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9903-089 (BLCK)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am' licensed under provisions of H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and WProfessionals Code, and my License is in full force and effect. O =5 ch License # Lic. Class Exp. Date 6 3r 43 �-W3 V00 Z r- VDate �' i �' I ( Signature Of Contractor f k_r - 0. O J U CID OWNER -BUILDER DECLARATION W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~.d License Law for the following reason: Z ( ) 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). C') () I am exempt under Section , B&P.C. for this reason LO N Date. Signature of Owner O CJ —.< WORKER'S COMPENSATION DECLARATION 0 Q �_ I hereby affirm under penalty of perjury one of the following declarations: r H O (.) 1 have and will maintain a certificate of consent to self -insure for workers' X W. compensation, as provided for by Section 3700 of the Labor Code, for the Qperformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by O"U <Q Section 3700 of the Labor Code, for the performance of the work for which this a rn F- permit is issued. My workers' compensation insurance carrier & policy no. are: ?' Z Carrier Policy No. 0 � r• d ilia Fr r+,rn ta�.'0� �ti bP J (This sectio ed not be completed if the permit valuation Is fo $1�0.�0 0 less). () I certify that in the performance of the work for which this permit is issued, r' 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. - ©ate: �( `i '1 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 r 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 the bove-mentioned property for6inspection purposes. ignature (Owner/Agent)' _�, /'J_�- M -+tet Dater f BUILDING PERMIT PERMIT# DATE VALUATION LOT "()3..089 TRACT 1141" ;. 3� Q JOB SITE APN ADDRESS 1111-01115 Ri _ It . 76A_KKfi_ g OWNER CONTRACTOR/DESIGNER/ENGINEER ib:l1NIS-M.-L>LI-PAINT D COVE, INC. MINISTPELLI-PAINTED COVE, INC. 74785 HV" I I I ST131 105 74785 HW Y I 1 I STE, 105 INDIAN WELLS CA 92.210 1NDIb1N WELLS CA 92210 r760j776-4450f C*,BL# 3625 USE OF PERMIT 4 � q ZW L.P. n' BLOM' WALL (ORCO SYSTR_ i) . b '. MAR 0 4 1999 'I,'t� 6 IST. WALL 2UU.4�U ."Ty OF LA r, QUI Ily R � ES71MAT ED COST OF C;OINSTRUC1 AYN 5,000.1011 'PERMIT PEN; SUMMARY C0N.WKtJi7rI0 i l• KE 101-M0418-000 $72.09 `LIB-TC)'['AL CONSTR C110N AND CLAN CHECK $7100 .LESS P.H- 3.AW F MS 'dol It TOTAL PERMIT FE&S DUE NOW $72.00 RECEIPT DATE By U0 DATE F ALE 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 —Lz 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 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 Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: G 4.: ESI/FINE, Inc. STRUCTURAL ENGINEERS & CONSULTANTS FIELD REPORT SITE VISIT NO.: ONE DATE Oc-, 13.'•998 Co PRO; ECT NO 194-6225 CZ) PROJECT. PRINTED COVE • PLAN 3A, LAT12 CLIENT NO: 83G m EU'.LDER MINISTRELU CONSTRUCTION FILE NO : FR3AL012 Q0 LOCATION: La Quints, California SHEET NO : 1 OF 3 AR3HITECT: BBG ARCHITECTS ATTENTION: Jerry Mclean with Ministrelli z P ROJECT SU MMARY X SITE Single Family house is situated in a developed area. Feld Observaton on October 2, 1998 with CI -1 from Beard Comhucdon FIELD OBSERVATION The f6lowing Mcturai items were observed and need to be addressed: For location and dafftabon cf ixms, refer to ;now reduction of framing plan on totlowi g: street ITEM �Ldl 1 Provide 112" dia threaded rod with Simpson Set Epoo(y lie emtedded 4 1f4" into mcnotlik fcundaaon for missiq anchor bol'--. _araoe and Service Room - 2 Shear wall in Front of Garage. Tum Simpson MT17286 around and nail to post at end C> of shear panel. r_r.t 3 Shea wall at Rear of Garage: anchor boils a.'a missing a rider shear wall. -�Irovida tb(per item #1 above. LL - 4 708 para la beam over Garage: Provide Simpson H1's at 49 o.c. from truss to top GzJ plates for s:near fia-ister. 5 S?iea-wall at rea, of SerV.ze Room Archor bots are miss'.n::. Fix per ltam 0 above. N 6 GlyderTruss over F aimity Roam' Prcrnde double 2x6 studs under girner truss at rear of 0 of Service Room. co E-- 8 A%1 at rear of Service Room: S :mo of the Simpson A36's per Delai D16133 were not cc rn ,-operti naiad. �:. 1427 E. G7RNEGlE AVE., UNn' 9-J, SAMA A'1.4, --Ak 32705 ft (t=8; 261.13',1 0 =,L'f 494E'I 237,•aBCo 0 '7 Ll I cv 0 o.: ESI/FME, Inc. STRUCTURAL ENGINEERS & CONSULTANTS 15 Shearwalll al rant side of MBR: Taro anchor bolls are missing. Pr;vided fix aer stern #1 U at�ve. _Z is t 15 Shear wall i:i From of MBR Closet: Frovide '.6d n 3l° s at 2" o.c. from 2x block to double LL_ top plans. staggsraj for shear transfer. DISCLAIMER: THIS YVAS A Wiv.K-THRU REVIEW. I EDI❑ NOT',NSPECT7HiS cBUILDING. OUR 06SERVATiOf, VVAS ONLY FOR OBVIOUS PLAN O`,!ISSICN A. DETAILED AND C• ,IrIPLETE REVIEW WAS .40T PERFORMED. FIELD OBSERVATION. "Painted Cove- PLAN 3A Lot 12 Dale: Qct 13, 1998 MINISTRELLI CONSTRUCTION ESUFME J.N. 594.6225 COPIES TC: q Sheet leo.: 2 o ctJ FnilY _�o�, Dimine Room. Morntr>ggoom. a�1 KeO. U-)9 6 314"x 12 GLS over Kizhen: Provide Simpson STi2 at 48"a.Q from top chord ct .riss cm W over XAdien to top chord of truss over Family Room. co v '.A f Shear walls at rear d. Dining Rm.. & Living Room: si+ear nail plywood to poet vitn hokkAvns r— co 11 Wall at Rear of Dining Rm & LK" Room: Prvlde Simpson A35s at 48' o.c. per c:5 z I Detail LVS03. 12 Patio: Pro%ede blodk.rg under pe Bearn at Rear of L`,ving Room & Di*V Roam lat t¢ and add Simpson ST6224 at top plate spf ce. Provide Simpszn HI Is at 46-a.c, per ❑eta"l HIISD3. 13 Shear wail at tight side of living Room: Provide Simpson A35's from botmm chord of truss an Living Roam side to ex-rting 2x blacking with plywood shear nailing. tyj,,dgrb ,drama lit rf 2L 14 Shsarvra'.Iatright side of *0*.✓ng Room: Provide Simpson HI's at 24" o.c. fmmt truss over M @R is vial'.. 15 Shearwalll al rant side of MBR: Taro anchor bolls are missing. Pr;vided fix aer stern #1 U at�ve. _Z is t 15 Shear wall i:i From of MBR Closet: Frovide '.6d n 3l° s at 2" o.c. from 2x block to double LL_ top plans. staggsraj for shear transfer. DISCLAIMER: THIS YVAS A Wiv.K-THRU REVIEW. I EDI❑ NOT',NSPECT7HiS cBUILDING. OUR 06SERVATiOf, VVAS ONLY FOR OBVIOUS PLAN O`,!ISSICN A. DETAILED AND C• ,IrIPLETE REVIEW WAS .40T PERFORMED. 1921 E. CAANEGI= AVE., Wr 3-J, SANTA ANI!. CA 92 05 • Ph. (S -a;• 261 • r BM FAx 1945 i 2d-, • 3&06 ISSUED BY: ESI I FFAE. !NC. COPIES TC: q STRUCTURAL ENI GiNEERS (2) MINSTRELLI CONSTRUCTION ctJ BY; ;fax, Attn: Jerry ("• i BEG ARCbiITECTS W Attn: l ntan Marie (Mch Danny MalsumUm, C,E. co rn . I 1921 E. CAANEGI= AVE., Wr 3-J, SANTA ANI!. CA 92 05 • Ph. (S -a;• 261 • r BM FAx 1945 i 2d-, • 3&06 ESI/FME, Inc. SMUCTUAIM. PNOINEERS Data 2 -'ad -04 L JN. 6225 'THE PAIN TEDCOVEVMINISTrIELLICONSTRUCTION Palm 0ararL.Galilurtilu P 1. A N 3 1_07-14 QW, v T4 Ll .0 A ,;A % 4 EO 'd 9098MPIL ON xvi ON] 3WA IS3 90:91 3M 96 -Cl -100 e-