15581 (SATT)44
P.O. BOX 1504
78-495 CALLE TAMPICO
Address 48-225 via Vallarta LA QUINTA, CALIFORNIA 92253
Owner T.D. Desert eve onment
Construction
Mailing
Address P.O. Box 1716
City Zip
La Quinta, 92253
Contractor C?Ti: TCr€t lul oX t'
Sparks Construe viola,
Address
P.D. Box 3716
No. 15581
BUILDING: TYPE CONST. eVIN OCC: GRP. R3
A.P. Number 649-380-001
1
1Tel. Lot •1 Tract 27535
(619)771-1941 Legal Description
nagerA "Ca.sitas" Duplex Plan B
Project Description p
Inc,
Rand -no La Qinta:
_1a Quinta, CA 922-73 {619)771-13.41
State Lic.' City
& Classif. B 674074 Lic. # 2996..
Arch., Engr,
Designer . PeJcarek Cr'.9Tadell Inc.
A TV7.2' �Birtcher brume (e7 141837-9050
City lZip State
Lake Porest, FA 92630 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy affirm thZ I am;licensed under provisions of Chapter 9 (commencing with,Section
7000) of Divlsidn 3 of tW Business and Professions Code, and my license is in fullforce and
effectf� f t.•fi�•^'
SIGNATURE 7 •+L. DATE
OWNER -BUILDER DECLARATION
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, demolish, or repair any structure, * pdor 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 Contractors 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).
❑ 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 improves 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
of proving that he did not build or improve 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) #tensed 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 1 have a certificate of consent to self -insure, or a certificate of -
Workeo& Compensation Insurance, or a certified copy thereof. (Sec. 3800, -Labor Code.)
PolicyfNo. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished. .
1 -
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 the work for which.this permit is issued,'l shall not
employ any Person in any manner so as to becomesubject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: N, after making this Certificate of Exemption you should' become
subject to the Workers' Compensation provisions or 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,()00), 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 properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 160 days.
I certify that I have read this application andstatethat 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
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setbackfrom Center Line
Side Setback from Property. Line
FINAL DATE_ '�� INSPECTOR 1
Issued by: 'Date /9 -Permit •" ���
Validated by:
v_
Yalidation: �%
Sq. Ft.
Size 19,67
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
r
Estimated Valuation
$165r182.00'
r
PERMIT
AMOUNT
Plan Chk. Dep:
250.,00
Plan Chk. Bal.
463.98
Const.
870.50
Mech.
75.00
Electrical
141.29 ..
Plumbing
150.00
S.M.I.
16.52
Grading
j
20.00
Driveway Enc.
00
Infrastructure
3,64-4.79
Arts in Public Places
162.96,
TOTAL
5.795.04
5.545.04
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setbackfrom Center Line
Side Setback from Property. Line
FINAL DATE_ '�� INSPECTOR 1
Issued by: 'Date /9 -Permit •" ���
Validated by:
v_
Yalidation: �%
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1S `'
1ST FL. SO. FT. q $
UNITS
ROUGH PLUMB.
2ND FL. SO. FT. @'
HEATING (ROUGH) STORAGE TANK
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
REINF. STEEL
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
SERVICE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
/�j
IN /l/ ;f
`( r L /
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GARDEN WALL FINAL
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE IPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
BACK `
G OUND PLUMB�I6;/j5�
UNDERGROUND
A.C. UNIT COLL. AREA
SLAB GRADE ��31
ROUGH PLUMB.
BONDING
HEATING (ROUGH) STORAGE TANK
FORMS
SEWS OR § pm t Jr s
ROUGH WIRING
DUCT WORK ROCK STORAGE
FOUND. REINF.
1
ZAS (ROUGH/�Q5
J
METER LOOP
HEATING (FINAL) OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
OgFINAL INS -�-V
BOND BEAM
WATER SYSTEM
060�"WAL INSP. 111Y95
GRADING
cu. yd.
$ plus x$ _$
LUMBER GR.
Vk RAMING i f V `�!INAL
/�j
IN /l/ ;f
`( r L /
OFING q — �' .�
�� /)
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING `
MESH
I SULATIONISOUND
FINISH GRADING
FINAL INSPECTION—//'
!`
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL