13664 (SFD)13,
Building
Address
P.O. BOX 1504
79-165 Big Horn Trail 78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Miniutralli Construction
II Mailing
Address 50-445 Mountain Shadows
City Zip Tel.
La Quinta, CA CF253 1 (619) 564-1649
Contractor
Al Durrett Construction
Address
$.t):<"t 3371
ciPalm Desert, 'A 92261 T (619)564-3673
State Lic. B 451035 City 1463
& Classif. Lic. #
Arch., Engr:,
Designer : Brian DeCostEer
AdYT!'5:31'7 11ahara Road Tel.
CityState
Rancho kirageZip CA 92270 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
'1 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 rile 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 five hundred dollars ($500).
I ❑ I, as owner of the property, or my employees with wages as their sole compensation, will
I do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
i, 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
I ior 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. (Sec. 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.)
i
i ❑ 1 am exempt under Sec. B. & P.C. for this reason
I
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I 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 No. 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 less.)
I certify that in the performance of thg 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: If, after making this Certificate of Exemption you should become
subject„ to .the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 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 thereunder is suspended for 180 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 laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned proferty for inspection purposes.
Signa ore of applicant Date-
Mailing
ate Mailing Address
City, State, Zip
c.�
i
No. 13664
)ILDING: TYPE CONST. VN OCC: GRP. R3
P. Number 769--550-013
al Description
Project Description
Lot 20 Traci 25429
m
ZONE: BY:
Minimum Setback Distances: ,� f
Front Setback from Center Line (y
Rear Setback from Rear Prop. Line V
Side Street Setback from Center Line
Side Setback from Property Line_
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation:
Permit
4
X
Sq. Ft. 2990
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Permit dues
not include block
walls
or pool.
Estimated Valuation
$188x349+04
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
546.20
Const.
951.00
Mech.
102.50
Electrical
188.43
Plumbing
0
174.00
.S.M.I.
18.83
Grading
20.0
Driveway Enc.
.00
Infrastructure
4,100.21
arta in Public Places
`220.87
Arts in P b
e -&r-+ fa crp+cii4%
220.€ 7
TOTAL
6,351.17,�
REMARKS iat-3
Public Pc i5Fs tees
credited to
account Deer hareement between
ZONE: BY:
Minimum Setback Distances: ,� f
Front Setback from Center Line (y
Rear Setback from Rear Prop. Line V
Side Street Setback from Center Line
Side Setback from Property Line_
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation:
Permit
4
X
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
OL
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. Q
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP. SO. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
SQ FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. a c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE 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 APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
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 SIGNATURESIINITIALS
GARDEN WALL FINAL
sa �
CITY OF LA OUINTA
fR0,M `y DEPARTMENT OF PLANNING & DEVELOPMENT
. BUILDING ION
24-HOUR NOTICE FOR,, ,I�r1r�Q �p�
777-715SUIP i'tl��
CONCRETES
JOISTS 8 GIRD RS
ELECTRICAL GNQUND WORK,-'
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST - 6
HEATING & VENT - A/C
FIREPLACE
ROOF G
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' O 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL. INTERIOR L
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 8 GATE
SEWER SEPTIC TANK.
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS A_ O
JOB COMPLETED 1 !/ 'rL 1.40-
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
w
aRAIA �Ijyfl
Owner_ Ministrelli. Constr
Contractor Al Durrett
Construction
Permit Number 13664
POST ON JOB IN COF48PICUOUS
PLACE. ---
INSPECTOR MUST SIGN ALL
APPLICABLE SPACES
JOB ADDRESS 79-165
Biot• Horri Trail
SFD Permit does hot
include block walls
or pool.
TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL
r'
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
CONCRETES
JOISTS 8 GIRD RS
ELECTRICAL GNQUND WORK,-'
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST - 6
HEATING & VENT - A/C
FIREPLACE
ROOF G
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' O 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL. INTERIOR L
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 8 GATE
SEWER SEPTIC TANK.
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS A_ O
JOB COMPLETED 1 !/ 'rL 1.40-
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
w
--- C: 1�- t. . 0 V 1AAA Qty-tAtVlk
Contractor Al Durrett Construction Addrend 50-445 Mountain Shadows Rd.
Owner Ministrelli Construction Co. fob AddrOig 79.-140 Coyote Creek - Lot 43
This form shall be posted on Cho jbb with the Ruildihq thtlppation card at all time" in a
conspicuous placoi It th the rohponsibility bf the General Contractor or the owner/Builder
to monitor the hub-contractoro that hrli do thio list are the bhme portlono performing the
i work, Any changes of thio libt muht be Apprbved by the City bf La Quinta Department of
Building and Shfety prior to work being performed by A chdhged hub-bontractor. Failure Cc
comply will result in a atbppago bf work and/dr the vdidahed of building permit.
TRADE
SUB -CONTRACTOR NAME
CONTRACTOR'S
LICENSE NO,
WoltkMAN COMP,
NO. ON FILE
CITY BUSINESS
LICENSE NO.
GRADE/
EXCAVATE
Emery Landclearing
800283
WP9245452007
PIPELINES
N/A
CEMENT/
FOUNDATIONS
G.M. Flynn Concrete
422226
NWC24962700
CEMENT/WALKS
& DRIVES.
G.M. Flynn Concr.e.te.
422226
NWC24962700
ASPHALT
N/A
FRAMING
Shipps Construction
546793046-93un*t0002
753
STEEL/
STRUCTURAL
Whites Steel & Supply
477294
5544959
MASONRY
Pinson Brothers
547897
1344300-93
PLUMBING
Charles Scicii Plumbing
598056
229-93 unit000
1524
LATHING
Pinson Brothers
547897
1344300-93
DRYWALL
Mike Keefe Drywall
610288
1242967-93
PLASTERING
Pinson Brothers
547897
1344300-93
HVAC
Kermit Larby Air &Sheet metal
382403
1061894-93
ELECTRICAL
Southwest Electric Co.
651489
1322776-93
ROOFING
Pro tech Roofing
615515
.1242399-93
SHEET METAL
Kermit Larby Sheet Metal
382403
1061894-93
FLOORS
N / A
GLASS/
GLAZING
Midwest Enterprises
C17-673097-
1322065-93
INSULATION
Roarer Insulation
381234
PC947941
SEWAGE DISP
N/A
PAINTING/
DECORATING
Thomas Bower Painting
457885
NWCO247836-0
TILE
Cortima Co.
384950
PWC246233-00
CABINETS/
INSTALLATION
Dian Cabinets
632122
W937009388
ORNAMENTAL
METAL
N / A
FENCES/
BLOCK WALLS
Pinson Brothers
547897
1.344300-93
LANDSCAPING
Farris Landscaping
548707
1210203-93
OTHERS
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 6/13/94 Type of Permit I Palm Desert
No. 112882 Permit #
Log
Owner Name Ministrelli Construction Company, Inc.
No. 79-165 Street Big Horn Trail
City Palm Desert Zip 92260 Study Area 117
APN # Tract # 125429 Lot # 20 Square Footage 1
Type of Development Pre -Agreement No. of units
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:
Under Mitigation Agreement
This certifies that school facility fees imposed pursuant to Mitigation Agreement
in the amount of 628.00 x10 or $ 628.00 have been paid to D.S.U.S.D. for
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 .Toe P. Ministrelli Telephone (
Name on the check
i�{i, der
By Dolores A. Ballesteros
Superintendent -=
R � J
f M<
Fee collected /exempted by Elizabeth Roper
Payment Received ~
Signature Chec'kfVos 1827
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