0008-075 (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
r.#p A�ryn �Lic. Class Exp. Date
�q )p�
Date F%!<< Signature of Contractor
OWNER -BUILDER DECLARATION
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 Sectlprl. 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 PMID Policy No. 046-0009333
(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 -if -I% should become
subject to the workers' compensation pro Iv sions of Section 3700 of the Labor
Code, I shall forthwith comply withthoseprovisions!' Jp
Date: j �! �F� y Applicant j
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 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 inspec`'It on purposes"]
r �/
Signature (Owner/Agent)� f *Datey
/ 'T
%
BUILDING PERMIT ' PERMIT#
OM -0115
DATE 1 VALUATION LOT TRACT
540,x1,7.10 47 29445'!-1
JOB SITE !
APN
ADDRESS 79-$0AX(Xo yA Q1[tMA.If)1'aI!!
649 1(* -019
OWNER
CONTRACTOR / DESIGNER / EN (NEER
51~-'IiRKS C(1N'STRUC;TIO1d
SPARKS CONffRUC Ti0A7
7 9- 295 RXIST01O 1A QT1'31NTADX
79-295 R.A,140 0 LA 0,LTINTADR.
LAQU,I TA C.A. 9225.3
IAt21.TDtfA CA 92253
(760)7711-1941 CBL9 2996
USE OF PERMIT
ENGLE- IA1yiIi.Y DVM:.Ii U4&,,
SFD•IZIT 47 PLAN Z2R-,PERUIT DOPS NOT INCLUDE OLOCK WALL OR
POOL. 75% PLAN FOR MUL1`IPLE 18SUANCF OF
SAME "PLAN TYPE.
CUrSTOM CONSTR:UCTION .4_9X09 SF
POIZCHIPATIO 23'x.00 SF
0AR GEf�',�,RPORT (,O0) 91212.00
s'
r
EWMATED COW OF C 0XgSTI�.�T7U-d`10 N
240,117.20
i'ERM11r£+EE bt13Adbiwty
CO3'1STRUCTION FEE 101.000-4.15-iw0 3103;1100
PLAN CHECK FVk $232.7A
MECHANICAL FE9 101.000.421.000 $130.50
ELECTRICAL "M 101-O00-420-000 $ 169.24
` J
PLUIvI9ING3 FEE, 101-000.4.19.000 $173.73
STfLC`NO MOTION "ME - RESITS 101-0130-241-000 $24.01
» r
ORADiNO FIEE $20.00
1 `
�-�
DEVELOPED IMPACT FEL $1,94'7.00
1 �?
ART IN PUBLICPL4CFS-W11701.000.255.00® $100,29
SC7'a340TAL C;ONSTR UUC•,1TOM AWZ PLA14 CHECK
LESS PRF' -PARI? FT.=
$0.00
TMA PK_r !VV -6 DUE NOW
S3,€�`, 103
RECEIPT
DATE
BY' 1��
DA E INALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
�-Underground
Ducts
Forms & Footings
Ducts
Slab Grade
.1 7— O/
Return Air
Steel
Combustion Air
Roof Deck
p
Exhaust Fans
O.K to Wrap
Framing
F.A.U.
Compressor
Insulation
IRV_l _ _
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
- (5 -ol g _
POOLS - SPAS
BLOCKWALL APPROVALS
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
Z� �j/pU
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer LateralJ_
!tel
Z--�� /��
Pool Cover
Sewer Connection
/
Encapsulation
Gas Piping
Gas Test
_
Appliances
E5 7:�
Final
COMMENTS:
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)
08/15/2001 10:56 7607711841
SPARKS CONSTRUCTION PAGE 03
l
hk
�� CITY OF LA QUINTA
BUILDING & SAFM DEPARTMENT
oP 777-7012
INSPECTION REQUEST LINE
777-7153 ;
Owner SPARKS CONSTRUCTION('
Contractor SPARKS C0NSL9jMT
Permit Number 08-0157
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
79-805 RANCHO LA QUI NTA DR
JOB ADDRESS
SFP.6 LIP VWA,,N M -PERMIT DOES NOT
INCLUDE BLOCK WALL OR POOL
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
Dl.' ..OT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
i ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF 61
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' 0 8'
FRAMING'
INSULATION
PRE -ROOF,
COVER NO WORK UNTIL ABOVE AS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE BLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
FINAL GAS TEST
F 'NG - A/C
HvuS£ NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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 ADDRESS:
Use Classification: SFD
Occupancy Group:. R3
79-805 RANCHO LA QUINTA DR
Bldg. Permit No.: 0008-075
Type of Construction: VN Land Use Zone: RL
Owner of Building: SPARKS CONSTRUCTION
Building Official
Address: 79-295 RANCHO LA QUINTA DR
City: LA QUINTA CA 92253
By: KIRK KIRKLAND
Date: 8-15-01
POST IN A CONSPICUOUS PLACE