12858 (SFD)P.O. BOX 1504
Building 48-300 Via Solana 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner T.D. Deaert Development L.P.
Address p,0. Box 1,716
City Zip Tel.
La Quints, CP 92253 (6191771-1941
Contractor Uonstruction manager
.Construction, Inc.
Address
P.O. Box 1716
Cite. l. Quinta. - ZIP 92253 Te(619) 771--194
State Lic. B $740.74 City 2996
#
Arch., Engr.,
Designer Robert iii Hart Architects
,ZdTysC
al1,.f+;3rnia Street TA15)986-4260
City Zip State
San Francisco,, CA 94111 Lic. # C2711
LICENSED CONTRACTOR'S DECLARATION
I Hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
X,feri+ii:°S `". /_-7•?rT,I�.Y +f-.. ict 7.;;•4� „zcg� cJ�trSr n.`.as.a <..fj
SIGNATURE Wp� 'is' -J Ya -'-'-~ 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, , prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis
for the alleged exemption. Any violation or 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 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
orimprovement 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 contractors) licensed 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
OeCopy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be ccmpleted 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 any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate or 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender'sName
Lender's Address
This is a building permit when properly filled 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 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. 12858
LDING: TYPE CONST.'- OCC: GRP.
P. Number
Description Lot 81 Tra ct 27849
Project Description SFD Ranchp Plan 2040
Rancho La f„ $rota .
Sq. Ft. No.
Size 2057 Stories
New ❑ Add ❑ Alter ❑
No. Dw.
Units
Repair ❑ Demolition ❑
Estimated valuation $166,909.00.
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk'. Bal.
723.67
Const.
874.00
Mech.
68.513 i
Electrical
146.52`
Plumbing
1.80.00
S.M.I.
16.69 -
Grading
20.00
Driveway Enc.
. 00 ...
Infrastructure
3,655.50
Arts in Public Places
157.27
TOTAL
5,652+15
REMARKS
ZONE: BY:
Minimum SetbacktDistances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from -Property Line
FINAL DATE
Issued by:
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINFEES ;
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
~'
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
WALL SO. FT. ®
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plus x$
=$
UR:NAL
SO. FT. ®
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN _
_ MECHANICAL FEES -`
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRYTRAY
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
14
�K'G�VSTRUGTION PAGE Q2
i
CITY Iw LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMEN'
MyMAUUM BUILDING DIVISION
24-HOUR NOTICE FOR PECTIONS
BAR 481994 777-7153
Owrw •_T_.,p,- Desert Development L.P.
Conga, Sparks Construction,• N
Pw ilo Nuw"r 12858 1 .
POST ON JOB INC NSPICUOUS PLACE
INSPECTOR MU T SIGN ALL APPLICABLE SPACES
J09 ADDRESS
i
TYPE OF INSPECTION I DATE I INSP.
FOUNDATION & SETBACK
FOOTING STEEL L
MAIN GROUND SYSTEM
GROUND PLUMBING
PRF-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNI
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNI
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS A GAS TEST c
HEATING & VENT - NC
FIREPLACE
BOND BEAM
O -K, TO WRAP
GROUT ❑ 4' ❑ B'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEPJ SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & {SATE
BEWI=R SEPTIC TANK -/ � /
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
'
J013 COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUrE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
r
use • — -