07-1833 (AR).f
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING. PERMIT
Application Number:
07-00001833
Property Address:
55802 BRAE BURN
APN:
775-280-058- - -
Application description:
ADDITION— RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
37976
Applicant: Architect or Engineer:
------------------
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 Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
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 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, 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.).
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:
Lender's Address:
LQPERMiT
Owner:
JIM SORENSON
55-802 BRAE BURN.
LA QUINTA, CA 92253
VOICE (760)777-7012>
FAX (760) 777-7011
INSPECTIONS (760) 777-7.153
Date: 8/14/07
Contractor: " /1+ �- Ir
Owner
i �I S
sFINAHCE 0 !— .--
-----------------------------------------------
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
sur nce carrier and policy number are,-- 919 OO �� ,J/�
Carrier /� Policy Number 7
I certify tha , in the performance of the work for which this permit is issued, I sball no 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 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 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 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 county to enter upon the above-mentioned proper r inspection purposes.
Date: �ignature (Applicant or Agent):
Application Number . . . . . 07-00001833
--=--- Structure Information 470SF CASITA ADDITION/V-NR/RES-3
-----
Other struct info .
. . . CODE EDITION 2001/2005
# BEDROOMS
1.00
FLOOD ZONE NO
--------------------------
1ST FLOOR SQUARE FOOTAGE
--------------------------------------
470.00
------------
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
336.50 P1an.Check Fee
218.73
Issue Date
Valuation
37976
Expiration Date
2/10/08
Qty Unit Charge
Per
Extension
BASE FEE
252.00
13.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
84.50
Permit . . .
ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . .
31.45 Plan Check Fee
7.86
Issue Date . . . .
Valuation
0
Expiration Date
2/10/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
470.00 .0350
------------=--------------------------------
ELEC NEW RES.- 1 OR 2 FAMILY
-------------------------------
16:45
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
44.00 Plan Check Fee
11.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
2/10/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
1.00 6.5000
-------------------------------------------------7--------------------------
EA MECH VENT FAN
6.50
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
48.00 Plan Check Fee
12.00
Issue Date . . . .
Valuation . . . .
0
LQPERMIT
Application Number 07-00001833
Permit . . . . . . PLUMBING
y Expiration Date 2/.10/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 6.0000 EA PLB FIXTURE
30.00
1.00 3.0000 EA . PLB WATER INST/ALT/REP
3.00
----------------------------------------------------------------------------
Special Notes and Comments
470SF CASITA ADDITION/V-NR/RES-3
(ENGINEERED]. 2001, CBC, CPC ,CMC,
2004 CEC, 2005 ENERGY. THIS PERMIT
DOES NOT INCLUDE BLOCKWALLS.
**MINOR ADJUSTMENT TO BUILDING
SETBACKS - 10% REDUCTION TO 18LF -
PER CDD APPROVAL 07-596*** July 31,
2007 3:17:06 PM AORTEGA
-----------------------------------------7--------------------------------=-
Other Fees ENERGY REVIEW FEE
21.87
STRONG MOTION (SMI)
- RES
3.79
Fee summary . Charged Paid Credited
---------------------------
Due
--------------------
Permit Fee Total 459.95 .00
----------
.00
459.95
Plan Check Total 249.59 .00
.00
249.59
Other Fee .Total. 25.66 .00
.00
25.66
Grand .Total 735.20 .00 ,
.00
735'.20
LQPERMIT
Bin #
29
City of La Quinta ' 0
Building 81 Safety Division 0�
P.O. Box 1504, 78-495 Calle Tampico\d
La Quetta, CA 92253 - (760) 777-7012
-Building Permit Application and Tracking Sheet
Permit .#
C)
Project Address: —gQZ
Owner's Name: SO_Q�*r
A. P. Number: -7 - SO
Address: as -607_
Legal Description: �� ( Z rt,. Z 00Zj
City, ST, Zip: LAS-6�Ut_ L4Ti&-
Contractor: f�U.ji<�lEI� /�iV ILD�f
��
��
s
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lie. # : �Ciityy Lemic. #:
esigner: L
Address: - (2� F-CLECT) C A—Z.
City, ST, Zip U
� C3
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter -Repair Demo
Name of Contact Person:
Sq. Ft.: e !cl��
I#Stories:
# Units:
Telephone # of Contact Person: �j4�
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMTT FEES
Plan Sets
Plan Check submitted
2
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
701Construction
Flood plain plan .
Plans resubmitted
Mechanical
Grading, plan
2" Review, ready for correctionstissue
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
NIS 29k-01 To? 24"
�-bYsE bjCAkA. t&VAMVUA"
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMWIND. AMOUNT:
DATE:
RECEIPT:
CHECK M
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Residence is at PGA West Date: August 14, 2007
Owner's Name: Jim Sorenson Phone No.
Project Address: 55-802 Braeburn La Quinta, CA
Project Description: Casita aAddition
APN: 775-280-058
Tract #:
Lot #'s:
Type of Development: Residential • xX Commercial Industrial
Total Square Feet of Building Area: 470
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.
Dated: August 24, 2007 Signature:
***********************************************************************
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project
17620 65995 Approval
Number of Sq.Ft. 470
Amount per Sq.Ft. $ -0-
Amount Collected $ -0-
Building Permit Application Completed: Yes/No
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note�Any addition of 500 sq. ft. or less is exempt from paying
Developer Fees.
By: Carey M. Carlson, Asst. Supt., Business Services
ACertificate issued by:W/a�;�igriature: A 4
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other 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 other 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
requirements as 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 part 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 for thirty (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. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
MV:c/mydocs/devfees/certificate of compliance form updated 3-2007 3/9/07
I
I
U LN/0
4 0 C! MON
10:4
AM
The
Monarch Group
P xA-
FAIRWAYS ASSOCIATION
PAI
June 1, 2007
!W & Mrs. James Sorenson'
55-802 Brae Burn.
La Quinta. CA 92253
Architectural Application
Casita
Dear Mr. & Mrs. Sorenson:
At t1x May 7", 2007, Architectural/Landscape Committee meeting the eor nittee leviewed
the submitted plans and has given conditional approval. Before construction nuy begin the
following is required-
• A maintenance agreement for the roof must be signed and int the HOA office before
installation rmybegin. (Enclosed)
The following items must be corrected prior (and nay be done in writing) to the complia.-.ice'
Review being performed:
• ne,vashin*gtonia Palms indicated on the plans must be 5 feet (5") from all
hard *ape and property lines.
• The Meyerh4Ferns are acceptable even though they am not on the approved plant
palette.
• A concrete mow curb is required around the river rock (not bender board).
Note
• The irrigation will be checked by the landscape company prior to final approval
during the compliance review.
• An inspection of the roof is required before the construction deposit is released.
Post Office Box 1690 - La Quinta, California 92247 o Phone (760) 776.5 100 9 Fax (760) 776511.1,
JUk!I�/2007./MON 10:43 Afd The Morarch Croup YAK l� i, 'rhU ; lth
Sorenson.
Architectural/Landscape Application
Cisita
Page 2 of 2
Disclaimer:
Neither the Association or its landscapers or other contracwis shaft be rrsponsible
under ciitwmiances forany damage to or destruction ofpots, statues, or other
Arms placed by homeowners within those arras maintained by the Association,
whetherdue 6o maintenance personnel ormaintenaaace equipment; orotherwise.
If you should have any questions in regard to this con-espondence, please do not hesitate to
contact the .Association office at anytime.
. Sincerely,
PGA WEST Faimus)a Assoaaaw
AnlitwwallLaniarpe Co»arrtt
AKOV nc;p
Cc: Architectural/Landscape Committee
Robert Pitchford
Pile
Encl.
FT.
/t \
TH
July 20, 2007
Mr. James & Marguerite Sorenson
55-802 Brae Burn
La Quinta, CA 92253
SUBJECT: MINOR USE PERMIT 07-945
CASITA: 55-802 BRAE BURN
Dear Mr. and Mrs. Sorenson:
Your request for approval of Minor Use Permit 2007-945 allowing the construction of a
casita at 55-802 Brae Burn, in La Quinta, is hereby approved. You may now contact the
Building & Safety Department for your building permit.
Enclosed is the approved original Deed Restriction for this Minor Use Permit. It must be
signed by the owner in front of a Notary Public. The original approved documents are
then to be recorded with the County Recorder, with a recorded copy given to the City for
our files.
The Planning Department will sign the job card when the recorded copy is received,
which would provide our clearance to the Building & Safety Department to issue the
building final inspection. Until the recorded copy is received by the Planning
Department, your Minor Use Permit is not complete and a final inspection will not be
conducted by the Building & Safety Department.
Should you have any questions, please call me at (760) 777-7125.
Sincerely,
Z—.Z- ,, a
ERIC CEJA
Assistant Planne
Attachments
c. Building and Safety Department
P.O. Box 1504 • LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO • LA QUINTA, CALIFORNIA 92253
(760) 777-7000 -FAX (760) 777-7101
RECORDING REQUESTED BY:
James S. Sorenson
Marguerite Sorenson
WHEN RECORDED PLEASE MAIL TO:
James & Marguerite Sorenson
55-802 Brae Burn
La Quinta, CA 92253
COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCES AT
55-802 BRAE BURN, LA QUINTA, CALIFORNIA
This Covenant and Agreement are made and executed this 201h day of July,
2007 by James & Marguerite Sorenson, as the recorded owner(s) of the property
described herein. The City of La Quinta, a Municipal Corporation, is hereby made a
party to this Agreement for the purposes set forth below.
The undersigned hereby certifies that he/she is the property owner of the
following described real property in the City of La Quinta, County of Riverside, State of
California:
APN 775-280-058; Tract 29003, Lot 12; in the City of La Quinta,
County of Riverside, State of California
In consideration of the City of La Quinta issuing a building permit for certain
improvements which will be constructed on said property, the undersigned does hereby
covenant and agree to, and with said City, to restrict the use of said property as follows:
The guest house may not be rented nor sold independent of the main single-
family residence (Minor Use Permit No. 07-945);
2. No kitchen or cooking facilities shall be
provisions of Chapter 9.30.030 (RL Zone
of the La Quinta Municipal Code;
constructed in the guest house per the
District) and 9.60.110 (Guest Houses)
3. All on-site facilities are intended for the sole occupancy of the property owner(s),
guests, and caretakers (i.e., a maid and/or housekeeper, etc.); and,
4. The guest house shall be used primarily as a sleeping facility, and shall be
maintained in accordance with all zoning and other codes as set forth in the La
Quinta Municipal Code, as may be amended from time to time.
This Covenant and Agreement shall run with the land and shall be binding upon
future owners, their successors, heirs, or assigns, and ourselves, and shall continue in
effect while said accessory building remains on the real property or unless. otherwise
released by the authority of the City of La Quinta. All leases of said dwelling and/or
property shall be subject to this restriction. This Agreement shall be entitled to the
remedy of injunctive relief in addition of any remedy in law or equity.
This Covenant and Agreement and the provisions hereof are irrevocable, except
by the written consent of all parties to the agreement, including the City of La Quinta, a
Municipal Corporation. The City shall have the right to enforce each and every
provision hereof and the parties agree that the Agreement shall not be rescinded,
revoked, modified, or otherwise amended or changed, without the expressed written
consent of the City first being obtained.
In the event that the owners, their heirs, assigns or successors in interest, shall
fail to perform any obligation hereunder, they hereby agree to pay all costs and
expenses incurred by the City of La Quinta in securing performance of such obligation,
including attorney's fees.
By: 1.
2.
3.
Signature(s)
Dated:
Printed Name of all owner(s)
7/s/. 7
VVJohnson Date
Planning Director
City of La Quinta
ALL PURPOSE NOTARY ACKNOWLEDGMENT(S) MUST BE ATTACHED IN 8 1/2 X
11" FORMAT, FOR EACH SIGNATURE.
STATE OF CALIFORNIA)
COUNTY OF RIVERSIDE) ss.
CITY OF LA QUINTA)
On %010 , be re me,Q�p- 'Notary Public, personally
appeared personally known to me or proved to
me on the basis of factory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal,
Signature of the Notary Public
IMAM NIETO
com"0 " • 1745411
NO" ►ubft . Calton"
mvelst" court
MrCpnm.6�hbZ.2011.