0003-309 (BLCK)U)
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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
693699 B HIC �� 7 06;31/20(
J,eDate f 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). r
( ) 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 Policy No.
STATE F13ND W-00-0006973
(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 if I should become
subject to the workers' compensation.p"rovisions of Section 3700 of the Labor
Co e, Iahall forthwith comply with,those provisions.
e: , l C r Applicant—
Warning:
pplicant 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 benefit-work
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
thea above-mentioned property>for,,inspection purrp�ossees.
Signature (Owner/Agent ��` A'D— ! •+�^` " Date/
7.BUILDING PERMIT
OT PERMIT6I0O3-30yVALUATION TRACT
$4,1.25.00 29 LSd2)
JOB SITE APN
ADDRESS 7"60 BIG FIORIY TRAIL - -
OWNER CONTRACTOR/DESIGNER/ENGINEER
NUNISTRELLI-PAINTED C01a, IN& A:fINISTRFLLI-PAINTED COVE, INC.
74785 HNVY I i 1 SIT 105 ' 747/85 HWY i I I SFE i0_5
INDIAN WELLS CA 92210 N/1DniA�J NV9ELLS CA 954) x2210 2
USE OF PERMIT
d
1615 L.F.G(H) GARDEN WALL- PER 01100 STANDARD
6 FT. WALL
163.00 LF
.ES'I"V,L%TED COST OI' CONS'I'1' UCTION 3,5.25.90
IFIbT EEE SUMMARY
CONSTIiUCTION'Z+EE 101-000-418-000 $72,t)0
91 ftp-TCrrAq, i:.`O'NS-TRI f ION AND PLAN CHH 1K x r� X10
LESS PRE-PALD 1,EE'S $0.1411)
TOTAL PERMIT FEES DUE NOIVEr 5"/2.00
RECEIPT DATE ��BY� DATE FINALED INSPECTOR
L,
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
OX to Wrap
F.A.U.
Framing
Insulation
Compressor
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
—(>a
Main Drain
Bond Beam
—Z2– 0-0
_
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
Pictures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 11/4/99
No. 19550
CERTIFICATE OF COMPLIANCE
APN # 769-550-023
Jurisdiction La Quinta
Owner NameMinistrelli-Painted Cove, Inc. Permit #
No. 79-060 Street Bighorn Trail Log #
City La Quinta Zip 92253 Study Area
Tract # Lot # 9 Square Footage 1
Type of Development SFR Mitigation
Comments
Aandfathered - 3073 sq. ft.
No. of Units 1
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:
Under Mitigation Agreement
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Mitigation Agreement 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/1 st Community Bank/Ministrelli - Kevin Peters TeleFhone 7,76-4450
Name on the check r -
r
By Dr. Doris Wilson -
Superintendent
Fee collected /exempted by Juanita Green
Signature
Payment Received $628.00
Check No. 089422
NOTICE: Pursuant of Astionbly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run f the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
360-1866
DATE: October 8, 1999
LOA CALCUL_ ATIONS
SUBMITTED TO: M.rNIS.TRELLI CONSTRUCTIOy
74-785 HIGHWAY 111, SUITE 105
TNDATN.WELLS; CA. 92210
JOB: PANTED COVE LA. QUINTA — LOT 29
PLAN 11.
79060 BIG HORN TRAIL
LA QUINTA., CA.
Lic. #760740
**exzzxx�cwezzzzx**wnstzzx�tie.►w$zxaxx,cent*zzzz*x**w»zzzzxacwwsaxx:x**aw*�exzz
GENERAL LIGHTING, SQ_ FT. (3073 X 3)
9,219
APPLIANCE CIRCUITS
3,000
LAUNDRY CIRCUIT
1,500
DRYER
4,500
OVENS
4,000
COOK TOP
1,5.00
TRASH COMPACTOR
1,200
DISHWASHER
1,200
DISPOSAL
800
MICROWAVL
.1,500
EXTRA IMOWN CIRCUITS
3'000
POOL EQUIPMENT
6,000
TOTAL. LIGHTING LOAD
37,419
FIRST 10 KW AT 100 %
REMAINDER AT 40 %
.AJC 10 TONS X 2000 PER TONS
40,968 TOTAL LOAD / 240 VOLTS =
REQUIRED SERVICE SIM
10,000
10,968
20,000
171, AMP LOAD
200 AMP SERVICE
77-734 Country Club Dr., Ste. K - Palm Desert, CA 92211-0473 FAX 772-6998
1e-08-99 10:04 TO:PAINTED COVE LQ FROM: PO4
PUBLIC WORKS CLEARANCE LETTER
FOR
CUSTOM HOME LOTS
Dear Builder:
Prior to issuance of a building permit, ' you will be required to obtain clearance from the
Public Works Department for one, or more, of the following:
1. Verification that rough grading is complete, and the pad elevation certifications
prepared -by a licensed surveyor, or engineer, are on file in the Public Works
Department.
2: Verification that infrastructure improvements and other required tract -improvements
are complete, or sufficiently advanced to warrant building permit issuance. .
1
3. Prepare an engineered grading plan that provides for on -lot storm water_ retention,
and have it checked and approved by the Public Works Department.
• Tract 26524 (Estancias)
• Tract 26769 (Mountain View Estates)
4. Prepare an engineered grading plan that provides for building pad grading in
accordance with the existing soils report and tract grading plan, and have it
checked and approved by the Public Works Department.
• Tract 28034 (South Valley Estates)
FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT
TRACT: P-5 112—c7
LOT: `� 1 ,
PUBLIC WORKS AUTHORak
F:%PWDEPIVDOCS%FORMS%PW CLEARANCE LETTER."
ti
COMMENTS: I
k, . m
STRUCTURAL ENGINEERS &
October 20th, 1999
MINISTRELLI CONSTRUCTION CO.
50-445 Mountain Shadow
La Quinta, CA 92253.
ATTN: Kevan Peters
I n c. '
CONSUL TANTS
RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 11 B -Lot 29 to be built in
La Quinta for MINISTRELLI CONSTRUCTION CO. (ESI/FME 997-8246 / BBG 124-1200)
Dear Mr. Peters:
We have reviewed the calculations and layouts by SPATES FABRICATORS and.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.
In addition at your request, Our Office will provide field observation for the above mentioned
project.
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,
1921 E. CARNEGIE AVE., UNIT 3-J, SANTA ANA, CA 92705 • Ph. (949) 261-1811 / FAX (949) 261-8506