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9702-035 (SFD)F- N U) T W O O LO W 11 � Z � 10 f (oP:0) _JU- W W �(L U) Z M U7 N O� U Q C — Z U-) FZ Cr 0 X W O�Q m U U O CC 0) "t Z_ co 5 �O J LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of . Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License #, Lic. Class Exp. Date ard(i1d 6 t� �1i97 IaW�7Z_.�* Signature of Contractor Y ���-^�-1-/L/<-v✓'"" OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. {Z) I have and will maintain workers' compensation insurance, as required by Stiction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance 'carrier & policy no. are: Carrier IIIii�tii . Policy No. (This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become subject to the workers' compensation p ©vI ions of Section 3700 of the Labor (bode, I sha (fortith comply with thosp ovisions. ✓Date:'✓' Applicant"- ✓• r -r� - e�l��`� Warni g: Failure to secur�kers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety , for a permit subject to the conditions and restrictions set forth op: his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnity & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if - work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon 1 the above-mentioned property for inspection purposes. Sntf-- ignature (Owner/Age' - / /v-%+ ......Date Z �" BPERMIT# CONTROL# BUILDING PERMIT 97" 1.0115 519 6 DATE 5127J97 VALUATION $349.840.70 LOT .+7 TRACT JOB SITE .jy. , 6S �f i(tAl(�i l 0i) APN 71b9-%( it 14 ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER LA Q1J{M'A ORCMAK1) PAR-17`dERS VAR KS COKS t'1tt1(7110N 11,0. BOX 1716 - P.O. BOX 1716 LA (,V ►INCA (,A 922523 1,A t-21!!N'tA CA, aS.2s 1 ((19)771.1941 CC IALff 2996 USE OF PERMIT ZIP i.) - 111:ttrttl i t.n--4::i NJ 11144:1.L.ltm t1t.+.!(.'1�. w1m.1.3 vX )10'KJt.. �,'tl:;T."W C'siNN'17ZIIi7I;1N .1,.Y)I.C..0 S 0AKA4.1HAJA tNt:>ft'1' 7Tff.+lit tik ENiTNIA1,11113i.'t3►i OrCXPI+NINIli;iION 3•'91840.10 1W.kMi A VCP ti64MAi(1' VR1i+;"f'1✓ N FJ It? tt)1•t)(1{►.$lti {k}{t $I,Ria.Si! 1'+1.AN011WK 11:14: It►f-fllH1.,JZ':>.,"11ti 1 «et =�� i�1:17ti1'C%;:3'I' .Si,i►tN)130 141t;�.1i1114It.�\f, 1'1:11, #{J1-LMh)-X121-(KJS+ Sf^�6.iil 1;1 k's+; i'l21t'AL F IEW I f11 •{1Q(t-d'1f}.000 S'«71.'24► 1't lIA4►t1N1f ►�f�tt 1111•fN)il•�11�J.(1(N) �'�i^_ 51! `a T'Clt, G Nit;l`1,totl FEN - ItEW11, 101.000.111.000 tit `rt t(l�kiMANO1-►{!; lf7{-C,Cli►-t2:�{t(JC► Stu.+ ! 1fV�trlti'!'1<1.1(; I'! 4#tli Irt f: ? ZIS {M10.�1 !=1•'1,11 Xh,lku+,iN+ �11i'i' 1!j 1�11ti1,lt' 1+t. A+9 `i . 1tt;tilf 7f)1.f1(1(1_;)54«(Nii► V;1�11 (41 AI'1 r11� 0_r;►N4'1 i2tX,"1TtAI t#tJi III -AN t'1t1rl1.U3 #'t:1 SSt,QI)Q.fKi MAY 2 2 1997 T(ITA1,1> ,RPI111' 1P IKIFN 011V NOW $9,177.241 1 /! CI-rf C: ` sem' f({49 f;e4! �` RECEIPT DATE BY% DAT FI ALE INSPECTOR f-- rn W Saco Lr) W tr 'O� Porn J U � J W U) Z Cl) L0 N ON U °' Q Z CE Fa- O W LL. J J U U L v Z_ 0� ::) r -a 5 LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. lcens%N074 Aic. Class Exp. D1h1/97 ate' - Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by ctlon 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier STATE FUND Policy No. 137109596 (This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become s ject to the workers' compensation provisions of Section 3700 of the Labor ode, I shall forthwith comply with those provisions. Date: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnity & hold harmless the City of La Guinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have.read this application and state that the above information is cor ect. I agree to comply with all City, and State laws relating to the building C struction, and hereby authorize representatives of this City to enter upon e above-mentioned property for inspection purposes. PFS§MIT PE"" 4702-035 CONTROL# 9 5196 ,�UILDINq DATE 5/22/9 VALUATION 349. LOT 27 TRACT JOB SITE IV -365 BKIAKWOUD APN769-760-016 ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER LA QUINTA ORCHARD PARTNERS SPARKS CONSTRUCTION P.O. BOX 1716 P.O. BOX 1716 LA QUINTA CA 92253 LA QUINTA CA 92253 (619)771-1941 CBL# 2996 USE OF PERMIT SFD CUSTOM CONSTRUCTION 4,261.00 SF PORCHIPATIO 200.00 SF GARAGEICARPORT 778.00 SF ESTIMATED COST OF CONSTRUCTION 349,840.70 PERMIT FEE SUMMARY CONSTRUCTION FEE 101-000-418-000 $1,514.50 PLAN CHECK FEE 101-000-439-318 $1,262.92 FEE DEPOSIT 41,000.00 MECHANICAL FEE 101-000-421-000 $156.50 ELECTRICAL FEE 101-000-420-000 $271.20 PLUMBING FEE 101-000-419-000 $292.50 STONG MOTION FEE - RESID 101-000-241-000 $34.98 GRADING FEE 101-000-423-000 $20.00 INFRASTRUCTURE FEE 225-000-443-342 $6,000.00 ART IN PUBLIC PLACES - RESIU 701-000-255-000 $624.60 SUB -TOTAL CONSTRUCTION AND PLAN CHECK $10,177.20 LESS PRE -PAID FEES -$1,000.00 TOTAL PERMIT FEES DUE NOW $9,177.20 RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wali Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) a ia\tTY OF LA OUINTA BUILDING & SAFETY DEPARTMENT G� 777-7012 INSP TION REQUEST LINE O�Q 777-7153 Ownwer-eavadquINTA ORCHARD PARTNERS Contractor SPARKS CONSTRUCTION Permit Number 9702-035 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 79-365 BRIARWOOD SFD - PERMIT DOES NOT INCLUDE BLOCK WALLS OR POOL. TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK a a ia\tTY OF LA OUINTA BUILDING & SAFETY DEPARTMENT G� 777-7012 INSP TION REQUEST LINE O�Q 777-7153 Ownwer-eavadquINTA ORCHARD PARTNERS Contractor SPARKS CONSTRUCTION Permit Number 9702-035 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 79-365 BRIARWOOD SFD - PERMIT DOES NOT INCLUDE BLOCK WALLS OR POOL. TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING -2 PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST - HEATING & VENT -A/C FIREPLACE ROOF - BOND BEAM O.K. TO WRAP - GROUT ❑. 4' ❑ 8' FRAMING INSULATION PRE -ROOF COVER NO WORK UNTIL AB. VE HAS BEEN SIGNE DRYWALL INTERIOR EXTERIOR LATH G POOL PRE PLASTER .P9ft-f� NCE & GATE _ SEWE"EPTIC TANK % O i FINALS ELECTRICAL PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED CiJ i 11 TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO 7/96 TURN ON UTILITIES OR OCCUPY BUILDING Building s/ 9 _37 L Address I 1 �W c&t4t 4 4 Gu . T01-©,.3q- P.O. BOX 1504 APPLICATION ONLY 78-105 CALLE ESTADO ^rhi7 LA QUINTA, CALIFORNIA 92253 Owner �1 LA 0J IPJ-tAOfLc�.+t�a1p i�D2� N>Fs S Mailing Address �• ® ,-� City/^ Zip Tel. �A (�%AI 1A q-zzS 3 771 - X4\ -A Contractor '!!!S>— PA 6WS Cc, n15't Ry L1 t o /V Address City /� Zip Tel. LJ 1,.I . f ,l t)\, ni t o �1 'L Z. 5 3 State Lic. City & Classif. Lic. # Arch., Engr., Designer T1% V_ r__ A K — CQ A N b F t_L Address Tel. City State �f AAO �U,6�1 l.iil°/�If �RA11 p -I Z b� s Lic. # t. ' c1 i si 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 Professions Code, and my license is in full force and effect. SIGNATURE 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 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). 11 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, euisness 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 1 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'. 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 r7 Copy is filed with the city. O 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 (5100) 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: 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. 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 build,V9 construction, and hereby authorize representatives -of this city to enter they abo mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Lor 2 —7 Project Description 5 Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ZZ Ja "7 04Aq fin 15 S K)t✓ B? 9I_At30 ► tJ G ";;PM 171_ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. (7Qp • CO Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Sider Setback from Property Line D,TE INSPECTOR Issued �y.5 1991 Date Permit F b. A, Validation- NTA i CONSTRUCTION ESTIMATE I NO. I ELECTRICAL FEES I NO. I PLUMBING FEES " $ UNITS UNDERGROUND IST FL. SO. FT. @ COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP./EQUIP. DRAINAGE PIPING CAR P. SQ. FT. @ TEMP. POLE WALL S0. FT. @ GROUT DRINKING FOUNTAIN S0. FT. @ FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DI SH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 I SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11% c SEWAGE DISPOSAL SQ.FT.GAR @ 3/nc HOUSE SEWER INSULATIONISOUND GAS PIPING PERMIT FEE FINISH GRADING 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 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION --- FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCG. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 5/22/97 No. 15565 Owner Name La Quinta Orchard Partners No. 79-365 City La Quinta Tract # Street Briarwood Lot # Type of Development Single Family Residence Comments APN # 769-760-016 Jurisdiction La Quinta Permit # Log # Zip 92253 Study Area 125 Square Footage 4261 No. of Units 1 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 1.84 X 4,261 or $ 7,840.24 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 of/Eldorado Bank/LaQuinta Orchard Partner Telephone 771-1941 Name on the check By Dr. Doris Wilson 44 Superintendent Fee collected /exempted by Pauline Pearson Signature L A0 dA A AA -JA_ Payment Received $7,840.04 Check No. 726185710 OTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to ",act them on the District('s)(s') behalf, whichever is earlier. 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