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12779 (SFD)Building Address Owner P.O. BOX 1504 79-080 Coyote Creek 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 34inistrel.li Construction Co., Inc BUILDING: TYPE CONST. OCC. GRP. A.P. Number 769"550-041 Legal Description Lot 46 Tract 25429 Project Description SFD Mailin Address 50-445 Mountain Shadow City Zip Tel. La Qui.nta, Cox 92253 (619) 564-184 Contractor Al Durmett Construction Add .stl. BOX 3371 Desert,ICA 92261 1(619)564-3673 State Lic. I City & Classif. $ 451035 Lic. # Arch Engr No. 1463 Sq. Ft. 3375 No:' Size Stories Designer 1 Berkus Group Ad dress Corporate Park Tel. City Zip State -Irvine,' CA, 92714 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. ✓� fry_ '27 'X _SIGNATURE - - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior 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 thathe is exempt therefrom, and the basts 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year or completion, the owner -builder will have the burden or proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No.Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE' This section need not be completed if the n ( p permil�is lor�one hundred dollars ($f00J valuation or less.), A- yj !i I certify that in the performance of the work for-which,this permit is issued, I shall not employ any personlin any manner so as to become -subject to the Workers' Compensation Laws of California.- ;,^ / � t � � �' � / v �- Date = l'rOwner �' `� f NOTICE TO APPLICANT. If, alter 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. r V CONSTRUCTION LENDING AGENCY I hereby 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. "'1''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 applicant Date Mailing Address City, State, Zip No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block walls r or pool.. Estimated Valuation $193,555.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 584.34 Const. 968.513_ Mech. 102.50 Electrical 223.45 Plumbing 241.50 S.M.I. 19.36 Grading 20.00 Driveway Enc. .00 Infrastructure 4#260.71 Arta in Illi r Places 233.3' 233.39) TOTAL 6,670.36 6,410.36 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line FINAL DP Issued by Validated Validatior CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL..o SO. FT. ® $ UNITS SLAB GRADE t, BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO. FT. ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN "MECHANICAL" FEES — " ' WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRYTRAY AIR HANDLING UNIT CFM FIREPLACE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/e c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL -71 CITY OF LA QUINTA I A RTMENT OF PLANNIhGDEVELOPMENT BUILDINO DIVISiON .4111111111no HOUR NOTICE FOR INSPECTIONS 777"7153 O`Wt1W fAin"istrelli Construction Co., Inc Contractor Al Durrett Construction Permit Number 12779 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES "ADDRESS 79-080 Coyote Creek SFD -Permit does not include block"')Al , walls or` pool. "-4TYPF0FINSPECTION DATE.- INSP. IZ FOUNDATION & SETBACK FOOTING STEEL ' ", LL/L-. I IOUNOSYSTEM--- PLUMBING,,,,., 'POUR CONCRETE UNT)LALL ABOVE HAS BEEN SIGNE I'M SLAB V!3 ,t'ii'i..ii. I kGIRDEFIS 1k ICAL GROUND WORK 'POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNE ELECTRIC 011l Anima ',ROUGH GAS & GAS TEST <vj!_> HEATING A VENT- A/C FIREPLACE T f%':! A' .00.ND'BEAM 'O.K?-TO.WRAP�_ GROUTr'0:.4'XT,t3 Sk ONSULATION PRE -ROOF, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH A V-- POOL PRE PLASTER A GATE SEWER SEPTIC TANK - FINALS ELECTRICAL PLUMBING FINAL GAS TEST HEATING - AIC HOUSE NUMBERS JOB COMPLETED JTEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING .4 ConLtaut:br Al )DUlrrett ConstrUtek on 50=445 MoUhtaih Shadows Rd. Y dWtlbr Mihistreilf CohstrUctioh Cot . dtib Addr0flll L 79-080 Coyote Creek Thin form hhell 6e pohtpd bH Cho job With thh llu!!dlN� thepebtibH bard et all t Lnea in E cohb leudue latOi it IN the tAtlpdHhlbllit bf the ddhatsl bdhEkActbk or thb bwner/Builde, + to mohitbr the hub-eghttactbea that ' akd tin thih ilht ska the Moa tfbtabnH petfotming the pwork. Any chgngpd of thih liht wht bd ap kbvdd by the bit of bd tjuihte bapattment of Buiidthg end aafety ribs to wbtk bhihq pptfp8kM§d 6y A bhAHo@d hub-tbhttflctbti reilurcs to Lim P bbmply viii tehuit in fitbpodyd bf Wbkk And/Ht tkb 8d1dahed tot bUiidthg permit. Do TRADE 9Uf1-t!0HTRAL't0ft NAM r OthAdtaft10 blet bM Nd, 40itt M COMPI Nd, bN kiLk dftY BUSINESS LICENSE No. GRAbL/ EXCAVATE P-mery Landclearltig 800283. OTHERS DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 Date 2/4/94 Type of Permit I La Quinta No. 112646 Permit # Log Owner Name Ministrelli Construction No. 79080 Street Coyote Creek City La Quints Zip 92253 Study Area 117 APN # I I Tract # I J Lot # 46 Square Footage 1 Type of Development Single Family Residence I No. of units 0 Comments Grandfathered Clause - Painted Cove, La Ouinta 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 or $ 628.00 have been paid to D.S.U.S.D. for 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 By Ministrelli Construction Name on the check Dolores A. Ballesteros Superintendent Telephone Fee collected /exempted by Vickie J. Durrett Payment Received-' Signature Check No. 5483 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