0008-072 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury 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.
License # Lic. Class Exp. Date
7/31101
Date " Signature of Contract'''
J .K
OWNER -BUILDER DECLARATION f
I hereby affirm under penalty of perjury 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 STATE FUND Policy No. 0413.0007338
(This section need not be completed if the permit valuation is for $100.00 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, and agree,that it I should become
subject to the workers' compensatioln-provisions of Section 3700of the -Labor
Code, I shall orthV0h comply with those provisions..
Date: Jyl'r'i"✓ Applicants 1
Warning: Failure to secure Workers'Co p sation 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 at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, 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 representatives of this City to enter upon
the above-mentioned property for insp�on purpos�,
Signature (Owner/Agent) "^-•--� / ' f K Date 1 /1 i✓�
9
BUILDING PERMIT PERMIT#
DATE ( VALUATION LOT 0008-072 TRACT
1 r ! I ,i iQJ,217.10 44 2S457-1
JOB SITE
ADDRESS 79,^ MG IO Y.A QUWA Ditarl!E
APN
C49-1004)1.0.
OWNER
CONTRACTOR/DESIGNER/ENGINEER
SPARM CONgrRUCTION
8PARX9 CONS7RUU11013
79495 RANO-7110 JLh QLMUA DR.
79R2,95 i'W4010 LA QIJJRTA I`..IX
LA Q_LtT11+1 A CA 52253
:LA QUINTA CA 92233
(760)771-1941 C91,ft 2996
USE OF PERMIT
MKOLB 1,At%RLY bVeIM.I.Fl G
VD -LAT 44 PLAN E3R. - PERMIT DI DES NOT 1'h1CLUDE 13L LOCK *WAU, Olt
POOL 75% PE.AN C14FCK F1?I9 REDUCTION FOR MULTIPLY, ISSUANCE OF
SAME PLAN TYPK
CUSTOM CONSTR.UCTIOW 2,924.00 SF
PORCH(PATIO 233.00 Sri
0ARAORICARPORT (OF) 9,212.00
Efi71LV ATFD COST OF CONS'TRUC'nON
:240,117,10
P1MMff TTE hU'3MARY
C014STRU'CTION TRE 101000.418.000 S1,13m0
PLAN CHWK FEE 101-000-439-319 $232.24
MECHANICAL ME 101.000.421000 $130.50
ELECTRICAL FEE 1031-000-420-000 $161.24
_
PLUMOrNo FU '101r000-4-19-000 $199,75
SINO FEE • RESID 101-000.241-000 Wool
RA AEON
1.01-000-•423-00R
DEVF1,OPER IMPACT $1,907.00
Aid'! IN PUBLIC PLACM - RESIE 701-000.255-000 $100,19
r`r,J
SUB -TOTAL CONS TRUC fTON AND PI.AW Ck1 F.C'.Y
sn'892.0i
L939 Pit.'PrPAFI* P'
$0.00
TMAL MRAW IMS DUE NOW
RECEIPT
DATE
t
BV`t
f
DATE FINALED
INSPECTOR
F
INSPECTION RECORD
OPERATION
DATE
I INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade z 2
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
E9
Drywall - Int. Lath
/ f
I
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 I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines �/
Water Piping
Heater Final
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:
08/21/2001 12:05 7607711841
SPARKS CONSTRUCTION PAGE 03
. of
� s
_ CITY OF LA QUINTA
�. BUILDING & SAFETY DEPARTMENT
Gi
'777-7012
INSPECTION REQUEST LINE
SPARKS CONWRMT10N
Owner RUC CONSTRUCTI.
Contractor
Permit Number g171 QIt-
POST ON JQ�jj9j
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB f�E
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
Du ,SOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
te-
HEATING & VENT • A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT 0 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE AS'BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK ��✓D
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
E NG --A/C
HvuSE NUMBERS
JOB COMPLETED
TEMP POWER -
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
az
Certificate of Occupancy
City. of La Quinta'.- -
Building and Safety Department.
This Certificate issued pursuant to the requirements of, Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use: For the following.-
BUILDING
ollowing:
BUILDING ADDRESS:
Use Classification: SFD
Occupancy Group: R3
79-835 RANCHO LA QUINTA DR
Bldg. Permit No.: 0008-072
Type of Construction: VN Land Use Zone: RL
Owner of Building: SPARKS CONSTRUCTION
Building Official
Address: 79-295 RANCHO LQ DR
City: LA QUINTA DR 92253
By: KIRK KIRKLAND
Date: 8-21-01
L POST IN A CONSPICUOUS PLACE