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9801-012 (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 Exp. Date / 693S39 1i 851 IN Date i- �.� re Signature of Contractor A�' Q•- r rJ 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,•13usiness & 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. (� 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. .J�, M.ks JI J e4AJ• (This section need not be completed if the permit valuation is for $100.00 or less). O I certify that in the performance of the wgrk for which this pRrmit 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 those -provision's ,/Date: i r.: 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 $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify &•hold_ harmless.the. City. of. La-Quinta,•its;off irers, agents 7and employees: - 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to -comply with all City, and State laws relating to thebuilding construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. VSignature (Owner/Agent) Date BUILDING PERMIT PERMIT # CONTROL# M /� DATE VALUATION-+J"pq$ 10 LOT f)7 TRACT j4d ADDRESS 19—�.�«I 3AC���?t1�:R.RI .�tfRi�I JOB SITO APN OWNER CONTRACTOR / DESIGNER / ENGINEER Lf JT.!'�t3 Llw0-PF13 i"! :C(?'11 (NC.N.-.rtr) coyr., JNC , V445 MOU+N" i ¢1IN SCT.1'3DOWS RD ' 5044 tMOLFINTA INI SHADOWS KI) LA QUNI TA. CA W2253 A QUIN'.1'A CA 9 253 760`I WA 849 t.RIA 3621.5 USE OF PERMIT Sa�.1J S !7 - Lp. 1bltLi'.[` C3E. NOT 1N(*,1,kJDF } a.003+. WAUS OR POOL. ART .IN 'PUBLIC PI,ACM cRWrf, o $2SUdI[31✓HR AuvRIMIN41 NT WITR i-Xi�llelf!t. NtI..'S` D'L�i+ '1,O1'1N4EN't' DEPT. 4 TRACT CONSMJ�MON 3,375.00' SF VORCMiIAVO Z10Xk S#„ (fA.t AQWCAl 'C>AT 692.(9) Sir i11%I _a.E D -C'` -COST OF -C'€3°�`i.S'T'_zdJ�''$`.i0N • t.A ,Cw�s 7r�-�•Il�,Ip..D` F EIRI` T 9i .i R ST Ai,FkiX�l�R.1 V PXIA AN r -10K. a FW iQ1d3f3U�4zS►�3iF3 �ts.t4_i�fr -• 4`c?N E?.i►L"I+:!?+�'r FF fiRI+'31_�sflf3t(-�rQO 59i.5cf a N1e:?.KNWN-,N.IC:A1.1-T-4 A1,01 -M-421-000- -421-000- $fMrin) 1 U#fttt;.1€� Irl+. - BOJ-tr'ilt3- iil-t7t7(! 54.Q5 FZ PLLIR9l INC --1 lr S . l p 14 -�J.19 DOQ S t 17.00 <C3"44;t". Nr Arif'Y 6 K)N F!:`� - 42#;�f0 101-000-" -000-741 4J00 f11 CID a) CRAVING F"V9q -Moo LJ`— WRAJIYMUCTURCFEE, 225-600413-342 S4,4 meq' 14 A l' LN J,)UJJ1.1C 3�2,;A�".Ix> - '. 7tli-Ufa-�9�-4iQQ �?.A1.11+J C117m.! LL rrrs; .t.}rd�r;i4 r .R �Sfl.t)4 � � ,C MIT IN L' �tl+r,',�I,,IC;.PI..AIC S - HESID 70U,600 -255 -ow 0 f}p y•y�'� / {( (}F 9�[q(� {raj} �)q / j (p J `)�JI�"�.i F3A�i �y1..731Ih�Jl4�lt1'r�J.�.✓�.7 �.1?�i..+eC S+L;i.S`; +.lb �P �J t1,.-=— 1 -S-0,95� �.I5 r • LS.9K-P.tiW.K . -- 45W.03 �y pUT��t;{ • .. " �1.�•3i* i.6d i,T'6Floedf .c s,a.E�) e�-1��.NOYl' f� p l q' 1•. 5yt�, ��pp��ppr�. MEN •S D��,'Y1 R.'7 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 fig_ _ Exhaust Fans s O.K to Wrap F.A.U. Framing _ Compressor Insulation - A 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 steel POOLS - SPAS 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 Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping _ _4 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 Reccptacles G.F.I. Smoke Detectors Temp. Use of Power t Final Utility Notice (Perm) COMMENTS: Building lq a o 'T c y Address �l� M(Nl S i C1Z i CtAtf'reu. T4hf " P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO i OP41 L LA QUINTA, CALIFORNIA 92253 Mailing Address 5-o qqS , y godN7' 1�19tlt9T,vt City/ Zip Tel. �-A �Ir� q t r,S� y I'i N Contracttoyri, (//�� V I I Af I S TTI0 t f C.O Al S T'.CJC_" D Al Zip I Tel. State Lic. I City & Classif. Lic. # jG-7 Arch., Engr., b �� Designer U Address I Tel. CityI Zip I State I Lic. H 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, atter, improve, demolish, or repair any structure, prior fo'ifs Issuance also requires the applicant for such permit to rile 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 or 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 (5500). (7 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 of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) t'1 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 of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 1-1 1 am exempt under Sec. B. 8 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 n Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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 thg 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. Date Owner NOTICE TO APPLICANT., N, 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. 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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to enter the above- mentioned property for inspection purposes. Signature of aliplicant Date Mailing Address City, State, Zip BUILDING: TYPE'CrOJNST. I I OCC. GRP. A.P. Number /G%"5`�►a -0)q Legal Description�d? r� -TR Project Description T N4 4A I A TE or L. T 9'4 '1, 156 Sq. F`333 -1 t.333°1 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT AMOUNT Plan Chk. Dep. �,ry ©13 Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure i E k TOTAL 13 & c REMARKS I M 4 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 Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Notice: Document Cannot Be Duplicated f Date 1/20/98 Desert Sands Unified School District 82-879 Highway 111 Indio, CA 92201 619-775-3500 CERTIFICATE OF COMPLIANCE No. 16524 Jurisdiction Owner NameMinistrelli - Painted Cove, Inc. No. 79-160 Street Jack Rabbit Trail City La Quinta zip 92253 Tract # Lot # (0 1 Type of Development Single Family Residence Comments APN # 769-542-019 La Quinta Permit # Log # Study Area Square Footage 3375 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: I EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Mitigation Agreement in the amount of 628.00 X 3,375 or $ 2,119,500.00 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 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Ellen Patino Signature Payment Received Check No Telephone .'564-1849 $628.00y Y. 076147 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 rolled 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 4 - ESI/FME, Inc. STRUCTURAL ENGINEERS & CONSULTANTS December 23, 1997 MINISTRELLI CONSTRUCTION CO. 50-445 Mountain Shadow Y La Quinta, CA 92253 ATTN: Ken Schmale RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 1A -Lot 67 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. 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, ESIIFIMF Inr_ 1921 EAST CARNEGIE AVENUE, SUITE W • SANTA ANA, CALIFORNIA 92705 • (714) 261-1811 • FAX (714) 261-8506 ESI/FME, Inc. STRUCTURAL ENGINEERS & CONSULTANTS MEMO LETTER MEMO LETTER NO.: 97-12-22 PROJECT "Painted Cove - Plan 1A - Lot 67 DATE : DEC. 22, 1997 LOCATION: La Quinta, California PROJECT NO: 194-6225 DEVELOPER : ,: MINISTRELLI CONSTRUCTION CLIENT NO : BBG 124-0100 FILE NO : SPP1 LT67 ARCHITECT BBG ARCHITECTS, INC. SHEET NO : 1 OF 1 REGARDING: ,1) PLAN 1A - LOT 67 W/ FLAT ROOF: REVISIONS DUE TO SPRUCE PINE FIR R ROOF TRUSSES MANUFACTURED BY SPATES FABRICATORS. ITEM 1 ; The following revisions are required due to Spruce Pine Fir roof trusses manufactured by Spates Fabricators for the above mentioned project : ,a. Left of Living Room: The Simpson A35 spacing in detail H/SD2 changes from 16 inches o.c. to 8 inches o.c.; Thank you for bringing this matter to our attention. If you have any questions, please do not hesitate to give us a call. ISSUED BY: COPIES TO: E S I/ F M E INC. -(3) MINISTRELLI CONSTRUCTION STRUCTURAL E GINEERS Attn: Ken Schmale Q�,OESS!a�, (1) BBG ARCHITECTS, INC. BY: �° �y rA AFsv���F� Attn: Jim Deford D5nnyC- for ESI/ . FOF CAUF�Q` 1921 EAST CARNEGIE AVENUE, SUITE 3J • SANTA ANA, CALIFORNIA 92705 • (714) 261-1811 • FAX (714) 261-8506 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 79-160 JACK -RABBIT TRAIL Type of Construction: VN Bldg. Permit No.: 9801-012 Land Use Zone: RL Owner of Building: MINISTRELLI-PAINTED COVE INC Address: 50-445 MOUNTIAN SHADOWS RD City: . LA QUINTA CA 92253 By: _ KIRK KIRKLAND Date: 1-11-99 Building Official POST IN A CONSPICUOUS PLACE