9707-134 (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 # Lic. Class Exp. Date
,,�� " 6743 13 7J L.
a,Date / n 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.
(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 Ywokers' compensation provisions of Section 3700 ofAh Labor
CodesFfall fWithcomply with those provisions.
Date: Applicant
Warning: Failure to secure Workers' Compensation 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
the above-mentioned property for inspection pr?rposes.
f
VSignature (Owner/Agerit) `— Date J�`�
V
PERMIT# CONTROL#
BUILDING PERMIT 4707-134
DATE60 VALUATION 51,87,,492.40 LOT 96 TRACT 25 ,y
7
JOB SITE -h
ADDRESS 73-390 VIA IN0,11,d001A
APN c
eta=•.11.) }-1���`!
OWNER
CONTRACTOR
) �./ (��! tt �` 77'r�.ryry l` ++
TD PI�f �`lE:�rT, Or , I'M 111A
[[/��DESSIIGGNE,R/ENGIN[yEEEgR yy 7
STAR 1KN l-r..°t IS TP413a...i10 ]N
PO BOX i 19
79295 KANCHO 'LA Q(.Tldd'1`.t1. P&
L.A. QUINr.A CA 92253
LA j; UINVA, CA 0,2243
(760)771A9411 94; V141.# 29
USE OF PERMIT
TIN PU
SM - VO4-4 ANA K -AN V:3 -A. MR 7A!JC10-Uk1_T3CRED1T0F
$;1,9.21 PER A.62Md+~1fWf WI COM, I)KV.1-)W . 111,AJ4 (,FH C K nm.
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C04911RUCT1014. RM 1,01 -0w -418 -ow M411 50
fjt, ANr s1rk' Mr . ?f)6..(' ,1)-A 1, $771 Yl
:iti,il�A L�\.L`! �.r.r.F1Aa 11:l..tii j ifr F "1.i J V'•�s'. A "i�1J'ii �V' +i, �+1
t;:l,#iM 1C A1. FEE
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101'830_42310W
anti RA •1`P2t3C7`L4tr: il% 225_W14W3_,;42
Akl' (At jai+t LJC` PP.AC'1i.'3 - Rt-u%T'; 701-000-255.,000 S»1Qr V
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PAI, WK)TA.A. C0NS71Z,1KvrK.)N AND PIAN ("TH TK
07
r,r.r.�•e
AUG 2 8 1997
'3'L�'�'1' L �'ilr$tAI TT'I''jNMS OUR NOW
�f—Wit.l 6
�°.
V I 0-a1pp OAF LA QU I i �B YTA
RECEIPT
a'
DATE
BY ""'
DATE FINALED
INSPECTOR
r
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 / - L
Exhaust Fans
0. K. to Wrap 9
F.A.U.
Framing — (6
Compressor
Insulation .0
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steet-
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 Piaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
-Gas Piping
Gas Test
Appliances
Final
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 T X Z4t
Utility Notice (Perm) 3 - -
COMMENTS: -
5/6/98
CITY OF LA QUINTA 1
INSPECTION-. SUMMARY REPORT
Permit Number 9707-134
Site Address 78-880 VIA MELODIA
Rereference Number
Site City
Location of Project.
Date Applied for 7/25/97
Date Approved
Owner Name TD DESERT DEV LTD PA
Date Issued 8/28/97
PO BOX 719
Date Finaled 5/6/98
LA QUINTA CA 92253
Date Expired
Contractor Name SPARKS CONSTRUCTION
Valuation $187,682
79295 RANCHO.LA QUINTA DR.
Fees 6,581.07`
LA QUINTA CA 92253
Description of Permit SFD - VENTANA PLAN V3-R. ART IN PUBLIC PLACES CREDIT.OF $219.21 PER AGREEMENT W/
COM.DEV: DEPT:
PLAN CHECK FEE REDUCED BY 75% FOR MULTIPLE ISSUE OF SAME PLAN
TYPE.
I N S P-E C T
I ON S SCH E D U LED OR COM P L E T E D
Scheduled Completed
Date' Date Time
Inspection Type Inspection Result Inspectors Comments
12/31/97 12/31/97
B5-ROOF PASS
1/16/98 1/16/98
B7-WRAP PASS
1/26/98 1/26/98
B8-FRAME PASS
1/30/98 1/30/98
B9-INSUL PASS
2/9/98 2/9/98
CO-DWN PASS
2/9/98 2/ 9/98
`C1-LATH PASS
3/10/98 3/10/98
B21-G-TEST PASS
3/23/98 3/23/98
DO-E-FINAL ;: PASS
5/6/98 5/6/98
D1-G-FINAL PASS
5/6/98 5/6/98
D2-COMP•# PASS
10 Inspections completed.
05/06/1998 09:08 619-771-1841 SPARKS CONSTRUCTION PAGE 02
OF LA QUINTA
BUILD G 8 SAFETY DEPARTMENT `
777-7012
I SPE ION REQUEST UNE
777.7163
T. ERT DEVLOPMENT,
Conhsotor ARKS CONST
Puld Nu r 9707-134
POST ON J08 IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
J08 78-880 VIA. MELODIA
TYPE OF INSVEcnoN DATE INBO.
FOUNDATION A SETBACK
FOOTING STEEL.
MAIN GROUND SYSTEM
GROUND PLUMBING FEE]
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL #80!&!4S OVAE10NED
CONCRETE SLAG
JOISTS d GIRDERS
00 NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED
ROUGH ELECTRIC
ROUQH PLUMBING
ROUGH GAS d GAS TEST 0,
HEATING a VENT- A/C
FIREPLACE
. ROOF '
BOND BEAM, ,
O.K. TO WRAP
GROUT 0 4' 0 8'
FRAMING
INSULATION "
` F PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EMAIOA LATH - 1
POOL PRE PLASTER
ENCE d GATE
(IMWSF.PTIC TANK
FINALS
ABOVE APPROVALS 00 NOT INCLUDE RnHT TO
TURN ON UTILITIES OR OCCUPY BUILDING