9708-043 (SFD)LICENSED CONTRACTOR DECLARATION!
I hereby affirm under penalty of perjury 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.
License # Lic. Class Exp. Dat
f
467 13 /
/Date ' Si nature of Contractor J
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury 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: .
Cartier g p Policy No. ! fC
i.11•C�:Y{..��'1„1 :"fLJ' 2>N lff��rTtl
(This section need not be completed if the permit valuation is for $100,00 or less).
() I certify that in the performance 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 ifl�hould become
subject tothe wd"rkers' compensation provlslops of Section 3700 of the/iLabor
Code, I Shall fo hwith comply with those �pv "slons.,✓� _,
u�Date:1 '_applicant
Warning: Failure to
secure Workers' Compesation 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 pursuantto
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, 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 inspecction,purpOSE, /
Signature (Owner/Age to ) Z'1/11
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BUILDING PERMIT PERM''9,,,H-
CONTSOL#j�S
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DATE VALUATION $173, e.;.00 LOT 92 TRACT 25
28/57' . . .
JOB ADDRESS 8•") 0'IL�. `�' lt;1�e`�,t NA
APN h- .�1�► {�G
OWNER
CONTRACTOR/DESIGNER/ENGINEER
'$':I? DEE ,PRI EV a TD P.A.
STSIV11,1 CS CON9111E_7c"! ,01111
1110 WX lit:
79; 95 RANCHO LA OUNTA 17ii
LA t 2t„f}INTA C:.A. 9 l
LA AA!'i A C A 92453
(7607'X3'.. 9.11 CULLA 2996 .
USE OF PERMIT
CIAR&AXAR KAR'f 718M -3F
;F.;S i INUT Edi C
,r',%)N�rrR1J0.J4JN 606 10141%-418-000
E ct i�},iia'1dh L,SJ
111.41h1BING FN, I:t13AW-+' 19,000
Y;t���U�g(�rt+^r'�11;�ft.,14)r'�l1� �fli-CtOrV► ��#1-1?�!(i X17 `��
<I�a}..�47,tC t":�L: 3 t?.i �`�tii?��3�'3, "� 3�•i#t3
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$5,88toz
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RECEIPT
is
DATE -
BY
DATE FINALED
INSPECTOR
r
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
BLOCKWALL APPROVALS
POOLS - SPAS
steer.,
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 f
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
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)
COMMENTS:
3/31/98
CITY OF LA QUINTA
INSPECTION SUMMARY REPORT
Permit -Number. 9708-043
Site Address 78-940 VIA VENTANA
Rereference Number
Site City
Location of Project
Date Applied for 8/7/97
Date Approved
Owner Name TD DESERT DEV LTD PA
Date Issued 8/28/97
PO BOX 719
Date Finaled 3/30/98 , .
LA QUINTA CA 92253 -
Date Expired
Contractor Name SPARKS CONSTRUCTION
Valuation $173,225
.79295 RANCHO LA QUINTA DR
Fees' 6,063.98
= " LA QUINTA CA 92253
Description of Permit SFD - VENTANA PLAN Vi -3E. ARTS IN PUBLIC PLACES CREDIT OF $183.06 PER AGREEMENT
W/ COM: DEV. DEPT.
INSPECTIONS
SCHEDULED, OR COMPLETED
Scheduled Completed
Date Date Time
Inspection Type Inspection Result Inspectors Comments
12/15/97 ' 12/15/97
BS -ROOF, PASS'
12/30/97 12/30/97,
37 -WRAP PASS
1/12/98 1/12/98
B8 -FRAME PASS -
1/16/98 1/16/98
" B9-INSUL -PASS '
1/29/98 1/29/98
CO-DWN `` PASS
1/29/98 1/29/98
C1 -LATH PASS
2/25/98 2/25/98
321 -G -TEST: .._ PASS ;
2/27/98 2/27/98
DO E FINAL PASS
3/30/98 3/30/98
DI -G -FINAL PASS
3/30/98 3/30/98
D2 -COMP**- i PASS
10 Inspections completed.
r
03/301/1998. 11:47 .619-771-1841, SPARKS CONSTRUCTION PAGE 02
T:CITY OF.LA QUONTA
G & SAFETY DEPARTMENT
0� INSPECTION REQUEST LINE '
X99' 7"41S3Ownw
.;
DEW
0MDEV,LTD,PA'Cu3
%ov" etor CO�NS
p
PIN JO® IPI CONSPICUOUS PLACE
IN5PECTOR.MUST SIGNrALL:APPUCABLE SPACES
x
JOS AOQRESS ' *940'VIA VENTANA ,
SIM PLAN V1 -3E TRACT 25134
a' TYPE.OF INSPECTION D47E INSP.
FOUNDATION A SETBACK
f n FOOTING STEEL
r
4 -MAIN GROUND SYSTEM 1
' GROUND PLUMING L +
r ' , PRE-GUNITE �.
' * h 00 NOT POUR - r
O CONCRETE UNTIL AL OV AS BE IGNED
CONCRETE SLAB Z
7OISTBS.GIRDERS-
" x 4
-ELECTRICAL GROUND WORK , r _
ti': E«� DO NOT POUR CONCRETE' UNTIL,ACL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC' w
. `• ROUGH PLUM81NG
ROUGH GAS & GAS TEST
x HEATING A VENT •'q/G
t FIREPLACE A I
ROOF y
-,BOND BEAM t
O.K. TO WRAP ,
GROUT. C 4' A' r
1 �> FRAMING —.
INSULATION+
`^«q,PRE-ROOF I
COVER NO WORK UNTIL ASO VE HAS BEEN SIGNED "
m DRYWALL INTERIOR i
EXTERIOR CATH
. '+I POOL PRE PLASTER' '
a 4, . FENCE A GATE
' lJSEWSR,SEPTIC TANK
FINALS
ELECTRICAL'
PLUMBING _ i v , •.
` FINAI
HEATING • A/C - , t +
HOUSE NUMBERS
JOS COMPLETED
y ,.. TEMP POWER
Kr '•ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN•ON UTILITIES OR OCCUPY BUILDING