0008-077 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
HChapter 9 (commencing with Section 7000) of Division 3 of the Business and
N W Professionals Code, and my License is in full force and effect.
(7; =) co License # Lic. Class Exp. Date
r` ICY LO
r— Lug r 6 4 4 B 7/31/
oZ r- Date Signature of Contra r
O
J1.— 0 OWNER -BUILDER DECLARATION
H LIJ r- I hereby affirm under penalty of perjury that, I am exempt from the Contrac(0e
s
fn License Law for the following reason:
Z_' ( ) 1, 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).
co () I am exempt under Section , B&P.C. for this reason
LO
N Date Signature of Owner
ON
O)
Q WORKER'S COMPENSATION DECLARATION
C:) :E Z I hereby affirm under penalty of perjury one of the following declarations:
U-) O () 1 have and will maintain a certificate of consent to self -insure for workers'
X LU compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
m Q U ( ) I have and will maintain workers' compensation insurance, as required by
Q U Q Section 3700 of the Labor Code, for the performance of the work for which this
Il 0 Z permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier STATE FUND Policy No. 046-0007338
co D
0
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 or which this permit is issued,
I shall not employ any person in any m wr fo
er so a
to become subject to the
workers' compensation laws of Cali nia, and agr that if uld become
3 l.
subject to
rkers' compens 'on provisions ofTec ' 3700 f the Labor
Codeh comply w' those provisions.
Date: d Applican
'Warning: Failure to secure W ompensation coverage is awful and
shall subject an employer to criminal penalties and civil fines up to $10 , 00, 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.
1 certify that I have read this ation and state that the above information is
• correct. I agree to comply Ith al City, and State laws relating to the building
construction, and hereby uthori a re entati es of this City to enter pon
the above-mentioned pro erty f r' ection pur oses
Signature (Owner/Agent) Date O�
BUILDING PERMIT PERMIT#
DATE VALUATION LOT 0008-077 TRACT
$240,117.10 49 29457.1
JOB SITE
APN
ADDRESS -775 RANCHO LA QUINTA DRIVE
649-100-019
OWNER
CONTRACTOR/DESIGNER/ENGINEER
SPARKS CONSTRUCTION
SPARKS CONSTRUCTION
7 9-295 RANCHO LA QUINTA DR
79-295 RANCHO LA QUINTA DR
LAQUINTA CA 92253
LAQUINTA CA 92253
(760)771-1941 CBL# 2996
USE OF PERMIT `
SINGLE. FAMILY DWELLING
SFD-LOT 49 PLAN E2R - PERMIT DOES NOT INCLUDE BLOCK WALL OR
POOL. 75% PLAN CHECK FEE REDUCTIO -14 FOR MULTIPLE ISSUANCE OF
SAME PLAN TYPE.
CUSTOM CONSTRUCTION 2,924.00 SF
PORCHIPATIO 235.00 SF
GARAGE/CARPORT (SF) 9,212.00
ESTIMATED COST OF CONSTRUCTION_
449,117.10
PERMIT FEE SUMMARY
t��` - —1-1
CONSTRUCTION FEE 101-000-418-000 $1,133.00
PLAN CHECK FEE 101-000-439-318 $232.24
^= _'
MECHANICAL FEE. 101.000-421-000 $130,50
_
ELECTRICAL FEE 101-000-420-000 $169.24
PLUMBING FEE 101-000-419-000 $175.75
STRONG MOTION FEE - RESID 101-000-241-000 $24.01
GRADI'NG FEE 101-000-423-000 $20,00
DEVELOPER IMPACT FEE $1,907.00
ART IN PUBLIC PLACES - RESIE 701.000-255-000 $100,29
SUB -TOTAL CONSTRUCTION AND PLAN CHECK
$3,892.03
LESS PRE -PAID FEES
$0.00
TOTAL PERMIT FEES DUE NOW
$3,892,03
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
I INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs/
Z�/'
Underground Ducts
Forms & Footings
f�
Ducts
Slab Grade
=3—
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
j//t,_j—���� �'
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
OOLS-SPAS
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 I
I
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
_.2 / isa 4_5
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
)� /�
Pool Cover
Sewer Connection
/ (Q–
Encapsulation
Gas Piping
Gas Test
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
Utility Notice (Perm)
_
08/21/2001 12:05 7607711841 SPARKS CONSTRUCTION PAGE 01
G
(o `
CITY OF LA QUINTA
GF�aF
Owner BUILDING & SAFETY DEPARTMENT
�r 777-7012
fa INSPECTION REQUEST LINE
I { 777-7153
SPARKS CONSTRUCTI
Contractor SPARKS CONSTRUCTION
hermit Number 0008-077
POST ON JOB IN CONSPICUOUS PLACE
INSPECTORMU§RiA��,}�pPLIWSPA ES
JOB ADDRESS
SFD-LOT49 PLAN E2R-PERMIT DOES NOT
INCLUDE BLOCS; 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
G 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 ASOVE AS BEEN -SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
ELECTRICAL
pLUM81NG
FI NAL GAS TEST
Hr •TING -.A/C,
I 3E NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
0
Certificatedf Occupancy
0
City of La Quinta -
Building and Safety Department � `
avmEo
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: 79-775 RANCHO LA QUINTA DR
ll
Use Classification: SFD Bldg. Permit No.: 0008-077
Occupancy Group: R3 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
POST IN A CONSPICUOUS PLACE