15583 (SATT)4 4v
P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 48-195 Via Vcsllarta LA OUINTA, CALIFORNIA 92253
Uwnera.L. s+ceUVIii,. .ursv e.v+:li>+alL
c/o 'Sparks Construction
Mailing
Address P.O. Box. 2716
City Zip ][Tel.La Quin a, CA 92253 619) 711-1941.
Contractor
IYii9dt�E:'
Sparks Construction, Inc,.
^P.O. Box 1716
City Qui t&, zip 32253
State Lic.
& Classif. B 674074
Arch., Engr.,
Designer Peke' rik >vT,andel
All 102 -8irtcher Drive
}) 771Y-1941
I City
Lic. # 29,96
1 Inc.
(T7114) $37-9058
No. 1.5583
BUILDING: TYPE CONST. IVs` OCC. GRP. R3
A.P. Number
649-380-001
Legal Description Lot 1 Tract 27835
Project Description SFA Odas tas* Duplex Plan A
Rancho La Quina "
Sq. Ft. No. No. Dw.
Size 1725 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Cityip State
Lake Forest# :41A 926530 Lic. #
LICENSED. CONTRACTOR'S DECLARATION
I hereby affirm that harn licensed under provisions of Chapter 9 (commencing withr ection
7000) of Division 3 of the Business and Professions Code, and my license is in fulorceand
fecL r �'
r SIGNATUES9 DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I 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, alter, Improve, demplish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rite 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 of 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 rive hundred dollars ($500).
❑ 1,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 improves thereon and who does such work himself or through his own employees,
provided thatsuch 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
of proving that he did not build or unprove for the purpose of 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 not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) (tcensed 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.)
PolicYPO. Company
D. Copy is filed with the city, ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.) '
I certify that in the performance of thg work for which this permit is issued, I shall not
employ anyparson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Dale Owner
NOTICE TO APPLICANT: n, 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 permit 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 properlyfilled out, signed and validated, and is subject to
expiration if 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 cityand 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
X146,192.
PERMIT
AMOUNT
Plan Chk. Dep.
Distances:
Plan Chk. Bala
664.29
Const.
804.00
Mech.
6 8.5 a
Electrical
13 3. 2 2
Plumbing
1556.00
S.M.I.
14.62
Grading
20.00
Driveway Enc.
pQ
Infrastructure
3,229.44
Arts in Public Placer
115.48
Validation:
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,,Property-Line
R 1
FINAL DATE
!INSPECT
411^
Issued by:
Date -Permit
(1
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. ® $
UNITS
SLGRABADE4'A�-
2ND FL. .SQ. FT.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
/R,AS (ROU METER LOOP
11��GGAS
DRAINAGE PIPING
WALL SQ. FT.
1
DRINKING FOUNTAIN
SQ. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP. /V
FLOOR DRAIN
MECHANICAL FEES
WATER'SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
RAMING G -'�-�.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
0/<� To
- •
-
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
WtL-ATHING ---23—q
SQ.FT.GAR ® V4c
HOUSE SEWER
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
v
OUND PLUM UNDERGROUND
A.C. UNIT
COLL. AREA
SLGRABADE4'A�-
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK,
ROCK STORAGE
FOUND. REINF. (jJ S
!!
/R,AS (ROU METER LOOP
11��GGAS
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
(FINAL) / ` TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP. /V
BOND BEAM
WATER'SYSTEM
GRADING
Cu. yd.
$ —Plus—x$—
_$
LUMBER GR.
AL INSP. . V—
RAMING G -'�-�.
NAL INSP. G/•v/S
ROOFING � -�
0/<� To
- •
-
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
WtL-ATHING ---23—q
MESH
INSULATION/SOUND V/0 / 1 /
FINISH GRADING
NAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL