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14003 (SFD)P.O. BOX 1504 No. 14003 Building 78-105 CALLE ESTADO Arltlrpca '10-099 W vrmv- D^e-Ir LA QUINTA, CALIFORNIA 92253 - Owner inistcrelli Painted Cove, Inc Mailing Address 50-445 mountain Shadows City Zip Contractor Address . P.®•Sox 3371 City Zip Tela La Quin- to 922.53 564-3673 State Lic. City & ClassifAS1035 Lic. # 1463 --Arch.; Engr., Designer F3erkus Design Croup Address Tel. .26 Corporate Park 714261--1795 City Zip State irvine.- 1927-14 Lic. # % LICENSED CONTRACTOR'S DECLARATION ^ r 1 hereby affirm th it'I am i ensed under%provisions of Chapter`g (commencig nvwi h Section` 7000):Tf oivision,Tof the Business4nd4Professions Code,,and my Iicense.isjin,Pull force and OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. i 7031.5,Business and Professions Code: Any city or' county which requires'a permit to construct, after, 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 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 (S500). ❑ 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who 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 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.) X ❑ 1, 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 ❑ 1 am exempt under Sec. B. & P.C. for this reason ` Date Owner "- a kN . 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 Coe completed if the permit is for one hundred dollars (S100) 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. t; I certify that I have read this application and state that the above information is correct. 1 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. r' Signature of applicant Date Mailing Address City, State, Zip 11LDING: TYPE CONST. OCC: GRP P. Number Legal Description Lot I^5 Tract 20616 Project Description SFD Sq. Ft. 2070 -..'No. No. Dw. Size Stories Units New X •Add ❑ ,` -Alter ❑ Repair ❑' Demolition ❑ Permit does',not inci»de block wall Or . Pool*-` stimated Valuation,, 4 1,9,, 464.00 PERMIT. _ `' �_ AMOUNT---,.- MOUNT-•.- Plan Plan Chk. Dep. L�ll• viU Plan Chk. Bal. Const. S -,. 79. �IU Mech. '� H �.. Electrical' t d3.3;a Plumbing t f ':`'„ �'• S.M.I. i3 • Grading Y t)U Driveway Enc..' Infrastructure TOTAL 4791.37 ASA 1_ 3 REMARKS-' 4 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback f o n Line Side Setback from Pro Line FINAL DATE " INS OcR� Q lk Issued by: Date ufPhr0it Validated by: y 8 Validation:' • I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES r IST FL. SQ. FT. ® $ UNITS SLAB GRADE {` BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® OTHER APPJEQUIP. DRAINAGE PIPING WALL SQ. FT. TEMP. POLE DRINKING FOUNTAIN. SQ. FT. ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES =$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL . FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SO. FT. ® c BATH TUB SPARK ARRESTOR SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL LATHING SO.FT.GAR ® 3/4c HOUSE SEWER 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 ROCKSTORAGE 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. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 9/21/94 Type of Permit La Quinta No. 13078 Permit # Owner Name Ministrelli Construction Log No. 78995 Street River Rock City La Quinta Zip 92253 Study Area 117 APN # Tract # 126016 Lot # © Square Footage 1 Type of Development Single Family Residence No. of units 0 Comments Grandfathered Clause Tract #26016 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 0 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 Ministrelli Construction Telephone .568-1849 Name on the check By Dolores A. Ballesteros y� Superintendent 7, Fee collected /exempted by Vickie J. Durrett W �"" Payment -Received Signature(e1L LCA71 %'Check No. 1094 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 ELECTRICAL ,77 ;%._ e PLUMBING t. FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING a!e8 a CITY OF LA OUINTA DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION �.' p�t19924-HOUR NOTICE FOR INSPECTIONS Inspection4Line 777-7153 Owner Mi ni sfrPl i i pai nf-Prf COUP- Tnn Contractor Al DnrrPf-f- ('/�n n��" ii i inn Per,, Number a n n POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES - JOBADDRESS 7R -Q -7r, Rill, ack Permit does not include block wall orpool....' TYPE OF INSPECTION DATE INSP. # FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUN1_TE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS 1,: ELECTRICAL_ GROUND WORK p DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC X ROUGH PUIMBING { ROUGH GAS & GAS TEST HEATING & VENT -A/C FIREPLACE ROOF � t BOND BEAM O.K.. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION PRE -ROOF .COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE DRYWALL INTERIOR EXTERIOR LATH.--•-: POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK ELECTRICAL ,77 ;%._ e PLUMBING t. FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING a!e8 of MW OF TtiE clltCif�'tltttlilt -Uniform Building This Certificate tificate issued pursuant to the requirements of Section 306 of the Code certifying that at the time of issuance this structure was in -compliance with the �ario.us ordinances 'of the City regulating building construction or use. For the following: BUILDING- ADDRESS 975 Rlver Rock Single Family Dwelling Bldg. II No.. 14003 Use Classification Use Zone SIR VN Fire Zone Group R3 Type Construction 50-445 Mountain Shadows Ministrelli Painted.Cove Address Owner of Building Wit La Quinta,- CA 92253 Richard Kirkland City BY: Date; II Building Officl0l POST -INA CONSPICUOUS PLACE MI -