14-0907 (RPL)Applicant:
D �
JUL 05-1 2014
CITY OF LA QUINTA
FINANCE DEPT.
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: LICENSE CLASSIFICATION License No.: 656128
Date: % A ZD 9 contractor: TGjtrlel2lq
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).:
(_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.).
(_) 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 Na
Lender's Address:
Contractor:
TESERRA
PO BOX 1280
COACHELLA, CA 92236
(760)398-9222
Llc. No.: 656128
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: _ Policy Number: _
_ 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? Z Z0Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($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 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 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 upon the above•
mentioned property for inspection purposes.
Date:? Z ZO Signature (Applicant or Agent):/ILLO//Ff 2f4i/?C 2
4aw
VOICE (760) 777-7125
78-495 CALLE TAMPICO
FAX
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
(760) 777-7153
BUILDING PERMIT
Date: 7/1/2014
Application Number:
RPL -14-907
Owner:
Property Address:
55770 BRAE BURN
BARRY GILMOUR
APN:
775280056
Property Zoning:
Application Valuation:
$37,000.00
Applicant:
D �
JUL 05-1 2014
CITY OF LA QUINTA
FINANCE DEPT.
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: LICENSE CLASSIFICATION License No.: 656128
Date: % A ZD 9 contractor: TGjtrlel2lq
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).:
(_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.).
(_) 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 Na
Lender's Address:
Contractor:
TESERRA
PO BOX 1280
COACHELLA, CA 92236
(760)398-9222
Llc. No.: 656128
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: _ Policy Number: _
_ 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? Z Z0Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($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 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 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 upon the above•
mentioned property for inspection purposes.
Date:? Z ZO Signature (Applicant or Agent):/ILLO//Ff 2f4i/?C 2
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$2.00
$0.00
PAID BY
METHOD RECEIPT #
CHECK '#
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $47.66 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.19
$0.00
PAID BY-
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.06
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL• $107.25 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$11.92
$0.00
PAID BY,
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
,AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPLUMBING FEES: $35.75 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA
101-0000-42404
0
$178.75
$0.00
"PAID BY
,METHOD.
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT"
QTY
AMOUNT
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$97.24
$0.00
'PAID BY
METHOD,,-
RECEIPT #
CHECK #
CLTD BY
Total Paid for POOL / SPA: $275.99 $0.00
PGA WEST
FAIRWAYS ASSOCIATION
June 18, 2014
Barry Gilmour
Re: Architectural Application — Revised Plan Submittal - 55770 Brae Burn
Dear Homeowner:
The Architectural Committee has reviewed the revised plans for your request to extend the party wall,
install a pool, spa, BBQ island, fire pit, and pavers in the rear yard of your residence. I am pleased to
inform you that the Architectural Committee has approved the revised plans as submitted excluding the
extension of the party wall. Your adjacent neighbor has not approved the extension, therefore, the
Committee cannot grant approval for the extension of the party wall. You may proceed with the rest of
the project.
Please note approval of architectural change plans by the Architectural Committee does not include
any right of access by Owner's contractor or subcontractor through golf course property. To
request permission to access Owner's Lot through golf course property the Owner must contact
golf course management at PGA WEST at 760-564-7111, to obtain the proper documentation
including a temporary access license permit. Access without written permission could be deemed
criminal trespass.
Enclosed is Exhibit C — the Compliance Review Request form. Please complete this form after the work
is completed and return it by mail or fax to the address below so the completed project can be inspected.
If you have any questions, please contact Cassie Gertz at 760-776-5100 Ext. 6345 or email
Cassie.Gertz as nagementtrust.com.
Sincerely,
For the Architectural Committee
P,GA WEST Fairways Association
Jprl-XMcD Lald, CLAM, PCAM
ene M ager
xhibit C — Compliance Review Request
cc: Lot File
Architectural Committee
The Club at PGA WEST
Post Office Box 1690 • La Quinta, California 92247 • Phone (760) 776-5100 • Fax (760) 776-5111 • www.pgawestfairways.com
ORCO STANDARD 6' TO 8' CMU SITE WALLS
OPTIONAL RAT CAP DESIGN CRITERIA: PER THE 2010 CBC
1. ALLOWABLE SOIL BEARING PRESSURE = 1500 PSF
2. ALLOWABLE LATERAL PASSIVE PRESSURE = 150 PCF
3. GROUT STRENGTH = 2000 PSI @ 28 DAYS.
4. REINFORCING STEEL : GRADE 60.
S. 1500 PSI MASONRY COMPRESSION STRENGTH.
n 06816, 1546, .T661
8STEEL
T CMU
GROUTED ONLY@ VERT
DROP-IN
r r06 S7D JOINT
• n -O• E74ENT @ 24 01C
RRACESRACES FOR 7
Lr WAUS). USE 05 STD.
OBLOCK
• •.- . .•
0 1 110
.. •
lo
PA 20 V e
DOWEL @ CENTER OF
Ro•
LEVEL GPADE BOTH SrDES.
04 HORZ CONT.
N
'W" CONT: FOOTING
SEE CHART FOR REQUIRED REBAR
AND FOOTING DIMENSIONS.
NOTES:,
1. CONCRETE BLOCK SHALL CONFORM TO ASTM C 90.
2. CONCRETE FOR FOOTING SHALL BE I PART CEMENT TO 2-1/2
PARTS SAND 70 3-112 PARTS GRAVEL WITH A MAXIMUM OF 1-1/2
GALLOWS OF WATER PER SACK PORTLAND CEMENT SHALL CONFORM
TO ASTM C 150 TYPE TIN. Fc = 2500 PST
3. AMFOIRCING STEEL SMALL BE DEFORMED AND CONFORM TO
ASTM A 615 GRADE 60. PROVIDE 48 BAR DIAMETER LAP.
4. REBAR SHALL BE QED IN THE OOA"ETF BLOCK CELL IN
WHKH IT IS LOGIT®.
5. CONCRETE BLOCK STALL BE LAYER IN A RUNNING BOND
PATTERN WITH VER17CAL CONTINUITY OF THE CELLS UNYO.
6. ALL BLOOC CEILS CONTAINING VERTICAL REBAR SFALL BE SOLID
GROUTED.
7. USE TYPE S MORTAR PROPORTIONED USING ASTM C 270 PART
CEMENT TO 1/1 PART LONE TO 4-1/2 PARTS la4MP, LOOSE 54ND.
8. GROUTFOR CONCRETE BLOCK PER ASTM C 476 TO BE 1 PART
UMENT TO 3 PARTS SAND (GROUT MAY CONTAIN 2 PARTS "-
PEA GLA VEL' IF *FATHER CONDITIONS ARE FAVORABLE AND BLOCK
UNOBSTRUCTED CTED CRL SIZE IS SLFF/C IBVT TO ALLOW GOOD GROUT
FLOW). WATER STALL BE ADDED TO PRODUCE GOOD GROUTFLOW
WITHOUT SESRELSATION OF THECONSITL&W13
9. BLOCK STEM MAYBE WET -SET 1-112' INTO THE FOOTING WHILE
THE CONCRETE 1S PLASTIC BLOCK STEM MAY BE PLACID TO
EITHER EDGE OF THE TR8YC H TYPE FOOTING.
10. FOOTING MULCT BE POURED ON OR INTO UNDISTURBED
NATURAL SOIL CML ON COMPACTED FILL WITH A MINIMUM
COMPACTION OF 9096.
11. FIRST INSPECTION TO BE AFTER FOOTING TREWOifS ARE
READY FOR OONMTE AND ALL REQUIRED STEEL IS TIED IN PLACE.
SEMAD INSPECTION TO BE WHEN THE REQUIRED VERTICIL JS IN'
RACE AND THE BLOCK WALL IS READY TO GROUT.
11. AAXIMUM CONTROL JOINT SPACING. 40'0/C 20' O/C FOR
WALLS TO BE MORTAR WASHED OR STUCCO COATED.
CIN OF LA QUINTA
RRpfES N
4
uj
C,
~ CN925 IN A
*
Exp. 12-34-2012
s Ql C' v 1 \ ��?.
F a
OF C40
CHART FOR 6' TO 8' SITE WALL W/ SPREAD FOOTING
WIND
MAX.
w,
DESIGN
WALL
SPREAD
'X' DOWEL
'Y' BAR
SPEED
HEIGHT
FOOTING
WIDTH
#4 @ 40" O/C 33"
#4 C 40" 0/C
V U
6'-0"
1'-9"
36' C/C - is, Cmu
36. O/c - I6• CMU
W
--
8" 8
IL
M w
#4 @ 40" 0/C 33"
#4 @ 40' 0/C
Z0
6'-8"
I'-10`
36• o/c - I6• cnu L56,
OIC - Is, cnu
W
—
?� W
= N
#4 C 32 0/C 33
" "
#4 C 32' 0/C
7'-4'
2'-0'
zT o/c - Ie cnuL
?7'01C -1e cnu
(n
10" -- 10'
U-)
CID
33"
#4 @ 24" 0/C—L56"
#4 @ 24" 0/C
2'-3`
Is* o/C - Ie• CHU
O/C - 19• CMU
10"
FAR SM YARO RMARN WALLS AWW
DR4AVMSWALEOCC A EX A 0 BLOCK
M4YL0TOUT•SMaGRADE PROVIDE
II DONH AND 04 DROP-IN 50 ON EACH
SME OF THE AR BLOCK OWN - AS
SHOWN.
L ® EAOH SME OFA -
HT W/ N D2" BIR
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FOOTING STEP DETAIL
CIN OF LA QUINTA
Bin # Qty ®f La Quinta
Building 8T Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
qb] La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: L7>Q P—N Owner's Name: 1 LAA au
A. P. Number:
Addres*s:S--1-70 T5RAE Our_N_
Legal Description:
City, ST, Zip: V I N7161, C-161 117-7-5-3
Contractor: J�7_ rZ(� A
Telephone:
Address: 00 )av
Project Description: Pob L� 3Q>Ir�
City, ST, Zip: L^(_Attj_L, p,- 140-
6)-zz-3Co
EMC- �IT PON- EQ PAA_F_kJ_T_
Telephone: -7&0
191611
V%J 14, LAI Ir -
State Lie.
City Lie.
Arch., Engr., Designer:
-----------
Address:
City., ST, Zip:
Telephone:............
Construction Type: Occupancy:
State Lic. #:
Project typ e (circle one ):CNeDw Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: s23
# Stories: _T
Units:
Telephone #,of Contact Person: :2 6 0.) L/
Estimated Value of Project: 3 ODD
APPLICANT: DO NOT WRITE BELOW THIS LINE
-0 Submittal Req'd Rec'd TRACIUNG PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amoutit
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person-
Plan Check Balance.
Title 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2-d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctioel'ss
Developer Impact Fee
Planning Approval
Called Contact Person •
A.I.P.P.
Pub, Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
.7 1 1 JL4-- - A500D-4 U LS�