i^ LICENSED,CONTRACTOR'S DECLARATION'
-r' I hereby affirm that I am licensed under provisions of Chapter.9.(commencing with Section _ ,, - , ,
7,000) of Division'3 of-the Business and Professions'Code,.and my license is in full force and
effect dF” .+'J f ,'^P"`"" - _ •'
srrG. x r
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SIGNATURE•�l/ DATE
�'' OWNER-BUILDER DECLARATION Estimated Valuati{u
s
:I hereby, aiii' that I •am exempt- from'the Contractor's License Law for the following' on ;; 32Q -•
reason: (Sec..;7031;5,pusiness-and Professions -Coder Any. city, or county 'which,requires a '
permit to construct ager "Improve,. demolish, or'repalr any structure; prior to its issuance also'.
"requires 'the applkant /orsueh;pennft'to file a signed statement that. he,is,llcensed.pursuant to PERMIT ,e,, ' - -�, AMOUNT s•r ;
the proyfsfons o/ th'e -Contractor's License Law; Chapter 9 (commencing, with Section .7000) 'of. - v ? '4 , _.J.r.. '•,:' -a•'
' 'Division 3 of'the Business.spo Professions Code, or that. he is exempt therefrom, and the.basis
, .for _the alleged. 'gxemptroh.:;Any. �violadon;of Section. .7031.5 by 'any- applicant, for a permit; Plari Chk.-Dep.-
' subjects the applicant to a cM1,,penalty of not more than rive hundred dollars .($500). - - _-
` C 1 e�
_. O 1, as ownei'of'the'property; or my employees: with wages as their sole compensation, will Plan Chk:_ Bat. " •- � S1'?.a
` do the work, and the stricture is not intended or offered for sale.(Sec. 7044, Buisness and COn$t•
.Prolessfons Code: The t:bntractoi's. License Law does 'not. apply to an owner 'of property' who , - x 6 €"ci. • V �,. xy .
'builds or Improves fhe*n•arid'who-does such work himself or througt his .own employees, : •+, „ F r }; -
Mech. v:y55
;provided that. such. rmprovemenrs are not intended. or offered for sale. i I/,:;however; :the building ` - •
or--Improvemnt�is-sold within one year o/ completion, the .owner-builder-will have the.-burden u g r
o! proving that Ae dxlnot-bu or' rove for the u ). Electricai'� ?e,;,.,
P 9 ;� i mP . purpose o! sale. -., .,,: • ,
p'I,' as owner;of the property, am exclusively contracting with licensed.contractors to con-. Plumbing Da �`•-
: struct the project (Sec.'.7044, Business and Professions Code: The Contractor's License taw •
does-not app/y_to an,owner of property who builds or improves thereon, and who..contracts /or - S:M.I.• - :$; T. ` d
such projects with'a contractors) (Icensed pursuant to the Contractor's License Law.)
p:, �� 'Grading #} city
s 0 I am exem t.under Sec.' - $: 8 P.C. for this reason
Driveway'Enc: U
Date r Owner i r Infrastructure'':;�'e
f•,'.
WORKERS OOMPENSATION DECLARATION i
I hereby,*A4ih-thaCl Iwve a certificate of _consent to self-insure or a certificate of
Worker'1Compensation Insurance; ora certified copy thereof. (Sec�380O, Labor Code.)
Policyf 0 ? Company. 4 v.:
'fslr'Copy is;filed with th@ city;: , ❑Certified copy is hereby:furnishedr �• y'1 r x'
r TOTAL
.:, CERTIFICATEOF.EXEMPTION FROM = r ; REMARKS.'
WORKERS' COMPENSATION INSURANCE..
(This section need not be' completed if the permit is. for ,one.-hundred dol/ars''($f00) valuation •
.or less) - -i'• �,
I. certify thaCm theperformance of thg work for which this perrnit,is issued, 14shall not s
employ any personr in any. manner so as to-become subject:to.the Workers' Compensation ,. '•- , -
Laws of California-.`
Date' Owner z a
NOTICE-TO• APPLICANT'tl, aRer,•making this- Cerfficate' of.Exemption•'you-should`(become;. .ZONE: "'BY. f
''subject-totheWorkers' Compensation provisions- of the •Labor, Code ; youforthwith-
comply
must forthwith..
comply withsuctfprovisfons'orthis permit shall bedeemed revoked. 3 - --._Mlnimunl "Setback Distances:.; -
—Front -.SetbaCk.ffom Center Line
ReacSettiack fromRear Prop. Line
WARNING: FAILURETOS ECURE WORKERS' COMPENSATION COVERAGE IS, UNLAWFUL, AND ' " Side,•StreSt Setback •from Center`Llne
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;SetLiack from Property'Line '
'.DAMAGES AS PROVIDED. FORAWSECTION 3706 �OF'THE LABOR CODE:INTEREST, AND
ATTORNEY'S FEES ``- -
This is abuildmg permit"when properly filled out,'signed and validated; and.is sutject.to FINAL DATE INSPECTOR
expiration if work thereunder is suspended-for 180 days. '
-I certify that .l-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 'v
T *t
.construction, and hereby authorize'representaLves of this city to..-enter the , above '
mentioned property for inspection purposes:..Vdlldated by
Signature.of applicant Y.Date s fiiR
Mailing'Address VandatlOn.'
City State zip::
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,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING; FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT.
GAR. SO. FT. ®
CARP. SO. FT.
WALL SO. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL /Z
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
iFINAL INSP.
I IKITCHEN 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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FIRE ZONE ROOFING
SO.FT.GAR p 3/ac
HOUSE SEWER
FIREPLACE
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 / 36
/��
GROUND PLUM G UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE //�
ROUGH PLUMB. BONDING
'HEATING (ROUGH)
STORAGE TANK
FORMS /Z /� 9 f
41
SEW R S�f ��N ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF./ZA7f
GAS (ROUGH)7� METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL /Z
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
iFINAL INSP.
BOND BEAM
WATER SYSTEM
tGRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. �� 9/_
FRAMING
FINAL INSP.�/�
f�
ROOFING /
`
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTORN
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION G
CERT. OCC.
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. 113876 Permit #
Owner Name Seasons Villas Log
No. 78270 Street Winter Cove Ct.
City La Quinta Zip 92253 Study Area 118
APN # 769-791-023 Tract # 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 Development Corp. Telephone 341-6880
Name on the check
By
Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson
Pey
Payment Received
Signature A , L /A-D o .fit A A.,wt $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