9606-015 (SFD)N W
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LICENSED CONTRACTOR DECLARATION
kI hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (nommehcing with Section 7000) of Division 3 of the Business and
Prgfessio'nA.Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
B 8/3U96
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).
O I am exempt under Section -, B&P.Q 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 forworkers'
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 isVpViJk4yk*9rh")�pS1npensation insurance are:
Carrier Policy No.
Poll
(This section need not be completed it 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 if I should become
subject to the workers' compensation provisions of Section 3700 of. the Labor
Code, I shall forthwith comply with:those provisions.
Date: Applicant
Warning: Failure to secure Workers' Compensation 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 pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnity
& 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.
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 inspection purposes.
Signature (Owner/Agent) Date
BUILDING PERMIT PERMIT# CONTROL#
9006-40 3683
DATE 7110/96 VALUATION $315,401.20 LOT <i TRq?{ ��y
JOB SITE
APN
ADDRESS 55-77111Clff,RHY HH,.LS
769-62ti-Q622
OWNER
CONTRACTOR / DESIGNER / ENGINEER
I:ICI ARE R c+.'. JOANN'I'3WEST
MIMS' RIA,13-PAIVI`i D COVE,
5:5770 C;HEK.RY HL,S
504115 NIOUN7 :AIN Sl-If1GOWS &D
LA. QUIN'rA CA 922.53
IA QLJINI'A +:`.A Q22153
`t►1�1?51.i!-iRpSf CI31-0- `iti'25
RING
USE OF PERMIT
SINGLE VAtl ILY 1,.?WFILfI' G
%C:*14JRWrE PARK
I12 WN17% CA 512714
SFO ONLY
1'+?ttf'kt+3'r�'Clt s 32-JAKI '
+34\RA1.A9i7.ARP0RT (tim(n) SF
ESTIMATED COST OF Ci3N:iTRUM.ION
3 1:5,401.20
CY:�Ni`f1ZtJ(_`i'l+:yt� 1� tris i (y 1 �tM)0-� I €C-t}ltA . S i,.195.5t)
f'1.AN -WCK HE-% 101-00-. 39-318 5!, i5b.5G
F'F.Fc UEPGSI!' 4730.06
ME( 1ir1t�f1c2r�1,.11 i 10149k-421-000 5137,(901
F.LEC" 1'R1C.M- FFE 101 -WO -420-000 ^ g.Cs(►
(?IAM1037Nt3 FEE 5244.50
STON ; N10110N l:l-t, - RES -11) 101 -000 -241 -WO
GRADING FW, 10I -0W 423-(XJ0
FNI"RA:1TRUGTURF FEE 22.5-=11-443-342 81+.r1tl0.tM
ART IN PUBLIC PLACES • MESH', 701 AM -155.000- 8538.110
SUS-TC:iIAI. CIONS'17RllCTION AND PLAN CIEC K,
S9�iC: m
LESS PRE -PAID FEES
_$750.00
�- �TO-
, , PERMIT FEES I41IJ.F! . NOW
O
JUL 12 1996
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
~' BUILDING APPROVALS
MEC14ANICAL APPROVALS
S%48acks
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Root 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 Llnes
Party Wall Firewall
Exterior lath 4 1/12 4
/;2
Drywall - Int. lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Electric Bond
Footinp
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
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:
Certificate of Occupancy
City of La Quin ta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 55-770 CHERRY HILLS
Use Classification:
SINGLE FAMILY DWELLING
Bldg. Permit No.:
9606-015
Occupancy Group:
R-3. Type of Construction:
VN Land Use Zone:
RL
Owner of Building: RICHARD & JOANNE WEST
Building Official
Address:
55-770 CHERRY HILLS
City:
LA QUINTA, CA., 92253
By:
DANIEL P. CRAWFORD JR
Date:
JANUARY 10, 1997
POST IN A CONSPICUOUS PLACE
Address
City
01-- .
' u
P.O. BOX 1504
<78-105 CALLE ESTADO
LA OUINTA, .CALIFORNIA 92253
& Classit. CEJ 7 1 Lica #
Designer
cf�f"/J /l Z' State
ILic J
LICENSED CONTRACTOR'SVECLARATION,
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
•70pp) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
'SIGNATURE _ DATE
OWNER;SUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code:. Any ;My or county which requires a
peimit to construct, after. 'improve, demolish, of �repalr 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
Ofvfaion 3 of the .Business and Proles8ions Code, or that. he is exempt' therefrom, and the basis
for .the alleged exenlotion. Any violation of Section 7031.5 by 'any ,applicant for a permit
subjects the applicant:to a civilpenalty ofnot more than live hundred dollars: ($500).
D 1, 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, Bulaness and
.Professions Code:. The Contractor's License Law does not apply to an owner ofproperty who
builds or 'reproves thereon and who does. such work himself or through 'Ais- own employees,
provided, that. such improJements are not, intended or offered for sale. if, however, the building
or improvement is sold within one year of completion, .the owner -builder wig have the burden.
!,of proving that he did not build or improve for the.purpose of safe.)
111, 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 Liccens"e Law
does not apply to an owner of property who builds or Improves thereon, and who contracts for
such,projects', with a -contractors) licensed.pursnanf to the Contractor's. License Law.)
17 1 am exempt under Sec: B. & P.C. for this reason
Date. Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I havq a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof.. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. O 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 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.
Date Owner
NOTICE TO APPLICANT: ft; after making this certificate of Exemption you should become
subject to the Workers' Compensation provisions ;of the Labor Code, you must Iddliwfth
complynwith such provisions or this.pen*t shat/,be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work- which this permit is' Issued. (Sec. 3097, 60 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 thereunder is suspended for 190 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 taws 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
BUILDING DIVISION
BUILDING:: TYPE CONST
Number zw-7 —
ml nncnrinfl— /tf�
Project Description
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
PERMIT AMOUNT
Plan Chk. Dep. Q t Q Q
Plan Chk. Bal.
Const.
Mech.
'Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
M_ inimum,Setback Distances:
Front. Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side.Setback from Property Line.
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation'
APPL AliON�NL
�.t
1
I'F'�%T DU
rl
1 OICC. GRP �- -
Project Description
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
PERMIT AMOUNT
Plan Chk. Dep. Q t Q Q
Plan Chk. Bal.
Const.
Mech.
'Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
M_ inimum,Setback Distances:
Front. Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side.Setback from Property Line.
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation'
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES"
1ST FL, SO. FT. $
UNITS
>
2ND FL. 90, FT, Lrq
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. 0
MOBILEHOME SVC.
BAR SINK
GAR. SO: FT. @
POWER OUTLET
ROOF DRAIN$
FOUND. REINF.
GAS (ROUGH)
DRAINAGE PIPING
CAR P. SO. FT. 0
OTHER APPJEQUIP.
REINF. STEEL
WALL $0. FT. @
TEMP. POLE
DRINKING FOUNTAIN
SO, FT. C
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION S
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
=S
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM, S.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. (1y c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID rip 1V. c
SEWAGE DISPOSAL
LATHING
SQ.FT.GAR @ V4c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
INSULATIONISOUND
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FiF7 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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
8 plus xS
=S
LUMBER GR.
FINAL INSP,
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
COACHELLA VALLEY UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE
(Government Code 53080)
Project Name:
Project Address: 55-770 Cherry Hills, La Quinta, CA 9.2253
Project Owner's Name: Richard & Joanne West Phone No.:
Project Description: Single Family Home
Building Type (Check one): Residential xx (Include. No. of Dwellings)
Commercial Industrial
Tract No.: Lot No.:
(If tract, attach Schedule "A" of all lots by tract, square footage for each lot and total.)
Assessor's Parcel No.: 769-6'20-022
(If Schedule "A" is used show Assessor's Parcel No. for each lot.if one exists or Assessor's Parcel No. for parcels before subdivided.)
Total square feet of Building Area: -3,840. Sg . Ft
Certification of Applicant/Owners. The person signing certifies that the above information is correct and makes
this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the
owner/developer.
Dated: Signature:
City/County Certification:
(Signature) Optional
(Title)
lIARRRAIYRRAARRRRRRRRRRRRRRRRAARRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRARRRRRR
SCHOOL DISTRICT REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE
SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING (CIRCLE ONE):
Gov. Code Gov. Code Project Agreement Existing Not subject to fee
53080/65995 65970 Approval prior to 1/1/87 requirement.
Note:
Total Number of Sq./Ft. 3,840
Amount per Sq/Ft. $
Amount Collected $ 7,065.60
School District Oficial :C�we.PA j Im // Title: Asst. Suaerintenden- Administrative Serv.
Date: July 12. 1996 Phone: (619) 399-5137. Eat, 235
Note: AB 2926 and SB 201 fees are capped at $1.84 per square foot for all residential construction, and at $0.30
per square f6ot for commercial/mdusttial projects.
ESI/FME, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
June 12, 1996.
MINISTRELLI CONSTRUCTION
50-445 Mountain Shadows
La Quinta , California 92235
ATTN: Ken Schmale
RE: Roof Truss Calculations and Layouts on " West Residence — Lot 22 " for MINISTRELLI
CONSTRUCTION CO. to be built in La Quinta Ca. (ESI/FME 496-7494)
Dear Ken:
We have reviewed the calculations and layouts by SPATES FABRICATORS for gravity loads
and drag loads, they appear to comply with the requirements of our calculations and 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/FME, Inc.
STRUCTURAL ENGINEERS
By:
Danny Matsumoto, CE33307
for ESI/FME, INC.
1921 EAST CARNEGIE AVENUE, SUITE W • SANTA ANA, CALIFORNIA 92705 • (714),261-1811 • FAX (714) 261-8506
`- HEGGE ELECTRIC CO. 6197756970 P.01
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ElectricalContractors P.O, Box. 1365 La Quinta, Co. -92253
• 619-7.75-6970
MINISTRELLI CONSTRUCTION CO.
50-455 MOUNTAIN SHADOWS
LA QUINTA, CA. 9225.3
5'-22—.96
ELECTRICAL LOAD CALCULATION
3840' @ 3 WATTS PER' ....................... 11,520
GD.................................. a...... 1,500
DW..... ... 1,500
SMALL APPLIANCE(2').................. ....... 3,000
MICRO...................................... 1,500
WASHER........................ ........ 1,500'
DRYER............ ....... ................. 5,000
OVEN.. 89000
COOKTOP.................:.................. 1.500
FAU.(3). ............................... 4,500
POOL.. 3,000
FUTURE .....................•............... 3..000
TOTAL........... ..... 45,520
IST 1OK14 @ 100%,= ........................... 10,000
REMAINDER @ 401— ........................... 1.4,2.08
A/C @ 1.0'0%=.... .... 23,000
TOTAL LOAD.. 47;208
DIVIDE BY 240v= .... ....................... 196.7 AMPS
USE 225 AMP SERVICE