15615 (SFD)P.O. BOX 1504
Building .. w 78-495 CALLE TAMPICO
Address ;76--275 `Desert Pall 'Way ;LA QUINTA, CALIFORNIA 92253
Owner
B.G. William$ Development Coru.
Address 42-60o Cook St. , Ste. 120
Cityp Tel.
Pn1m Des art, Zi92211 J619)341-6880
Contractor
Same as above
Address
Tela
State Lic. City
& Classif. B 493919 1 Lic. # 1231
Designer
Arcn., tngr.StOffgren
DesiFuller & Assoc.
WrIV87 SR . Palm Cyn. Ste. 1194 328-1801
VIthedra2 City ipCA 92262ILic.t#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 ofrthe Business and Professions Code, and my license is in full,torce,and_
ir
SIGNATURE , DATE
I 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 rive hundred dollars (5500).
❑ 1,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.)
❑ 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 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 Nom Company
Rfedopy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed !f 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 parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., If, 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
City, State, Zip
No. 15615
BUILDING: TYPE CONST. VN OCC. GRP. R3
A.P. Number 769--791-'033
,Legal Description ttfii 34 -T=act 28019
Project Description SFD Plan 3--B
The Seasons Villas
Sq. Ft. No. No. Dw.
Size 1533 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit floes not include block walls or
pool.
Estimated Valuation $92,432.00
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. 517.48
Const. 608.00
Mech. 55.50
Electrical 125.56
Plumbing 150.00
S.M.I. 5.24
Grading 20.00
Driveway Enc. 00
Infrastructure 2, 058.26
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
Validated by: f
Validation: ^i i
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE /
ROUCdi PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTI NK ROUGH WIRINGC�IU�
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH) 1 �1 METER LOOP
i
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL) TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT.
GROUT
WATER HEATER SERVICE
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. a
WATER SYSTEM
FINAL INSP.
FINAL INSP.If
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
MESH
INSULATION/SOUND
FINISH GRADING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® IA c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
FINAL INSPECTION 9�
CERT. OCC.
GAS PIPING
PERMIT FEE
FENCE FINAL
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 z
GROUND PLUI O UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE /
ROUCdi PLUMB.
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI NK ROUGH WIRINGC�IU�
DUCT WORK
ROCK STORAGE.
FOUND. REINF./
GAS (ROUGH) 1 �1 METER LOOP
i
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL 9f
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.If
v7 6
GRADING
CU. yd.
$ plus x$
=$
LUMBER GR.
A
FRAMING
v
ROOFING
G
/
0016
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �V
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION 9�
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. 113886 1 Permit #
Log
Owner Name Seasons Villas
No. 78275 Street Desert Falls Way
City La Quinta Zip 92253 Study Area 118
APN # 769-791-033 Tract # Lot # 0 Square Footage 11533
Type of Development Single 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 1533 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 Developement Corp Tete phone 341=6g'80
Name on the check
By Dolores A. Ballesteros w
Superintendent ~'
Fee collected /exempted by Pauline Pearson
Payment Received
Signature a A "I ��i Al AAA—\- $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