15589 (SATT)4 %i��l`LICV.
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 48--105 Via Vallarta LA QUINTA, CALIFORNIA 92253
V WIICId ib♦ MS.V`iwib Y4 YG'ii V�iYi-..DSV.
c/O. Sparks Construction
Mailing
Address P.U. Box 1716
City Zip Tel.
La Quinta; CA 92253 (619)771-194.1
Contractor 'l:onsLrucLi on k#iai' ager
Construction, ction, Inc,
Address
P.O. Box 1716
City Zip TI
La Quinta, CA 92253 (91991771-.1941
State Lic. City
& Classif. B 674074 Lic. # 2996
Arch., Engr.,
Designer Pekarek Crandell Inc.
A2502" iia Baer Drive 17l14)837-9050
City Zip State
Lake Forest, 9 630 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) -of Division 3 of-thdBusiness and Professions Code, and my license is in full force'and,-
effect -S ."
SIGNATURE 777. T,.r`1r, yr,Yr ce- DATE
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec.,. 7031.5,Business and Professions Code: Any city or county which requires .a
Permit to construct, after, Improve, demolish, or repairany structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by -any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or Inproves thereon and who does such work himself or through his own employees,
provided that such Improvements are not intended or offered for sale. If, however, the building
or Improvement is sold within one year of completion, the owner -builder will have the burden
or proving that he did not build or improve for the purpose o1 sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does notapply to ar owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s). pcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
til opy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) vahration
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
=any person in any manner so as to become subject to the Workers' Compensation
laws of California.
Date Owner
NOTICE TO APPLICANT: lf, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permlt shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($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.
This is a building permit when property filled out, signed and validated, and is sutject to
expiration it work thereunder is suspended for 180 days
I certify that I have read this application and state that the above information is correct
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives .of this city to enter the above-:
mentioned property for inspection purposes.
Signature of applicant— Date
Mailing Address
City, State, Zip
No. 15586
BUILDING: TYPE CONST. 7" OCC. GRP. R3
iA.P. Number 649-380-001
,Legal Description Lot 3 Tract 27835
Project Description E -:7A "CaSita sN DUFlex Plan A
Rancho La Quin.ta
Sq. Ft. No. No. Dw.
Size 172.5 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $146,192..00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
664.29
Const.
804.00
Mech.
68.50
Electrical
133.22
Plumbing
156.00
S.M.I.
14.62
Grading
20-.00
Driveway Enc.
,;v?
Infrastructure
229.44
3,229.44
A,rta in Public Places 115.48
TOTAL
5,205.55
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Proerty Line
FINAL DATE INSPECTOR'�,�
J
Issued by:
Validated by:rv6
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
LAB GRADE
2ND FL. SO. FT. p
'BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
S (ROUGH)//� . J245
V O�
DRAINAGE PIPING
WALL SO. FT.
OTHER APP.IEOUIP.
DRINKING FOUNTAIN.
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
/y
AMING q� �- 4�
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
r6
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
W_LATHING 6 6
SO.FT.GAR ® V4c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
OUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB GRADE
ROUGH PLUMB.
'BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWE OR SEPTIC TA• K5 l
ROUGH WIRING
DUCT WORK
ROCK STORAGE
OUND. REINF. •� (
P`
S (ROUGH)//� . J245
V O�
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL) .
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
RADING
cu. yd.
$, plus x$
-$
LUMBER GR.
AL INSP.
/y
AMING q� �- 4�
n
F NAL INSP /. !�
0OOFING
r6
/�y.
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
W_LATHING 6 6
MESH
I ISULATION/SOUND �C
J
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL