12924 (SFD)4
P.O. BOX 1504 No. 12924
Building 48-185 Paseo Tiempo Lane 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner T.D. Desert! Development L.P.
_ ♦ _ .n_ ._v_ _ r _ s. _ ! _ RUILDING- TYPF CONST. OCC' GRP
Mailing %W ' iJ-,. b. iM LVYI
Address P.O. Box 1716
CityZip Tel.
La Quixta, CA 92253 (61911771-1941
Contractor=rti1C>~lon manager
Sparks Construction, Inc.
Adr.�/. BOX 1715
`"La Quinta, C "r 92253 '-'(619)771-.194
State Lic. City
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 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. n
:.n. r; r.'v .�� �:+-r.l.: il.,_ J sSGr" .r.'.,•,, �jrt.t ,..> t
SIGNATURE + Y ,t- '1 ,P i .f 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).
0 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
orimprovement 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 No Company
DvC—Opy is filed with the city. ❑ Certified copy is hereby furnished.
.n✓'¢ 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 thg 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 or 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 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
A.P. Number
Legal Description Lot 17 Tract 27844
Project Description SFD Hacienda Plan .2940
Rancho La Quinta .
Sq. Ft. 2968 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $240,709.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
931.7)
Const.
i 133.00
Mech.
109.00
Electrical
190.10
Plumbing
187.50
.S.M.I.
24.07
Grading
20.00
Driveway Enc.
.00
Infrastructure
5,247.46
Arts in Public Places
351.77
TOTAL
8,194,65
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
i III�) iNSPEETOR*
Issued by: - Dat'e'll_
ri
Validated by:MAR 0 JI�
J
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. Q $
UNITS
I-
ROUGH PLUMB.
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. S0. FT. Q
2
FORMS
SEWER OR SEPTIC TANK
POR. SO. FT. Q
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. Q
POWER OUTLET
ROOF DRAINS
CAR P. Q. FT.
OTHER APPJEQUIP.
DRAINAGE PIPING
WALL SO. FT: Q'
TEMP. POLE
DRINKING FOUNTAIN
SO. FT. Q
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(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.
SQ. FT. Q c
BATH TUB
SPARK ARRESTOR
SO. FT. Q c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID Q 1% c
SEWAGE DISPOSAL
LATHING
SQ.FT.GAR Q 3/ac
HOUSE SEWER
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
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
,•JL u rj .. r.. I ri •tj i ,i .' 111,! i4 �!� I. pit IJ
' , � ' . •Y •�, p --CITY
PINTA
+ n ' ` _ fA t• -r r f � I 1 / j^•,', (! 1 r l,l �rI I J,/'��I At l J •
)EPARTMENT OF PLANNING & DEVELOPMENT
r
BUILDING DIVISION F `, e,,p �, .��<,a •��, ,,
t"+ ) 24-HOUR NOTICE FOR INSPECTIONS
. ��,�`, •.. i .t,.� a�., o -P ' / i t we! , ,''�S ' ,II��, �1 4t�P. �'Sj'' ,�'
777-7153
•.•..':. -cif^ � ,i " ,' + S ``!(t }l� t j'1 1 14
T.D. Desert Development L.P.
`` a Owner -1"!t !' S ` ^
' Sparks Construction ,t(•
1 a Contractor
12924
f P+wmK idurrt�r
a POST ON JO® IN CONSPICUOUS PLACE+pr;•'';l. ; �pr !I)Y^+�pif til'
I•
� INSPECTOR MUST SIGN ALL APPLICABLE SPACES
48-185 Paso Tiempo Lane
' JOB ADDRESS y
f l• 11 G I p l , , ,.
-
#
SID Lot 17+a�I!
DATE INSP.
' TYPE OF INSPECTION
a 1,
FOUNDATION b SETBACK
FOOTING STEEL `
I
MAIN GROUND SYSTEM 1 - '_ , ��;�!, ,
;GIROUND PLUMBING
!PRE-GUNITE
/
1 IDO NOT POUR CONCRETE UNTIL ALL ABO
VQ HAS BEEN SIGNED n?1 r'll 4 ,, ; a� �,•I�"t 1 '' c �;
•.-1
CONCRETE SLAB
JOISTS 8 GIRDERS Y
• : � �
ELECTRICAL GROUND WORKU.I.
.t S '� I , } ! r rel• ,' ' I '�.ir all
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ":,", ;p�•': + �' I , t7
ROUGH ELECTRIC 6,,,;. .I'ptl. la .•a,
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST
,�'ti t '�i '+•,, S' ILII , i.:�'�
HEATING 8 VENT -A/C
FIREPLACE f t t I
i 1 ROOF ;'1'(
GOND BEAM ! !„
' , ,• 1 � I r,, 1 ." pj a•
O.K. TO WRAP -
GROUT ❑ 4'' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
V
COVER NO WORK UNTIL ABO E HAS BEEN SIGN '41''ll v
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER r ��►; �I
- POOL FENCE 8 GATE �� � •• '
SEWER SEPTIC TANK — ''•' : , t ' �, ,
FINALS i•„ t
ELECTRICAL
• , I EL
PLUMBING_
FINAL GAS TEST
HEATING - A/C.
j HOUSE NUMBERS ;: a
JOB COMPLETED
1 -I-EMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO �`l' i.•' : `.`'.'-:
TURN ON UTILITIES OR OCCUPY BUILDING
4!00