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9806-104 (SFD)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 S(N Expl pate (03 b / if &31/98 VDate l �� Signature of Contractor 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. (h) 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. y i t�1xs � f;1AJi7 i]<1 �-itw�f)fi(tu�2� (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 agree4hat,if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, IA hall f rthwith comply with thoiwprovisions. %a�--- — vbate: , ^ % ' Applicant n 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 f for a permit subject to the conditions and restrictions set forth on his"�E# 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 t construction, and hereby authorize representativesof this City to enter upon. the above-mentioned property fo A 'spection purposes ,f s ` 9 1 Signature (Owner/Agent)`-1?ia'/`tf!..-� �' Date BUILDINGPERMIT' PERMITk °°NTR°`# StS11Cr !(F4 7 0 5 DATE VALUATION �1�4f� � � LOT 43 7712- �1• 9- i- 28 JOB SITE g 79-140 COYk i1;11?. MEEK769-550-4.143 7ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER 1911°31.x;; i:� 1 I.1-,I�e�.IAd1'.fsi COW, INC.. MUNIS"t'.teEUI-PAINTED COVE, fdt.,. �` ' C`E31.# :$1i2.5 USE OF PERMIT .� , {INGLP h't1 7iI�1� iJL'V :.i.,ITJ� b $H) - f1 ici 111 .J00 5 olk i'00L I�d):ft.G'il1C•�w�°it;� �au.(f0 ��� (JARAC11.1YCARt'OWI! 759AO .W GONS'rRY(ClIC?? FffE 101-1100-41[8-000 PLJ\N CRECK 1'Hs I t •0(X)- 39-3} 8 SS90 7 f FEE DEPOSIT 1 1-000A39••3.18-SZ50.00 N01-LIAN1CAL .FEF 101-M-421-000 s x a s. yu P., F_C*TVtCAL. RR 103.-000-420-000 1211.24 1111Th I-91NO? r: NI: 101-000.419-0M 1183,21 '!'YR NG Iv10TIO1v HTE - 3i.ESID 10.1-000.241-000 ',I��i t'Idt}lrt I 101.-W)-42.1-000 v wa),00 LNf+f2.A_'iTRtft.T(JRr_:F fiF 22:5.000-443-342 94,089.16 1 -Q00 -255-(1I1()' 5+213.99 J' P � i.f11.J su-,bl �t �7 S. 1J: -'T10 V NDPLAN rw31?:1�.�.1. MEMS PRE-PAIDVEE-8 SEP . 01 1998. -$2.r0.i)�) 31TY OF La QUINT RECEIPT DATE ELY 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 0. 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 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 Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power I c , Final Utility Notice (Perm) PM 3 _ , G- CITY OF LA QUINTA � Ivo, 0. .� .s' BUIj, WG & SAFETY DEPARTMENT 0 > ' "'W 777-7012 Off' INStON REQUEST LINE cjiC� • �� ''� 777-7153 Owner ]lvIINISTRELLI-PAINTED COVE INC Contractor "MiNISTRF,i.i.i-PAiNTF.DOVF.INC Permit Number 9806-104 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 79-140 COYOTE CREEK SFD - PERMIT DOES NOT INCLUDE BLOCK WALLS OR POOL. TYPE OF INSPECTION DATE INSP. FOUNDATION 8 SETBACKAIK FOOTING STEEL _ MAIN GROUND SYSTEM GROUND PLUMBING ZT T/ % �. PRE-GUNITE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB „�2- ce JOISTS & GIRDERS ELECTRICAL GROUND WORK 7 DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST " HEATING & VENT- A/C FIREPLACE ROOF 1177 BOND BEAM O.K. TO WRAP ',_ 7 Cl hL GROUT ❑ 4' ❑ 8' FRAMING -� G INSULATION PRE -ROOF COVER NO WORK UNTIL ABOVE JAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH L L ( Y/ POOL PRE PLASTER POOL FENCE & GATE EWER SEPTIC TANK FINALS ELECTRICAL PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER 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 9/19/97 No. 16098 Owner Name Ministrelli . APN # 769-550-038 Jurisdiction La Quinta No. 79140 Street Coyote Creek city La Quinta zip 92253 Tract # 25429 Lot # 4.3 Square Footage Type of Development Single Family Residence Comments irandfatheresq. ft. Permit # Log # Study Area 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 cc/First Community Bank/Ministrelli-Painted Cove Teleph'oiiea Name on the check By Dr. Doris Wilson Superintendent - Fee collected /exempted by Pauline Pearson Payment Received ';x$628:00 Signature _ Check No. 74077 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 tbove 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 allect 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: Use Classification: SFD Occupancy Group: R3 79-140 COYOTE CREEK Type of Construction: VN Owner of Building: MINISTRELLI PAINTED COVE INC Building Official Bldg. Permit No.: 9806-104 Land Use Zone: RM Address: 74-785 HWY 111 SUITE 105 City: INDIAN WELLS CALIFORNIA 92210 By: KIRK KIRKLAND Date: 3-31-99 POST IN A CONSPICUOUS PLACE ESI/FME, STRUCTURAL ENGINEERS & July 17th, 1998 MINISTRELLI CONSTRUCTION CO. 50-445 Mountain Shadow La Quinta, CA 92253 ATTN: Kevan Peters Inc. CONSUL TANTS RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 11A" -Lot 43 to be built in La Quinta for MINISTRELLI CONSTRUCTION CO. (ESI/FME 997-8246 / BBG 124-0612) Dear Mr. Peters: 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. STRUCTURAL By: nny Mats 307, F�33 L °'_ f or 1921 E. CARNEGIE AVE., UNIT 3-J, SANTA ANA, CA 92705 • Ph. (949) 261-1811 / FAX (949) 261-8506 ©� ! JON TANDY 437630 Medjool Ave. DEC 1 7R Palm Desert, CA 92211 ECD Office (760) 772-7192 SRECIAL INSPECTION SERVIC Fax (760) 772-7193. SAF,p[Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ REINFORCED MASONRY O FIRE PROOFING ❑ O OTHER JOB LOCATION7-7- / yo co ^r /,,+^ �i n V_C REPORT SEQUENCE N0. TYPE OF STRU� RE �r-D�� � �lJ PERMIT N0. � DATE � �� DAV OF WEEK '. MATERIAL DESCRIPTION SMR&W Stfon2II ARCHITECT INSPECTOR' HRS. CHARGED ENGINEER ESt FME ASSISTANTS HRS. CHARGED INSPECTION GENERAL DATE CONTRACTOR +�` +C SUB _19 A CONTRACTOR 1� S ObsEQJ olact e,pt. Ya" f re WA 5" _- t , COPY SENT TO CLIENT ❑ CONTINUED ON NEXT PAGE 0T PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SI � T R F REGI E INS\�PECTO, �� Q DA E OF REPORT REGISTER NUMBER11