BRES2015-001378-495 CALLE 64MPIC0---,,
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT'
Application Number: BRES2015-0013
Property Address: 81346 RUSTIC CANYON DR -
APN: 764770033
Application Description: ATTACHED GUEST HOUSE 263 SQ FT
Property Zoning:
Application Valuation: $50,000.00
Applicant:
KELLNER, JEFFREY F.
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
LICENSED CONTRACTOR'S 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 Professions Code,
and my License is in full force and effect.
License Class: Lice e No.::LIC-0105348�/�
Date: 3 S/� 17 Contractor: k,,
OWNER-BUILDEQ�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
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).:
(_J 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 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 I, 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 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: "
- - ........ ._ - . --- -. ....... .
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CLAUDE VIELFAURE
81346 RUSTIC CANON DRIVE"
LA QUINTA, CA 92253
Contractor: .
KELLNER, JEFFREY F.
0 OUTSIDE CITY LIMITS
LA QU I NTA, CA 9253
(760)774-5330
LIc. No.: :LI C-0105348
Date: 3/3/2015
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of ne 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 th ork for which this permit is.issued.
I have and will maintain workers' compensation insurance, as required by
S ion 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance zarrier and policy number are:
Carrier: _ Polity Number:
I certify that in the performance of ti -e work for which this permit is issued, I
shall not employ any person in any manner so a:; 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 3 -)0 of the Labor Code, l shall forthwith
comply with th se provisions.
Date: / Applicant:; 4c�(
WARNING: FAILURE TO SECURE WORKS' IVRENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CR INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR .N SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOMEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 Quinta, 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 sta':e 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 representat 4ofthiscitter upon theabove•
mentioned property for inspection purposes.'Date Signatu��IoCOPY
ISSUED
MAR. -... 01 205
c
O
ME
C2
O
n
cr
MIZ
U
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of ne 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 th ork for which this permit is.issued.
I have and will maintain workers' compensation insurance, as required by
S ion 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance zarrier and policy number are:
Carrier: _ Polity Number:
I certify that in the performance of ti -e work for which this permit is issued, I
shall not employ any person in any manner so a:; 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 3 -)0 of the Labor Code, l shall forthwith
comply with th se provisions.
Date: / Applicant:; 4c�(
WARNING: FAILURE TO SECURE WORKS' IVRENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CR INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR .N SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOMEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 Quinta, 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 sta':e 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 representat 4ofthiscitter upon theabove•
mentioned property for inspection purposes.'Date Signatu��IoCOPY
ISSUED
MAR. -... 01 205
l l . • 1 0 -
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BSAS 561473 FEE:
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101-0000-42401:
12.09
$0.00
.n
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101-0000-42600�-
0
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Total,Paid forPLUMBING FEtS:: $96 72 0. 0'
Description: ATTACHED GUEST HOUSE 263 SQ FT
Type: BUILDING, RESIDENTIAL
Subtype: ADDITION
Status: APPROVED
Applied: 1/15/2015 PJU
Approved: 3/3/2015 JJO
Parcel No: 764770033 Site Address: 81346 RUSTIC CANYON DR LA QUINTA,CA 92253
Subdivision: TR 30023-6
Block:
Lot: 175
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $50,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
PLAN CHECK COMMENTS
Details: 263 SQ. FT. ATTACHED CASITA.
47.
Applied to'Approved
Printed: Tuesday, March 03, 2015 1:58:14 PM 1 of 4 r
'� SYS7EFAS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE<c STAFF NAME
ACTION DATE+`, COMPLETION DATE = NOTES
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
1/28/2015
1/28/2015
STRUC RFC 1/27/2015
RECEIVED
PLAN CHECK COMMENTS
FROM CONSULTANT
KAY HENSEL
2/27/2015
2/27/2015
STRUC APPROVABLE
RECEIVED
PLAN LHELK PILKEU UP
5I EPHANIE KHAI"AMI
Z/1%2015
2/2/2015
DEAN CARLSON PICKED UP THE ITEMS FOR PLAN CHECK.
PLAN CHECK SUBMITTAL
RECEIVED
PHILIP JUAREZ
1/15/2015
1/15/2015
SENT TO YOUNG FOR STRUCTURAL REVIEW.
RESUBMITTAL
KAY HENSEL
2/13/2015
2/13/2015
SENT TO PLAN CHECK
CONSULTANT
KAY HENSEL
2/13/2015
2/13/2015
STRUC TO YOUNG FOR 2ND STRUC P/C - DUE 2/27/2015
Printed: Tuesday, March 03, 2015 1:58:14 PM 1 of 4 r
'� SYS7EFAS
SENT TO PLAN CHECK
F1144N6AL"INFORMATION”:
PHILIP JUAREZ
1/15/2015
1/15/2015
SENT TO YOUNG FOR STRUCTURAL REVIEW.
CONSULTANT
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SCLTD
TELEPHONE CALL
� , ..,
JIM JOHNSON
1/30/2015
1/30/2015
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CALLED DEAN TO INFORM HIM PLANSA ' RE READY FOR
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ADDITION, EA
CORRECTIONS
TELEPHONE CALL
JIM JOHNSON
3/3/2015
3/3/2015
$62.36
CALLED JEFF TO INFORM HIM PLANS ARE READY TO ISSUE
CONDITIONS
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NAME=TYPE . •.' NAME <r :. . _ ADORE551af s CITY:: ESTATE:* 4 HONE,.. .' F
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APPLICANT
KELLNER, JEFFREY F:
0 OUTSIDE CITY LIMITS
LA QUINTA CA
101-0000-42600 0
92253 (
ADDITION, FIRST 100 SF
DRIVE
Printed: Tuesday, March 03, 2015 1:58:14 PM 2 of 4
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'x.DE56RIPTION "ACCOUNT
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• n `" TY:'AMOUNT
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=PAID `''.
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PAID.DATE EIPT: ,'`
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'
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CHECK # METHOD ��w�PAID BY,z���
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ADDITION, EA
101-0000-42400 0
$62.36
$0.00
ADDITIONAL 500 SF
ADDITION, EA
101-0000-42600 0
$17.40
$0.00
ADDITIONAL 500 SF PC
ADDITION, FIRST 100 SF 101-0000-42400 0
$120.83
$0.00
ADDITION, FIRST 100 SF
1010000-42600 0
$171.14
$0.00
PC
Total Paid forADDITION: $371.73 $0.00
HOURLY PLAN CHECK -
101-0000-42600
1.75
$122.50
$0.00
YES
HOURLY PLAN CHECK -
1010000-42600
0.75
$52.50
$0.00
YES
Total Paid forBLDG CITY STAFF - PER HOUR: $175.00 $0.00
Printed: Tuesday, March 03, 2015 1:58:14 PM 2 of 4
SYSTfivtS
011 Printed: Tuesday, March 03, 2015 1:58:14 PM 3 of 4 OpwlySTEMS
`47
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mm -gm -I
7
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1111
1
7,
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BSAS S1314.73 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$2.00 $0.00
BSA:
..RESIDENTIAL, FIRST
101-0000-42403
0.
$145.03
$0.00
1,OOOSF
.RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $192.89 $0.00
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$0.00
SOR.
CONDENSER/COMPRES
101-0000-42600
0
$24.17
$0.00
SOR P
FURNACE
.101-0000-42402
0
$36.26
$0. . 00
FURNACE PC•
101-0000-42600
0
$24.17
$0.00
VENT FAN
101-0000-42402
0
$12.09
$0.00
VENT FAN PC
101-0000-42600
0
$4.83
$0.00
Total Paid for MECHANICAL: $137.78 $0.00
FIXTURE/TRAP
101-0000-42401
0
$36.27
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$36.27
$0.00
WATER SYSTEM
101-0000-42401
0
$12.06
$0.00
INST/ALT/nEP
WATER SYSTEM
INST/ALT/REP PC
101-0000-42600
0
$12.09.
$0.00
Total Paid forPLUMBING FEES: $96.72 $0.00
SMI - RESIDENTIAL
101-0000-20308---7[
07'
$6.50
$0.00
Total Paid f6rSTRONG MOTION INSTRUMENTATION SMI: $6.50 $0.00
011 Printed: Tuesday, March 03, 2015 1:58:14 PM 3 of 4 OpwlySTEMS
TOTALS: $982.62 $0.00
INSPECTIONS
SEQID INSPECTION TYPE.INSPECTOR SCHEDU,EED,
DATE
.COMPLETED
DATE
RESULT,: "REMARKS NOTES
FINAL"
PARENT PROJECTS .
Printed: Tuesday, March 03, 2015 1:58:14 PM 4 of 4
SYS'fCMS
Ciij/ Of is Quinta
V Bldtding 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
b -7012
U Quinta, CA 92253 - (760) 777
Building Permit Application and Tracking Sheet
Permit # ��
Project Addccss: 8' f 344,
R-tCSY7C .0 A,) b 2,
Owner's Name: L.L DLS —Z i /e1�
A. P. Number. 76 7 a 033
Address: �13 �{t'o 1EVS77C, G N , /L
fJ
Legal Description: Lam/-' S N'3 -Y2,g 038
Contractor. L)F4 C VdY77WC-97C.J
City, ST, Zip: &4_-Q)1j/A.,krA 64 f 7_2_53
u a
Telephone: `
z .
ME
Address: eo B Deo Z
Project Description:C,O0ST720� rl
City. ST, Zip:�C6fp t A ZZ d
6fJclS� S(J/ Gti ' V`�i�
Telephone:76A 77 f 5?3 3
o `
State Lic. # :9 3 y 31!\�B City/L�ic. #; r/G� (�2 6 ( �
I / //
Archy i'D gn • �M C . / -e— V-)
Address:2 j 25 Ali AA
City, ST, Zip: PAi..i/il-lcXos4A 922�2—
Telephone: Construction Type: - i V Oc xxpancy:
State Lic. #: Q Project type (circle one): New (_Add;), Alter Repair Demo
Name of Contact Person: DE13i✓ Sq. Ft.:u- 3 # Stories: J # Units:
Telephone # of Contact Person: 74, 0 77 '/65 Z-- Estimated Value of Project: �n doh
—j� APPLICANT: DO NOT WRITE BELOW THIS UNE
9, Submittal
Req'd
Reed
TRACIMIG
FERhIIT FEES -
Plan Sets
Pian Check sub
1
Item Amount
Structural Calm
Reviewed, for corrections
Plan Check D :posit. .
Truss Calm
Called Contact P
Pian Cheek S dance
Title 24 Cates
�a� '
Plans picked up r w•� `
Construction
Flood plain plan
Pians resubmitted..
13
Mechafiieal
Giading plan
Z'a Review, ready for correcfi me
313
Electrical
Subconmetor List
Called Contact PersonPlumbing
Grunt Deed
Plans picked up
SM.I.
H.O.A. Approval
l '
Plans resubmitted
Grading
IN HOUSE:-
*d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval-
Called Contact Person
A.LP.P.
Pub. Wks. Appr -
Date of permit issue
School Fees
Total Permio Fees
Coachella Valle . Unified School District'
y This Box For District Use Only
83=733 Avenue 55; Thermal, CA 92274 DEVELOPER FEES PAID
(760).398!--5909 — Fax (760).39
8-1224
AREA: ..
. AMOUNT .... ...
LEVEL ONE AMOUNT: ':
LEVEL TWO AMOUNT:
-MITIGATION AMOUNT'...
:COMM/IND:AMOUNT:
DATE.: ` - —
RECEIPT:' '
HECK k: -
• INITIALS '
e .. ..
....
CERTIFICATE OF COMPLIANCE
(California Education Code 1T620) March 3,.2015..ProjectName: liogDate:
Owner's Name:. : Claude and Barb Vielfaure :: Phone:No.
Project Address: ..81-346 Rustic.CanyonDr.,* LaQuinta .....
Project Description: :. Attached Casita
APN: 764-770-033 : _. Tract #:. Lot #'s:
Type of Development:: Residential .
XX Commercial Industrial.
Total Square Feet of Building Area: .. 263
Certification. of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under '
penalty o£perjuryand further represents that he/she is.authorized to sign on behalf of the owner/deve-oper.:
,
Dated: March 3 2615 Signature: .
SCHOOL DISTRICT'S REQUIREMENTS FOR THE OVE PROJECT HAVE BEEN: OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING:. (CIRCLE ONE) . "'
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1%1/87. Requirement
Number of Sq.Ft. 263 Pursuant to AB 181:any.room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
Amount per Sq.Ft. $0.00
homes being relocated within _he same school district's
Amount Collected $0.00
jurisdiction are, exempt from developer fees.,
Building Permit Application Completed: Yes/No '
By: Elsa F. Esqueda, Director. of Facilities and' Maintenance
r
Certificate.issuedby Laurie.Howardi Secretary Signature:, , 12,
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES W
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective:January 1, 1997, requires that this Datrict provide (1):a written notice to the
project appellant, at the time of payment of school fees, mitigation payment brother exactions ("Fees" ), of the 90 -day period to protest the imposition of these
Fees and (2) *the amount of the fees. Therefore, in accordance with section 66020 of the Government code and otlier applicable law, this Notice shall 'serve to
advise you that the 90 -day protest period in regard to such Fees or. the validity thereof, commences with the payment-of.the fees or performance of any other
requiremenwas described in section 66020'of the Government code. Additionally, the amount of the fees imposed is as [herein set forth, whether' payable at this
time or in whole or in pare prior to issuance of a Certificate of Occupancy.. :As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid forthirty (30) days from the.date of -issuance. Extension will be: granted only for good cause, as determined by:the School District, and up.
to three (3) such extensions may be granted.
MV:c/mydocs/devfees/certificate of compliance fonn.updated 3-2007: : 11/2010
:. ,I riftRy at La Quinta
60-750 Trilogy Pkwy-�
La Quinta, CA 92253 -
760-777-6059 Tratlogy
_-vax: 760477-1620 TY&Va:L.QVhftMAW
+.�.ceAaad uoa
Thursday, December 11, 2014
Claude G. Vielfaure / Barbara Rae Viel&urc
Box 100 La Broqueric Manitoba
Canada ROAOW0
RE: Design Review Modification Conditionally. Approved
81346 Rustic Canyon Dr /Customer ID A: TR.LAQ-1202-0.1_ _
Dear Claude G. Vielfaurc /Barbara Rae Viclfaure:
We are pleased to .inform -you that your plans fou..installation o a casita; and a walkway ai front, received on
Novembez.20, 20.14, havr`been;approvcd by''thei}est[ Rcvtcw Committee;-vimh the fol}ov�nng _c�ndi�tions.
9 `9:9 and 23. 1 -Please submit the information about the material for the new sidewalk= )avers'or concrete?, 2
The previous owner had:Alanted non-anuroved plants despite the disapproval of the Desian Review Committee.
Previously installed una roved lantsi Ocotillo'.: `lion.texanum;;=and 8arrel:Cactus=ma .not be;relocated.ui`
the= front yard �(scc' attached cony)
.tease
note:- Any. dame ., es binsedb contractors due to conisiructcon mustbe r aired all°irri anon; and
landscape shall be restored totle.oriainaL.condatton
This approval docs not constitute-conse& by the Association:for the applicant to encroacli; trespass; or build on
any property other than- that.of the applicant..This-approval is related: solely to the items reserved for approval by
the CC&Rs in accordance with the Design Review Guidelines. The approval does not extend to the quality of
work done by your architect, or contractor; or to.any structural. engineering, soils engineering; or site grading'and
drainage design. You arc urged to obtain the services of a state .Iicensed professional for consultation as needed.
The Design Review.Gommittee is composed of volunteers. As such; it docs not review applic cations to ensure'
compliance with building codes, or other. local or state laws be advised that this approval does not itlieve
you from obtaining any necessary. building permits from the:govcmmental agencies invowvcd to ensure:
compliance with these codes. Any:violations of these ordinances will be your respohsibiLty to correct. THaWyou
for your patience in this matter and. for complying with the Association's policies and standards.-
Sincerely,
tandards:Sincerely,
For'thc Design Review Committee;
Mirrta Hernandez
Asst Manger On -Site Property
:closures
cc: Board of Directors
Design Review Committee