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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.
Lieprlse # ., Lic. Class Exp.. Date
693899 B HIC 98/31/2(
Date ` / Signature of Contractor / ;—
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 STATE FUND Policy No. . 046-00-0006923
(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 Secti n 3700 of the Labor
Code, I shall forthwith comply with those provisions.4 '
Date: cC / �' .?Applicant /.provisions. --.4
. �G
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.
A. 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) ! f Date-
BUILDING PERMIT PERMIT#
DATE VALUATION LOT 0003-0-59 TRACT
5219,15.3.40 50
2542gr,
JOB SITE
APN
ADDRESS 79-Y25 FOX RUN
I
769k-550-0460
OWNER
CONTRACTOR/DESIGNER/ENGINEER
1•RIAIIST.t u-P.A m COVE, n4c.
NMRS'IRELIJ-PA"rTTIED COV,, 5TC.
74785 HWY I I 1 STT 105
74785 HWY 111 3'I'E 105
INDIAATWFf.,8 GA 92210
IZ+ D AN V& -LL;
CA 92210 _
(760)776-4450
C311# 3625
.�
USE OF PERMIT
SINGLE FAMILY 1JW':1ELXING
. -
SFD . PFRINUT DOES NOT .INCLUDE BLOCK 1VALL.S QR. POOL
e y
TRACT CONSTRUCTION 3,701.00 SF
PORCH/PATIO 280.00 SF
0ARAGEICARPORT 7;!3,00 SF
ES"U AnD COS' O11' CO}Y6`1' .UC'I1OX
219,153.10
:R.'RW1'%'IE SUAMAARY
C014STRLICTION FEE 101.000.418-000 $1,059.5Q
PLAN CHECK FEE 101-000-439-318 $902.8;
tVIECHANICAL FEE 1211.000-421.000 $137.001
ELECTRICAL FEE 101-000-420-000 $235.80
PLl18uIBDiG FEE 101.000-419.000 $208.50
STRONG MOTION FEE - RESID 101-000-241-000 $21.92
GRADING FES: 101-000-423-000 320.00
DEVELOPER IMPACT F'LE $1,907.00
AR'i' IN PUIS11C PLACES - RE31L 701-000-255-000 $207.83
FEE DEPOSIT 101-000-439-318 .$250.00
SUB -TOTAL COXM'I2LTC` 019 A14D PLAN' CHIC
$4,790,47
1MS PRE -PAM FEES
4250.00
IOTA -1. PERt" W-711MEN DUE FfC?W
$4,540A7
RECEIPT
DATE
B/Y'% '
DATE FINALED
INSPECTOR
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INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set tracks
Underground Ducts
Forms & Footings
Ducts
Sleb Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
pU
Compressor
Insulation
—
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Way Insulation
Condensate Lines
Party Wa11;Firewall
Exterior Lath
Drywall - Int. Lath
Final
BLOCKWAL/L APPROVALS
Final
POOL - 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_
44
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 AL
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
FL—
Utility Notice (Perm)
COMMENTS:
Building 174 05'
Address //ii
Address"N,79S ltwy
4 4 "
P.O. BOX 1504
> 78-495 CALLE TAMPICO
Ll Pd LA QUINTA, CALIFORNIA 92253
City r Zip Tel.
_-rWb14h kJac s I-2 710 1174 - 4gS70
Contractor�.�,j}
Address
City lZip I Tel.
State Lic.City
& Classif. 6 Q 3 g 9 -( Lic. # 3G?5
Arch., Engr.,
Designer
Address Tel.
City (Zip (State I
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
t
effec.
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, 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 or the Business and Professions Code, or that. he is exempt therefrom, and the basis
for thealleged exemption. Any violation or 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
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.)
II
I, as owner of the property, am exclusively contracting with licensed contractors to con•
struct the project. (Sec. 7044, Business and Professions Code: The Contractors 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'! I 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
n Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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: If after making this Certificate or 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 it work thereunder is suspended for 180 days.
I certify that I have read this application and stale 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 -of this city to enter the above-
mentioned property for inspection purposes.
Signature of a0plicant Date
Mailing Address
City, State, Zip
cco3 -0"
APPLICATION ONLY
BUILDING: TYPE'CONST. OCC. GRP.
A.P. Number
Legal Description �e r fila 7",a • .�s�f?9
Project Description/
Sq. Ft.
Size
New ❑
f No. No. Dw.
i Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
(mated valuation
PERMIT AMOUNT
Plan Chk. Dep. �7 >;� • N
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
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
Desert Sands Unified School District
47-950 Dune Palms Road
Notice: La Quinta, CA 92253
Document Cannot Be Duplicated 760-771-8515
Date 4/3/00
No. 20247
Owner NameMinistrelli
No. 79-125
City La Quinta
CERTIFICATE OF COMPLIANCE
0
APN # 769-550-046
Jurisdiction La Quinta
Permit #
street Fox Run
zip 92253
Log #
Study Area
Tract # Lot # 56 Square Footage 1
Type of Development Single Family Residence
Comments
3701 Sq. ft.
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:
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
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 Telephone,,. -.7764450
Name on the check .,
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by Ellen Patino
Signature
Payment Received 1 '628-.0.0."'
Check No. 093419
VOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) 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 prolect is sssued or on which they are paid to the District(s) or to another public entity authorized to
tolled 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
(760) 837-9075
DATE: March 14, 2000
LOAD CALCULATIONS
SUBMITTED TO: MINISTRELLI CONSTRUCTION
74-785 HIGHWAY 111, SUITE 105
INDAIN WELLS. -CA -92210
JOB: PAINTED COVE LA QUINTA - LOT 50
PLAN 3 — SAN MIGUEL/with Cabana
79125 Fox Run
La Quinta, CA
Lic. #750740
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GENERAL LIGHTING, SQ. FT. (3 700 X 3)
11,100
APPLIANCE CIRCUITS
3,000
LAUNDRY CIRCUIT
1,500
DRYER
4,500
OVENS
4,000
COOK TOP
400
TRASH COMPACTOR
800
DISHWASHER
1,200
DISPOSAL
800
MICROWAVE
1,500
POOL EQUIPMENT
TOTAL LIGHTING. LOAD.
3.4,800
FIRST 10 KW AT 100 %
10,000
REMAINDER AT 40 %
9,920
A/C 10 TONS X 2000 PER TONS r
20,000
39,920 TOTAL LOAD / 240 VOLTS = 166 AMP LOAD
REQUIRED SERVICE SIZE
200 AMP SERVICE
42-575 Melanie Place, Suite E - Palm Desert, CA 92211 FAX (760) 837-9076
03/27/2000 11:12 7603430744 CHARLES SCICLI PLBG PAGE 01
03-27-00 11:28
r �-
t,
TO:PAINTED COVE LQ
FROM:7603430744
MleNl
ESI/FIVIE, Inc.
STRUCTURAL ENGINEERS & CONSULTANTS
March 24th, 2000
MINISTRELLI CONSTRUCTION CO.
50-445 Mountain Shadow
La Quinta, CA 92253
ATTN: Kevan Peters
RE: Roof Truss Calculations and Layouts on "PAINTED COVE" Plan 3A" -Lot 50 to
be built in La Quinta for MINISTRELLI CONSTRUCTION CO. (ESI/FME 194-6225 /
BBG 124-0612)
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. 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,
ESI/FME.Inc_
1921 E. CARNEGIE AVE., UNIT 3-J, SANTA ANA, CA 92705 • Ph. (949) 261-1811 / FAX (949) 261-8506
r-
a ESI/FME,Inc.
STRUCTURAL ENGINEERS & .CONSULTANTS
-<IELD REP {i RRT
F O
' � ;
! A`6a 12000
SITE VISIT NO.: O NE DATE July 26,2000
PROJECT NO 194-6225
`
PROJECT:
PAINTED COVE-iCLIENT NO : BBG
`PLAN 3A LOT.50 , '
BUILDER
MINISTRELLI C&NSTRUCTION "``'"": a�� rgr, FILE NO FRP3LQ50
LOCATION:
La Quinta, California SHEET NO 1 OF 3
ARCHITECT:
BBG ARCHITECTS
ATTENTION:
Rick Pierce
PROJECT SUMMARY
SITE
Single Family house is situated in a developed area.
Field Observation on July 18, 2000 with Rick Pierce
FIELD OBSERVATION
The following structural items were observed and need to be addressed:
For location and clarification of items, refer to photo reduction of framing
plan on following sheet.
ITEM
Garage and Service Room:
1 Front of Garage: Provide Simpson A35F's at 24" o.c. from double top plates below
garage door header to garage door header.
2 Over 7x18 PSL at Garage: Top chord of trusses over single car garage shall have 2x
blocking between each truss over 7x18 Parallam beam.
3 Double top plates over 7x18 PSL at garage: Provide Simpson ST6224 at top plate
splice at rear of garage over parallam beam.
4 Shear wall at right side of garage: Shear nail plywood at horizontal joints.
5 Shear wall at rear of garage: Shear nail plywood at horizontal joints.
KITCHEN, MORNING ROOM, BR#4, AND FAMILY ROOM
6 Wall in Front of Dining Rm, Living Rm, and Family Room: Provide Simpson A35's @
24" o.c. from 2x vblocking to double top plates.
7 Shear wall in Front of Family Rm: Shear nail plywood at joints and provided double
studs under girder truss over Family Rm.
8 Trusses over Kitchen and Exercise Rm: Provide 2x blocking btwn each truss over
Glue lam beam at Kitchen and common wall btwn Service Rm & Exercise
Rm.
9 Shear wall at rear of Kitchen: Provide 16d nails at 2" o.c. for shear transfer.
1800 E. 16th Street, Santa Ana, CA 92701 (714) 835-2800 Fax (714) 835-2819
,a
ESI/FME91nc.
STRUCTURAL ENGINEERS & -CONSULTANTS
FIELD OBSERVATION: "Painted Cove"- PLAN 3A, Lot 50 Date: July 26, 2000
MINISTRELLI CONSTRUCTION ESI/FME J.N. 194-6225
Sheet No.: 2
10 Girder Truss over Morning Rm: Provide 2x collar tie under top chord of jack trusses over
girder truss.
11 Rear of Morning Rm: Provide Plywood #10, 10 ft long, over header at rear of Morning
Rm, since header did not continue of.shear wall at rear. Also provide a
CS 16 strap from. header across the entire width of shear wall with 2x
blocking btwn studs at shear wall. CS 16 strap shall extend 2 ft over header.
12 Rear of BR#4: Provide plywood below window'per Detail V4/SD6.
DINING ROOM AND LIVING ROOM
13 Drag connection Detail B1/SD3 in front of Dining Rm: Provide (8) additional 16d nails
from 2x framing member to bottom chord of drag truss.
14 Simpson Strong Wall at Rear of Living Room and Dining Room: Provide (4) Simpson
LTP4 each side of each Simpson Strong wall from parallam beam to
shim above Simpson Strong wall, since Strong wall is not directly screwed
into parallam beam.
15 Patio at rear of Dining Rm: Nail truss to truss with 16d nails at 8" o.c. next to 5 1/4"
x 9.5 parallam beam at rear of Dining Rm Patio.
Masterbedroom & Masterbath
16 Rear of MBR: Provide Simpson H1's @ 24" o.c. per Detail G1/SD3 at rear wall.
17 Right side of BR#3: Provide 2x trimmer under window to support window header.
DISCLAIMER: THIS WAS A WALK-THRU REVIEW. WE DID NOT INSPECT THIS
BUILDING. OUR OBSERVATION WAS FOR GENERAL CONFORMANCE TO THE
PLAN AND/OR ENGINEERS INTENT.
1800 E. 16th Street, Santa Ana, CA 92701 (714) 835-2800 Fax (714) 835.2819.
COPIES TO:
(3)
MINSTRELLI CONSTRUCTION
(fax)
Attn: Rick Pierce
(1)
BBG ARCHITECTS
Attn: Jim Deford
1800 E. 16th Street, Santa Ana, CA 92701 (714) 835-2800 Fax (714) 835.2819.
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