The URL can be used to link to this page

9809-155 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Imo— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and N co Professionals Code, and my License is in full force and effect. ch License # Lic. Class Exp. Date LO W 693899 8 1i/31/00 Z r -n5 ate ! Signature of Contractor' O � Q rl� JI.— C) OWNER -BUILDER DECLARATION W LU r_ I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~ tl 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). co () I am exempt under Section , B&P.C. for this reason 0 N Date Signature of Owner ON a Z WORKER'S COMPENSATION DECLARATION 01 hereby affirm under penalty of perjury one of the following declarations: 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 O � Q performance of the work for which this permit is issued. m Q C) ( ) I have and will maintain workers' compensation insurance, as required by p QS ction 3700 of the Labor Code, for the performance of the work for which this j]� v Z permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier Policy No. cb'a : TAIT1, g (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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./ Pate: ` r Applicants - Warning: Failure to secure WorkersCompensation 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, 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 theabove-mentionedproperty for inspection purposes. ,, /,,nature (Owner/Agent) %"�~� Dated " f BUILDING PERMIT PERMIT# "09- 155 DATE VALUATION 'eA94..�91 .,%t) LOT 71 TRACT s 54 t+? �.-�.. ADDRESS ,79-M, QUAIL CRO MNG APN 769.542-023 OWNER CONTRACTOR/DESIGNER/ENGINEER 74785 HWk 111 .105 74785 (A VY 1 I1 FIT. 105 INDIAN WELLS Cts 01210 INDIAN WL•LI S CA 92210 f.7(%1)776A450 C RI14 :W625 USE OF PERMIT SINULE kAMILV DWEUINC, "h1; (1t C€,ii1DQS C., WNNA & EXERCISE € M OFMONS) - PERMIT DOES NUT INCIA)IJI; ULt.t(X WALLS Uk KKA.. MAC T 0014 3TitU 'TION P0,KC:fi/PA'1'10 2188 00 'S F lyA l(3%/<.Ai 'Ult'f' 7270) Sf: !QSTtieIATED COST Ole CON; TP®R cCTION 194,391,70 PERMIT F,KA StitNiN tli V e )NSi'I IK710N NIX 101-(iC?U-4118-000 $72.00 PLAN C't(r,f {-f:t; 1(31-4kt?(t.h3�-31K !��;v2tt M1111.110C11I'll' S►`�.fx► Ml:OiNNICAL 1111 lL1i-Otki X121 Ct(]�J S2t►�t.fKt +(i,f1VfNIC'AL 1+X 101 -OW -420-000 S2tN).Fiy tot 111"11 NO FF17 11111-f 1(X1• ~1111-f 1(in V 47 So :31'lr-CjP.t.�tL1C�'1'K�;11`Idi IlliSII) 101.000.211-000 > 9<IS ORAE)INFO fiif, .101 -OW -42.1-1700 iNH!(A t 1'f21.N f 1311E FEE- 215-(X1)-443-342 APT IN 141011,10 ni AC'RS - RVISit; ?()i.(1{Ni- i5-iltln $237 (W. ,t IWiY7TAt. 0)14CTRI VVION' AND KAN (111,VK (0 LESS PRE PATO FEES 112IS0.00 TOTAL Pll:' hItT FRKS 014<► OXV RECEIPT ` �OI 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 OX to Wrap _ p_ F.A.U. Framing _ 7 __.51Y 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 0 BLOCKWAL AP ROVALS 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 3 — 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: Titv/ 4 P.O. BOX 1504 APPLICATION ONLY Buildingpp 7 78-495 CALLE TAMPICO Address V N5' 4UA It (. RIOSSJING LA QUINTA, CALIFORNIA 92253 Owner /�/f ' " / 14II5T2FLC 1 6IUS7900700 BUILDING: TYPE'CONST. OCC. GRP. Mailing r 16 gS41.2 0,23 Address �g.S %Z10 /SU l7'a` 6S A.P. NumberCity jf Tel.rAl l4A1 Wta L S 17 %G, -G 1 �� Legal Description to—, 7J' , %%� � 5q;2 1 l�,I1tirsTR�'Jc r� Contractor Project Description S t"" 11�u � Address City Zip Tel. State Lic. City & Classif. Gj 3 Lic. # 36 �S Sq. Ft. F . 7 No. No. Dw. Arch., Engr., Q Size t04 / Stories - --Units Designer t7 G New O Add O Alter O Repair ❑ Demolition ❑ Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencingwith Sectio 7000) of Division 3 of the Business and Professions Code, and my license is in full force an effect. �GNATURE DATE OWNER•8UILDER DECLARATION 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 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 Division 3 or 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). L: I, as oner 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds of 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 or 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 I 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'7 I am exempt under Sec. B. & P.C. for this reason 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 C7 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 (5700) 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 property for inspection purposes. Signature of aOplicanl -Date- Mailing ateMailing Address City, State, Zip WHITE = FINANCE - fV*V.0 ,Os '79 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS i AMOUNT ZONE: BY: Minimum Setback Distances: 3 Front Setback from Center Line Rear SetbacR k from Rear Prop. Line Side Street Setback from Center Line Side bs1pkJIProperty Line FINAL DATE ,,�/�/�� SPECTOR Issued by: cl-n (Ijate IGM Permit Validated by: �^� Validation:��`TY OE (_ i �a(�`j T I YELLOW =APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 10/7/98 r No. 17854 Jurisdiction Owner NameMinistrelli-Painted Cove, Inc. No. 79-185 Street Quail Crossing City La Quinta . zip 92253 APN # 769-542-023 La Quinta Permit # Log # Study Area Tract # 25429 Lot # 71 1.& Square Footage 1 Type of Development Single Family Residence Comments Under grandfather agreement 3,667 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 ir, the'amoiint of 628.00 X 1 or $ 628.00 the property listed above -and thaY.building` permits and/or Certificates of Occupancy for this square footage in this proposed prof t'may now be issued t Fees Paid By CC/1st Community Bank/Kevin Peters r °Teiephoiie 7-6-4450 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Juanita Green Signature Payment Received Check No $628.00 081756 NOTICE: Pursuant of Assem 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 t dale 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 T,dy 4 4v Qum& ilder: I IVI LU ssuance of a building permit, you will be required to obtain Public Works Department approval for one of the following: 1. Verification of pad elevation by a licensed surveyor or engineer. • i i 2. Engineered grading plan for project requiring on -lot retention. i Tract #26524 (Estancias) Tract #26769 (Mountain View Estates) I 3: Verification that the building pad has been graded and compacted in accordance with the soils reports, and tract grading plan. Tract #28034 (South Valley Estates) i �01 U lic Wor s Aut orization 5�r I I 1 i i i c:PWauthAr/da OC' I '-05-98 MON 02:42 PM MDS CONSULTING Mus CONSULTING PLANNERS • ENGINEERS • SURVEYORS 17320 Redhill Avenue, Suite 350 Irvine, CA 92614 October 5, 1998 Engineering Department City of La Quinta 781195 Calle Tampico La Quinta, CA 92253 FAX N0, 714 251, 0516 P. 01 ------------ (949) 251.se21 FAX 251-0516 Post•it• Fax Note 7671 Owe Xq Cy Pis► To w. From 47-5 0.1' Qo 601PL Co. S Phone 0 Phone 0 Fax 07 _ _ o Fax 0 Rough Grading Verification La Quinta -Tract 25429 We have checked the area referenced below and find it to be in substantial conformance the approved precise grading plan. Lot # Elev. As -Built Elev. Variation _ 49 - 47.4 47-5 0.1' 50 0 - ---, .__ _ 50.0 None Stanley C'MO e R.C.E. 20596 Expires 9/30/01 G.\307104ker-M9and71.doc QROf ESS0, C, o� C) No. No. 20596 - Exp. 9=30-01 .If9T OvIt. CAQ STANLEY C. MORSE GARY OOKICN SKIP SCHULTZ 0 ESI/E.E., Inc. STRUCTURAL ENGINEERS & CONSUL TANTS PLAN CHECK REPLY PLAN CHECK BY THE CITY OF LA QUINTA DATE NOV. 23, 1998 PROJECT NO: 194-6225 PROJECT :"PAINTED COVE"-,PCLQ71- PLAN 3 "A" CLIENT NO BBG 124-0612 79-185 Quail Crossing FILE NO PC3ALQ71 DEVELOPER: MINISTRELLI CONSTRUCTION SHEET NO 1' OF 1 La Quinta , California ARCHITECT: BBG ARCHITECTS, INC. . REGARDING: PLAN CHECK ON 79-185 QUAIL CROSSING, .PLAN 3 "A" ITEMS FROM PLAN CHECK CORRECTION LIST ITEM PL SHT REPLY 3 See following sheet for letter of approval on Roof Trusses by Spates. ISSUED BY: COPIES TO: E S I/ F M E INC. (3) BBG ARCHITECTS, INC. STRUCTURAL EN E£Attn: Jim Deford L4",,Z( MAT$��\"@ n r_zZZm C � orOF CA1-IFCP 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 November 23rd, 1998 MINISTRELLI CONSTRUCTION CO. 50-445 Mountain Shadow La Quinta, CA 92253 ATTN: Kevan Peters RE: Roof Truss Calculations and Layouts.on "PAINTED COVE", Plan 3A" -Lot 71 to be built in La Quinta for MINISTRELLI CONSTRUCTION CO. (ESI/FME 194-6225 / BBG 124-0612) 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 except the hip connection over entry needs to be added to truss calculations. 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, ESI/FM E, Inc. 1921 E. CARNEGIE AVE., UNIT 3-J, SANTA ANA, CA 92705 1 ° Ph. ( 714) 261 - 1811 / FAX (714) 261-8506 r11 v OF , �, ,.I $I;�TA JON TAN DY 37630 Medjool Ave. j-6- AUG 2 5 REC'0 Palm Desert, CA 92211 �► iww ��.�Office (760) 772-7192 SPECIAL• Fax - (760) 772-7193 REGISTERED INSPECTOR'S WEEKLY REPORT Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING ❑ ❑ OTHER JOB LOCATION 71 _t S5 Qtkdh CESS 1 [—o, Quiff REPORT SEQUENCE NO. TYPE OF STRUCTURE It [I ��{ C0 J� 1�G` E�IT _ DAT DAY OF WEEK MATERIALDES,CCRIP�rT(ION ,4- c^ 10o ARCHITECT BBG INSPIECTOR MRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE CONTRACTOR A°ls��1.1� SUB -..CONTRACTOR y- olOsc�v� 1� �,,� of �,� . 3 �, I. AA W P-ZAJ I, COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE ❑ PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. 1 I 6 SIGNATURE OF RCOISTERED INSPECTOR 9 --I:c-so 1��13z6-y9 DATt OF REPORT REGISTER NUMBER