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12411 (SFD)Building . �95 gA _ / _ / &Z Address '] j� JCO L.� (BGG Owner T.D. Desert Development P.O. BOX 1504 78-105 CALLE ESTADO QUINTA, CALIFORNIA 92253 nnaning Address 41-555 Cook Street #254 City . Zip Tel. Palm Deserts CA 92260 (619) 568-271 Contractor Sparks Construction Ads -2370 Avenida BerMUdas Gila Quizita, CI? Zlp 92253 T(419) 721-1941 State Lic. City & Classif. B 674074 Lic. # ?995 Arch., ' Robert lamb HartDesignerer Ad!�T2 California T 25)9$6-4260 City Zip State San Prancisc , CA 94111 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section �000) of Division 3 of the Business and Professions Code, and my license is in full force and ffect. 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). 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 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, 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 Cdntraclor's; License Law.) ❑ 1 am exempt under Sec. ! ! B. 8 P.C. fo%his reason-� Wig a l sri t fit Date Owner A V Gttk-N t\ Y -f 1"ji `y tvL WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Co pensati0 Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Police Company opy 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 ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. BUILDING: TYPE CONST. OCC: GRP.: 12411-. A.P. Number Legal Description/, Project Description Y.$FD Racienda Model 3021A 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 y �t Issued by: Date 011 I y l� Sq. Ft. 3021 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Estimated Valuation $253,926.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 121.84 Const. 1,178.50 Mech. 109.00 Electrical 190.33 Plumbing 217.50 .S.M.I. 25.40 Grading 20.00 Driveway Enc. .00 Infrastructure 5Y582.86 Arts in Pu ;, c Places 384.02 \ TOTAL 8i U.2 8,430.25 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 y �t Issued by: Date 011 Validation: I f I y l� Validation: I f CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. _^�'•' SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER REMARKS: 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. 1 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 v,- , - f I;; CITY OF LA (XJINTA W ,Q TO% DEPARTMENT OF PLANNING & DEVELOPMENT 41 4't'�A?��'W,;��, Lily t LA uuiNTA BUILDING DIVISION &TOUR NOTICE FOR INSPECTIONS %",S; ret S i�+ T.D. Desert Development Corp. Owner— Z& Contractor Sparks Construction lid at 1. Ps"nit Number 12411 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS SFD Hacienda Model .3021A TYPE OF INSPECTION DATE INSP. Cf%"MnAT1r1kj A QCTUAr-if I� ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED o. FOOTING STEEL lmN MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE EXTERIOR LATH I� ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED o. PRE -ROOF CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK EXTERIOR LATH A) DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED POOL FENCE & GATE ROUGH ELECTRIC SEWER SEPTIC TANK JOB COMPLETED ROUGH PLUMBING A I' ROUGH GAS & GAS TEST - TEMP POWEq_ HEATING & VENT A/C FIREPLACE ROOF BOND BEAM O.K. TO WRAP T ­ GROUT 0 4' 0 8' FRAMING INSULATION I� ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR: EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK I� ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 ELECTRICAL PLUMBING FINAL GAS TEST HEATING -A/C HOUSE NUMBERS JOB COMPLETED TEMP POWEq_ I� ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88