9706-141 (SFD)LICENSED CONTRACTOR DECLARATION
U) I hereby affirm under penalty of perjury that I am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
04 U) Professionals Code, and my License is in full force and effect.
O =) t7 License # Lic. Class Exp. Date
Z r uDate 2 Signature of Contractor—1 -"* �' �'•
CD 0 w,
t� 1.—o OWNER -BUILDER DECLARATION
J (O
LU W r- I hereby affirm under penalty of perjury that I am exempt from the Contractor's
~ U) License Law for the following reason:
Z_ ( ) 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, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
C'')() I am exempt under Section
LID B&P.C. for this reason
N Date Signature of Owner
ON
a)
Q WORKER'S COMPENSATION DECLARATION
CL
o< Ir I hereby affirm under penalty of perjury one of the following declarations:
LO
O ( ) I have and will maintain a certificate of consent to self -insure for workers'
X W LIL compensation,. as provided for by Section 3700 of the Labor Code, for the
1.0 J Q performance of the work for which this permit is issued.
m Q C) I have and will maintain workers' compensation insurance, as required by
O V Q Section 3700 of the Labor Code, for the performance of the work for which this
rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
� Z Carrier Policy No.
CY .rte
Q (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
3 subject to the workers' compensation provisions of Section 3700 of the Labor
Code, 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 persori at
whose request and for whose benefit work is performed under or pursuant p' -to I
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 i `
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
ithe above-mentioned property for inspection purposes.
/Signature (Owner/Agent) - ! •s- !.!''« Date '=' > 417
I4
PERMIT # CONTROL #
BUILDING PERMIT
9740.141 5560
/
DATE
f VALUATION{1t► LOT 1'1 TRACTJOB
SITE
ADDRESS 71 -PX5 C'10Y()•i'E C'K1,4A
APN .769-550-027 .
OWNER
CONTRACTOR / DESIGNER / ENGINEER
1::?Ii i�t;i:.:,i•�`t�lN't�;:'i COVE, INC.
`�I"!S`�r,iF:t.+t,:-;'r�t'3 ;'!iI:! O." E, 11'X'
.Wd'15ItilOTANtAIN SiIA[X)WS RD
50-14� NItAUci1AIN ",HA1:nMRD
LA Q1.JrYrA 1./ty y1, ?S3
1.:14--UHN 1'A CA 01?,%,
CM,Iq N121;
USE OF PERMIT
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DATE
BY
DATE FINALED
INSPECTOR '
;V
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:
f�
R l'�
s CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
Owner MINISTRELLI-PAINTED COVE INC
Contractor NIIMSTRELLI PAINTED COCE INC
Permit Number 9706-141
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-08 IdlITA
SFD J U L 2 2 1997
TYPE OF INSPECTION "''bATE—` 4QINSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING 72V-77
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 G(
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK 7D �/. 7 1 -CL',,
FINALS
ELECTRICAL ' f
PLUMBING
FINAL GAS TEST _
HEATING -A/C
HOUSE NUMBERS
JOB COMPLETED Q -
TEMP POWER
ABOVE APPROVALS DO NUT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Desert Sands Unified School District
r`
Notice: 82-879 Highway 111
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 2/21/97
No. 15274
Owner Name Ministrelli Construction
No. 79085
City La Quinta
Tract # 25429
Street Coyote Creek
Lot # 33
APN # 769-550-027-3
Jurisdiction La Quinta
Permit #
zip 92253
Log #
Study Area 125
Square Footage 1
Type of Development Single Family Residence No. of Units 1
Comments
irandfathered 2855 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 Government Code 53080 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,
r.. now be issued
,
Fees Paid By cc/First Community Bank/Ministrelli Construction Telephone
Name on the check ! �+
By Dr. Carol McGrew
.r s,
Administrator in Charge ,I
Fee collected /exempted by Pauline Pearson Payment Received $628.00
Signature
Check No. 070639
10TICE: 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
ollecl 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
- PAINTED-C&VE
LA -QU.-INTA
July 7, 1997
City of La Quinta
78-495 Calle Tampico, ,
La Quinta, Ca! 92253 "
Re: Architectural Committee Approval- Lot 33,Tract 25429 ,
- 79-0.85. C'oyote.Creek
Dear, Sirs, _ -
This letter will confirm't'he Architectural Committee approvc 'of drawings.tp_be = .
- constructed on Lot 33 tract 25429, as prepared by Stanford & Leon hard.Architects.
Should you require any additional information, please contact our- office.
Sincerely,.
Ken Schmale,- President -
Architectural Control Committee, Painted -Cove ;
KS: rs
50-445 MOUNTAIN SHADOWS "
LA QUINTA, CALIFORNIA 92253
amua,�amna�wa - '
TELEPHONE: 619.564.1849
FACSIMILE: 619.564:5530
r
FEB -21-97 FRI 9:50 ESI FME INC FAX N0. 7142618506
ESI/FME, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
February 20th, 1997
MINISTRELU CONSTRUCTION
50-445 Mountain Shadow
La Quinta, CA 92253
ATTN: Bob Hansel
P. 01
RE: Roof Truss Calculations and Layouts on "PAINTED COVE" — PCIW33, Plan 4A, Lot 33
for MINISTRELLI CONSTRUCTION (ESI/FME 194-6225 / BBG 124-0100)
Dear Mr. Hansel:
We have reviewed the calculations and layouts by SPATES FABRICATORS and they appear to
comply with the requirements of our calculations and your 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 informatlon 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.
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/FM t;s�
STRUCTU Q
s7
93
Danny, 'v
for ESIM CALIF
ESUF E We; P4L.Q33LT
1921 E, CARNEGIE AVE., UNIT 3-J, SANTA ANA, CA 92705 - Ph. ( 714) 261 - 1811 / FAX ( 714) 261-9506
I
JUL-22-97 TUE 7:49 P.01
r
Post-it1° Fax Note 7671 JDale +! o_ b.
Phone 0 ' Phone 8
Fax Y I Fax y
July 22,1997
Mark Harold
Building Department
City of La Quinta
Ref: Lot 33 Painted Cove
Dear Mark,
I have reviewed the truss calculations provided by
Spates Fabricators for the project and find them to be in
substantial conformance with the structural design.
I also intend to provide structural observation -per
UBC 1702 4. for the project.
QRpFESS/pN
No. 4044 Zc
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* Exp. LI ?�
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