13557 (SFD)•4 f�Vtilll�
P.O. BOX 1504 No. 13557
" + *78-105 CALLE ESTADO
Building 4i; �:Jl ir_'t3 G Lc=�t a Address LA QUINTA, CALIFORNIA 92253
Owner
�i be er4 Dew-,1a,)vter u i . z' . R3
■..[tt„� „ ' - ���; ` L J.L i�T ]BUILDING: TYPE CONST. �` OCC. GRP.
Address P.O. Lox 1716 A.P. Number
City Zip Tel.
iyu1.-A<<�, C; �s ?7.i =i1 Legal Description
4 Contractor Co.nL truct Lori Manage
30� kr , GCji?�ti?ZG �Ciil� '`1f'•
Ad,4ess
City r t r
ip Tel.
Lw ta, C 9'1225 3 (61 9, 771•--19.
State Lic. B 674074 City ?996
& Classif. Lic. #
Arch., Engr., Rca_7e3'# 1Jamb 4art A?':r:hit-ectS
Designer
Addr ss i r T411 5)9 E 4 26
C�f� Zip State
%n Francisco, . .,a1 941J i Lic. # y.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70001 of Division 3 of the Business and Professions Code, and my license is in full force and
ettecf. -
-SIGNA
T 1R DAff
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) 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 live 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, Bussness 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. (See, 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) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. -EL & 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
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Np. Company
❑ 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 fess.)
T cartify that in the performance of thg work for wNcft 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 Ibis Cerriflcale of ExampOon you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this prrrmif shalt be deomed revoked,
CONSTRUCTION LENDING AGENCY
I hereby affirm Thal there is a construction lending agency for the performance of the
work for which this permit is issued. (Sac. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thefeunder is suspended for 180 days.
I certify that I have read this application and staie that the above information le 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
Lot 74 Tract 27340
rrJ 1� h 1 `ir
Project Description
Rancho La
. r.t11— an
Qua :at
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
'177rU3.00
PERMIT
AMOUNT
Plan Chk. De.p,
Plan Chk. Bal.
Const
Mech.
Electrical
153.71.
Plumbing
1 a G. p G
S.M.I.
x�.c
Grading
20.00
Driveway Eno,
a 01
Infrastructure
4, f, 0 A . 12
TOTAL
6 3- - . 0 9
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
I
FINAL DATE INSPECTOR
Issued by: Date Permit
r.f � }
Validated by: a o
Validation: 94
i
CONSTRUCTION
1ST FL.
SO. FT. @
2ND FL.
SQ. FT.
POR.
SQ. FT.
GAR.
SQ. FT.
CAR P.
SQ. FT.
WALL
SQ. FT.
SO. FT.
ESTIMATED CONSTRUCTION VALUATION
NOTE: Not to be used as
property tax valuat
MECHANICF
VENT SYSTEM FAN
EVAP.COOL
APPLIANCE
FURNACE UNIT WALL FLOOR
AIR HANDLING UNIT
ABSORPTION SYSTEM
COMPRESSOR
HP
HEATING SYSTEM
FORCED
BOILER
B.T.U.
MAX. HEATER OUTPUT, B.T.U.
PERMIT FEE
DBL TOTAL FEES
STRUCTURE
SETBACK
SLAB GRADE
FORMS
FOUND. REINF
REINF. STEEL
GROUT
BOND BEAM
LUMBER GR.
FRAMING
ROOFING
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
$
UNITS
YARD SPKLR SYSTEM
IMOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
FLOOR DRAIN
ion
LL FEES
WATER SOFTENER
HOOD
SIGN
WASHER(AUTO)(DISH)
DRYER
GARBAGE DISPOSAL
SUSPENDED
LAUNDRY TRAY
KITCHEN SINK
CFM
B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
POLE, TEMIPERM
LAVATORY
3RAVITY
AMPERES SERV ENT
SHOWER
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
MICRO FEE MECH.FEE
PL.CK.FEE CONST. FEE
ELECT. FEE
SMI FEE
PLUMB.
FEE
PLUMBING
GROUND PLUMBING
ROUGH PLUMB.
SEWER OR SEPTIC TANK
GAS (ROUGH)
GAS (FINAL)
WATER HEATER
WATER SYSTEM
FINAL INSP.
ELECTRICAL
UNDERGROUND
BONDING
ROUGH WIRING
METER LOOP
TEMP. POLE
SERVICE
HEATING & AIR COND.
A.C. UNIT
HEATING (ROUGH)
DUCT WORK
HEATING (FINAL)
FINAL INSP.
GRADING
FINAL INSP cu. yd.
$ plus x$
REMARKS:
SOLAR
COLL.AREA
STORAGE TANK
ROCKSTORAGE
OTHER APP./EQUIP.
GARDEN WALL FINAL
CITY OF LA QU I NTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
24-HOUR NOTICE FOR INSPECTIONS
IrYU� 777-7153
Owner ' T.D. Desert Development
Contractor Sparks Construction Inc.
Permit Number 13557
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 48-440 Via Solana
SFD Lot 74
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING `
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
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
(J-! G
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
G
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR _ r
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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