9911-072 (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
093899 i3• l�f�l :41e"tN
Date ' Signature of Contractor' f! '�%'" _ 66'Z'" 7,
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).
( ) 1, 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. p�- ryy
��a °?1i,� � �JA+1.L/ ij•ri7"`e'£�-t)E)91i:>?^,
(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
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those'provlsions:
Date: �./ ✓ :7 I 'r Applicant'
Warning: Failure to secure Workers' (C mpensation 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 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 thattthe above information is
correct..I agree to complywith all- City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for,i spection'purposes'.
Signature (Owner/Agent) <� Date t
BUILDING PERMIT PERMITtt
DATE lC `Y(} VALUATION +��u5y LOT TRACTJOB
SITE
ADDRESS 79-189 J��.L.��.�.t^.n.J;,1J rTRAl .
APN
OWNERy
CONTRACTOR /DESIGNER /ENGINEER
tC �C} kyr p f �y Qom, C ryy 11!�'15'i1�1? i.d. S /ifl':ri n li C -DIT, INC..
Co F, INN.:'
F47 S iWY. 411. 1L l%35
74785 ,�'�WY 111 'S M 101
INDIAN WELLS CA 92210
INDIAN IN13LLS CA. 99210
(,'7C,0j t 16.44:,, C:NUO 3625
USE OF PERMIT
&NOLE PAWLY DWELLING
s = C"4%1: v 'F 1414; :itiar L"4:ttt31: 3'LJE t. or 1 i,04,K WALL& -PLAN ciirtcK
V!,, AN Tt F4,
'FR AC�Tt.1,.•'y.+�+1S � UC ilt,.iN 3,fl 3,00 S1'
Nx..thi.1,1Ri1",i'1,.T.I,O Jzu* Sr'
' �'+t�63:�1.t:}ErlOA1i.4'C)4n;1" 73S.t.0� Sty
ISTIAIA E,""' CU31' �rti r u °L�i n i4A 10evr.
Iea'"M .110
ct3mmif:JarICYN-F.Eli _ 101-00014W-000 a Au.sv
�� -4 -4�3�1,4
*v'��ryr1���t
r7
�ipaiY,y1V y7CHECK��p`
101 03
1l�aECif;A�bC�.£,1 fr�3a1.�1riC►-?bih-fie?f3 5..1�7.ik3
ELELIPRICAL RE, 101-0101,0420-4X)O 322134
KUMfllkY`t'�o FE R
STRONG MOf ION FUP. -1t3 ,W) .161'.0004*41-000 EISA
GRACy;€'NC FEE 101.000-423-M
�I`C�.t�1"'�i� ?.M+Y'' "
�kART
BAt'"fT� Ry�. 101-000-2,M-000
f0900 4
Yp'• l d, Jj i
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ey.T, �dti.5►��•X�s3
rl
,V'# 4�L.
,„
RECEIPT
DATE
BY 7--- r '
DATE FINALED
INSPECTOR
14
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Forms &Footings
T�J—
Underground Ducts
Ducts
Slab Grade
�3��-p �' f'—
Return Air
Steel
Combustion Air
Roof Deck
..Exhaust Fans
O.K. to Wrap
–tom 6 ,
F.A.U.
Framing/
�7, �d
Compressor
InsulationP�
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wail Firewall
Exterior Lath
Drywall - Int. Lath
-
Final
BLOCKWA ; APPROVALS
Final
POOLIS
- SPAS
steel
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
Q.
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
14 c�Pool
Covet
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
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
. i
R
Building
Address
4 4 "
��.• P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Owner � /�
"l/All5,fn,, i!l" l ON: 7—Pu ('toA
AddressL�rfb��l7G:�l/�Ul r 161 `
Cityj,� #
:A)III��,'!t(tNErl ,
Zip(
)7 T /G
Tel.
%`�� t/yS6
Contractor
Address
j
City
Zip
Tel.
State Lic.
& Classif. y�
City
Lic. ff
Arch., Engr.,
Designer^"
Address
Tel.
City I Zip( State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
lot of Division 3 of the Business and Professions Code, and my license is in full force and
effec1
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the.lo!lowing
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its isance 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 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for
thealleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than live 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 of completion, the owner-buildet will have the burden
of proving that he did not build or improve for the purpose of sale.)
ri 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Confractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contracfor(s) licensed pursuant to the Contractor's License Law.)
I') I am exempt under Sec. i B. & P.C. for this reason
l
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
r7 Copy is filed with the city. 1 ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(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 mannersoas to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after 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 r
Lender's Address 1
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 slate laws relating to building
construction, and hereby authorize representatives sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip----
BUILDING: TYPE'CONST.OCC. GRP. '
A.P. Number -r�^/G I54/A0.ZO
Legal Description +� if"' Ui (D 72-
Project Description
V
Sq. Ft. No. No. Dw.
Size '30-1.3 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
rN 71'A I L
a P� Mt r
-.7-,L I>
Estimated Valuation
�* PERMIT AMOUNT
Plan Chk. Dep. ?r„J
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line i
Side Street Setback from Center Line
Side. Setback from Property�,.Linnee
FINAL DATE D INSPECTOR f
Issued by: 'Date �` / Permit-
SEP
Validated by: �!�✓/
Validation.. a ,� . a tT^,.. t>� ter`
JI '�I LA iaUit �
Ir L
#j WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
' Notice:
Document Cannot Be Duplicated
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
Date 9/11/98 APN # 769-542-020
No. 17705 Jurisdiction La Quinta
Owner NameMinistrelli-Painted Cove, Inc. Permit #
No. 79-180 Street Jack Rabbit Trail Log #
City La Quinta Zip 92253 Study Area
Tract # Lot # �6la Square Footage 1
Type of Development Single Family Residence No. of Units 1
Comments
Under Grandfather Agreement 3,073 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`build:ng
•_t
permits and/or Certificates of Occupancy for this square footage in this proposed projectlnay Yow be issued
Fees Paid By CC/1 st Community Bank/Kevin Peters Tcleph ;ne, j77 -445,0!
..
Name on the check
By Dr. Doris Wilson ti v'1 =
Superintendent
4,',; •��—
Fee collected /exempted by Juanita Green Payment Received $628.00
i
Check No. 081678
Signature
(NOTICE: Pursuant of A�embly 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 I
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 Districl('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
r- AND WHEN RECORDED MAIL TO 1
,Name
Address
City &
State L
Title Order No.
,fit r
. ,
Ministrelli Construction Company, Inc.,
50-445 Mountain Shadow
LaQui`nta, California 92253
J
Escrow No.
MAIL TAX STATEMENT TO
Name.
Ministrelli Construction Company, Inc.
Street
50-445 Mountain Shadow
Address
LaQuinta, California 92253
City &
State L
J
THE UNDERSIGNED GRANTOR(s) DECLARE(s)
r---
f Q
Z
1 i
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rte..
IL Hyo
a t
j
LL
i 0
UJ co l
<
W
U �
Q
d' &VX
Quitclaim Deed
DOCUMENTARY TRANSFER TAX is S r�(, y, $y
[] unincorporated area 9 Cityof La_Qii i nta
Parce]No. See. legal description
[] computed on full value of property conveyed, or
[] computed on full value less value of liens or encumbrances remaining at time of sale, and
,I
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
CHATEAU ESTATES, a Michigan co—partnership
hereby REMISE, RELEASE AND FOREVER QUITCLAIM to
Ministrelli Construction Company, Inc., a Michigan corporation whose address is 19500 Hall Road, Clinton Township,
Michigan 48038
t
the following described real'property in the City of LaQuinta
county of Riverside , state of California:
f
SEE ATTACHED EXHIBIT A
Dated October, 28, 1994
STATE OF CAbIFQRNIA MICHIGAN
COUNTY OF WAYU E }
Ong(,(` f �9Cy� _before me,
a otaryPubl a in nd for said County and State, personally
appeared_John A. Boll
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the (persons) whose nalnc(s)
is/are subscribed to the within instrument and acknowledge
to me that he/she/they executed the same in hie/her/their
authorized capacity(ies),'and that by his/her/their signa-
tures) on the instrument the person(s) or the entity upon
behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal
LISA R* QORMAN
WTARY PUBUC — WAYNE COUM, MICH;
Signature MY COMMISSION En
(this area for official notarial seal)
MAIL TAX STATEMENT AS DIRECfEDABOVE
47478. 1 i
' e
rte..
hereby REMISE, RELEASE AND FOREVER QUITCLAIM to
Ministrelli Construction Company, Inc., a Michigan corporation whose address is 19500 Hall Road, Clinton Township,
Michigan 48038
t
the following described real'property in the City of LaQuinta
county of Riverside , state of California:
f
SEE ATTACHED EXHIBIT A
Dated October, 28, 1994
STATE OF CAbIFQRNIA MICHIGAN
COUNTY OF WAYU E }
Ong(,(` f �9Cy� _before me,
a otaryPubl a in nd for said County and State, personally
appeared_John A. Boll
personally known to me (or proved to me on the basis of
satisfactory evidence) to be the (persons) whose nalnc(s)
is/are subscribed to the within instrument and acknowledge
to me that he/she/they executed the same in hie/her/their
authorized capacity(ies),'and that by his/her/their signa-
tures) on the instrument the person(s) or the entity upon
behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal
LISA R* QORMAN
WTARY PUBUC — WAYNE COUM, MICH;
Signature MY COMMISSION En
(this area for official notarial seal)
MAIL TAX STATEMENT AS DIRECfEDABOVE
47478. 1 i
' e
1
EXHIBIT low
LEGAL DESCRIPTION
TRACT 1:
In the City of La Quinta, County of Riverside, State of California, Lots 01, 02, 03, 07, 08,
09, 11, 12, 13, 32, 33, 36, 37, 38, 40, 41, 43, 44, 14, 15, 16, 17, 18, 27, 28, 29, 30, 31, 78
49, 51, 52, 53,'54, 55, 56, 57, 62, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, ,
79, A, B, C, D, E, F, and 'G, all of Tract Map 25429, as per map recorded on April 20,
1990, in Book 216, Pages 66 through 71, inclusive, Official Records of Riverside County,
California.
Said lots have the following assessor parcel numbers:
Lot APN No:
01
769542001-4
02
769542002-5
03
769542003-6
07
769542007-0
08
769550001-9
09
769550002-0
11
769550004-2
12
769550005-3
13
769550006-4
14
769550007-5
15
769550008-6
16.
769550009-7
17
769550010-7
18
769550011-8
27
769550024-7
28
769550022-8
29
769550023-9
30,
769550024-0
31
769550025-1
32
.769550026-2
33
769550027-3
36
769550030-5
37
769550031-6
38
769550032-7
40
769550035-0
41
769550036-1
43
769550038-3
'
a
'D3\Wp6D\DSSDS\86-149.EXA
t
s!' .
Lot APN No:
44
769550039-4
49
769550045-9
51
769550047-1
52
769550048-2
53
769550049-3
54
769550050-3
55
769542012-4
56
769542011-3
57
769542010-2
62
769542015-7
65
769542021-2
C66- 769542020-1�:'
67
769542019-1
68
769542018-0
69
769542025-6
70
769542024-5
71
769542023-4
72
769542022-3
73
769542027-8
75
.769542028-9
75
769542029-0
76
769542030-0
77
769542031-1
78
769542032-2
79
769550051-4
4
. s
TRACT 2:
In the City of La Quinta, County of Riverside, State of California, Lots 05, 06, 09, 10, 11,
12, 13, 15, 16, 17, 18,A, B, C, D, and E, all of Tract Map 26016, as per map recorded
on November, 28, 1990, in Book 227, Pages 71 through 72, inclusive, Official Records of
Riverside County, California.
Lot AP No.
05 769541006-6
06 769541007-7
09 769541010-9
10 769541011-0
.11 769541012-1
12 769541013-2
13 769541014-3
15 769541016-5
16 769541017-6
17 769541018-7
18 769541019-8
D3\WP60\DMMS\86-149.BYA
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Dear Builder:
Prior to issuance of a building permit, you will be required to obtain clearance from the
Public Works Department for one, or more, of the following:
1. Verification that rough grading is complete, and the pad elevation certifications
prepared by a licensed surveyor, or engineer, are on file in the Public Works
Department.
2: Verification that infrastructure improvements and other required tract -improvements
are complete, or sufficiently advanced to warrant building permit issuance.
3. Prepare an engineered grading plan that provides for on -lot storm water retention,
and have it checked and approved by the Public Works Department.
• Tract 26524 (Estancias)
• Tract 26769 (Mountain View Estates)
4. Prepare an engineered grading plan that provides for building pad grading in
accordance with the existing soils report and tract grading plan, and have it
checked and approved by the Public Works Department.
• Tract 28034 (South Valley Estates)
PUBLIC WORKS CLEARANCE LETTER
FOR
CUSTOM HOME LOTS
FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT
TRACT: Sq M
LOT: D is
F:%PWDEPT%DOCSIFORMS%PW CLEARANCE LETTER -ss
COMMENTS:
i
ESI/FIVIE,
STRUCTURAL ENGINEERS &
I
October 20t1,,1999
MINISTRELLLI CONSTRUCTION CO
50-445 Mou�itain.Shadow
La Quinta; CA 92253
ATTN: Kevailn Peters
Inc..
CONSULTANTS
RE: Roof Truss Calculations and Layouts on "PAINTED COVE", Plan 11 B -Lot 66 to be built in
La Quin
ta for MINISTRELLI CONSTRUCTION CO. (ESI/FME 997-8246 / BBG 124-1200)
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.,ll 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,
1921 E. CARNEGIE AVE.,
,r
UNIT 3-J, SANTA ANA, CA 92705 • Ph. (949) 261-1811 / FAX (949) 261-8506
T.
S
,i
360-18661
i
DATE: October 8, 19"
LOAD CALCULATIONS
Lic. #750740
SUBMITTED TO: MINISTRELLI CONSTRUCTION
f
74-785 MGI iWAY 11 I, SUITE 105
INAAIN WELLS, CA 92210
JOB: PAINTED COVE LA QUINTA — LOT 66
PLAN 11
79180 JACK. RABBIT TRAIL
rr LA QUINTA, CA
*nRrtRg*!C**wRRrtkkklt*A»rtRRAkkk*xwwRrtltkkRkat**wxRrtltrtrtkkAkA*AwwrtrtkkkiuAAw/swrtrtrt
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GENERAL LIGHTING, SQ. FT. (3073 X 3)
9,219
APPLIANCE CIRCUITS
3,000
LALT�DRY CIRCLTIT
1,500
DRYER
OVENS
4,500
COOK TOP
4,000
1,500
TRASH COMPACTOR
1,200
DISHWASHER
1,200
DISPOSAL
800
NUCROWAVE
1,500
EXTRA KNOWN CIRCUITS
3,000
POOL EQUJPMENT
6,000
TOTAL LIGHTING LOAD
37,419
t
f:
FIRST, 10 KW AT 100 %
10,000
REMAINDER AT 40 %
10,968
.AJC 10 TONS X 2000 PER TONS
20,000
t
40,968-TOTA.L, LOAD/ 240 VOLTS =
171 AMP LOAD
REQUIRED SERVICE SIZE 200 AMP SERVICE
F
,R77-734 Country Club Dr, Ste. K - Palm D®ssrt, CA 92211-0473 FAX 772-6998
10-08-99 10:94 TO:PAINTED COVE LQ FROM: P03