9609-033 (SFD)P.O. BOX 1504 TEL 619-777-7012
78-495 CALLE TAMPICO INSPECTION REQUESTS
LA QUINTA, CALIFORNIA 92253 619-777-7153
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SPECTION RECORD
OPERATION DATE INSPECTOR
BUILDING APPROVALS
Set Backs
Forms & Footings
Slab Grade
Steel
Roof Deck
O.K. to Wrap
Framing
Insulation
Fireplace P.L.
Fireplace T.O.
Party Wall Insulation
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
OPERATION DATE INSPECTOR
MECHANICAL APPROVALS
Underground Ducts
Ducts
Retum Air
Combustion Air
Exhaust Fans
F.A.U.
Compressor
Vents
Grills
Fans & Controls
Condensate Lines
Final
Final
I
J
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
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
z21_74�712
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Encapsulation
Gas Piping
Gas Test
Appliances
_
Final
COMMENTS:
Final
Utii}ty Notice
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
TemD. Use of Power
Fi:tsl
Utility Notice (Perm)
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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
ci7�1i17� 7131!97
Date7+�1 .,—,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 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.
S'PATH 4+ hI NO t371 tf+1 94
(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 provisions of Section�3700 of -the Labor
Code, I shall .forthwith comply with those provisions. F
r i+
Date: _f�`� �'��' �` •'Applicant
Warning: Failure to secure Workers' Compensation -cove rage 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
tfl�j�above-mentioned property fdr'inspection Ourposes.
Signature (Owner/,P�ggnt),, -J � \Dat6� ` � ' -j1',
PERMIT# CONTROL#
/� 41 ;j-1 BUILDING PERMIT 4052
DAT �0 VALUATION $3113,181.49 LOT • 1,0T R TR46T )52, j
CAUNIELUACLE
'1',1:1. DESERT L)VV,l*1A3P%1VN'T LP
P.0 AW1, I. i 16 --
LA, Q1. INrA, CA 92253
'771-1941
APN�-.2.����3:y
CONTRACTOR/DESIGNER/ENGINEER
.?.1"ARiii3OO Fit 1" U IO1.
79295 RANCHO LA QW.N7 A Linc.
1,A QUINIA. CA. 926253
(60)171-1941 CM14 29%
USE OF PERMIT t��St� J> tR ii.-Ct`t+1 NDi' 7.,ie�i
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PLAN a%'11t,1'lf
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frit fk A`t t'1<tic "1 f 1T41i tit is 225,000-41,13-342
$AJ0) 00
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tAWC IN VtWIA.0 VLA4;ES • R"u, Wo /01-00(1.Z5,0(hl
x'012.95
ART I t�iJ.fif.ft."01A(:ES-UPN11', 701-0(9)4_5549)10
_$532-95
l:ii{ 1{ ) gills f'iOC�f?;,1'1, t�(."7'it; N AND PLM t�T-t�:%:1�:.
PRV- .All.f4 '88
TOTAL IT -HIM, IT 111,11M IVEN100.
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
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
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 -C11
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Connection -= L
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
_ CITY OF LA QUINTA
�@, BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
Owner T.D. DESERT DEVELOPMENT
Contractor SPARKS CONSTRUCTION
Permit Number 96G9-0j'3
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-"0 CAR 1EL CIR.ChE
-7S97-0
SFD PLAN 2 LOT 8 I
- !,!,Inns--
TYPE OF INSPECTION
DATE
INSR
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE -GU N ITE
UU NU i POUR CONCRETE UNTIL ALL ABOVE HAS AFFN sir:wFr
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN
SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TESTr
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
Froeb\FENCE & GATE
EWE SEPTIC TANK
1-2
FINALS
ELECTRICAL
l
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
I-G z-
�,
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
1/96 TURN ON UTILITIES OR OCCUPY BUILDING