12409 (SFD)IOU
P.O. BOX 1504
Building C/78 105 CALLS
Address ✓ A UINTA, CALIFORNIAORNIA 9 92253
Owner T.D.De3 s it i Develop ent
Mailin
Address 41-555 Cook Street 1260
City Zip Tel.
Pala Desert, ICA 922603 (619) 51"58-2718
Contractor
Sparks Construction
Ad ST -2370 Avenida Bermudas
citysa Quinta.. 01 Zlp 92253 #61.9) 771-1941
State Lic. City
& Classif. B 674074 Lic. # 29996
Arch:, Engr.,
Designer RObert Lamb dart
AdiT s California IT(415)986-4260
CitylZip State I
San Graur_,. >4 , CA 94112 Lic. #
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,Buslness 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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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, 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 or 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 Li"cense Law.)
❑ I am exempt under Sec. l
B. g�P.C. for�this reason f
�J i+'' f'1r' ; 1 E it F
;bate 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
I�y 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 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
Ihereby 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
No. 12409
WING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
u
Project Description Duplex Ca.sita Model 1700A
FINAL DATE
Issued by:
t
Sq. Ft.
Size .1711
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Validation:
t
F3v w
4
Estimated Valuation
$135,616.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
354.98
Const.
765.50
Mech.
55.50
Electrical
133..07
Plumbing
162.00
S.M.I.
13.60
Grading
20.00
Driveway Enc.
.Q0
Infrastructure
3.v051.37
Arts in Pub -11c Places 89.04
TOTAL
4,925-06 879 706
REMARKS
4, 675.05
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear --Setback from Rear Prop. Line �r
Side "Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
Issued by:
Validated by:
Validation:
t
F3v w
4
T CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. I PLUMBING FEES
1STFL. SQ. FT. ® $
UNITS
COLL. AREA
!`
2ND FL. SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
FOR. SQ. FT. @
MOB]LEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DRAINAGE PIPING
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN.
SQ. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
x$ =$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
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
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
CITY
OF LA(XJINTA
UPVAjLtWdNT OF PLANNING DEVELOPMENT
4�m
qv BUILDgG DIVISION
(Ion AVIANOTICE FOR INSPECTIONS
.Ownw T.D. Desert Development
Contractor Sparks Construction
Permit Number 12409
• POST ON JOB IN CONSPICUOUS PLACE-,
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS
Duplex Casita Model.",1700A.-
7 q --e� , '. I
A
TYPE OF INSPECTION DATE
-FOUNDATION &SETBACK
PINJ1$
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GLINITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS. BEEN SIQN.EDAA,;`
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
UGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING& VENT -A/C
FIREPLACE
IMF
BOND BEAM
k %i.
O.K. TO WRAP
GROUT 0 4' 0 8', -
FINALS
FRAMING,,
ELECTRICAL
INSULATION •
7 -7-e l
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINAL GAS TEST
DRYWALL INTERIOR
a tY
EXTERIOR LATH
POOL PRE PLASTER
JOB COMPLETED
POOL FENCE & GATE
SEWER SEPTIC TANK
k %i.
FINALS
P
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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