9601-138 (SATT)LICENSED CONTRACTOR DECLARATION
I her liy 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. 674074 a 7N1197
License # % Lic. Class Exp. Date
Date /i;.Ibl/r Signature of Contractor
r OWNER -BUILDER DECLARATIO J
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'I,QplI,g,V;dir1A. -1b„ y completed. if the permit valuatiopjs Jo9$A,e0.00 or less).
O I certify that in the performane 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 l should become
subject to the workers' compensation pVrvisions of Secti6n,3700 of the Labor
Code, I sh�I forthwith comply with those p)ovisions, ► -
Date: flc P r� Applicantf
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 result of this ap li tion agrees to, &shall, indemnify
r.. sE s!
& hold harmless the City%Indian 1J�d►Is�Gts officer5� 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 for inspection purpose
Signature (Owner/Agent) i' Date-,
"`°"
BUILDING
PERMIT
PERMITJ601138
DATE 1/17196
VALUATION 5146. 90.0
LOT
TRACT
JOB SITE ADDRESS48-140 v� `y.�LI U A
APN 649-380-002
OWNER
CONTRACTOR
SP-mli(:s CL>mST widT'ION, -
T.D. DESERT")DEVELOPM?NCLP
101 NV.AL9TION BUDGIE RD NO.'
P.O. BOX 17,16
LA QUINFA CA 92`233 •
LA. QUI'I'A CA 92253
(610771.1941 CBL -4 2906
(019)771'1941
DESIGNERiENGINEER
MWAK-CRAADE L. WC.
23672 B1Xr%;,f9M DR.
USE OF PERMItl UL , FAMILY A11AUREI)
i. -Kp v 1' r.�! r 0A 41AV) 014)WA7_0
R IA'N'CHO LA QCINTA
CAMAS PLAN A
FEE DESCRIPTION
FEES
CUSTOMCONSTii:UC'TION 1,725.(()"L.Y
PORC."ATIQ 7A0.00 SF
GAli.AOVIC;.ARPCiRT 467.00 S
EiT1A1k r r,, D COST Or, CdiN'S'fIPUCTION
146,190.71I
YERMITYMSUMIMARY
PLAN CIFTEC.K:1 d.01-t�?�-A13� 31 fi $Ffi4:29
CONSTRUCTION' FIRE 101-000-418'000 $�RCki.OU
b&CHANICAL RE 101 -000 -42.1 -OW �6tI:5u
L'i,CC`SRIM IFEH 101-000-X420-00 *IxA.22
1'01-000-4,19-000
S'TONG IMOTIOAI FEF - RESID 100-000-241 ~000 314.(2
ORADING r1f4ji.ii3i x(36-42��t300 "�mu,(Q
1N'l�:iiAS'1:,t31.1C"1i72L.FES 225-00044 -342 $3,229,44
it
AR:",(' !]Ni PU8f tG.('L:4C13 RIS51r, 101-M-255-000 "M5.48
I
I CONSTRUCTION ION ANTS PLAN CHECK.
o A LESS PRE -PAID Fill. F5
$5,205.55
$0.00
r. !'AL P EJf MIT.I?,90%9DtdLNOW
FEB 14
0
s -Z0,5,s5
1996
RECEIPT
DATEBY
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 -
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
OX 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
Final
Utility Notice (Perm)
7o
a
� S
_ CITY OF LA QUINTA
`�B � MG & SAFETY DEPARTMENT
~ of ij Lh `t 777-7012
�! INSPECTION REQUEST LINE
FEB 6 I� 777-7153
Owner rT.WC&RT DEVELOPMENT
Contractor'SPARKS CONSTRUCTION
9601-138
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
48-140 VIA VALICARTA
JOB ADDRESS
SFA PLAN A
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING %
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ROVE HAS BEEN I NED
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
BONDBEAM
0. K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION C
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR C _
EXTERIOR LATH
POOL PRE PLASTER
FENCE & GATE
ASEWEIR SEPTIC TANK /
FINALS
r•INAL,UAJ It51
HFATlr1r - A/C
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
1/95 TURN ON UTILITIES OR OCCUPY BUILDING