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9510-029 (SFD)LICENSED CONTRACTOR DECLARATION 1, I hereby affirm 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 Date Signatureof Contractor OWNER -BUILDER DECLARATION I hereby affirm 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 Policy No. (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 provisions. Date: Applicant 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 application agrees to, & shall; indemnity & hold harmless the City of Indian Wells, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void -I 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 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 F, A`°' BUILDING PERMIT PERMIT9510-02.9 DATE 1��� 1 VALUATION $346,799.361 LOT TRACT JOB SITE ADDRESS APN ,j .55-190 INVERNESS 769-620-003 OWNER CONTRACTOR THt?;1L1i) &.1R,0BERTX(t3IN1CfT1ELLC 55.1130.1iN IVEIVN E SS 1.A tai, INTA. CA, 42253. CB119 DESIGNER/ENGINEER ( IIM CAST Efd,I:ZZ. 3930 ARSOidS'T. � USE OFPERNT.PA.WLYDW4L.L,ING �re:iv i�i.v%, c� .✓i.,i.i FEE DESCRIPTION FEES CUSTOM CONSTRUC"1't:*F 4,104.00U it i31Al2.EeM( Al2k>0RA' 725-00 �S POR(.—A:00 969.00 SF ES3'INATED COST OF CONSTRUCTION' 346,7".30 PERMITFEE E Si.fMM.ARY CONSTP.t3f,°'iIO 101-040-418-000 V,504.00 it FC'IrLMCAL FEE 101-000-41.1-wo $98.59 :ECTR10kL ME 101-000.420.0100 5249.44 1 trt7Ml3,[1�(3 k'I""a 101-000-419.000 5169.50 91701NO MOTION FEE - RFs:S.M 100-000-241-000 $34.68 $-',,0-00 GR+�,P�:}T3�1(A�tGF"!i/vR }/}]yO � }!j n10�1�-¢00a=�!^yA�()(A;O� �IN E\AIS '�1.�itlffl4✓.i.1Si 2'iG,lj, �il+5l 000-4,i.i"3if4 so or37 oo XtT 1N int BIJO .P ;MMS - R:rs31 '701-000.255-i1(2ft 5017.00 PLAN t'-TIECt<:,1 14.1-000.43;-318 $1,204.77 FSE 4250100 SU13=10TAL. C;O1+tS"1.'FdiJC"C'fON AND PLAN CHECK $nr$98.G9 ::P tS LESS PRE -ib FEE -$2.50.00 FE&S ,1OID6.1LP1G.liMI .DUE]NOVo" :7f9`pV�i}�tI.T NOV 17 1995 TUTAL PROACT PEIIR I a FEC -3 �~ REC P DATE BY PA INSPECTOR INSPECTOR N t X INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs - (,!i\ Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck - [ !P Exhaust Fans O.K. to Wrap 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 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 i 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: M� G U�. 6r✓"j- P.O. BOX 1504 /7&105 CALLE ESTADo APPLICATION ONLY -Addrress 55� ` LA QUINTA CALIFORNIA 92253 A" j %6FIR IB47eJ-1fA- M I rc) it/h 1.(1? ( l o Mailing " Zip / Tel.Contractor City Zip State Lic. City & Classif. Lic. # Arch., Engr., Designer TlAk 4-U2z �¢ Address Tel. 3 u C s o/u City Zip State 51l ti biE50 I% a // 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. 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 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). IVI, 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 suchimprovements 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 of proving that he did not build or improve for the purpose of sale.) I I 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.) 1-3 1 am exempt under Sec. -B. & P.C. for this reason Date /0 Al /50wner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation gsurance, or a certifie copy there f. (Sec. 3800 Labor Code.) Policy No. 0, Company f /Gr� IPCopy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WO R KERS' 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 why h this permit is issued, I shall not employ any pers9n in -any rpanner so as to become sybject to.the Workers' Compensation Laws of California ( %/ - /{i Date •Owner t 'C.E•fY,��(� hjGi>La' t10 (f/,1✓ 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.Set. 3097, Civil Code.) Lender's Name t I i B Lender's Address K i I 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 -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING DIVISION JILDING: TYPE CONST. OCC. �GRP. P. Number Igal Description _407-3. a5.3 9�7 oject Description Sq. Ft. Size New E No. No. Dw. Stories Units Add ❑ Alter ❑ Repair ❑ Demolition ❑ mmalea 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 Side Street Setback from Center Line Side Setback from Property,Line FINAL DATE INSPECTOR Issued t ValldatE Validati COACHELLA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE (Government Code 53080) Project Name: _ Project Address: 55-180 Inverness, La Quinta, CA 92253 PGA WEST Project Owner's Name: Tom And Roberta Minii�hel 1 o Phone No.: Project Description: SINGLE FAMILY DWELLING (One) Building Type (Check one): Commercial Tract No.: (Include No. of Dwellings) Industrial Lot No.: (If tract, attach Schedule "A" of all lots by tract, square footage for each lot and total.) Assessor's Parcel No.: 769 620 003 7 (If Schedule "A" is used show Assessor's Parcel No. for each lot if one exists or Assessor's Parcel No. for parcels before subdivided.) Total square feet of Building Area: 4104 Sq.Ft. Certification of Applicant/Owners. The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. 01 Dated: /l b 7 &1 S_ Signature: City/County Certification: (Signature) Optional (Title) SCHOOL DISTRICT REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING (CIRCLE ONE): Gov. Code -Gov. Code Project Agreement Existing Not subject to fee 53080/65995 65970 Approval prior to 1/1/87 requirement. Note: Total Number of Sq./Ft. 4.104 Amount per Sq/Ft. $ 1.72 Amount Collected $ 7,058.88 School District Official : tOQ41 I lnS/S .1/ Title: Asst. Superintendent, Administrative Serv. Foch "Tut" Pe is Date: November 17, 1995 Phone: (619) 399-5137, Ext. 235 Note: AB 2926 and SB 201 fees are capped at $1.72 per square foot for all residential construction, and at $0.28 per square foot for commercial/industrial projects. RECORDING REQULrSTED BY AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHERWISE* SHOWN BELOW, MAIL TAX STATEMENTS TOt NAMEI Minichiello 1988 Trust rSTRICT ADon[ss Cit ® CITY. STAY[ xlr L J Title Order No ..543017 Escrow No ....13260....................... RN This space for Recorder's use PARTNERSHIP GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) 152.90 DOCUMENTARY TRANSFER TAX is S ❑ unincorporated area ® City of La Quanta Parcel No. r] computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TWO LAKES JOINT VENTURE A GENERAL PARTNERSHIP ORGANIZED UNDER THE LAWS OF THE STATE OF ILLINOIS hereby GRANT(S) to THOMAS MINICHIELLO AND ROBERTA G. MINICHIELLO trustees of the Minichiello 1988 Trust dated June 30, 1988 the following described real property in the City of La Quinta county of Riverside , state of California: Lot 3 of Tract No.25397 as per map recorded in Book 218 Pages 20 through 25 inclusive of Maps. TWO LAKES JOINT VENTURE, an Illinois general partne �Toma_sA. R Dated June 3,,-1992---- - General rartner F 't'AtEF6flNirt=l1 noes BY: LLA�KgE DESERT PA9TNER STATE O an III3no3s General parEnership COUNTY OF— v�-ar9!de Lake- j SS. BY, ener a er On 5/3/92 GGg 11 g V before me, the undersigned, a Notary Public in and for said County 3tsaPlanaf,inQrgeneral Partner and State, personally appeared Thomas A. Rosenquist --- Alan E. Richards known to me General Partner to be All of the partners of the partnership that executed the within instrument, and acknowledged to me that such partnership executed the same. OFFICIAL SEAL n STEPHENIE G. NIEHOFF Signature G ' ��'"� NOTARY PUBLIC. STATE OF ILLINOIS MY COMMISSION EXPIRES 10/12/92 Name (Typed or Printed) Notary Public in and for said County and State (Space above for official notarial wall MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE Name Street Address Cid a Sate 0 W a ~ Z c a: 0 4� This space for Recorder's use PARTNERSHIP GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) 152.90 DOCUMENTARY TRANSFER TAX is S ❑ unincorporated area ® City of La Quanta Parcel No. r] computed on full value of property conveyed, or ❑ computed on full value less value of liens or encumbrances remaining at time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, TWO LAKES JOINT VENTURE A GENERAL PARTNERSHIP ORGANIZED UNDER THE LAWS OF THE STATE OF ILLINOIS hereby GRANT(S) to THOMAS MINICHIELLO AND ROBERTA G. MINICHIELLO trustees of the Minichiello 1988 Trust dated June 30, 1988 the following described real property in the City of La Quinta county of Riverside , state of California: Lot 3 of Tract No.25397 as per map recorded in Book 218 Pages 20 through 25 inclusive of Maps. TWO LAKES JOINT VENTURE, an Illinois general partne �Toma_sA. R Dated June 3,,-1992---- - General rartner F 't'AtEF6flNirt=l1 noes BY: LLA�KgE DESERT PA9TNER STATE O an III3no3s General parEnership COUNTY OF— v�-ar9!de Lake- j SS. BY, ener a er On 5/3/92 GGg 11 g V before me, the undersigned, a Notary Public in and for said County 3tsaPlanaf,inQrgeneral Partner and State, personally appeared Thomas A. Rosenquist --- Alan E. Richards known to me General Partner to be All of the partners of the partnership that executed the within instrument, and acknowledged to me that such partnership executed the same. OFFICIAL SEAL n STEPHENIE G. NIEHOFF Signature G ' ��'"� NOTARY PUBLIC. STATE OF ILLINOIS MY COMMISSION EXPIRES 10/12/92 Name (Typed or Printed) Notary Public in and for said County and State (Space above for official notarial wall MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE Name Street Address Cid a Sate ARCHITECTURAL/LANDSCAPE VARIANCE APPLICATION 1 t11 1 �Y • • Please complete and include this request form, along with four (4)sets of your proposed home improvement plans to: PGA WEST RESIDENTIAL ASSOCIATION, INC P.O. Box 1060 La Quinta, CA 92253 or, 55-940 PGA Boulevard La Quinta, CA 92253 Attn: Property Manager NAME: / U ADDRESS: - PHONE: ! PROPOSED STARTING DATE: AP ,RJ;XIMATE COVPI•tE.TION DA owner's Sianatu DATE: /D %S The following appropriate information should accompany your completed application: 1. Four (4) sets of complete plans to include: A. Improvements and/demolitions b. Plot plan c. All dimensions proposed d. Relationship to neighboring units e. Material and color scheme f. Planned modifications of all external systems (landscape, sprinklers, gas lines, electrical, etc.) 2.' Agreement and Covenant Running with the Land completed and notarized. Two (2) original. 3. Conditions of Approval and Disclaimer form (signed) 4. Facing and Adjacent Neighbor form (if applicable) 5. Construction,Regulations form (signed) ELECTRICAL [ ] Approved [ ] Disapproved Signature Date LANDSCAPE [ ] Approved [ ] Disapproved Signature Date ARCHITECTURAL CO TTEE* Approved [ ] Disapproved i Signatureffff Date ARCH/Rev 8/95 � _ 1 f0i�vb'sASTELLUZZO &ASSOCIATES • ARCHITECTS &PLANNERS Tom Minichiello. Re: Minichiello Residence PGA. West La Quinta, Ca. Title 24. energy Calculations Mr. Minichiello In my teleconference with the-plan.reviewer for. the City of La Quinta, .I informed Mark that the building is calculated based. on a prescriptive, compliance with Title 24. 1. informed Mark, that the glass area would not exceed 16%, of floor area, that two water heaters were provided, and that I would add the required notes on the plan. for the air conditioning system compliance. Based on my calculations, the residence has 298 square feet of insulated glass sliding doors and 354 square feet of insulated glass windows for a total glass area of 646 square feet. The maximum allowed under prescriptive. compliance; is 656 square feet. The plans will include the note. SPACE COOLING 10 CER" on the certificate of compliance. The window schedule will be adjusted as follows-. 1. Change window no. I from - 3' x 2.' to 2'x 2' - 2. Change window no. 3 from - Tx T to 4'x 2' 3. Change window no. 4 from - 10'x.6.8" to 6'x 4' C 4 s'hwig��rree p3 5. Add window no... 15 at 2'x 2' The Glass Area Summary is as follows: Total Glass Door area 298. Total Window area 328 Total Clearstory area 20 Total Glazed area 646 square feet We hope this information will. satisfy the requirements of the City of La Quinta.. Sincerely, James Castelluzzo r 3930 Carson Street, San Diego, California 92117 9 (619) 274-9162 i .• � •:lti' Ali 1 ( � t • . lI- a� ,. • , � la � l >' I � 3 ,— �.i•vr' max. 111 [ - ��� 7 A - i�►: j w �Wl � 1 <. \I/,, •'i,•rX+�r.4'}'.r.^D�s�ii�'.�'�.":'iF�;1,t:ta,r'75.-'• ��if�.r; ,. .m ZOO JL aa• o .! �.y,. t.11C� 9w?r MINES M.7- 1 ,e�'� 7e�� c • YK .Y , • a.•rr a-•`vi �! f,� ��y .- a.�••iirsa. i ..a ..i .r. a.larnan •uri •al.•.• rr� { . •r�• .e yam. � ..I. ra w•,rla..r •- a'y'[ _ _�. �yi. L . .\ \ .\•.^1a1,..'T \t'Ml t. w./t .• ••>•\ .A���1I1C F� .- \ d 1 IN 4H arena ar Y ' � I 7 ,�i rai i 1 r" Mir. i NVOv..'w ,R . r,w.:lii �•`..... ..� .. 1 i ... ; 'x_ = ."`�- rsTg K. Fps .tea y 1 �,. • f's I � �7 n. • '. ��' Irl I';� t�t ' '" r�fKi . -� With , ., I LOUVERS No. 660CT Circle Top Louver, No. 66ORT Rectangular �a...o•. No. 660R-12 No. 660R-115 �\ No. 660R-18 No. 660R-22 No. 660R-24 No. 66OR-28 No. 66OR-30 No. 6608-36 No. 660R-42 �— No. 660R-48 No. 660R-60 Round Louver 18" , 22" Q4" 28". 30", 3611, 42" , 48" 60" Diameter: 12" , 15". Projection: 1%" Specify closed or open with screen. 41_ No. 660PR-20 660PR-27 r No. 6 4 Outside Diameter: 20", 27", 34" Projection: 21/2" Rim width: 4" Specify closed or open with screen. No. 660 QL24 No. 660 QL36 No. 660 OL44 Quarter Round Louver No. 660 OR24 No. 660 QR36 No. 660 QR44 Quarter Round Louver o -c,.- 24". 36", 44" No. 660PR Round Louver. Note: Louvers can be rabbeted to receive siding. Specify. No. 660 CT Circle Top Louver Projection: 17/e" Specify closed or open with screen. No. 660.12 No. 660-18 No. 660.22 No. 660.30 Octagon Louver Diameter: 12", 18". 22". 30" Projection: 17/e" Specify closed or open with screen. 2" No. 660 R -32R2 Round Louver Outside Diameter: 32" Projection: 2" Rim Width: 2" Specify closed or open with screen. open No. 660RT Rectangular Louver. LOUVERS No. 660CT Circle Top Louver, No. 660R-12 No. 660R-15 No. 660R-18 r No. 660R-22 k No. 660R-24 No. 660R-28 No.660R-30 No. 6608.36 No. 6608-42 �- No. 660R-46 No. 660R-60 Round Louver n30 a 28 , , 36 , 4211, 48", 60" Diameter: 12" 16" 18, " 22". 2410 Projection: 1'/e" Specify closed or open with screen. 4" No. 660PR-20 No. 660PR-27 No. 660PR-34 Round Louver Outside Diameter: 2011, 27" , 34" Projection: 21/2" Rim width: 4" Specify closed or open with screen. No. 660 OL24 No. 660 OL36 No. 660 OIL44 Ouarter Round Louver No. 660 OR24 No. 660 OR36 No. 660 OR44 Ouarter Round Louver Rnriius: 24", 36", 44" No. 660PR Round Louver. Note: Louvers can be rabbeted to receive siding. Specify. No. 660 CT Circle Top Louver Projection: 17/6" Specify closed or open with screen. r.. No. 660.12 No. 660.18 No. 660-22 No. 660-30 Octagon Louver Diameter: 1211, 18" , 22". 30" Projection: 17/8" Specify closed or open with screen. 2" No. 660 R-3282 Round Louver Outside Diameter: 32" Projection: 2" Rim Width: 2" en with screen. Specify closed or op +, %W rta or open r 1,74 414t A4 t V r3s 2� 2 - S, v.E-A. e rw a/u, f"4 2 e-- 10 sq 1Iv (FA I') e.,..