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15603 (SFD)AA 4.4 -P O TAi!t No -gan,2 BOX 1504 Building78-495 Address 78-294 Winter Cave- Cour. CALLE TAMPICO to QUINTA, CALIFORNIA 92253 , Owner Estimated Valuation $92t432.00 PERMIT E.G. Williams Development Corp. R3 Mailing Const. 608. f3'.�0'; Mech. BUILDING: TYPE CONST. OCC: GRP. Address 42-°'600 Cook St., Ste. 120 Plumbing 769-791-021 S.M.I. 9.24 Grading 20.00 - A.P. Number City Palm. 06sert, zip 922.11 (619)341-6880 Legal Description,- Dt ZZ Tract 28019 y SFS Plan 3-A Project Description Contractor Same as above 3,543.94 REMARKS Th Seas©.Tial Villas Address. City Zip Tel.:. State Lic. •. - . City • x & Classif.. ` 8 M919' Lic. # . 123.1 Arch., Engr., Designer. •Sto f ig reh Fuller & A SSOC v ALi s .87 A. Palm Cyn. Ste. th Ci .y Zip State 1 e rat. Cid CR 922�i7 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (cc 000) of Division 3 of the Business and Professions Code; and 1•myjli( .'7tR`effect Sq. Ft. No: No. Dw. Size 1533 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition .❑ 328-1801. I Permit does _b is in full force h. r IS - OWNER -BUILDER DECLARATION I hereby affirm that7l. 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, alter, -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) or 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 or property who builds or improvesthereon 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.buOding 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.) . . O 1, 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 contractors) pcensed pursuantto the Contractor's License Law.) ❑. I am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereto -affirm that I have a certificate of consent to self -insure, or a certificate of Worker' sPG6'ympensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Po} cy^ o. Company Copy is filed with the city. ❑ Certified copy is hereby furnished. a CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need 'not be, completed If the permit . is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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 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. Signature of applicant Date Mailing Address t , -&Include block walls or 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 t Validated by: Validation: City, State, Zip s Estimated Valuation $92t432.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 517: 4 8 Const. 608. f3'.�0'; Mech. 55-50 Electrical 125.56 Plumbing 150.00 S.M.I. 9.24 Grading 20.00 - Driveway Enc. .00 Infrastructure 2,050.16 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 t Validated by: Validation: City, State, Zip s CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT, ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK I 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.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REINF. STEEL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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+/a c SEWAGE DISPOSAL FIRE ZONE ROOFING SO.FT.GAR ® 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 %t� S/ GROUND PLU� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /2 G ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSxelll SEWE R SE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /J vZ GAS (ROUGH) S T�O METER LOOP T HEATING (FINAL) OTHER APP.IEOUIP. 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. /1 � / FRAMING / V FINAL INSP. ROOFING / S dof 10 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING) Sri MESH INSULATIONISOUND FINISH GRADING n FINAL INSPECTION CERT. OCC. VVV FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL k DESERT- SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA, 92201 Document., Cannot Be Duplicated 619-77573500 Date 11/14/95 Type of Permit La Quinta . No. 13874;. Permit # Log Owner Name Seasons Villas No. 78290 Street Winter Cove,Ct. city LaYQuinta Zip 92253 Study Area 118 k APN # 769-791-021 Tract # I Lot # 0 Square .Footage 11533 Type of Development ISingle 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 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. ` E.G. Williams Developement Corp. Tele none x.341-6880 Fees Paid By � . Name on the check r.)Y,7r, By Dolores A. Ballesteros ` Superintendent Fee collected /exempted by Pauline Pearson (� 'Payment Received. SignatureV,Q 0J\ A 0/1%A, $21636.76 Check No. 7300 Collector: Attach a copy of county or city plan check application form to district copy fbr all waivers. Embossed Original- Building Dept. /Applicant Copy - Applicant/Receipt Copy - Accounting