14673 (CONR)KO. BOX 1504
Building 79-355 Calscada o Circle [0-495 CALLS TAMPICO
Address LA OUINTA, CALIFORNIA 92253
Owner T.D: Desert Development
Mailing '
Address P.O. BOX 1716
City - Zip
La .Quinta, CA 12253
Contractor
S13arks Construction
�►d
ssBox ''17 16
9711- 19 4 1
Qninta, CA 1-92253 1'-"'771-1941
No. 14673
UILDING: TYPE CONST: OCC: GRP.
.P. Number
Bgal Description
roject Description Storage Shed
State Lic.
City
& Classif. 674074
Lic. # 2996.
Sq. Ft. 1610 No. No. Dw.
Size Stories -Units
Arch., Engr.,
" Designer
New ❑- Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Address
Tel.
City
Zip
State
Llc: #
LICENSED CONTRACTOR'S DECLARATION
I_hereby affirm that I am licensed under provisions of Chapter 9 (commencing with.Sectlon-
711gp) of Division 3 of the Business Professions Code,
and and my license is In full force and
N
SIONATIIRE DATE
OWNER -BUILDER DECLARATION .
I hereby affirm that I am exempt from the'Contractor•s License Law for the following
Estimated Valuation . Qr 129 00
v �,.
:- reasom..,(Sec.. 7031.5,191usirms .and .Professions -Code: Any- COY or county which requires a
':. permit to construct, alter, improve, demolish, or repair any atructure,. prior to ft Issuance also
requires the. applicant for such permit to rue a algned:starement that he *Is licensed 'pursuant to .
1
PERMIT AMOUNT =
Me provisions of the Contractor's � License Law, Chapter8 (commencing with Section '7000) -of
-
_
Division 3 of tips Business and Pr6Vsslons Cade, or Mat. hew exempt thsrehom, and the basis
for the alleged exemption. Any vlohe8on or Section 7031.5 by 'any applicant for a permit.
Plan Cflk. Dep.
subjects die sppucant to it Chu penalty of not more'Man five hundred dollars (6500).
Plan Chk. Bal.
O'.I, as owner of the,property, or my employees with mages as their sole compensation, will
do the work, and,the structure Is not.lntended or offered for sale. (Sec.. 7044, Bulsness and
COrISf.. '
Professions Code., The Contractoes'Limme. Law does'not apply to an owner of property who
bullda or improves thereoniaod who does such work himself or through his own employees,
Mech.
provided Mat .such improvements. am nor intended or offered for sale. H, however, the building
or improvement Is sold within one year of completion; Me owner -builder will have,the.burden
_ _ .00
Electrical -' ��
of proving Met he did not bund or inphove for the purpose of sale.)
('��
❑ 1, as owner of the properly, am.exclusively contracting with licensed contractors to con-
Plumbing 15.00
struct the project. (Sec. 7044, Busbass and -Professions Code: The contractors License Law
does.not.aWWY to an,owner of�pMperty who br/IWe or improves thereon, and who contracts for
S.M.I. .45
• such projects•wuh a contractor(s) Pcensecipursuant to the Contractors License Lew.)
-
Grading
❑" I error exempt under Sec B. b P.C.'for this reason
-
Driveway Enc.
Date owner,
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent. to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CEIMFICATE OF EXEMPTION FROM .REMARKS
+&I eca tv ill
• WORKERS' COMPENSATION INSURANCE
(This . section need not be completed If Me permit Is for one hundred dollars IS 100) 'valuation
or lose.)_
1 certify that in the performance of the work for which this permit is Issued, 1, shall not
employ arty ppeerson in any manner so as to become subject to the Workers' Compensation
Laws of Califomla
_
Date Owner
NOTICE TO APPLICANT: h after makhg this Certificate of Exemption you should become
ZONE: BY.:
subject to the Workers' Companaadoe provlelorms of Me Labor Code. You must forthwith
- - -- -
oanWywith such provisions orOft pemashall bedeamedrevoked
Minimum Setback Distances.
Front Setback from Center Line
Rear Setbacki from Rear Prop. Line-
wARNING:FAILURE,TO SECURE WORKERS' COMPENSATION COVERAGE, IS UNLAWFUL, AND
$ide'StreetSetbackfromCent@r ne
SHALL, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND. CIVIL FINES UP TO ONE
HUNDRED THOUSAND.DOLLARS.($100,000); IN ADDITION TO THE COST OF COMPENSATION,
Side Setback from Property,y,
DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
'This is a building permit when'properly filled out signed and validated and is subject to
a
FINAL DATE INSPE
expiration if work thereunder.is suspended for 180 days. • - . _ - ( P 7
I certify that I have read this application and state that the above intormatlon Is correct Issuedby:' Dater ft'rT1'
011
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-. )1
mentioned property for inspectlonpurposes. Validated bv: 1
Signature of applicant Date
Mailing Address
Cfty, state, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT,
BONDING
YARD.SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. I SO. FT.
GAS,(ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not.to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:'
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. F7. RESID ® 1+A c
SEWAGE DISPOSAL
SO.FT.GAR ® 34c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB.,FEE
STRUCTURE PLUMBING - ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS,(ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
RADING
cu. yd.
$ plus x$
_$
LUMBER GR.
F INSP. ` )
FRAMING
FINAL INSP.
ROOFING
REMARKS:'
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTIO i
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL