12407, 9511-150 (SFD)r
Building
Address
• V1 4 4 a"
P.O. BOX 1504
�q1
/Y/Gli,2 . LP U I05 CALLE ESTADOTA, CALIFORNIA 92253
Owner T.D. Desert AeVelOjment Corp.
Mailin
Address 41-555 Cook Street #260
City Zip Tel.
Palm Deserttcll922£0 1(619)568-2718
Contractor
Sparks Construction
1es70 Avenida Bermudas
City Zi Tel:
�a Quintai CA 32253 (619)771-1.941
State Lic. City
& Classif. B ' 674074 Lic. # 2996
Arch., Engr.,
Designer Robert Lamb Hart
AL4Z California TC415) 986-4260
CityZip State
San Hranc*isco � A 94131 lLic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7DD00) of Division 3 of the Business and Professions Code, and my license is in full force and
V fect.
(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 or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
O 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, euisness 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 contractors) licensed pursuant to the Contra'ctor'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
❑j� 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 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 -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant -Date-
Mailing
ateMailing Address
City, State, Zip
No. 124Q7-
ILDING: TYPE CONST. OCC: GRP.
A.P. Number
,Legal Description
Project Description
with guest
SPI) Hacienda
house
^�
Model. 3021A
Sq. Ft.
Size 3021
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair,O Demolition ❑
Estimated Valuation
$253t926.00
PERMIT
AMOUNT
Plan Chk. Dep.
g
Plan Chk. Bal.
Const.
i •
Mech.
•
Electrical`
.3
Plumbing
S.M.I.
•
Grading.:lti
Driveway Enc.
' e3
Infrastructure
1 �� •
$ In ZJUDI c Places
384.82
TOTAL><
•+fir
�•�
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
Issued by:
Validated by:
Validation:
3 rsi
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
FOR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL S0. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
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,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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 APPJEOUIP.
REIN F. 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
4.
CITY®FLA GUINTA _...0
DEPARTMENT OF PLANNING & DEVELOPMENI.
"'SGil Y U� LA UUiNTA BUILDING DIVISION
J,
24-HOUR NOTICE FOR INSPECTIONS
CT 2 Mi
Owngr T.D. Desert Development Corp.
Sparks Construction
Contractor
AC
Permit Nurytor 12407 ti
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS
41
SFD. Hacienda Model,; 3021A
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL vv
ew
MAIN -GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
'U NTiLA LL. ABOVE HAS-BEEN SIGNED
DO NOT POUR CONCRETE
Eiji '`""•i4` 4-
rf is' CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUNDWORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED*
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING& VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT O4' 0 81
FRAMING
1--2 -ILI
INSULATION
ti
42 x" Z7
-N PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK 'A
'1v
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING -A/C
I.
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER'
I
A
4
. ... .ine"
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. 6740774 kT7/31/95
License # i / Lic. Class -.-M . Date
Date 1,7 A 14i SignatureofContractoir
OWNER -BUILDER. DECLARATION
I 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 iicensed
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 secQ9,pjnee_ctn9.tbe.completed if the permit valuatiorfJslf99$1Q0.00 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, an agree that if I should-bWTre
subject to the workers' compensatiop-provision� Sectio^3700 o the
(Code, I shale"forfhw�Ith comply withAhose pyovi ions: l '�
'Date: Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and shall
subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, intarest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety,
for a permit subject to the conditions and restrictions set forth on his application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under, or pursuant to
any permit issued as a result of this application agrees to, & shall, indemnify
& hold harmless the City of Indian Wells, its officers, agents and employees.
2. Any permit issued as a result of this. application' becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that -the above information is
correct. I agree to comply with all City, and State laws relating to the}building '
construction, and hereby authorize representat'ves of this City to enter upon the
above-mentioned property forAKs`PeZtion purposes {
,� Ii
Signature (Owner/Agent) � ""t, ! �'" DatB�!
ALCM
BUILDING PERMIT
PERM'T,'
DATEV9.1i`;'
VALUATION
LOT '1t, TRACT 11KIKII
JOB SITE ADDRESSry " 79-1:15 RA1��.UO LA QUIIN A DR.
APN "9-370-005
OWNER
CONTRACTOR
T, a. ,DES1~.1Zr DEVEf O.tA(' ,,,Y1 r
117.1 `4VA1,SPON J3:lt" DQt RD NO,
P.O. BOX 1116
LA QUINTA CA 92253
LA QUIN 'f1 CA 92253
-(619)'7714941 C~Atd# 2996
(619)771-1,941
DESIGNER/ENGINEER
WE OFPEFIW3I.I ULE 1AXIL Y UWtiLLPAU
RAN040.L QUIN A
PALAC1O PLAN! WITH BURST HOUSE
FEE DESCRIPTION
FEES
CUSTOM CONST UC I'10N . 3,.465.00 IX
TCJtt+�'f?/}' hT:IEI . 335.44 St:'
GARAGE/CA14P0,F r 608.40 SF
&S'I'IPv.BAWD COST OF CONSTRUCTION
tI4ti:2SIS.86F
PERMIT FEE SUIMMARV
01-000-4: 9.31$
PLAN ( C I.1<1-K.F. . 401-00-439.318
CONSTIZUCTIOIN ME 101-010-4.15-000 $1.294:00
MECHANICAL .rI%►.1-OGfi-�t2.t�t� >i1 �f43.54
1'Ji.rt,TRiCA], M 101-W(1-42(.1`000 $213.44
PLIJNIk)I? O FEE 101-000-419-000 $206.00
ST0N( 1.t(_1TICYX .. EE .- J2!'s:. ID 100-'000-241-000 $23.63
GRADING FFE 101.-0+10-423-i1t)t3
mr-R&S'rRul„truREF.I~� 225-000AQ4 342. fi.Q44.iif,,
PRX3C-($I;,'P),AE' 101,000-441-34S $35.40
,ART 1N f?i, RL1C PLACES AtEsfr. '701-000-255-000 $465.74
,JA
C'&STRUC.ITON SAND PLAN CHECK
$9,,46216 .
LESS PRE-I':A,tD FEE'S
$0..00
1
•N"OW "
OTA1< PERMIT FEES l2B1.1! '
$9,4462.26
O �
19 Is~`DTAL P -Ra ,' Pid$L.11f IT "F in S
�yyhT'1i1.6..V
RECEIPT ^�
1]A
y,
BY
LE
-- -
INSPECTO
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings o /
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 Wall 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 Pibg. 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
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
-
dw
_ CITY OF LA QUINT9�
��OF 0`� O&ING &SAFETY DEPARTMENT
777-7012
� -INSPECTION REQUEST LINE _
777-7153
N KT DEVELOPMENT
Owner. et
Contractor
SPARKS CONSTRUCTION
Pemlit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-115 RANCHO LA QUINTA DR.
SFD LOT 52 PALCIA-PLAN-1 WITH GUEST
HOUSE,
TYPE OF INSPECTION DATE INSP.
FOUNDATION 8 SETBACK k
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBINGTWA
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNET
CONCRETE SLAB
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNEC
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST
HEATING 8 VENT -A/C
FIREPLACE
ROOF S
BOND BEAM
O.K. TO WRAP it ZSl
GROUT ❑ 4' ❑ 8'
'FRAMING ;..z...:,
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGN913
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 8 GATE
SEW SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS _
JOB COMPLETED AW �i
TEMP POWER
ABOVE APPROVALS DOAOT INCLUDE RIGHT TO
1/95 TURN ON UTILITIES OR OCCUPY BUILDING