9601-143 (SATT)LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with
Sectio: 7000) of Division 3 of the Business and Professionals Code, and my
License islin full force and effect. o74074,
License #, ., Lic. Class r -` ExP Date
Date-�'shf_//,V6 SignatureofC,ontractor.'
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 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 sect'IgpjQggdlrlot pe completed if the permit valuatior1_1919$1,Q0.00 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 agree4hatnif`I should become
subject to the workers' compensation provisions,of Section 3700 of the Labor
Code, I shall forth/w�,ith comply with.those provisions.
Date: A.. 7Y,��A Applicant."
p r
Warning: Failure to secure Workers' Compensati�o 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 appI � tioii•,agrees to. &'shall, indemnify
& hold harmless the City,.of;lridi"Welsi/ts�ofrcers; 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 r""iiti7ection,pu poses. f
Signature (Owner/Agent) t L "cam "� Date
ALCM
BUILDING PERMIT
PERMIT�M,,4.3
DATE' III//!C!
VALUATION
LOT L
TRACT 00
JOB SITE ADDRESS 48-070 VU VALLARTA _
APN 049-3WO02
OWNER
CONTRACTOR
SP,AftVS CON!KMIR7101
'1..17, Di-*.sEirc DI <1a'}rI: 0 P M E N T LP
101 tiV.ALSTON BRIDGE RD NO.
P.D. BOX 1716
uv Q[1IPsi'A CA 922$3
LA.(XJ NTA C`A 922-53
(6.19)771-1941 CBL# 291M
(619)771-1941
DESIGNERIENGINEER
PH;,LNRM-CR Al`IDE1.L. INC
236i2 BIRTCHM- DR.
USE OF PERwW Cif, " 9A.N11A Al :AC:
1 . IFOARAT CA 916,10 413Vi..i
RANCHO L.A QUINTA
CASITAS .DUPL EX. PLAN B
.n
FEE DESCRIPTION f``
FEES
L`t.►5'ICUi�l Gf)Ia1S'1'l�,t-'•i'.T!(7l� L,'�61.OIJ 1,3
PORCIVPATT.4 240.00 SF
GAR.IW&CARPORT 447.00 SF
ESsT'IMAT ED COST +(517 Ct3NSTR•6JG"I'XON
1.65,1112.50
PERMIT FEE 8VNIMARY
PLAN 04W11K 17-03 $71.3.98
.e i'RU1::'110,14 FU 101-000-4.18`000 $zFi IU.Si
GflANICAi., FEE 101- 00-4221.3110 $75.00
F1ECTRICAL, FTI -13 201-011214' U-ti�fU ia.t.
Fj 't. NiB tNO'r FP; 101-000419-000 S t 5t f,Ofl
` TONC M01 ONFEE -11`1 SID 100-000-24-000 $166
GRAWN0F3:S 101-000-423-•000 ` $20,00
[ iRt AS'f'RUCTVRk FEIr 225 -OW -443-342 53.444.79
ART IN L't1!ILIC N A.(;ES -, F831P, 70 -f7W255-WO 5116.2.96
aUSTMAL f CT.I'ST IR:UCTION ANDPI LAN CI lFat;ia
�5,795.(J4
LESS PRE -PAID FEES
x+0.00
1.AL :!'ER141:ff VIBES i)VE J:\`OW
r
$.V95.04
j FEB 14 7,996
I
'DATE
RECEIPT
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
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 I
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:
.c�a
_ s_ Y-j`� 6TY OF LA OUINTA
�...' `"'S BUILDING & SAFETY DEPARTMENT
C 1 777-7012
V
r_SPECTION REQUEST LINE
777-7153
?yA�irE QE
Owner
T.D. DESERT DEVELOPMENT LP
Contractor SPARKS CONSTRUCTION
9601-143
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
.48-070 VIA VAILLARTA
JOB ADDRESS
SFA LOT 2 PLAN B
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL -
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVIEHAS B EN,.SJIGNED
CONCRETE SLAB
JOISTS & GIRDERS
_ELECTRICAL GROUND WORK
" w
O NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
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 SIGIOD
DRYWALL INTERIOR
EXTERIOR LATH (. /
POOL PRE PLASTER
NCE & GATE
EWER,6EPTIC TANK AVAV
FINALS
ELECTRICAL —
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP;,OWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT'TO
1/95 TURN ON UTILITIES OR OCCUPY BUILDING