9601-149 (SATT)t , LICENSED CONTRACTOR DECLARATION
,I her ,by 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 full force and effect. 07407=i a 71'31/97
License #/ / Lic. Class Exp .Date'_1
Date /.ti;- Signatureof Contractor
OWNER -BUILDER DECLARATIONY
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 secti6fi4H&d1ii6t" completed if the permit valuatio09 4$(:'$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,iH should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall foriAwith comply with those provisions,
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 as a vault of this ap�Iiat16n agrees to, & shall, indemnify
& hold harmless the C_ty_of.l6dierYlNellt 8fficers4gents and employees.
2. Any permit issued as a resuR 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 in p.@ction purposes..
jJ
Signature (Owner/Agent)
ALC.
BUILDING PERMIT PERMIT
DATE - . g r .._O
VALUATION LOT TRACT
JOB SITE ADDRESS 48-100 VIA VAL.LAATA
APN 649.380-002
OWNER
CONTRACTOR
SPARKS CONS" CRt dnoN
TJ). DESERT' DE V> LOPMENT LP
l0I ZxnS'Tf N NO.
P,.0.80X 1716
LA QUINTA CA �02253
LA QUINI-A Cly 92253
(6)91)7714941 CBf.,# 2996
,619)771'194'1
DESIGNER/ENGINEER
.PEK.&R K-CR.AM)1.,i,f., INC'
2.3172
USE OF PERMITtil C.3'. fs it`10t A d'AL; °
LAKE, Fr4ZEST, CA 92610 1
RANCHO .LA QUTNTA
CASI`i`AS DUPLEX FLAN B
FEE DESCRIPTION
FEES
CUSTOM CONSTRUCTION 1,967,00.14F
POItCLUP'ATIO S
GARACOCARPORT 447.00 Sr!
WUMATED COST OF CONSTRUCTION
465A2.50
1`°t"Ei..MIT FEE :iU109'11ARY
P1riW CHECK fE�
CaNsIrp,.K tiON.k - 101-000-418.000 �U70: 0
cif C'Tlt� "CGAY.:17-01 101.•-000-421-1700 $75.00
ELECTEtiCAL E1.r 101-000=42040) $144.29
t?1;tJIV-S'rNG.FW-1 10170W -419 -OW � t sn, flfa
$TONGN10TION111 LIE RESM 100-000-241-000
GRADIN0 EE 101 -•OW -423-000 ;804.+10
INFIZAS-I.RVO.'URF,IT- iR, 2.25-000.443-342 516;14.79
ART, W PUBLIC P.LAC.&S - RESI , 7()1-000-255-000 $162.96
SUB-'I'aI'AI., COAf`°l.."RLX•'I70N,ANr) PL.A,N CHECTy.
SS5,795,O�1
LESS PRE -PAID FE." 7S
$0.00
170TAL PE, RmA leen S .AA E N108v
$5,795.04
FEB 14 1996 bi
�By
RECEIPT- AIE�
BV
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
POOLS - SPAS
BLOCKWALL APPROVALS
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 OSI.
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
COMMENTS:
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
d
Final
Utility Notice (Perm)
Ao'F );5
#OF.
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
777-7012
$;TION REQUEST LINE
U, 1144'�gqqq 777-7153
Owner 4%ESE1�T DEVELOPMENT LP
ContractorSg 7CONSTRUCTION
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
'48-100 VIA VALLARTA
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 ABOVE HAS BEEN -SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO 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 L
INSULATION
PRE -ROOF
i ,. 4
COVER NO WORK UNTIL ABOVE HAS BEEN GNIEP
DRYWALL INTERIOR
EXTERIOR LATH -
POOL PRE PLASTER
L ENCE & GATE
SEWE0 SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
H EATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
- ABOVE APPROVALS DO NOT INCLUDE RIGHT TO ,
1/95 TURN ON UTILITIES OR OCCUPY BUILDING