14711 (BLCK)h
44Q
P.O. BOX 1504
Building 74 • 995 78-495 CALLE TAMPICO
Address Z%V%; LA QUINTA, CALIFORNIA 92253
Owner J. ' Peter Kinistrell
.'Mail In
Address 50-445 Mountain Shadows
City, ZipTel.
La :Quinta d C 92253
Contractor
No.:14711.:
WILDING: TYPE,CONST. OCC: GRP.
t.P. Number
.egal Description
'roject Description 151 J. f.. of 6:' garden.
k9it ck— walls
State Lic. -
slo
City
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& Classif.. B 693899
Lic. #
Sq. Ft. No,
01,as owner of the property,:or my employees with wages as.their sole compensation, will
Size Stories - -
Arch., Engr.; -• - �
Const.
Designer
New ❑ Add .O :: ". Alter O
Address • '
Tel.
provided that such improvements .are not intended or offered for sale. If, however,, the building
City
Zip
State
Electrical'•
_ .
0A, as owner of the property, am exclusively contracting with licensed contractors to con-
Lic. #
,
LICENSED CONTRACTOR'S DECLARATION _
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I hereby affirm that I am licensed under provisions•of Chapter 9 (commencing with Section
7000) off Division 3 ooff..the`Business=and Profession`s Code, and my license is in'full force and
�..fiffect,,i-....ced'".r:•""�,'."...✓'�� ,ir'w`✓.!�-��.a �r�
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SIGNATURE DATE'
" -
OWNER-BUILDER'DECaRATION
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 f theBusinessC Prof Cod r that h ' h f ro b'
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Estimated Valuation It,5 0 .
•, '
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.. PERMIT --
r o o an es ns e, o a . e rs exempt t ere rom, and t e ass
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
:. Plan Chk. Dep. _.
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' subjects the applicant to a civil penalty of not more than rove hundred dollars ($500): • `. • •..
Plan Chk. Bal.
01,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
Const.
r
Professions Code: The Contractor's License Law does notapply to an owner of property who
builds or improves thereon and who does such work?himself or.through his own employees,Mebh.•
-
.63.'00
-
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 buil! orimprove for the purpose of sale.) .
Electrical'•
-- '• - - '
.
0A, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
,
' 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 contractors) licensed pursuant to the Contractor's License Law.) -
.S.M.I. - •.
, _ •- - -
-
• ❑ I am exempt under Sec B. ti P.C. for this reason
p
Grading
Driveway Enc.
Dale owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I heieby 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 f) -. .. Company
- ropy is filed with the city. ❑ Certified copy is hereby furnished. -
TOTAL.t
63.00
CERTIFICATE OF EXEMPTION FROM'
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed ff'the permit is for one hundred dollars ($100) valuation
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' 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
,
r
• NOTICE TO APPLICANT 8„ after making this. Certificate of Exemption. you'.'should' become
ZONE:
BY:
subject to' the Workers' Compensation provisions of the - Labor Code, you must forthwith.
comply with such provisions or this permit shall be deemed revoked.. - -
.Minimum SetbackDistances: •. - �;;�•" -
'
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND
Side Street Setback from Center Line "
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND •CIVIL.FINES UP TO ONE
HUNDRED THOUSAND DOLLARS TO
fr,Om Prop
($100,000), IN ADDITION THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
Side Setback jy//ne
ATTORNEY'S FEES.
f� y
-
FINAL DATE
INSPE/CTOA
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.
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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,
Issued by:
,
Date Permit.
.D'
Q� V
,
mentioned property for inspection. purposes.
Signature of Date
Validated by:
[)
�4y,
applicant
Mailing Address -
Validation* -
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
/�
l
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
NO BEAM iA
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/e c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
I 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.
/�
l
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
-
WATER HEATER
SERVICE
FINAL INSP.
NO BEAM iA
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
r
CITY OF LA QUINTA
'BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REO
777-7153
0 9
Owner J. Peter Ministrfpi 090
"I'
Contractor Ministrelli Cohr-%WGE�X"
Permit Number 14711
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-995 River Rock
150 l.f. of 6' high garden wall
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK_
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GLINITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT 0 4' 0 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
VUUL P'Ht VLAb I ItH I
POOL FENCIF A GATF i
FINALS
ABOVE APPR I OVALS DO NOT INCLUDE RIGHT TO
1/95 TURN ON UTILITIES OR OCCUPY BUILDING