9711 110 (SFD)U)
N_ LU
W
O M
r-- uo
W
oZr-
O
O"
r _ ,
LL1 a -
U)
Z
ce)
LO
N
ON
U °)
CL
Q
Lin Q, O
X W
mUU
O
M H
`t Z_
on'D 5
O
J
LICENSED CONTRACTOR DECLARATION
1 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
6 > IG 14
/ t
Date " t �z' let; Si nature 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:
( ) 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.
(y I have and will maintain workers' compensation insurance, as required by
Section 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 Policy No.
o
ATE
(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 provisions of Section 3700 ofthe e Labor
Code, I shall'forthwith comply with those provisions --�
Date: ; �` f 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, indemnify
& 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
the above-mentioned property fo(inspection I urposes.
I Signature (Owner/Agent)—_"f `' f Date o� /
PERMIT # CONTROL #
BUILDING PERMIT
9711-111) 63 8 V
DATE VALUATION LOT '17 TRACT i
iix ,.est 2, ,
'7111-1
/8. 7311 CAURILLO iWAY
APN 644-426-003
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
`ARKS COIY IRUCIC),I.).
Ro. BOX 1716
79295 RAMC 1101.11 Q01NI'A I3R.
i.A QUIN1'A CA 92253
LA t;IUIN'CA CA ►275:1
(7(1(1)771-19.11
USE OF PERMIT
S1'f,1 II;
LC.iI' 27, TEkPA7A PLAN i - PERMIT DOES KO [ -K—NAW ALCICK. WALLS �
0H POOL. A1110 C*MJ)tT t3F 5213.95 111,.2 t.t 3(mX1. 011. l:+.' T�
(,'HECK fl, -r -(q,-'2 s% 170k WJLTI_fNSLTH-. R"�OAS41
DEC 0e) 1997
CIJSTO&I COidSTRUC ISSN 21r.3.t.t1U sil"
110RCH/1-WI'i0 F
''10F
= n+ Ac�11r. Ar c�xT 4 1 � � LA QU1
NTA
°.+;.'`HI,'1'iN."IPf? C'ON''[' 0F CONS Tft, U f10N
Si'3:.m.n,
PERMIT FFT'S IWMA Y
PLAN r 1iEa. K F11, 101-000-419-318 S 193.64
(*014STRi if,'i'IC►N F1-_ 1011— I -d 1 P-(hM R hln gig
'-11,WICAI.I1"�s 101-`a' 1�1-fl� STs0idr
faxi, (ICA1, F1iii 101-000-120•-0100 5167.81
11CONISIN(Y kT1i 101-000-4194(}1) S142.01)
STW)Ni MOTION RT - R$1810 I ()1-101.2111-1H)fl R I kv.
Gttrtll)ING FEW 101-000-1121Ift 520.00
INFRk1rML11:1'UR17 FIFE 225 -WO -443-342 $4,IZ0t
ART IN PUBLIC PLACI-ES - RESIC 701 -(X)0.251 -(1G() 5213.V5
AT(T IN 1111131.1(; PLAC9iS - Rr-Sir. 70r -()I)() -255 -nM -$«1395
C2,rf+=i'�t'AI.C(�N�'itt,r�'1Csu ��Nt� �1,ni� r11tiC1:.
�5;�19.t►7
LESS PRE -PATI) ITES
-x:213.95
TOTAll,ti'F, tflli'i' I� M;i� 1) tWKNOW
85,705.72
RECEIPT.
DATE
BY i' ' "
DA E F L D
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE 7
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
—
Underground Ducts
Forms & Footings —
Slab Grade
/
Ducts
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
OX to Wrap
GC
F.A.U.
Framing
Pj_AK iwc
Compressor
Insulation
Vents
Fireplace P.L. r
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
-
Drywall - Int. Lath
-30—
Final
Final
-
POOLS - SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
-
Equipment Location
Underground Electric
Underground PIN. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
_ U
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::
� 2 - f � � ! �
/ 2 . ,? (� �(/'1
f � �^�G`1 I �� /��•
G (2,1
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)
06/04/1998 05:43 619-771-1841
T
f
J .
1: A
SPARKS CONSTRUCTION
La ?',SANTA
1ITY OF LA OUINTA
BUILDING & SAFETY DEPARTMENT
r. c pp 777-7012
��
FtI11STPECTION REQUEST LINE .
m-7113
T.D. DESERT DEVELOPMENT
Cir+ ucW SPARKS CONSTRUCTION
Poo of Nwf*w 9711-110
POST ON JOB IN SPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-730 CABRILLO WAY
LOT 27, TERRAZA PLAN 1
SFD - PERMIT DOES NOT INCLUDE BLOCK
WALIA QR POOL
fYPE of INAPECTION DATE INAP.
FOUNDATION A SCIISACK
FOOTING STEEL ..'
MAIN GROUND SYSTEM
GROUND PLUMBING `l7777 7
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNEO
CONCRETE SLAB
JOISTS 8 GIRDERS
DO NO POUR CONCRETE UNTIL A ABOVE HAS BEEN STONED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS A GAS TEST
HEATING 6 VENT -IVC
BOND BEAM
O.K. TO WRAP p
GROUT O 4V ❑ 8' 1
PRE -ROOF l
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
n jow nu I ml Incfd ne rw t i ocov a m noun
J
PAGE 03