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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
Date t' Signature of Contractor
f�.c✓r " "fir
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. -
I have and will maintain workers' compensation insurance, as required by
Sec
'on 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Cartier 4,y..avc.t•.• vy Policy No. 0111-6
(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
sgbject to the workers' compensation provisions of Section 3700 of the Labor
rode, I shall forthwith comply with those provisions.s �.
,Date: �t 9 �• �3'l Applicant �.+ ^may,✓
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
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 above-mentioned property for inspection.purposes.
Signature (Owner/Agent) r/�'�f''..:. Date / �/,'" f`7
{
BUILDING PERMIT PERMIT# CONTROL#
'9704-11.`45th
7 2
DATE VALUATION N-,2'%+?136.441 LOT41 TRACT i
JOB SITE 79-1110 {.,Wfu f rl CkLIV1 I11K
APN 76-9-550-036
ADDRESS
"` '
OWNER
CONTRACTOR / DESIGNER / ENGINEER
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USE OF PERMIT
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NIEt34A LAICAL FEE $143.0
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RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
it
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs l
Forms & Footings [1 - -
Underground Ducts
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck '1
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing q- jliC
Compressor
Insulation . 22
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath -I L
Final
Final I
BLOCKWALL APPROVALS
POOLS - SPAS
steer,
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
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
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
P,AINTE-D COVE, -
LA QUINTA i
August '14,-1997.
_ -City, of La Quinta
78-495 Calle Tampico
La Quinta, Ca. 92253
Re: Architectural Committee Approval- Lot 41•Tract 25429 -
.79=180 Coyote. Creek
Dear' Sirs,. -
This'letter will confirm the, Arch itectLral Committee, approval of drawings to be
constructed .on Lot 41 tract 25429, as prepared by Stanford/Leonhard-Architects.
Should,you require any additional information, please contact our office..
Sincerely,-
Ken
incerely, Ken Schmale, President -
' Architectural Control Committee, Painted-Cove
KS:rs`
50-445 MOUNTAIN SHADOWS.
LA QUINTA, CALIFORNIA 92253
timec+,ra �wavdy
TELEPHONE: 619.564.1849
' FACSIMILE: 619.564.5530 ; .
,FROM :'SOUTHWEST ELECTRIC CO
360-1 ass
PHONE NO. : 772 6998
LOAD CALCULATIONS
SOUHWEST ELECTRIC COMPANY
77-734 COUNTRY CLUB DR. SUITE K
PALM DESERT, CA. 92211
Sep. 12 1997 12:43PM P2
DATE: 9-8-97
Lie. #551498
JOB: PLAN "BIGHORN"
CONTRACTOR: MINISTRELLI
79180 COYOTE CREEK
PCLQ LO # 41.
GEN. LIGHTING, SQ. FT.
3700 X 3
11100
2 APPLIANCE CIRCUITS
@ 1500
3000
LAUNDRY CIRCUTT
1500
DRYER
4500
RANGE
0
COOK TOP
1500
TRASH COMPACTOR
1200
DISHWASHER
1200
DISPOSAL
800
MICROWAVE
-„�+�..
- -1500 -
EXTRA KNOWN CIRCUITS (2) @ 1500
3000
POOL EQUIPMENT
6000
TOTAL LIGHTING LOAD ---- _--- —
TOTAL = 35300
FIRST 10 KW AT 100 % 10000
REMAINDER AT 40 % 10120
A/C 10 TONS X 2000 PER TONS 20000
40120 TOTAL LOAD / 240 VOLTS = 168 AMP LOAD
* * *RECOMMEND 200 AMP SERVICE***
77-734 Country Club Dr.. Ste. K - Palm Desert. Ca 9221141471 FAX 777-FppR
Desert Sands Unified School District
82-879 Highway 111
Notice:
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 9/17/97
No. 16094 Jurisdiction
Owner Name Ministrelli Construction
No. 79180 Street Coyote Creek
City La Quinta zip 92253
Tract #
Type of Development
Comments
Lot #
APN # 769-550-036
Permit #
Log #
Study Area
Square Footage 1
Single Family Residence No. of units 1
irandfathered 3700 sq. ft.
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 Government Code 53080
in the amount of
628.00 X 1 or $ 628.00 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 cc/First Community Bank/Ministrelli-Painted Cove,,Telephone .
Name on the check `
By Dr. Doris Wilson
Superintendent
,Fee collected /exempted by Pauline Pearson Payment Received ` $628.00
SignatureQhk_Ljk _o. PjUjA_A_,6/,yL
Check No. 074078
NOTICE: Pursuant of Assembly 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 the date 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
Certificate of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City'regulating building construction or use. For the following:
BUILDING ADDRESS: 79-180 COYOTE CREEK
Use Classification: SFD Bldg. Permit No.: 9708-154
Occupancy Group: R3 Type of Construction:
Owner of Building: MINISTRELLI PAINTED COVE INC
Building Official
VN Land Use Zone: RL
Address: 50-445 MOUNTIAN SHADOWS RD
City: LA QUINTA CA 92253
By: KIRK KIRKLAND
Date: 4-2-98
POST IN A CONSPICUOUS PLACE