9706-116 (SFD)W
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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
ti93h`S1{a k3 R%3I1�1$
/D,te--,'7 x'' ` ' ' Signature of Contractor—
��� fes.
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.
(y) I have and will maintain workers' compensation insurance, as required by
Section 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.
(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
sybject to the workers' compensation provisions of Section 3700 of the Labor
9ode, I shall forthwith comply with those provisions.
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 person upon whose behalf this application is made & each person ail.
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.,l agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon,
Zhefabove-mentioned property for inspection purposes.
nature (Owner/Agent) "• / 1'� r T Date•t
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BUILDING PERMIT PERMI#07;4'-1116 CONTROL#
4 8
DATE 7130/07 VALUATION S2l7AllJ 0 LOT Z I TRACT 2;5.5
JOB ADDRESS 79-045 (70Y011iCHEEKAPN
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769-551)-0Z5
OWNER
CONTRACTOR/DESIGNER/ENGINEER
MfPllS{itl:toll .l•i'r'ttNrmF:1C0V1."m-c.
NIfIMISFR FiLI,!-l'A11" [Ti 1) 0)VFi,FDNC.
50.145 AIOUNT'AIN SIFADOWS RD
%14.5 h(C)UNCAIN SHADOWS ILD
LA QUIN'I'A CA 92253
LA QlAN'I'A CA x41'253
f7601W.t949 CRR.# M25
USE OF PERMIT
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OF `L'A`CIJiIVTA!''``�'r��l'rt 1N �ZNt� {�t,•1N rl�lr_.I,'
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CITY
LESS PI:t:-P,'1<R) VEkIS
41514 56
=r
J U L 3 0 1997
S7,05407
FINANCE DEPT
'RECEIPT
DATE a j
BY/
DATE FINALED
INSPECTOR
�.
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steet.-
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
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:
`
j S
_ ffiiY OF LA QUINTA
- 1LDIfy & SAFETY DEPARTMENT
oaf 777-7012
�RJOECT& REQUEST LINE
777-7153
Owner MXIS LI - PAINTED COVE
Contractor M RELLI - PAINTED COVE
Permit Number 9706-116
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-045 COYOTE CREEK
SFD - PLAN 3A W/ BED 4 & EXERCISE RM
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
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 ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR C
EXTERIOR LATH UL
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK -
FINALS
ELECTRICAL,/
PLUMBING
FINAL GAS TEST
H EATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
•
i%
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Desert Sands Unified School District
Notice: 82-879 Highway 111
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 7/10/97
No. 15771
APN # 769-550-025-1
Jurisdiction La Quinta
Owner NameMinistrelli Construction
No. 79-045 Street Coyote Creek
City La Quinta zip 92253
Tract #
Lot #
Type of Development Single Family Residence
Comments
square feet
Permit #
Log #
Study Area 117
Square Footage 1
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:
Under Mitigation Agreement
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Mitigation Agreement 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 Ministrelli Construction Telephone
Name on the check
By Dr. Doris Wilson
Superintendent {
Fee collected /exempted by Ellen Patino Payment Received $K28:00". `
1 Check No. 072675
Signmlili
40TICE: 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
ESI/FME, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
July 25th, 1997
MINISTRELLI CONSTRUCTION CO.
50445 Mountain Shadow
La Quinta, CA 92253
ATTN: Ken Schmale
RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 3 -Lot 31 built in La Quinta
for MINISTRELLI CONSTRUCTION CO. (ESI/FME 194-6225 / BBG 124-0100)
Dear Mr. Schmale:
We have reviewed the calculations and layouts by SPATES FABRICATORS and they appear
to comply with the requirements of our calculations and BBG ARCHITECTS's prepared 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,
CQ11C11A C Iran
1921 E. CARNEGIE AVE., UNIT 3-J, SANTA ANA, CA 92705 ° Ph. ( 714) 261 - 1811 / FAX ( 714) 261-8506
LAA
F Ow
ESI/FME, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
MEMO LETTER
MEMO .LETTER NO.: 97-7-25
i
PROJECT
"Painted Cove - Plan 3A - Lot 31/La Quinta"
DATE
: JULY 25, 1997
LOCATION:
La Quinta, California
PROJECT NO: 194-6225
DEVELOPER:
MINISTRELLI CONSTRUCTION
CLIENT NO
: BBG 124-0100
FILE NO
: 6225MO18
ARCHITECT
BBG ARCHITECTS, INC.
SHEET NO
: 1 OF 1
REGARDING: 1) PLAN 3 - LOT 31: REVISIONS DUE TO SPRUCE PINE FIR ROOF TRUSSES
MAUFACTURED BY SPATES FABRICATORS.
ITEM
1 The following revisions are required due to Spruce Pine Fir roof trusses
manufactured by Spates Fabricators for the above mentioned project :
a. Rear of Kitchen: The Simpson A35 spacing in detail E1/SD3 changes from
16 inches o.c. to 8 inches o.c.;
b. Rear of MBR: The Simpson H1 spacing in detail G1/SD3 changes from
48 inches o.c. to 24 inches o.c.;
c. Rear of Kitchen at BR4 option: The Simpson ST6224 in detail J1/SD3 changes
t to Simpson ST6236 strapping the drag trusses together.
Thank you for bringing this matter to our attention. If you have any questions,
please do not hesitate to give us a call.
ISSUED BY: COPIES TO:
ESI /FME INC. (3) MINISTRELLI CONSTRUCTION
STRUCTURAL E /NEERS Attn: Ken Schmale
QPpFEss,oyq (1} BBG ARCHITECTS, INC.
BY: a�4 ,� MATS, eF. Attn: Jim Deford
nanny m oto, �. t.
for ESI/11 civl� P���
OF CALlF�
1921 E. CARNEGIE AVE., UNIT 3-J, SANTA ANA, CA 92705 ° Ph. ( 714) 261 - 1811 / FAX ( 714) 261-8506