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9601-135 (SATT)LICENSED CONTRACTOR DECLARATION I hereby affirm 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 fulHorce and effect. 674074 a 7131197 license #" . /. I Lic. Class Exp. Date Date c //_47/_T Signatureof Contractor �' --J OWNER -BUILDER DECLARATION I hereby affirm 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 0-foject (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner flT. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: A ( ) I have and will maintain a certificate of consent to self -insure for workers' s '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 sect9pjnggdkr qg .¢p completed if the permit valuatioPyslf99$_1,00.00 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. S'6 ti n 3700 of, tKe1'or Code, I shall forthwjth comply with thosei6vi�,qns. Warning: Failure to secure Workers' Compensation 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 asea resynof,this�applica ,4agreos to, & shall, indemnify & hold harmless the City•offndtan-9Netis,�ts officers, agents and employees. ^4' 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 ply pF'oa-s. Signature (Owner/Agent) ii � Date, /K ALC ' BUILDING PERMIT PERMITS . DATE 1/17196 VALUATION S_](���, %ijj LOT 2 TRACT a'/I{ji JOB SITE ADDRESS4 )SO VtA "%f kLLAR f� APN 649-330.002 OWNER CONTRACTOR SPARKS Cc,)NS"r UCITON I.U. DESEWr DEVET.,O1'MlaINT LP kilt 'L' ALST ON BRIDGE RD NO. P.O. Box V16 i LA acjf.N`r'A CA 92253 LAQUI'NTA CA 02253 (;619)771.1:941 (619)771-194i ;DESIGNER/ENGINEER KZIFLAFFKA KNO M.. INC. 2216 72 B HZ71 1 IMA DR. USE OF PERwtjh �: LJ4' ,Kt. M I Y 1VITACHED , T. A'%p is , g'1' 1-. A 07.!„4-1(714 447-1 kANCH0 LA QUIN'T'A CASITAS DUPLEX PT AN A ' FEE DESCRIPTION FEES CusTON1,,C0Ns'4'iWC1'IOId' 1,77200.L PORC.TI/P'ATI(3 200.00 SI? 6ARAGEICARPORT 467.00 SIS EIS'TJMA'TE,D COST 00 CONSTRUCT ION 14(6199._10 MAN "iEr.:K FEM, $664.79 CONS"I'P.0 rIONTF03 1151-000-41$-000 "04.00 M13CNANICAL F'I;i 301-000-421-000 $68.50 CLEG"I'WCAL FEE 10140-42245-0(l0 $1332Z PLIA1+IFiING C .101-000-41-9-000 $156.00 :;rONCia`1i(i'.`ION1*i� i'it."iT3 140-90®r241-00{1 $14.62 Ok'' AWNGM :101-000-423x000 $20.00 1NJF'R.AS'I RUC"1 1-J" PEE 225-000.443-342 $3,229.44 ,ART JN PUBLIC PLACES - REM, 701-000-255-0100 $11S,48 SUB -TOTAL CONS"1`ItUC"f'ION AND 1.1LAN CHECK .$5.205.55 PIM -.P. -AID FEES x+0.00 F0LESS FEB 1996 1 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 Wali 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 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 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 Utility Notice (Perm) COMMENTS: kT26 4 a� _ s CITY OF LA QUINTA �„a, - °,.;; �!",Qw�1if> AG & SAFETY DEPARTMENT 777-7012 FEB 16 19NSPECTION REQUEST LINE 777-7153 Owner ,-."I nFPT T.D. DESERT DEVELOPMENT Contractor SPARKS CONSTRUCTION 9601-135 Permit Number POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES . 48-050 VIA VALLARTA JOB ADDRESS SFA PLANA TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL / MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE DO NOT POUR CONCRETE UNTIL A66ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELE TRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS B EN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST ! - 6 HEATING & VENT - A/C FIREPLACE ROOF 7-77 BOND BEAM O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION PRE -ROOF - ,Z ' �__ COVER NO WORK UNTIL ABOYY, HAS gfEbI SIGNED DRYWALL INTERIOR Z — EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK FINALS ELECTRICAL PLUMING FINAL GAS TEST HEATING - A/C HOW: E NUMBERS JOB COMPLETED TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO 1/95 TURN ON UTILITIES OR OCCUPY BUILDING