14849 (SFD)j No. 1484$*
P.O. BOX 1504
Add ss 79-060 Coyote Gree • LA QU NTA, CALIFORNIA 902253
Owner J.' Piater 14instrel.l i
` BUILDING: TYPE CONST. V OCC: GRP. R3
Mailin
Address S -445 Mountain Shadows 769x-550-042
A.P._Number
City Zip Tela ' ' Lot 47 Tract 25429
La ',Quinta, CA1 92253 564-1849 Legal Description
ContractorProject Description S��
Address . .
-Sante
City Zip Tel.:
State Lic. City
& Classif.. B 693899 Lic. # Sq. Ft. No. No. Dw.
Size 3579 Stories - Units
Arch., . 'Stanford-Leonhar
Designerer. +- -f
New ❑ ° Add ❑- Alter ❑ -. 'Repair ❑ Demolition ❑
I Vsuss5 . Y Te'�76-'847$ Permit does nog Incli:�de block walls
City Zip State and/or. pool.
Palm Desert..., A 92260 Lic. #
I
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3off the Business a✓nd,Professions-Code,•and my license is in full force and ,
SIGNATURE DATE
'OWNER-BUILDER DECLARATION o
I hereby affirm that I am exempt from Estimated Valuation the Contractor's License Law for the following. $217,. 28 • 00
reason: (Sec. 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 . PERMIT- - AMOUNT
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 - n 0
for the alleged exemption. Any violation of Section 7031..5 by any applicant for a permit , Plan Chk. Dep- ,�54 . si
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). • --
O 1, as owner of the property, or.my employees with wages as their sole compensation, will Plan Chk. Bal. 625.76
do the work, and the structurels not intended or offered for-sale. (Sec. 7044; Buisness and Const.1,052.50
Professions Code: The Contractor's License Law does not -apply to an owner of property who . 144.50 •
builds or improves thereon and who, does such work himself or through his own employees, Mech. 1� �y
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 • Electrical - 230.87
of proving that he did not build or knprove for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors.to con. Plumbing 217.50
strucl 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 S.M.I. - 21.72
such projects with'a contractors) licensed pursuantto the Contractor's License Law.)
Grading Z0.00
.
❑ 1 am exempt under Sec • B..&-P.C. for this reason
Driveway Enc. .00
Date Owner Infrastructure 4t827.77
Arts • in ftbl .c Places 293.07
WORKERS' COMPENSATION DECLARATION Ai'tS in -Publ.LC Places cret° [it (293.07)
I hereby affirm that I have's 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. Company3 .6
O Copy is filed with the city.. ❑ Certified copy is hereby furnished.
TOTAL _ 14 8.62
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE 9
(This section need-not be completed N the permit is for one hundred dollars ($100) valuation ArtS3 -in �bli.�;•� Places credit is iCie rr Jr a
or less.) -
I certify that in the performance of the work for which this permit is issued,'I shall not Quinta Planning De2t.. E'tt7JCP_e]11 ent with
employ any person in any manner so as to become subject to the Workers' Compensation
Laws ofCahfornioT irons'trelli Construction.
Date Owner
NOTICE TO APPLICANT: If, 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 shah be deemed revoked.' - Minimum Setback Distances:
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 SUWCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO- ONE
HUNDRED T1fOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Idt$etbaslc om Property Line
DAMAGES AS PROVIDED FOR IN SECTION-3706 OF THE LABOR CODE, INTEREST, AND
ArR)RNEY'S FEES.
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 applicant Date
Mailing Address
City, State, Zip
Validd
INSPECTOR
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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 GOND. 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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEALING (FINAL)
OTHER APPJEOUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF 1!A1;UPJ
BUILDIN(F*jj ARTME T .
777-7012
INSPECTION REQUEST LIN
777-7153 7
Owner J. Peter Ministrelli
Contractor Ministrelli Construction
- - Permit Number 14849
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-060 Coyote Creek
sfd Permit does not include block walls
' or pool.
TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
:.
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
— S
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE U
L ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
PROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
-• -�
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE.D
DRYWALL INTERIOR
EXTERIOR LATH ' zz
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK "W, T -F7 77 I "
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING A/C
... HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO' O
I ��� TURN ON UTILITIE"
s
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 2/27/95 Type of Permit La Quinta
No. 13317 1 Permit #
Owner Name J. Peter Ministrelli Log
No. 79-060 Street Coyote Creek
city La Quinta Zip 92253 Study Area
APN # Tract # I J Lot # 0 Square Footage 1
Type of Development Single Family Residence I No. of units 0
Comments
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 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 - Painted Cove, Inc. Telephone
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson `
Payment Received-
Signature \ A.,a,;,,,o .�` tM.ASVv'\- ';�r .
%�.Chpck�. No: 1454
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