10057 (SFD)P.O. BOX 1504 N o . 100 57'
Building[ $_$ 30. Villeta Drive' LA
Building/78-105
Address CALIFORNIA 92253
WllliamS DeVelopment Corp.
Mailing
Address
42-600 Cook $'t.
New ❑ Add ❑ Alter ❑ Repair ❑
City
Permit does not include block
Zip
Tel.
Palm
Desert
92260
345-,!7541
Contractor
Same
as above
t
Address
Plan Chk: Dep."
Plan Chk. Bal
563.52
Const.
City ;
Mech.
Zip
Tel.:
State Lic.
Plumbing
City
& Classif.
$1 493919
Lic. # 1232
Arch., Engr.,
Driveway Enc.
20.00
Designer
2351.60
Arta in PublAc '
Address
Tel.
City( Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am_Itcensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3.9 f-the:Business-and Professions Code,+annd my license is 1p,full force and
effect.
SIGNATUREDATE
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, 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) 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, Suisness 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 or 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.) -
O 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
QC py 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 ($100) valuation
or less.)
I certify that in the performance of th@ 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: g, after making this Certificate or 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. -
t
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
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
City, State, Zip
LDING: TYPE CONST. OCC: GRP.
P. Number
Description
roject Description
Lot 59 Tr 23.259
Plan 4C
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
Validated by:
Validation:
Sq. Ft. No. No. Dw.
Size 11 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
'Demolition ❑
Permit does not include block
wails car Noel
Estimated Valuation 1034, 515..50
PERMIT
AMOUNT
Plan Chk: Dep."
Plan Chk. Bal
563.52
Const.
651.00
Mech.
152.00
Electrical
139.93
Plumbing
152.013
S.M.I.
10.50
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2351.60
Arta in PublAc '
25.00
TOTAL
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
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. r PLUMBING FEES.
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
/fA _
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 ® 1Y4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ec
HOUSE SEWER
LATHING
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 PLUMBING l�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEW1rR O
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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.
Q �J�
FRAMING �/,3 7� i7�'i
FINAL INSP.
ROOFING %
0� `��%/�
/fA _
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND 6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
♦ t I
`.
$ CITY OFLA GNUINTA
DEPARTMENT OF PLANNING &DEVELOPMENT
BUILDING DIVIS kON
564-2246
24-HOUR NOTICE,FOR IN PECTIONS
Owner Williams Development Cor
Contractor Same
Permit Number 10057
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDREIS 78-830 Villeta Dr.
Permit does not include block
walls or pool
TYPE OF INSPECTION I DATE _ INSP.
FOUNDATION 8 SETBACK /1 ? 01 / it
MAIN GROUND SYSTEM
GROUND PLUMBING / 2 Q/
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB a C
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING 8 VENT- A/C
ROOF 14
Lp
BOND BEAM _ CE a
rAWWNI
O.K. TO WRAP '
GROUT ❑ 4' ❑ S'
FRAMING
INSULATION
/fes
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN
GNED
DRYWALL INTERIOR F
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 8 GATE
SEWER SESWO9 FANK i Z5T 9 7
-717,, L _
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED -77,,& 9 3 lam/
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING