9708-092 (SFD)LICENSED CONTRACTOR DECLARATION
U) I hereby affirm under penalty of perjury that I am licensed under provisions of
I-• Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
04 LLLJv Professionals Code, and my License is in full force and effect.
O C) License # Lic. Class Exp. Date
I` W
LO SV' + E3 Sv 3 I OR
oZZr- /Date 1 r Signature of Contractor -
(p _
0(D OWNER -BUILDER DECLARATION
W W It- I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ U) License Law for the following reason:
Z_ ( ) 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),
LO LO () I am exempt under Section B&P.C. for this reason
N Date Signature of Owner
ON
d Z WORKER'S COMPENSATION DECLARATION
LOQ IY I hereby affirm under penalty of perjury one of the following declarations:
F -m O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W compensation, as provided for by Section 3700 of the Labor Code, for the
Oro � Q performance of the work for which this permit is issued.
Q () ( ) _ I have and will maintain workers' compensation insurance, as required by
p U QSection 3700 of the Labor Code, for the performance of the work for which this
a LO H permit is issued. My workers' compensation insurance carrier & policy no. are:
't Z Carrier Policy No.
r` O
J (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
I
ubject to the workers' compensation provisions of Section 3700 of the Labor
/Code, I shall forthwith comply with those provisions.
�J Date: f ' ` Applicant / t , 4t•t »
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 at
whose request and for whose benefit work is performed under orpursuant 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
t, a above-mentioned property,for-inspection purposes.
) t.11. l
Signature (Owner/Agent) `-�^'"ti Date
BUILDING PERMIT PERMI T#711x-t>+;'� CONT5
9 21
t
DATE VALUATION 5217.107.741 LOT i5 TRACT 1JOB
SITE
ADDRESS 7-9-ILI; {.OV0I'll . i`.ii1:%1€►.
APN 7OI}•; .SiI•IIx�^"`'.;..._,.,
OWNER
CONTRACTOR / DESIGNER / ENGINEER
;�SSt1€tai:€i€.1.!•1��!}SII l;ij tr(
t!4114, '{:€:I.€.€ -PAINTED COVE, t'NC.
°+iW� h(i�t1ly t'rktN Si�t\1X0WS RU
54,143 NK)UHTAIN1 .Sf1A3)0WN RD{.A
tuff 'Tr1 CA /021-11,9
t,A t ►IJl TI A C ix 921,115:1
f7ti{)1Sti•1-ttt.t�) t,:{t1.11 �)2.i
USE OF PERMIT
80) 1ht+"l'.Ai:4At4A& r +.t RCISE RAi OPTION,; - i'OANl€'f U"Os NOT €€w'`"L.#ti na
ft1.00K W ALLN ON POOL. IT*At S tilil1.0,71' AII4' i_;WAAT 0F S4+2.u'O Pli}t
A+:tfti.i.frIENTT W/,st;,N4, €11:V.
e3ifta':"f' tw�iv��Tittf,J`Tt•�,i3 ;i,i�;.tki :i€�
Pi.Rhiff FFA SUMMA16'
r:,_Sh,..,#'ltl.I,,-[,I("N I:#s'ti I0I-000-418-000 $► s,s:.!«>
w°•^"
PT, A N i s ti r 'Tk i71 y: I oil -ml-.11 it
trf7,: f�€it t:?'!li' •S..`.`�+).l7t)
NIECIIANICAL FEE
f:LIX-#'RICA1. FFA-- €()1 f NI.,l2t1•t1#h') 5; 14,A!I
C)
i/#.tigttlt?•tiitl I I(it .11{I{'t-.itr)_" (k)
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{Idt'#!Ir ti 112i it i{,tizt: #•'1. f; ; .�S.flt)f1�ld?•_;rl� fil,ifl#),7{�
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f+fdOCISH {rl; rl.Td {!){ 4^t Sit1
0
.ART IN 111JI I C t %ACES 'W-_'3 €!, 701-01-25540
�W
ART 1N 114A AC PLACIA - W -'.St{, 70i•!)C}t1-2Sr+
til.•1I_t=1YYr�i,t, is{;tN �I`t2f K"DON ANO F11,t��f C1113i{�K
til "1LESS
r ;•
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'1•t��'t'�+►i,1'f�;N,tl'fi'{' t+%�t%«`i 1)t!1/: i`rt7t'V
;�7,i?is�.8�t
RECEIPT
DATE
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
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
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:
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
APN # 769-550-029
No. 16097 Jurisdiction La Quinta
Owner Name Ministrelli Construction
No. 7 25 Street Coyote Creek
City La Quinta zip 92253
Tract #
Type of Development
Comments
Lot # 3S
Permit #
Log #
Study Area
Square Footage 1
Single Family Residence No. of Units 1
arandtathered 2667 sq. ft.
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 Telephone
Name on the check
By Dr. Doris Wilson R y
Superintendent
y
r
Fee collected /exempted by Pauline Pearson Payment Received $6.28.60 -
Check No. 74077 +
Signature 2PQ_ �u A-A--61,A—
NOTICE: 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
- FROM : SOUTHWEST ELECTRIC CO
�a
360-1866
.`��W-
PHONE NO. : 772 6998
Soum".6i
kz
n/
LAI? CALCULATIONS
SOUHWEST ELECTRIC COMPANY
77-734 COUN1'RY CLUB DR. SUITE K
PALM DESERT, C.A. 92211
Sep. 08 1997 12:33PM P2
DATE: 9-8-97
JOB: PLAN 3 / SAN MIGUEL CONTRACTOR:
MINISTRELLI
79125 COYOTE CREEK
_ GEN. LIGHTING, SQ. FT. 4200 X 3
12600
2 APPLIANC'F CIRCUITS @ 1500
3000
LAUNDRY CIRCUIT
1500
DRYER
4500
RANGE
0
COOK TOP
1500
TRASH COMPACTOR
1200
DISHWASHER
1200
DISPOSAL _ _
_ _ 800
MICROWAVE
1500
EXTRA KNOWN CIRCUITS (2) @ 1500
3000
POOL EQUIPMENT
6000
TOTAL LIGHTING LOAD – –_— --_–
TOTAL = 36800
FIRST 10 KW AT 100 % 10000
REMAINDER AT 40 % 10720
A/C 10 TONS X 2000 PER TONS 20000
40720 TOTAL LOAD / 240 VOLTS = 169 AMP LOAD
***RECOMMEND 200 AMP SERVICE***
Lic. X1651498
77-734 Country Club Dr.. Ste. K -Palm Desert. Ca 92211-0473 FAX 772-F44a
FROM : SOUTHWEST ELECTRIC CO
360-1866
Zoo
A1h�N
PHONE NO. : 772 6998
/00
S�"t
JA
Geov�o
Sep. 10 1997 01:51PM P2
Lie. X1651498
77-734 rotintry rhih I7r RtA K - Ppim nacart (n Q991 1_nAWA FAY 770.AOOA
SEP -11-97 THU 9:38 ESI FME INC FAX N0. 7142618506 P.02
ESI/FM'E, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
September 10th, 1997
MINISTRELLI CONSTRUCTION CO.
50-445 Mountain Shadow
La Quinta, CA 92253
ATTN: Ken Schmale
RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 3 -Lot 35 to be built in La
Quinta for MINISTRELLI CONSTRUCTION CO. (<SI/FME 194-62251 8BG 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 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 ENGINEERS
By:
Danny Matsumoto, CE33307
1921 EAST CA13NEGIE AVENUE, SUITE 3J • SANTA ANA, CALIFORNIA 92705 • (714) 261.1811 • FAX (714) 261,8506
ESI/FME, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
September 10th, 1997
MINISTRELLI CONSTRUCTION CO.
50-445 Mountain Shadow
La Quinta, CA 92253
ATTN: Ken Schmale
RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 3 -Lot 35 to be 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 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: 1 1 a�
I -7-AVIA&M
1921 EAST CARNEGIE AVENUE, SUITE 3J - SANTA ANA, CALIFORNIA 92705 - (714) 261-1811 - FAX (714) 261-8506
Certificate of Occupancy
City of La Quintal
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: 79-125 COYOYTE CREEK -180 COYOTE CREEK
Use Classification: SFD Bldg. Permit No.:
Occupancy Group: R3 Type of Construction: VN
Owner of Building: MINISTRELLI-PAINTED COVE INC
Building Official
9708-092
Land Use Zone: RL
Address: 50-445 MOUNTIAN SHADOWS RD.
City: LA QUINTA CA 92253
By: KIRK KIRKILAND
Date: 4-2-98
POST IN A CONSPICUOUS PLACE