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9801-061 (SFD)U) N U' W oath � d u7 ' W oZ1- ccoo�o JVCD F - a U) Z cY) L0 N Oa) UQ • d — oCC ,-�0 X W tl mUU O GLH Z wC) J LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of C.hapter 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 6918419? 85 108 Date 5 - L 9E Signature of Contractor -C * - "� 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 S tion 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: Carrier Policy No. HIST ;Ta F"U.ND W16.98-0006323 (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 pro isions of Section, 3700 of the Labor bode, I shall forthwith comply with those provisions. I _ Date:Applicant— Warning: pplicant 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 perVn 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, indemnity & 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'forJnspection purposes. /Signature (Owner/Agent) /#* Date r �� PERMIT # BUILDING PERMIT CONTROL # 9801-061 DATE VALUATION �ai:�,©�� �) LOT 17 TRACT - r�..,0913 ADDRESS 79-116'. C.:CD�.'it' C �:�.1;II.E1j+�. JOB SITE APN 7694R50-031 OWNER CONTRACTOR/DESIGNER/ENGINEER M,I.NIN 1'RELLI-PACj`3TH) COVE. JNC. 111'i N151'1U.U.1-PA1�1'1 iil� C:f:! SD 504.15 M�iOL11�':fAIVJ SH.t DOW.R 504451 IOUNI'AIN SHADOWS RD LA QUIN" 1'A CA 92213 LA %7U1l I A CA 92253 (760j16d-1949, MA 3625 USE OF PERMIT 8FD s 8M - PERR41T DOES NOT 134,CL DE BLOM WALLS OR 11& -AiRT IN ht}i3t.►c:; i?'i.AC1 y C1tf,1J1'i t� ��U7.a3 t;Fsit 11.CFf{1»twli2EfJ'r �,�+ci]•1 � i:+Fs'VF.E.G1i't�a H;lrl'T' .E71�ljA421'MF;(d'f'. OAID R 51998 ARAC:� CONT 591"RUCTUON yS;,.c<1 w 110RC:kVPAT10 4t &Q0 X11 C;iaJ2,A31JC`filt.[?�,}.RT 7�1.1fU �?k� /y j `iIIUWW'�� �, LA��fEa1►r%�q� `l 1<Mn,�,°l�:f3 f:��i`C t�I'+' �'f}*��'S'I'32t1G'f :9�1wf • . �K�,4iZ�,l;�i.�� ' Irl RNIfir 1*+'EEU'aiXAJRV PIAN 0 W,Cl;M:,; 1.01-000-419-•319 31; 166 CO'UTIIIUCT.1(YIN 101-000-<<1.18-000 k&C1iAN E.CaATL. F& - 101.000-421.0017 $1 ELEX.i10 U.1 ETi 1.111-000-420-000 $20,82 M; _Omf _4119-000 S21A Y1 htRCiPit7ii.i.]'1`5E7i1lsks"liC4YL� :101X-1104-221-O14iS.3t3 GRAUI NGFEE, Hi•i-600-X D3 000 $�ii.U�► IINFR S'tRUC'1` P1.1 FM 225-GW-443-3*2 A -Tr 1N :?!wt<l;:mC Vi.ACES- - RE -S14. 701-X17.255-000 ART IN PUBLIC RI AMS-RESTC,' 701-004.2.55-M _SZ07.56 SUB-TOTAT, CONS'Mi1MON`AND 111,AN Cfll;C a6,5��t,RS LESS 1 RIE -PUD RE 4,157.56 +��y t q ( �►p •i i ;� yep �.�; � q�/ � � a�l ^� RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD ' OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs 2 %_ Underground Ducts _ Forms & Footings �� Ducts Slab Grade _ _ _� �/ (fyJ Return Air Steel —�� Combustion Air Roof Deck Exhaust Fans 0.K to Wrap _ — F.A.U. Framing _ 3 _ Compressor Insulation Vents Fireplace P.L. Grills raj l Fireplace T.O. Fans 8 Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Finalq Final _ POOLS - SPAS BLOCKWALL APPROVALS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I 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 Se% er Lateral Pool Cover a r Connection _ Encapsulation vas Piping Gas Test Appliances Final COMMENTS: 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 c Final UU14 Notice (Perm) Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE Date 3/4/98 No. 16690 Owner NameMinistrelli-Painted Cove, Inc. No. 79-165 City La Quinta Tract # APN # 769-550-031 Jurisdiction La Quinta Permit # Street Coyote Creek Log # Zip 92253 Study Area Lot # 37 LQ Square Footage I Type of Development Single Family Residence Comments 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: 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/Kevin Peters Telephone Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Rosita Jones Signature Payment Received Check No. 077210 $628.00 NOTICE: Pursuant'ot 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 Districts) 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 i 0 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: Use Classification: SFD Occupancy Group: R3 79-165 COYOTE CREEK Bldg. Permit No.: 9801-061 Type of Construction: VN Land Use Zone: RL Owner of Building: MINISTRELLI-PAINTED COVE INC Address: 74-785 HWY 111 SUITE 105 Building Offici City: INDIAN WELLS CA 92210 By: KIRK KIRKLAND Date: 2-9-99 POST IN A CONSPICUOUS PLACE ESI/FME, Inc. STRUCTURAL ENGINEERS & CONSULTANTS PLAN CHECK REPLY PLAN CHECK BY THE CITY OF LA QUINTA DATE FEB. 11, 1998 PROJECT NO: 997-8246 PROJECT : "PAINTED COVE" - PCLQ37, PLAN 9bx CLIENT NO BBG 124-1200 79-165 COYOTE CREEK, LA QUINTA FILE NO PC1LQ37 DEVELOPER: MINISTRELLI CONSTRUCTION SHEET NO 1 OF 1 La Quinta , California ARCHITECT: BBG ARCHITECTS, INC. REGARDING: PLAN CHECK NO. 9801-061. ITEMS FROM PLAN CHECK CORRECTION LIST s ITEM PL SHT REPLY SECTION H - STRUCTURAL 3 A truss letter stating that trusses are in accordance with the engineer's design intent, will be provided after the review of these trusses. ISSUED BY: COPIES TO: ESI /FME INC. (3) BBG ARCHITECTS, INC. STRUCTURAL i Attn: Jim Deford BY: far• � � �-`� �� 1921 EAST CARNEGIE AVENUE, SUITE W • SANTA ANA, CALIFORNIA 92705 • (714) 261-1811 • FAX (714) 261-8506 1 __W ESI/FME, Inc. STRUCTURAL ENGINEERS & CONSULTANTS February 11 th, 1998 MINISTRELLI CONSTRUCTION CO. 50-445 Mountain Shadow La Quinta, CA 92253 ATTN: Ken Schmale 0 RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 9bx-Lot 37 to be built in La Quinta for MINISTRELLI CONSTRUCTION CO. (ESI/FME 997-8246 / BBG 124-1200) Dear Mr. Schmale: I We have reviewed the calculations and layouts by SPATES FABRICATORS and they'appear to comply with the requirements of our calculations and plans. 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/FME, Inc. 1921 EAST CARNEGIE AVENUE, SUITE 3J - SANTA ANA, CALIFORNIA 92705 - (714) 261-1811 - FAX (714) 261-8506