SFD (9802-034)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. Date
r;
.Date `• Signature of Contractor • - • -
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.
( j I have and will maintain workers' compensation insurance, as required by
Sdciion 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:
Carrier Policy No.
(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
Wor,4rs' compensation laws of California, and agree that if I, should become
sybject to the workers' compensation provisions of Section 3700 of the Labor
Geode, I shall forthwith comply with those provisions.
t
Vib
ate: =" ! Applicant t
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,0()0, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
•construction, and hereby authorize representatives of this City to enter upon
t e above-mentioned property for inspection purposes.
ignature (Owner/Agent)� Date
BUILDING PERMIT PERMIT
°°NTR°`#
DATE VALUATION S217.1421.80 LOT TRACT ,912
INIO !�i'ii�.��rw. 4d WjkN.S
APN
iota- :K$L-1�13.Z
ADDRESS .s9.1'1i;
OWNER
CONTRACTOR /DESIGNER /ENGINEER
'MyN'tcU EL(tP1IN/ fICOW,W.
?4yISM'i.0
1 ♦ [ �y
�4)= i xicA'itY13" uk4 i3..iZX.�i.�kvs w)
3d',44 5 M U+�N�lAW �t-�tUX)WS RD
t,h�.tftN NTA i'A 921,1-3
3Ac;1U3Nfrik
CA. %*?"
USE OF PERMIT
0)',MV tNTTy OF V%t'`i'
TRAr 1• GCiNSi%'f.}i71"iCW 3,6(;7.00 sF MA
51998
lsORC`f1rPA.'3'1i;1 51"
04TY
LAQW 1A
E3'd'I14If6Ti .l(3 CMT Of, C0NS711ttIC"13ON
2'27.(422.8;)
Prf"M1T ef"It+::+;iC3i1+A3L9riiitl[
.F9Yk, I3f3.'tJSI'I" 1U1 00(1-�?3J-�ifi --5�?�+!f,tu>
Ni AN C'1WIC K FRI 10f 000 4 9»31� nS�g 14
1'0N3TRV(T,1'j0N frf.'sI IQi•4'Uf1 �3�1 000 °wj?tgy:�7U
&..I1:.L:}1ANICA1, FEE, 103 -Wt -0-42I_000 blt�y.l�
E01,''('TR1(7AL 0.3 3.01-000420-M) 5.39
i't;ttlEiht t?FwF In) -f)Ci -411•) 000 00
S3`RONL ,XII T10;i4 IVEE a 13E�S.LC1 101-000-241 090 1 1,11,
C RiWiNQ FEE 11 3 G(fit-,{2a-UuU �z;f.�lif
1%i1lt�lSl. t(1� £t�kF f:`l!h' 225-i)00-49,1.3-.4`' 1,R4i11.76
AWI i'N Pi.tt•+t,ir° )1t,.1c_FS . R..F,�;1; 529416
,m m Pliu1,1C' E'i.Ykooli, - Ram 70.1-000-255-000
1Tr�)��t�' »1t CJC'�'il1N AIME) PLAN (111_10K$�_S70.13
LESS PRE -RAID FEES
$5-;'i.56
TOTAL VVRJ%1f'f P1,;'1'PS:I)IJIe.NOW
57.01.5.57
r r�7
RECEIPT
DATE
BY'
DATE FINALED
INSPECTOR
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
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
OX 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
f
Final
Utility Notice (Perm)
COMMENTS:
Desert Sands Unified School District
Notice:, '82-879 Highway 111. -
1ndio; CA 92201
Document Cannot Be Duplicated 619-775-3500 f.
k> '
CERTIFICATE OF COMPLIANCE
Date 3/4/98 APN # 769-542-002
No. 16689 Jurisdiction La Quinta
Owner NameMinistrelli-Painted Cove, Inc., f Permit
lvo• 50085 Street Mountain Shadows t Log #
CityLa Quinta zip' 92253 Study Area
Tract # Lot #' Square Footage 1 ;
Type of Development Single Family Residence No. of Units 1
Comments
At the ,present time, the Desert Sands" Unified School District does not collect fees on garages/carports, covered,,
patios/walkways, residential additions under 500 square feet; detached accessory structures or replacement mobilehomes.
It has been determined the above-named owner is exempt, from paying school fees at this time: due to the following -
reason: '
EXEMPTION NOT -APPLICABLE
This `certifies that school facility fees imposed pursuani to Government Code 53080 in the amount of
628.00 X 1 or $ 628.00 the property listed above and that building .
permits and/or Certificates of Occupancy for this'square footage in this proposed project may now be issued
Fees Paid By CC/First Community Bank/Kevin Peters ' Telephone 564-1849
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Rosita Jones Payment Received. '$628.00
/ Check No. 077209
Signa ur -
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date ori which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
tolled them on the District('s)(s') behaH; whichever is earlier.
Collector:'•Attach a copy of county or city plan.check'application yform to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
- C-irandfatheredY
At the ,present time, the Desert Sands" Unified School District does not collect fees on garages/carports, covered,,
patios/walkways, residential additions under 500 square feet; detached accessory structures or replacement mobilehomes.
It has been determined the above-named owner is exempt, from paying school fees at this time: due to the following -
reason: '
EXEMPTION NOT -APPLICABLE
This `certifies that school facility fees imposed pursuani to Government Code 53080 in the amount of
628.00 X 1 or $ 628.00 the property listed above and that building .
permits and/or Certificates of Occupancy for this'square footage in this proposed project may now be issued
Fees Paid By CC/First Community Bank/Kevin Peters ' Telephone 564-1849
Name on the check
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Rosita Jones Payment Received. '$628.00
/ Check No. 077209
Signa ur -
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date ori which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
tolled them on the District('s)(s') behaH; whichever is earlier.
Collector:'•Attach a copy of county or city plan.check'application yform to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
1.� r-3zl
$ _ 'CITY OF LA QUINTA
OF ,UILDING & SAFETY DEPARTMENT
777-7012
-� &eDj%INSPECTION REQUEST LINE
777-7153
OwnerTRELLI-PAINTED COVE INC
. Cont MINISTRF..LLT-PATNTFn COW INC
Permit Number 9802-034
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR. -MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 50-085 MOUNTAIN SHADOWS
SFD - PERMIT DOES NOT INCLUDE BLOCK
i
WALLS OR POOL
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL _ -
MAIN GROUND SYSTEM
GROUND PLUMBING -�-
PRE-GUNITE '
i
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 i
1.
ROUGH GAS & GAS TEST
HEATING & VENT -A/C j
FIREPLACE
ROOF !� .
BOND BEAM i
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGN D
DRYWALL INTERIOR-
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
I
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
It
S `
POST IN A CONSPICUOUS PLACE
}00,
t
i
t
1
t
i
i
r
��- _ �,• . � �- Certificate0
INCORVORAM
of -Occu anc .
ry � �oF-� Building- &Safety Department _
a y
This Certificate is issued pursuant to the requirements of Section 109 'of the California Building
Code, certifying that, at the time of' issuance, this structure was in compliance .with the
E � provisions of the Building Code and the various ordinances of the City regulating .building'.. _
`construction and/or use... - • ` ., , . � • M1 _ _ • ; , .. _ R ; . ' ' ; �
- _ BUILDING ADDRESS: 50-085 MOUNTAIN SHADOWS ROAD, •'
Use classification:.SINGLE FAMILY DWELLING - - • ,Building Permit No.: 9802-034 .
Occupancy Group: R3 - Type of Construction: VN Land Use Zone: RL
' Owner of Building: MINISTRELLI PAINTED COVE,INC Address: 30-085 MOUNTAIN SHADOWS
. City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND -
- - Date: MARCH 9, 1998
� Building Official,
t
ti
ESI/FME; Inc.
STRUCTURAL ENGINEERS & CONSUL TANTS
MEMO LETTER
MEMO LETTER NO.: 98-3-3
PROJECT' "Painted Cove - Plan 3A -:Lot 02/La Quinta" DATE MAR 03, 1998
LOCATION: La Quinta, California PROJECT NO: 194-6225
DEVELOPER: MINISTRELLI CONSTRUCTION,-0100CLIENT NO :BBG 124
FILE NO : 62215M023
ARCHITECT BBG ARCHITECTS, INC. SHEET NO 1 OF 1
REGARDING : 1) PLAN 3y- LOT 02: REVISIONS DUE TO SPRUCE PINE FIR ROOF TRUSSES
MAUFACTURED BY SPATES FABRICATORS.
ITEM
1 The following revisions are required due to Spruce Pine Fir roof truss,Ls
manufactured by Spates .Fabricators for the above mentioned project :
.a. Rear of Kitchen: The Simpson A35 spacingindetail E1/SD3.changes from
16 inches 6. c. to 8 inches o. c.;,
b. Rear of MBR: The Simpson H1 spacing in detail G1/SD3 changes from
48 inches o.d.- to 24 inches o.c.;
c. Rear of Kitchen at BR4 option: The Simpson ST6224 in detail J1/SD3 changes
to Simpson ST6236 strapping the drag trusses together.
Thank you for bringing this matter to our attention. If you. have any questions,
please do not hesitate to give us a call.
ISSUED BY: COPIES TO:
ESI / F M E INC. (3) MINISTRELLI CONSTRUCTION
STRUCTURAL ENGINEERS Attn: Ken Schmale
11) BBG ARCHITECTS, INC.
sy T
BY; ����p:4��, Attn: Jim Deford t •
for
1921 E.. CARNEGIE AVE., UNIT 3-J, SANTA ANA, 'CA 92705 Ph. ( 714) 261 - 1811 / FAX ( 714) 261-8506
ESI/FME,.Inc.
,STRUCTURAL ENGINEERS & -CONSULTANTS
March 3rd, 1998
MINISTRELLI CONSTRUCTION CO.
50-445 Mountain Shadow
La Quinta, CA 92253
ATTN: Ken Schmale r
ISE Roof Truss Calculations and Layouts *on "PAINTED COVE" ,.Plan 3 -Lot 02 to be built in .
La Quinta for MINISTRELLI CONSTRUCTION CO. (ESI/FME 194-6225 / BBG 12470100)
Dear Mr. Schmale:
We have reviewed the calculations and layouts by SPATES. FABRICATORS and they appear
to comply with the requirements of our. calculations and prepared plans.
The review of these drawings does not relieve the contractor from compliance with the
drawings and specifications. This check is only for review of general conformance with the
design concept of the project and general compliance with .the information given in the contract
documents. The contractor is responsible for confirming and correlating all quantities and
dimensions, selecting fabrication process and techniques of construction, coordinating his
work with that of other trades, and performing his work in a safe and satisfactory manner.
Thank you for your attention to this matter. Please do not hesitate to contact us if we can be
of further assistance to you on this project.
Sincerely,
ESI/FM E,Inc.
1921 E. CARNEGIE AVE:, UNIT 3-J, SANTA ANA, CA 92705 ° Ph. '( 714) 261 - 1811 / FAX ( 714) 261-8506