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12408, 9511-126 (SFD)/�n^. �-^L� n P.O. BOX 1504 Building 7n''S5 T [ Y� �Q /a, 78-105 CALLE ESTADO Address ? ,LA QUINTA, CALIFORNIA 92253 T.D. Desert Development Mailin Address 41-555 Cook Street #260 City Zip Tel. Palm Desert a ',A 92260 1(619)568-2718 Contractor Sparks Construction Ad.driess370 Avenida Bermudas City Zip Te . l.a Qu lint'a, RAI 92253 .619) 771-1941 State Lic. 674074 City & Classif. Lic. # Designer tngr., Designer Robert Lamb Hart A dTy California TT(4715} 986-4260 Cit Zi State fan Brani�lisco, pCA 94111 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,Business and Professions Code: Any city or county which requires a permit to construct, after, 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). ❑ 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 or 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,f and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. $'P.C. for this reason --4 i i 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.) POHS o=^ .Company Dopy 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 forthwilh 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 it 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. LDING: TYPE CONST. OCC: GRP. 17 124Q8 A.P. Number Legal Description— Project Description SFD Rancho Model 2210A ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line SideStreet Setback from Center Line Side Setback rom FINAL DATE �'"` SP O Issued by: Da $L Validated by: IUI Validation: By I Sq. Ft. 2194 No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $176,853.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 501.86 Const. 909.00 Mech. 68.50 Electrical 153.19 Plumbing 186.00 S.M.I. 17.70 Grading 20.00 Driveway Enc. ..00 Infrastructure 3,922.94 Arts in Publj c Maces 1.92.13 TOTAL 6,221.32 5,97 .32 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line SideStreet Setback from Center Line Side Setback rom FINAL DATE �'"` SP O Issued by: Da $L Validated by: IUI Validation: By I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) 2ND FL. SQ. FT. FORMS YARD SPKLR SYSTEM POR. SQ. FT. MOBILEHOME SVC. BAR SINK GAR. SQ, FT. @ POWER OUTLET ROOF DRAINS CAR P. I SQ. FT. OTHER APPJEOUIP. DRAINAGE PIPING WALL SD. FT. TEMP. POLE DRINKING FOUNTAIN SQ FT ® 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 WASHER(AUTO)(DISH) 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 SPARK ARRESTOR SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL LATHING SQ.FT.GAR ® 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE INSULATION/SOUND PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEEi 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 APPJEOUIP. 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 yy •CITY ti'� -A OF LA OUINTA I COMPLETED O.K. TO WRAP QIP POWER LWWWMENT OF PLANNING &DEVELOPMENT 7 1 FRAMING 5 BUILDING DIVISION 12940UR NOTICE R INSPECTIONS INSULATION t 1 .. .: PRE -ROOF TURN ON UTILITIES OR OCCUPY BUILDING COVER NO WORK UNTIL P OwnerT.D. Desert Development -gAContractor Sparks Construction -4- ! ti12408 -iY Permit Nu r POST ON JOB IN CONSPICUOUS PLACE RIX- f/ INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS SFD Rancho' Madel;,2210A TYPE OF INSPECTION DATE INSP. —7. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING k jk# -GUNITE -X PRE DO NOT POURCONCRETEUNTIL ALL ABOVE HAS BEEN SIGNED ko, CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED 3M; ROUGH ELECTRIC e'Z ROUGH PLUMBING ROUGH GAS & GAS TEST ' HEATING& VENT- A/C o FIREPLACE ROOF 0 BOND BEAM HAS BEEN SIGNED I v PLUMBING I COMPLETED O.K. TO WRAP QIP POWER GROUT 0 4' 0 8' 'r2e At --, FRAMING s. INSULATION t 1 .. .: PRE -ROOF TURN ON UTILITIES OR OCCUPY BUILDING COVER NO WORK UNTIL P DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK e-." FINA ELECTRICAL HAS BEEN SIGNED I v PLUMBING I COMPLETED QIP POWER FINAL GAS TEST HEATING - A/C HAS BEEN SIGNED I v I COMPLETED QIP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING LICENSED CONTRACTOR DECLARATION I hereby affirm 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. 67074 B ' ` 7f31i95 License # / Lia C ass Exp.,Date Date ,=�SignatureofContractor f /` `<< OWNER -BUILDER ECLARATION 'b hereby affirm 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. ( ) 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. (This sectio din. be completed if the permit valuatio�l is ��r�$100.00 or less). a�P,e .CVe�url l.i, .. ( ) I certify #iat in the performance of the work for which this permit is issued, I sliall 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 37 of the Labor Code, I. shall'forthwith comply with those�pt ro 6 ons,-''� Date: / 2 (� %rr- 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 of whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application agrees to, & shall, indemnify & hold harmless the City of Indian Wells, 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 J ' permit, or cessation of work for 180 days will subject permit to cancellation. j I certify that I have read this application and state that the above information its 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 propej�,for-inspection pu oses. , Signature (Owner/Agent) Dats/, -��'r1,yi a l.J(.''� ALC# ; BUILDING .PERMIT PERMIT5,1-7126 I DATE 11122195 VALUATION $td5,58 .5c LOT 54 TRACT 2,7840 JOB SITE ADDRESS HO 79-155 RMCLA Q UINTA DR. APN 60,$70-007 OWNER. CONTRACTOR SPARKS CONS" rP.1.Tir 11©N T.D. D1 SFRT DENyE4 0PMEWJ' 101 WALMN BR:1DGE R DNC, c/o .P.u..WX 1716 LA. QU11 TA CA 92253 LA QICTUN TA CA 92253 (6:19.1771-1941 C:BLA 2996 DESIGNER/ENGINEER 619771-1941 USE OFPERMIETNGLE FAMILY DWELLING 1,AN&F16 LA QUTMA 'TERRAZA.MAN 1 - FEE -DESCRIPTION FEES .CUSTOM CONS'i'R.UC'CJON 2,23 LOO 1.E .P0.R(,'HtPAT10 1 x4..00 F GARACLiCARPORT 486.003F ' ESTIMATED COST OF CONSTRUCTION Y$8,5�17�b IPE IMIT F.liX SUMMARY PI ASN ;cx 101-WQ-439-:318 $774_54 CONSTRUCTION TU- -:10.1-000-41 R-000 $940.50 hf {`I1AN[CAi: Fisk 141-000-421-000 $98.50 m1 C"1' icAL FEE 101-000-420-000 3167.81 1a1T..a/�•gi�113NI 1}.4i-000(0-419-0DO $142,00 �CpDyP�FF. RR �y S•1'171Y1:9' 1,V.i+ / J.,IOMI ", l�J..••MD 100-0 0.24-000 GRAD NI G FEE :1.01-000-123-000 JNF'13A,'sTRUC"9°UR FhE 225-000-443-342 $4,124.7.1• AFT N. PfIBLIC PI ACES - RE5M 701-000-255-()00 $213.95 -TOTAL C0NS,rRUC'f (.)N AND PLAN CE.iECK $6,500.57 qSUB LESS PRE -PAID FEES $0.00 Q DE� - , C 0,6 TOTAL P��KIT F, FES DUE NOW' $6 .500.57 19 5 -. -`.�. RECEIP " DATE BY DATE FINALED INSPECTOR m 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 BLOCKWALL APPROVALS POOLS - SPAS 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 Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring nr Main Service MaiS Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: `