09-0786 (DSF)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
09-00000786
54250 RIVIERA
775 -031 -059 -
DEMO - COMML/OTHER
LOW DENSITY RESIDENTIAL
0
Tiht 4 4 Q"
Architect or Engineer:
0IP1,
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
ALicense lass: B Licensee No.: 684857
ate: 7 -lo �gC ractor: �j
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a -signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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, 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 and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, '
and who does the work himself or herself through his or her own employees, provided that the
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 or she did not build or
improve for the purpose of sale.).
(_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:14
lender's Address:
1_
LQPERMIT
Owner:
O'KEEFE JOHN/KATHY
54250 RIVIERA
LA QUINTA, CA 92253
Contractor:
EDWARDS CONSTRUCTION INC,
51455 DESERT CLUB DRIVE
LA QUINTA, CA 92253
(760)777-8202
LiC. No.: 684857
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/20/09
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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 and policy number are:
Carrier GRANITE STATE Policy Number WC 555-61-55
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 L o e, I shall o . h corn I with those provisions.
e:=7-20-0licant:WARSECURE WORKERS' COMPENSATION COVERAGE IS UNL ALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quihta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
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 abo rmation is correct. I agree to comply with all
city and county ordinances an state laws relating to b ing construcn and hereby authorize representatives
�ofhis county to enter upo eabove-mentioned propert 'nspectio rpo
ignature (Applicant
Application Number
. ... . . 09-00000786
Permit . .
. DEMO PERMIT
Additional desc .
Permit Fee . . .
.. 45.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 0
Expiration Date
1/16/10
Qty . Unit Charge
Per
Extension .
BASE
FEE
45.00 .
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Special Notes and
Comments
DEMO FRONT MASONRY
WALLS, REMOVAL
OF
GATE & PILASTERS FOR LATER RELOCATION
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
45.00
.00
00
.45.00
Plan Check Total'
.00
.00
.00
.00
Grand Total
45.00
.00
.00
45.00
LQPERMIT
PGA WEST.
RESIDENTIAL ASSOCIATION, INC.
June 22, 2009
Mr. & Mrs. John O'Keefe
54-250 Riviera
La Quinta, CA 92253
Re: 54-250 Riviera— Architectural Variance Submittal — Casita
Dear Mr. & Mrs. O'Keefe,
The Architectural Committee has reviewed your preliminary submittal for a casita addition.
The proposed project is acceptable in concept and architectural compatibility. On June 4t' and 9`t', the
Committee members were at your unit to visually observe the existing building and yard configuration,
relative to the new addition. The following comments apply to your variance application.
I . The details and finishes are to match the existing building.
2. The building layout and design is nicely done.
3. The landscape plans are important to the final appearance and are to. match the existing.
4. The information on the gate details 'is lacking and is necessary with the final plans.
5. The final plans are to include the structural and mechanical information.
6. Please ask Rob Pitchford to consider a minor front elevation change. The horizontal offset band to
be added at the new elevation to match or complement the existing elevation.
7. Please review the length of the rafter overhang and consider reducing it
8. Please note this is not a final release to proceed. The final plans and City of La Quinta permit are
pending.
Please contact the Committee if you have any questions.
Cordially,
Ke cGalliard
Operations Manager
For the Architectural Committee
cc: Architectural Committee
54-320 Southem Hills, La Quinta, Califomia 92253-5665, Telephone 760-771-1234 FAX 760-771-5125
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pity of La Quinta
Building 8L Safety Division
Permit # P,0- Box 1504, 75-495 Calle Tampico
La Quanta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Adds+ :r
I Owner's Name: Jr
o 4� -� /�� i �e�
A. P- Number. .7 � S--- v5 �_ vs -7 Address: !l
2 4 3) -% — f
City, ST, Zip: L, S7i7r5_'
BOB EDWARDS
( Telephone:
CONSTRUCTION, INC.
51-455 Desert Club Drive. La Quinta, CA 92253 Project Description:
Tel. (760) 777-8202 Fax (760) 777-1139
Ed@bedwardsconst.com r,E,PkA
State Lic. # : % -ice
City Lie.
7e—IV � / n
Arch., Engr:,, DesignelJ�' e�CA • d�
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
State LIC. #: � . • Y
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: E
Sq. Ft.: # Stories: # Units:
Telephone # of Contact person: 7 7. 9'2,0
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'.d TRACKING
PERMIT FEES
Plan Seas
Plan Check submitted Itr°° Amount
Structural cafes. Reviewed, ready for corrections Plan Check Deposit
Truss Calcs. Called Contact Person Plan Check Balance
•
Title 24 Calcs Plans picked up
Construction
Flood plain plan Plans resubmitted
Mechanical
Grading plan 2°" Review, ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up
S.M L
H -O -A. Approval Plans resubmitted
Grading
INHOUSE:- " Review, ready for correctionsiissue Developer Impact Pee
Planning Approval Called Contact Person A.I.P.P.
Pub. Wks. Appr. Date of permit issue
School Fees
Total Permit Fees
y