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9712-112 (SFD)F— (VU) %_ W O �n ' W X I � oZ It- r - 0 O O _J ~a Z co L0 (\I ON U_ °) v0- Z Lr) HCr 0 LL X W — mQU OU ci�MLO � ,-t Z 6C) J LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapfer 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Liceense # Lic. Class Exp. Date Date �?r' ? �' Signature of Contractor ✓ 'r ^� ` �✓"D V 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. (� 1 have and will maintain workers' compensation insurance, as required by Sectlbn 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. STATr1 f+jN" 1., 0116 .9" t i (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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with I those provisions. r f 4bate: :2Q - �' Applicant !'�` / ,-- t " Warning: Failure to secure Workers' ompensatio 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,i 'spection,purposes. �ff/Y 191�� Signature (Owner/Agent) Date BUILDING PERMIT PERMIT X712-112 CONTROL# DATE 1 VALUATION S ii%1 .024j"I LOT M TRACT � �'3 6 r1 cf ! m 1)44 � C*017 I [ M �.�iEio'A APN ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER A!i*llSi"1:i;s,i.!-I'�V"J`I'I:I'. Ct1�'Ii,:"1C. �iiN}si ttt'st.l.i•f�AtN1 :n COVE, INC. 50445 NIOUNI`AIN S1IADOWS RIS 50445 MOUNTAIN SHADOWS RD LA F; U1NfA CA 9225:1 LA QUINFA CA 022S3 (7!>n1SF.t-lftd�i 121131.11 162; is USE OF PERMIT SOT, - PO ILKi-IT l 0ES NOT INti",LU i37XY N WALLS OR P6(3i.. AR ► iN 1:104LIC PLACT:3 CRIUAT OF Ji`.'U'f„iFi PER AC:KET,%1hNT WITH C:ON41MUNI.1'V' 01-:Mi.0#'t14hW1' D 1'ARTW-W1'. t1:AC",* CONSTRUCTION 'Z930.00 f3i Pt. RCI OW00 423}i.+.►t) SF 6ARAt.iWCAf{I'c"f1 T 74i.iN.1 -lip CXXI 'i' CSF CO I T!:L#t` t�!7N•'i'Ed.i.7t,"`i`1CtNFE:t. 1l.�L-UoO•aix•(}t)li 5��,;.�tt ,... Pr AN11`11 ,11% Fri.' ` tQ!-(1FIfi-city-ti}� 0.811. a. foe N iF(114VACAL 1M2 S117.5f) Eii,F�i i'RIC.A(,! EiG 1f3I-GGfi-d2U ilt Sl10,82. IFtlLi'h2F!l El . RADINF, Flit: 1(11 -(X)0 -4A. '3.000 Tt —KAa fkUtJ-RJitii rEX 2254rJi -A43-1i2t3.v;'!.ti! _ Gu z LL � AWI' Ito PUBLIC; Pf.AC.'I::S - RFANIf. 701_000.255.0(x)' t Fr.+9.�, c= AFT IN PI Ilif,it7, F�I,Ar;F'� _ {�i.Stt; 7{il •t►(1/i.255 (►(if} _t^A^,St. � }. U SU[3-1MiAI, C<7N'.71R fC110N ANIS PLAN C{ IECK, ~ ' ” 1'54n.R5 LESS Mr -PMT) FEES -V5'7._43 3i)•1•Ai, PlSitll11T H'4 H.% DIJIF NOW S6,"2.29 114,:1 >5 RECEIPT DATEBY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs -1 Underground Ducts Forms 8 Footings �� _ _ Ducts -- Slab Grade _ Return Air Steel Combustion Air Roof Deck xhaust Fans O.K. to Wrap F.A.U. Framing Insulation Compressor Vents -" v Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall _ Exterior Lath _ Drywall - Int. Lath Final 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 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 Lateral ' Pool Cover �iewel Connection — -, j� jgr_� Encapsulation bd9 Piping Gas Test Appliances Final COMMENTS: Finale Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole IV Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors _ Temp. Use of Power —7—/ r Final -� Utility Notice (Perm) Building Address ( 1 Owner 1 Ali -C?- Mailing Address 5-0 q(4 S City 0 Qu � TA Contractor 5A M Address FE L. Zj C04ry TWIVI " P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO 'E14- LA OUINTA, CALIFORNIA 92253 •i 0 U )JYAt <Fj Zip QZZS3 Zip "' • " IN BUILDING: TYPE'CONSST. OCC. GRP. Qbt�JS A.P. Number 1 n;z1, Legal Description 6•-f��e ; ��'`I Project Description 'I. State Lic. I City & Classif.�ij r� i Lia # 36.2.5` Arch., Engr., � A Designer fj Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION 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, after, improve, demolish, or repair any structure, odor 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 of the Business and Professions Code. or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). C-1 1, 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 Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or thrcugh his own employees, 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 build or improve for the purpose of sale.) I'1 1, as owner of the property, am exclusively contracting with licensed contractors to con- 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 a contractors) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby 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 No. Company r7 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address 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 a0plicant Date Mailing Address • City, State, Zip 1 Size t ? la Stories New ❑ Add ❑ Alter ❑ ttK@L rS1 A/ PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS No. Dw. Units Repair ❑ Demolition ❑ n AMOUNT ou ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR t Issued by: Date Permit Validated by: P Validation: DEC 2 2 1991, WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION CITY O'F LAQU1A Desert Sands Unified School District 82-879 Highway 111 lent Cannot Be Duplicated Indio, CA 92201619-775-3500 CERTIFICATE OF COMPLIANCE Date 12/30/97 No. 16458 Owner NameMinistrelli-Painted Cove, Inc. No. 79-145 Street Coyote Creek APN # 769-550-030 Jurisdiction La Quinta Permit # Log # City La Quinta Zip 92253 Study Area Tract # Lot # 3, Square Footage 1 Type of Development Single Family Residence Comments 980 square teet 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 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 Cashier's Check/First Community Bank Telephone Name on the check ` u By Dr. Doris Wilson y y Superintendent Fee collected /exempted by Ellen Patino Payment Received .1,,,$628.00,,_.-- Signature ,.$628.00,:--Signature Check No. 076073 IOTICE: 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 bove 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 olled them on the Dislricl('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 FROM : SOUTHWEST ELECTRIC CO 360-1866 PHONE NO. : 772 6998 LOAD CALC'UC.ATIONS SOUHWEST ELECTRIC COMPANY 77-734 COUNTRY CLUB DR. SUITE K PALM DESERT, CA. 92211 Jan. 27 1998 12:51PM P3" ♦ y i Lic. #651498 DATE: 1-27-98 JOB: PCLQ LOT # 36 CONTRACTOR: MXNISTRELLI 79145 COYOTE CREEK GEN. LIGHTING, SQ. FT. 3731 X 3 11193 2 APPLIANCE CIRCUITS @ 1500 3000 LAUNDRY CIRCUIT 1500 DRYER 4500 RANGE 4000 COOK TOP 1500 TRASH COMPACTOR 1200 DISHWASHER 1200 DISPOSAL 800 MICROWAVE 1500 EXTRA KNOWN CMCU7TS (2) @ 1500 3000 POOL EQUIPMENT 6000 TOTAL LIGHTING LOAD -- -- -- TOTAL = 39393 FIRST 10 KW AT 100 % 10000 REMAINDER AT 40 % 11757 A/C 10 TONS X 2000 PER. TONS 20000 39393 TOTAL LOAD/ 240 VOLTS = 173 AMP LOAD * * *RECOMMEND 200 AMP SERVICE* * * 77-734 Country Club Dr., Ste. K - Palm Desert, Ca 92211-0473 FAX 772-644ft CASS ROGERS - CIVIL ENGINEER * CONSULTANT 875 TAMARISK ROAD, PALM SPRINGS, CA 92262 - PHONE: (619) 323-8007 LETTER TO CITY OF LA QUINTA APRIL 23, 1994 LATERAL ANALYSIS FOR WIND AND SEISMIC FORCES, INCLUDING CALCULATIONS FOR BEAMS, AND FOUNDATIONS CLIENT: PATRICK & GALA Mc GARRY P.O. BOX 11018 PALM DESERT, CA 92255 PHONE: (619) 564-5517 SITE LOCATION: BIG HORN TRAIL LA QUINTA, CA 92253 LEGAL DESCRIPTION: LOT 19 OF TRACT 25429-19, MB 216/66, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA. ASSESSOR'S PARCEL NO: 7.69-550-012 ATTENTION: Mark Harold, plans examiner Dear Mark: In compliance with item 4 of additional comments, I will provide structural observation during construction per UBC 307. This has been discussed with Mr McGarry. In addition, I have discussed the drag trusses with Brent Spates. They will make the necessary changes on the truss calculations and plans and will promptly forward them to us. I will be ,responsible to review them immediately and forward an acceptance letter to you. It will be greatly appreciated if a permit is issued prior to receipt of the corrections for the truss calculations and plans. I will be responsible for having them submitted within a short time after the issuance of the permit. Mr McGarry has given me his backing in this. If you have any questions, do not hesitate to contac me '-- `BES a�,� o.37112 Exp- 6-30-9(d �Pql� ®1 CA� U CASSIE B. ROGERS, R.C.E. 37112 (EXP 6-30-96) DATE