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15604 (SFD)414 P.O. BOX 1504 78-495 CALLE TAMPICO Building—. -8`280 minter Cove Cour LA QUINTA, CALIFORNIA 92253 Address -J-3-280 Owner E.G;. til"- ams Development Co Mailing Address 42-6+�R �as�k St., .Ste. 120 City Zip Tel. Palm Desert,, 92211 19)3.41-6880 Contractor - Same .a4 " above Address el.: State Lia City & Classif.'. B 493919 Lic. # 1231 Arch., Engr.,Stoff rdn Fuller s Assoc''. Designer Aid ress8? E. na M Cyn. Ste. 4 323-1801. 961thedra1 Citi lip 92262 Lict# 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 Profession Code and myaicense is in full force and ) effect. $1GNATURE 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 requi.•es a permit to construct, atter, 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 five hundred dollars ($500). ❑ 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 bulld or bnprove 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) 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 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 Ngo-"' Company ,< [1,Eopy 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: 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 it work thereunder is suspended for 180 days. 1 certify that I have read this applicationandstate that the above information .is correct. I agreeto 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-. mentloned property for Inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No.15604 4 R3 BUILDING: TYPE CONST: OCC: GRP. A.P. Number 769-791-"1022 Legal Description Lot 23, Tx�Ct 28019 Project Description. § ,Plan 2 -AR The 'Seasons.Villas Sq. Ft. No. No. Dw. Size 1371 Stories Units New ❑ Add ❑ , Alter ❑ Repair ❑ Permit does not include block wa Doi. imated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS $84,677.00 ./05- Demolition ❑ Us or, AMOUNT . . 477.77 qiJy.7f7 119.89 132.00 8.27 20.00 • Vo - 1,860.24 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: l W, tJ vV� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PL•UMBIW\3 FEES IST FL. SO. FT. qp $ UNITS v ROUGH PLUMB. BONDING 2ND FL. SO. FT. p STORAGE TANK YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. SO. FT. REINF. STEEL G14i DRAINAGE PIPING WALL SO. 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 FINAALL�IINSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER VENTILATION 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic HOUSE SEWER 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 GROUND PL U UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �Z 9 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS / SEWER SEPT ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. �J (�//J�Or GAS (ROUGH) p� METER LOOP 7 HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL G14i GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. // 6 FRAMING / s1 FINAALL�IINSP. ROOFING / /% Il51w6 y k REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND / FINISH GRADING FINAL INSPECTION CERT. OCC. 1711/ FENCE FINAL INSPECTOR'S SIONATURESlINITIALS GARDEN WALL FINAL DESERT, SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Carinot,Be Duplicated 619-775-3500 Date 11/14/95 Type of Permit La Quinta No. 1.13875 Permit # Log OWner' Name Seasons Villas No. 78280 Street Winter Cove Ct. City La Qizinta Zip 92253 Study Area 118 APN # 769-791-022 Tract # Lot #F _ -Square Footage 11371 Type of Development Single Family Residence No.. 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 SOO 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 o' 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 • i may ..ter. ,%J By Dolores A. Ballesteros' Superintendent Pee collected /exempted by Pauline Pearson Payment'Received.iS ' Signature/at A I I&A t �t tp�,��p ®�„ $2,358.12 Check No. 7300 Collector: Attach a copy of county or city plan check application form to district copy fir all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting P. 7711 ON OF I' I a =r �y ` 0 a n ta'' This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building e' In compliance with the various Code certifying that afth time of issuance this structure was ordinances of the City regulating building construction or. use. For the following:, BUILDING ADDRESS. .78-280 Winter Cove Court Single Familm, Dwelling -15604 USS Classification. Bldg. Permit No. T Group 'R"3 —.Typq Construction VN Fire Zone Use Zone R-3 II ; viii II Owner of Bu1ldingF:-_="Williams Development lt — Address 42-600 St. , DLe, 120 City Palm Desert, CA.',' 9221113Y Daniei P. Crawford Jr.. April 8,1996 Date; • Building Official "ST IN A CONSPICUOUS PLACE rM