0008-073 (SFD)LICENSED CONTRACTOR DECLARATION
U) 1 hereby affirm under penalty of perjury that I am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
C14 w Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
�LLJ� 6 4 4 B7, ;01
oZ r Date p Signature of Contract r
Or,�
r- H 0 OWNER -BUILDER DECLARATION
W W r- I hereby affirm under penalty of perjury that I am exempt from the Contract 's
~ LO License Law for the following reason:
Z( ) 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).
C'`) () I am exempt under Section B&P.C. for this reason
In
N Date Signature of Owner
ON
0)CL Q WORKER'S COMPENSATION DECLARATION
It Z cc I hereby affirm under penalty of perjury one of the following declarations:
O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W Y= compensation, as provided for by Section 3700 of the Labor Code, for the
O � Q performance of the work for which this permit is issued.
Ib Q O ( ) I have and will maintain workers' compensation insurance, as required by
O CJ Q Section 3700 of the Labor Code, for the performance of the work for which this
tl rn permit is issued. My workers' compensation insurance carrier & policy no. are:
It Z Camer Policy No.
ao j STATE FUND 046-0007338
cO
1D J (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 ma o as to become subject to the
workers' comp nsation laws of Califo la, and a ee that if ,I uld become
3 subject to a orkers' compensati provisions o Sectio 00 f the Labor
Code, I hwith comply wit hose p visions.
Date: Applicant
Warning: Failure to secure Workers' Compensation coverage is un awful nd
shall subject an employer to criminal penalties and civil fines up to $100,00 , in
addition to the cost of compensation, damages as provided for in Section 706
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, an ate laws relating to the building
construction, and hereby rize rep sent fives this City to ente u n
the above-mentioned pro erty f r i ection rp
Signature (Owner/Agent) ate'
BUILDING PERMIT PERMIT#
DATE VALUATION LOT 0008-073. TRACT
$220,852.00 45 29457-1
JOB SITE
APN
ADDRESS 79-825 RANCHO LA QUINTA DRIVE
649-100-019
OWNER
CONTRACTOR / DESIGNER / ENGINEER
SPARKS CONSTRUCTION
SPARKS CONSTRUCTION
79-295 RANCHO LA QUINTA DR
79-295 RANCHO LA QUINTA DR.
LAQUINTA CA 92253
LAQUINTA CA 92253
(760)771.1941 CBL4 2996
USE OF PERMIT
SINGLE FAhMY DWF.I ,LING
SFD-LOT 45 PLAN E1R - PERMIT DOES NOT INCLUDE BLOCK WALL OR
POOL. 75% PLAN CHECK FEE REDUCTION FOR MULTIPLE ISSUANCE OF
SAME PLAN TYPE.
CUSTOM CONSTRUCTION 2,635.00 SF
PORCHIPATIO 267.00 SF
GARAGElCARPORT (SF) 12,034.40
ESTIMATED COST OF CONSTRUCTION
220,852.00
PERMIT FEE SUA&TARY
CONSTRUCTION FEE 101-000-418-000 $1,063.00
PLAN CHECK FEE 101-000-439-318 $217.90
�
-I
MECHANICAL FEE 101-000-421-000 $105.00
-- -
ELECTRICAL FEE 101-000-420-000 $162.01
_ J> r.
PLUMBING FEE 101-000-419-000 $179.25
STRONG MOTION FEE - RESID 101-000-241-000 $22.09
rl
GRADING FEE 101-000.423-000 $20.00
DEVELOPER IMPACT FEE $1,907.00
-•"'
ART IN PUBLIC PLACES - RESIE 701-000.255.000 $52.13
'�� I-�•-' ' "'
SUB -TOTAL CONSTRUCTION AND PLAN CHECK
$3,728.38
LESS PRE -PAID FEES
$0.00
TOTAL PERMIT FEES DUE NOW
$3,728-38
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
_Underground
Ducts
Forms & Footings
/�
Ducts
Slab Grade
—/7
Return Air
Steel
Combustion Air
Roof Deck
Z— Z
Exhaust Fans
O.K. to Wrap
_ q Q _
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
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
_fir'
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Piaster
Sewer Lateral
Pool Cover
Sewer Connection
Gas Piping
Gas Test
(�
Encapsulation
Appliances
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
�G
Utility Notice (Perm)
08/21/2001 12:05 76077.1t-84.1• • SPARKS CONSTRUCTION PAGE 02
S CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
OF 777-7012
INSPECTION REQUEST LINE
SPARKS CONq?W ojC) iN
Owner _ SPARKS CONSTRC'i'L(�N _
Contractor 0008-073
s
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUSS *0&9)APF4 NWAWES
JOB �N&"T 4S•PLA.N E1R-PERMIT DOES NOT
INCLUDE BLOCK WALL OR POOH,,
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
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
ROUGH ELECTRIC, .
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING ^�
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS EEN•SIGNED
DRYWALL INTERIOR
EXTERIOR LATH I
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK dJ
FINALS
PLUMBING ' !
FINAL GAS TEST 97- n
h NG - A/C
HtruSE NUMBERS
JOS 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 oti°'r
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: 79-825 RANCHO LA QUINTA DR
Use Classification: SFD
Occupancy Group: R3
Bldg. Permit No.: 0008-073,
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
I POST IN A CONSPICUOUS PLACE I