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13490 (RPL)T4t�t 4 *J'P Qum& P.O. BOX 1504 Buildingl .35 B]. j h1oril Trail 78-105 CALLE ESTADO Address ' 3" " LA QUINTA, CALIFORNIA 92253 Mailing Address City C. Zlp L253 Tel. S6 ra .tor .Tttn I)u;;i�-it: Pool Const aCttoa Address " f.. Zip Tel. State Lic. City C' & Classif. 5'' 40. 913=a Lic. # Arch., Engr., Designer Address Tel, City I Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereb affirm that I am licensed undef provisions or Chapter 9 (commencing with Section 70DOj of ivlslon 3of the Business and Professions Code, and my license Is in full force and .1fect- GNIATi1RE RATE 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 permol to file a rdgnsd sialement that he Is licensed pursuant to the provisiuns of the Contractor's License Law, Chapter 9 (commencing with Sacimn 7000) of Dlvisfon 3 of fhe Business and Prbfesslons Code, at 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). 0, 1, as owner of the property, or my employees with wages as thqir sale compensation, will do the work, and this structure Is not intended or offered for sale. ?,Sec. 7044, Buishess and Prafesstons Code: The Contractor's Veehse Law does not apply to an owner of property who buffos or Improves thereon and who does such work himself or theaugh his own emptbyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compWion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 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 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 salt -Insure, or a certificate of Worker's Compensation Insurance, or a cartliled.copy thereof. ISaci 3800, Labor Code.) Policy No. .Company C7-6py 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: It. after making this Cerfiflcale of Exemption you should become subject to the Workers' Compansaliere 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 stale that the above information is coTrecL I agree3 to comply with all ally and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this oily to enter the above - mentioned property for Inspection purposes. Signature of applicant Date Mailing Address City, State, Zip. BUILDING: TYPE CONST A.P. Number Legal Description_ Project Description N . 13490 OCC. GRP. � Pa Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition 7- Estimated Valuation >` 1 s 009 . n, Y PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading. Driveway Enc. Infrastructure ti TOTAL 4 22 ' 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SQ. FT. 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR, SO. FT. @ CAR P. SQ. FT. ® WALL SQ. FT. @ SQ. FT, p ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND, REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION —� CERT. OCC. FENCE FINAL INSPECTOR'S 51GNATURE$IINITIALS GARDEN WALL FINAL T4hf 4 4aQumrw 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 February 10, 1994 Al Durrett Construction P.O. Box 3371 Palm Desert, CA 92260 Dear Mr. Durrett: It is understood that the City of La Quinta is issuing to Ministrelli Construction at Painted Cove, a building permit for 79-185 Bighorn Trail, prior to providing a completed sub -list. A current workman's compensation policy and city business license are in order for only the following trades: concrete, framing, plumbing, HVAC, electrical, and roofing. The remaining trades paperwork shall be in order by no later than February 22, 1994. It is understood by both the City of La Quinta, and Ministrelli Construction Co., that work will be stopped on February 22, 1994 if the above agreement is not fulfilled. This agreement shall pertain only to the above address. Sincerely, BUILDING AND SAFETY DEPARTMENT Mark Harold Building Inspector II kt cc: Ministrell •Qorp(Tuction Co., Inc. Al Durrett -2/� Date MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 CITY OF LA QUINTA 7g-495 CAiLE TAM�1CO LA QU1NTA, Co IP�253 TO SHIPpS CONSTRUCTION 75 0AC)NDA RD V'ALM S1"'RIN0S CA 92262 >'+7-��/��l�J ****w*** ****** * BUSIN! SS * I N V' O K M ' T I O N * ---- mB N O T I ` E K. ******* ****** \ - ' BESS US1NNO 2767 CLASSIFICATI/N 328^410 LICENSE EXPI|ES 12/31/93 ' Subjecf to the prov�s(ons of the La Quinfa Munic|pai Code Gec!ion 3428^410 every person enganed (n the business of contracfing *'I\ch re�uires a stafe confractwrs' i1cense shaii pay a bUs|ness iic�nse fee eifher annwaiiy (Jan 1-Dec 31) or 4LSemi_'annuaLi}/ (Jan 1-Jun* 30 or Juiy 1-Dec Zi)^ These [i(zenses are on a caiendar year basis [.�LY ieand a�e NOT pro-raf�ab° PLEA3E COMPLET� AND RETURN AS) SOON AS F]SSIBiE SO THAT Wl:r MAY BILL YOUR BUSINES9 CORRECTLY^ ' xCircie) 8ENFRAL CONTRACTOR or 8UB CONTRACTOK / ANNUAL or SEM.-ANNUAL [YPE OF CONTRACTOR (ie�Eiec-tricui)�_________ STATE LlCEN.................. .... ..................... ............ CLASSIFICATI----��-�----------'-------- NAME OF OWNERS OR OFFICERS AND TITLE .... ............. �~�_ . -__-_-- _'-_--------------------------- _--~_- OWNED BY� CORPORATION PARTNERSHIP ---------------~--------- lN� VIDUAL IF CURPORATI04 OR PA�TNERSHIP� TAX I,D^ .... ................ _... _........... l� INDIVIDUAL OWNER� SOCIAi. SECURITY � -------~---------- SEMD NO M�NEY NOW YOU WIiL BE DILLE� P EASE----------'-��----'-'- . u ����� mH1� H�HP D|E MAIL ��/T/�3 I DECLARE UNDER [Y U PERJURY THAT 7O MY KNOWLEDGE ALL INFOR'/ATION IN lHIS STATEMENT IS TRUE AND COR|�ECT^ SIGN HERE x Zee, ~�