The URL can be used to link to this page

9901-008 (SFD)w r LICENSED CONTRACTOR DECLARATION I hby affirm under penalty of perjury that I am licensed under provisions of Pnapter 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 u9:8�3 B 8;3V00 7 ! r Signature of Contractor X 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). ( ) 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 ., n,iT VIA . rN Policy No. . -1111.1 ai 01,.1 �V3.1 11-1145-1907-01.1,06"M (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 C9de, I shall forthwith comply with thos4rovisions. Date: +�� Applicant i 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 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 the above-mentioned property for inspection purposes. Signature (Owner/Agent) " - Date Y r BUILDING PERMIT PERMIT9%1,1_00S DATE VALUATION 5221,767.30 LOT 713 TRACT 215-111119 AQ _ _ JOB SITE 5�-imu it JujA1 CAMP -110AD APN 769-542 11365 ADDRESS OWNER CONTRACTOR / DESIGNER / ENGINEER M;fNAS'413,1,t 'st?3rliIN-ArTD1".1-1t%r: TNT0 gtxva�xa pf. .ri.a. �.�. .r+. ie? a �.r,.. s -f S, 0ot,If PArhrrf-i)I",("'• rFp ItIe, es x.e >. .�� u� � r.,.. 7;17&5lf%k Y 13.1 aI'1 103 74735 [AVS' 11. 1 &71-' 105 !NDLAN WELLS CA 92210 31114131Aiv WELLS CA 02210 (70)77&445() CIBL.Y.. 3025 Sqr fff USE OF PERMIT SINGLE FAvN11LY.DW8L.€. N0 SrD - KRAII(I DOES NOT MCLUC��:'ALOCK 'STALL 0R POuL` . h1AR i3N1�11.� td'jl,i�extl'4ltGl.� Haar. �ii.t .d� ! `� �• ��A �y iAi>i�.'£1!i Fi iiE3 :�ryU 4ss) Sr. a a• ` t a �. ya .��TIAUATEID° CeMy Y OF � i�T' ST111a.1�4 n k0I o c& k,76` .3i% PEW11T FEE Si{i11iAMW } FRE I.WoNrr 101�t1 -439-318 t�i,A1J t'�F'6F.C'.Ta'_'Pi?I; lfif.•()•(>I�••ziitil-�1); �V�R,�3Z &.°Oir1,"IRUICTi:✓`)`dFO, 3337- ^•`'v p-nrii $1.V4.6,so hAlCk:WKCAL tea, $143.010 'FIX-C,1'1MAL FEE 101-0004204" $245.79 W11fARRtW0FF1? 36.91-f)(f()-4iQ4)n1 'it SlROKCf lvS(Y"GIN FUX — X681D 101 -Q00 -241-W0 S`. y . 18 ZU.111 G VIM $20.00 - ftdl'f2ANTRd7C,Ff_R.F EE 22$-OLe4A443342 $4,911.96 ART IV PtYlLTO 14,A(.' S' - REMr, "/034y) -?55 fif{ifi S104A2 TJW F0T,AL r_XYNS`Tftl,iCfION ANT) r11,AW 0,14 CK; $7;I <4 ?.R 1111M 131,1_EPAID FEES 4250.00 RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD y OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs - Underground Ducts Forms 8 Footings L - Ducts Slab Grade G - ! Return Air Steel Combustion Air Roof Deck - / Exhaust Fans O.K to Wrap -Clj F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final - 7 / WPOOLS BLOCKWALL APPROVALS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines -Azle Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final ' Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: T. ...- .Ir�� .fASi$i�1i4N^ Y . r rr ray•` .a 4 fl Cll/ P.O. BOX 15 Building Q 78 495 CALLE TAMPICO Address 1 !�h J,4", �(l/Nn �A . LA QUINTA, CALIFORNIA 92253 Owne/) i,S Mailing �- / Address7d/rI/ 05` //GLV �� U f T 'Zr 10'e City r Zip Tel. 1�l1, IA Al OF tt 5 Y7210 zlgS-O Contractor/� Address ty IZip State Lie. t� City i & Classif. 1 ? Lic. # Arcn., tngr. ,.., Designer TANFiI'A �E.INAFA Address Tel. City Zip State 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. 3LGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031 . 5.Susiness and Professions Code: Any city or county which requires a permit to construct, alter, 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 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 ($500). 1.; 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 orimprovement 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.) 11 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.) i 7 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 r7 Copy is filed with the city. ❑ 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 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. 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 r. 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 applicant f Date Mailing Address City, State, Zip APPLICATION ONLY ILDING: TYPE'CONST. ' OCC. GRP. I. Number 16 9 ✓ 1-0 O �9' Ial Description L ( C�� Tr S Iject Description J F J WHITE = FINANCE- YELLOW = AF _ — r REMARKS 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: O � Date Permit r ✓1 Validated by:4 Vali � 4 PINK = BUILDING DIVISION Sq. Ft. M No. Size j l �j Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL WHITE = FINANCE- YELLOW = AF _ — r REMARKS 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: O � Date Permit r ✓1 Validated by:4 Vali � 4 PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE Date 2/9/99 No. 18339 Owner NameMinistrelli-Painted Cove, Inc. No. 50-080 City La Quinta Tract # APN # 769-542-028 Jurisdiction La Quinta Street Indian Camp Road Zip 92253 Lot # 74 Square Footage Type of Development Single Family Residence Comments sq Permit # Log # Study Area 1 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: 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 r7^ 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/Kevin Telephone 776-4450 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Adriana Gauto Payment Received $628.00 _ Check No. 084737 Signature it.lG� �,�� NOTICE: Pursuant of Assembly Bill 3081 (CHAP 49, 9T'1(TS. 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 tftd 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 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 r7^ 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/Kevin Telephone 776-4450 Name on the check By Dr. Doris Wilson Superintendent Fee collected /exempted by Adriana Gauto Payment Received $628.00 _ Check No. 084737 Signature it.lG� �,�� NOTICE: Pursuant of Assembly Bill 3081 (CHAP 49, 9T'1(TS. 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 tftd 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 Dear Builder: T4ht 4 4 Q", ;4 PUBLIC WORKS CLEARANCE LETTER FOR CUSTOM HOME LOTS Prior to issuance of a building permit, you will be required to obtain clearance from the Public Woks 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. If I 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) f • Trait 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) i. I FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT TRACT: LOT: 3� PUBLIC WORKS A THORIZATION DATE FAPWDEPTRDOCSTORMS�PW CLEARANCE LETTER.ss COMMENTS: OCT -22-98 THU 03;14.PM MDS CONSULTING MDS CONSULTING PLANNERS - ENGINEERS • SURVEYORS 17320 Redhill Avenue, Suite 350 Irvine, CA 32614 October 22, 1998 Engineering Department City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 FAX NO. 714 251 0516 P. 01 Post -it' Fax Note 7671 owe I- v of 0. To From CoJD*. Co. Phone 0 Phone a Fax "7 Fax k Rough Grading Verification La Quinta - Tract 25429 We have checked the area referenced below and find it to be in substantial conformance the approved rough grading plan. Lot # Elev. As -Built Elev. Variation 54 45.0 45.1 0.1' 57 46.1 46.1 None 65 47.3 .47.3 None 66 48.1 48.1 None 70- 50.5 50.4 0.1' 72 49.5 49.5 None 73 47.3 47.3 None t7 4� 7:0 (47.0 CNone 75 46.6 46.7 0.1' Stanley C. Mo)Td R.C.E. 20596 Expires 9/30/01 G:\307W41cer-r154.57.6S6G.70.72-75.doe e�pF ESSUn ip\ C. " No. 20596 t Fxp. 9-30-0'1 yrF OF CAI.�E ��r MDS STANLEY C. MORSE GARY DOKICH SKIP SCHULTZ JAN-16-1999 09:33 AM YOUNG ENGINEERING SERUIE 760 342 6164 -P. 01 YOUNG ENGINEERING SERVICES 47.159 Youngs Lane, Indio, Co. 92201 (760) 342-9214 fax (760) 342-6164 r January 8, 1999 Tom Hartung Building Official City of La Quinta Re: Truss Review for Lot Zf I Painted Cove, La Ouinta Dear Tom, We have reviewed the truss submittal package prepared by Spates Fabricators for the above project and found it to be in substantial conformance with the approved plans. If you have any questions or concerns please call. Sirff erely, Q� )FESS/ i Je ery B. You g S.E. No. 4044rn w rn EV•3 1- 2-4c-11 �- - OF CA11FO� r " O,-�,op(p JON TANDY J(/ ' Q- U4,�7,630 Medjool Ave. X2,3 nIMI Desert, CA 92211 Office (760) 772-7192 S4 Fax (760) 772-7193 Pager (760) 776-3338 REGISTERED INSPECTOR'S WEEKLY REPORT TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY O POST TENSIONED CONCRETE O ASPHALT O REINFORCED MASONRY ❑ FIRE PROOFING ❑ O OTHER JOB LOCA TI r.� r REPORT SEQUENCE NO. _ _ TYPE $7.BU URE �,{1 `1`'� PERMIT NO. - - - - - D TE I( DAV OF WEEK MATERIAL DESCRIPTION ARCHITECT INSPIECTOA MRS. CHARGED ENGINEER ASSISTANTS NRS. CHARGED INSPECTION DATE GENERAL CONTRACTOR ,N SUB CONTRACTOR O q II v MOA -s Or�o o VS kq-4 -% x rl COPY SENT TO CLIENT O CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. $IG/JAIUftE OF REGISTE N�SPECN,TOF� q (/ DATE OF REPORT REGISTER EGISTER NUMBER/BER