15602 (SFD)• be
JsP.O. BOX 1504 N O . 15602
Building71
Address 78-300 Win:ter__ Cove Court
Owner
B.G. winia*ms Development C
Mailing
Address -42-60b Cook St. , Ste. 120
City lZip Tel.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Palm besert, 1:.*A. 92211 I (619) 341,-6880
Contractor
Same ais above
Address
ty IZip ITel.:
• 1
State Lic. City
& Classif. . ,B Q939.19. Lic. # .1231. .
Arch.; Engr.,
Designer Stn £gren Fuller & Assoc.
Adgr,,T2.s4,$ B. pa1tu Cyn. Ste.T14 320.-1$01
CitZip State
6athd'd* ai i , CA 9226 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm,that I am licensed under provisions of Chapter 9 (commencing with Section
2000) of Division 3 of the Business and Professions Code„and my license is in full force, and
effect.
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. "031. 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 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 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. 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 No Company
dfCopy is filed with the city., ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
- (This section need not be completed N the permit is for one. hundred .dollars ($100) valuation
'or less.)
1 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 d, 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 cer 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
BUILDING: TYPE CONST..' OCC: GRP. 83
A.P. Number 769'-791-020
Legal Description Trot 21 Tract 28319
Project Description S M 'Mall 1-B
The Seasons Villas
Sq. Ft. No. No. Dw.
Size . 1286 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition O.'
-Permit does.not
not
fool . •
Estimated Valuation $98053.00
PERMIT -
Plan Chk. Dep.
Plan Chk. Bal. ,
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
AMOUNT
464.15
5.45.00
yy
*49.00
116.91
132..00
7.90
20.00”
- .00
1, ?.56.; 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: #;
CONSTRUCTION. ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SQ. FT.
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
'
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR S;AE''EM "
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS G 9S�
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH) f!9�
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
FINAL INSP.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Va C
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/<c
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK / O
GROUND PLUM]
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS G 9S�
SEWE S
ROUGH WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF. /Z /_ �f�
/
GAS (ROUGH) f!9�
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL G
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING / '
(/
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING (!�
FINAL INSPECTION /6
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111 ,
NOTICE: Indio, CA 92201.
Document Cannot Be Duplicated 619-775-3500
Date 111/14/951Type of Permit La Quinta
No. 13873 T Permit #
Log
Owner Name Seasons Villas
No. 78300 Street Winter'Cove Ct.
City La Quinta Zip 92253 Study Area 118
APN # 769-791-020 Tract # r Lot # 0 Square'Footage 11286 .
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 300 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: w
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 od Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By E.G. Williams Development Corp. Tex�ghone 341 6380
Name on the check.
By Dolores . A. Ballesterosj
Superintendent
Fee collected /exempted by Pauline, Pearson
Payment Received f
Signature , AJLtl1 I DQ AAAA)OIAA .$2,211.92 Check No. 7300
Collector: Attach a copy of county or city plan check application form to' district copy for all waivers..
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
DF
(t lei
i
of a �
tnt,
Tsuithing=" 0-11b :$afPt tart -n.
This Certificate issued pursuant to the requirements of Section. 306 of 'the Uniform Building
Code certifying thatat the time of issuance, this structure was ln'compliance with. the- various
ordinances of the City regulating building construction or use. For the -following:,
BUILDING. ADDRESS -78-600 Wjnttar Cover7aiirt-
-Singe Family 'Dwelling Use. Classification lFa-Dweng 1562, Bldg. Permit No.
Group 9-3 Type Construction VN Mrs Zone Use Zone - R-3
Owner'of BuildinjE.G. Williams Development Address 42-600 Cook St. Ste 120
city, Palm Desert, CA-., 92211. By: -Daniel P. -Crawford Jr.'
` f Dotso 0.6.tober. 4, 1996
'
Building Official
... POST'IN A 00"s"Cuous PLACE