9707-135 (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. Dat
Date Signature of Contractor'
„a
OWNER -BUILDER DECLARATION
N�
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.
ti,U:. :['i,NID
Ibi.410 X
(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 bee m6'e subject to the
workers' compensation laws of California, and agree�fhat if I shf�Gd become
subject to tpE wo ers' compensation pr vls'ons�ofOSection 3701.2f the Labor
Code, �Ailfo�r awitfi omply with those prq�is ons.
'✓Date: ADDlicant
Warning: Failure to secure Workers' Compensatio6 coverage 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 r�res ntatives of this City to enter upon.
above mentioned propertr�irS pection,purposes.
zthe
(OwnedAgent)
•-�` `�” Dat
r
PERMIT # CONTROL #
%% BUILDING PERMIT :�>,: z., 5683
DATE/; � VALUATION 431691 ()x;
.;9.AMLOT C►! TRACTJOB
SITE
ADDRESS 79-S641 Vtk ��}%��L�5.D.1e
APN
OWNER
CONTRACTOR/DESIGNER/ENGINEER
W1' Ei: V i: IT) PA
SPARKS, C;'CJi'dR�i`K('�`iit iN
PO j3(1X 1719
702ti.•5 RiMIX) TLA QLAW ;:'A 0X_
f.tl C,9C) 1W1:A CA 422 %
1,A (.T1 ANIA (.'.rA 9211'A
060)771-1941 f3T,## 2140�j
USE OF PERMIT
kJ) - V � TAUVA. Pi.Aiv V2. Aic IN +' %i.la. P1,Ai ES a f&,O f OJ"
$174.1, + kftk A(3R� ,,*h4FN'I° Wr f ��.3xYI: vv '13.fiVI* Pf. A;N Ck EC9
11Fri1fCV0 AV 7910 f'at M.W.`l'I.KC friSt.ff OF kILXC+1't17k.
v,Rt4.tAD S
PUSTI IA. ltil i..�J-../T OF 4pMt.MS}-RMC 110,
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VJRsltbvft.f Yk-11 i:XONi.tss :3itii'
�:'(�NSf ti�::f'7tj%Flt�i I{)i�t7tJI?'4l -f)Qf1SW4, 9)
PLAN (If fzt"1 f -TR 11W #l:t
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11.a..(a`1V Pt'it 1t�#-fit}i� .) :� teff NIZA) -311
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f?Y:.A�1.�J<3'� 1tS1-��xl)-�f2:H�th� $•�isti►
ART IN KY14LIre: Pi AC�EN - RJESW 713HAlX)41%%_10 k) V7.4.1S
p ART IN PT i1VJ(7 K V w S - R''?=_i1, 70!-0t}(1511—W ,l -1
PAID .ESS J'ORTC VAID F Mei
1" 1.1
AUG 2 8 1997 1111r,% IsFAMI FFY'S 00PNOW
$5,270.49
CITY OFIA 0UINTA
RECEIPT
DATEBY
DATE FINALED
INSPECTOR
INSPECTION RECORD
�W
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Slab Grade
Ducts
Return Air
Steel
Combustion Air
Roof Deck
_
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
191 - °j v
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
—(� -
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPRO ALS
Gas Test
Electric Final
Waste Lines
44
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
_/0 -
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
Utility Notice (Perm)
COMMENTS:
5/6/981
CITY OF LA QUINTA 1.
INSPECTION SUMMARY REPORT
Permit Number ' 9707-135
Site Address 78-860 VIA MELODIA
Rereference Number
Site City
Location of Project .
Date Applied for 7/25/97
Date Approved
Owner Name ';'D 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 $169,659
79295 RANCHO LA QUINTA DR.
Fees 5,444.64
LA QUINTA CA .92253
Description of Permit SFD - VENTANA PLAN V2. ART IN PUBLIC PLACES CREDIT OF $174.15 PER AGREEMENT W/
COM. DEV. DEPT.PLAN CHECK FEE REDUCED BY 75% FOR MULTIPLE ISSUE OF SAME PLAN
TYPE.
INSPECTIONS.
SCHEDULED OR COMPLETED
Scheduled Completed
Date Date Time
Inspection Type Inspection Result Inspectors Comments
12/31/97 12/31/97
135 -ROOF PASS
1/21/98 1/21/98
B7 -WRAP PASS
1/26/98 1/26/98
B8 -FRAME PASS
2/12/98 2/12/98
139-INSUL PASS
2/18/98 2/18/98
C1 -LATH PASS
2/20/98 2/20/98
3/10/98 3/10/98
CO-DWN PASS
B21 -G -TEST PASS
3/26/98 3/26/98
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 03
qu
`OF LA QUINTA
•. `. SIJIM NG SAFETY DEPARTMENT
ti ma012.
GrECiION REQUEST LINE
t�N m.»s3
Owner
T.D. DESERT DEVLOPMENT
Conbaclor SPAYt1CSS:ONsT
P«mit NAS/ 9707-135
POST ON JOB IN CONSPICUOUS PLACE
'INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOS ADDRESS 79-860 VIA MELODIA
TYPE OF INSPECTION DATE INSP.
FOUNDATION A SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM .17 17 .(
GROUND PLUMBING �
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL 40OVd HAS 8 ENJJ GNEO
CONCRETE SLAB
JOISTS A GIRDERS
ELECTRICAL GROUND WORK
'DO NOT POUR.CONCAETE UNTIL ALL ABOVE HAS BEEN SIGNED
AOUGH ELECTRIC
' t ROUGH PLUMBING
ROUGH GAS A GAS TEST ' -
HEATING A VENT - A/C
FIREPLACE
ROOF
BOND BEAM
1 O.K. TO WRAP. T ,,
GROUT 0 4' O S'
-.FRAMING
INSULATION
PRE -ROOF.
' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- DRYWALL" INTERIOR ,
EXTERIOR LATH _ v
- POOL PRE PLASTER
i FENCE A GATE
FINALS
r ELECTRICAL
i PLUMBING
FINAL GAS TEST -
HEATING • AIC
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING