06-1199 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001199 I
Property Address: 55866 BRAE BURN
APN: .775 -280 -062 -
Application description: ADDITION - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 43632
T-4bt 4 s(P Q"
Applicant: Architect or Engineer:
r t
-----------------
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 We, and my License is in full force and effect.
License Class: B C8 C36 Li fise No.: 343335
. O NER-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 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(sl 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: I I
�jf�'
Lender's Address: 1r �
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/06
Owner:
WEISLER ARNOLD
*NOT ON FILE
UNKNOWN, CA 99999 D 0
Contractor: APR 2 8 1006
ML CONSTRUCTION
P O BOX 228
LA QUINTA, CA 92251
(760) 564 -444 7
Lic. No.: 343335
------------------
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 STATE FUND Policy Number 0014757-2006
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 subje t to the workers' compensation provisions of Section
33700 of the Labor Code, I shall forth th comply with those provisions.
pplicant:
WARNING: FAILURE TO SECURE W6RKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 Ouinta, 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 thi ounty to enter upon the above-mentioned property for i pection •es.
ate: y-ZN ture (Applicant or Agent):
Application Number . . . . . 06-00001199
Permit .
. .
BUILDING PERMIT
Additional desc
. .
Permit Fee . .
. .
375.50
Plan Check Fee
244.08
Issue Date . .
. .
Valuation . . . .
43632
Expiration Date
. .
10/25/06
Qty Unit
Charge
Per
Extension
BASE
FEE
252.00
19.00
----------------------------------------------------------------------------
6.5000
THOU BLDG
25,001-50,000
123.50
Permit .
. .
ELECT - ADD/ALT/REM
Additional desc
. .
Permit Fee
33.90
Plan Check Fee
8.48
Issue Date
Valuation . . . .
0
_ Expiration Date
10/25/06
-
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
540.00
----------------------------------------------------------------------------
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
18.90
Permit .
. .
MECHANICAL
Additional desc
. .
,
Permit Fee . .
. .
33.00
Plan Check Fee
8.25
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
10/25/06
`
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA MECH
FURNACE <=100K
9.00
1.00
9.0000
EA MECH
B/C <=3HP/100K BTU
9.•00
.00
----------------------------------------------------------------------------
6.5000
EA MECH
VENT FAN
.00
Permit .
. .
PLUMBING
Additional desc
.
Permit Fee . .
. .
64.50
Plan Check Fee
16.13
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
. .
10/25/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
5.00
6.0000
EA PLB
FIXTURE
30.00
1.00
7.5000
EA PLB
WATER HEATER/VENT
7.50
1.00
3.0000
EA PLB
WATER INST/ALT/REP
3.00
3.00
3.0000
EA PLB
GAS PIPE 1-4 OUTLETS
9.00
LQPERMIT
Application Number . . . . . 06-00001199
--------------------------------------------7-------------------------------
Special Notes and
Comments
casita 540 sq. ft.
March 24,
2006
10:43:52 AM jjohnson
----------------------------------------------------------------------------
Other Fees . .
. . .
ENERGY REVIEW
FEE
24.41
_
STRONG MOTION
(SMI) - RES
4.36
Fee summary
-----------------
Charged
----------
Paid Credited
------------------------------
Due
Permit Fee Total
506.90
.00
.00
506.90
Plan Check Total
276.94
:00
.00
276.94
Other Fee Total
28.77
.00
.00
28.77
Grand Total
812.61
.00
.00
812.61
LQPERMIT - 1
H 1
Bin #
City of La Quinta
Building U Safety Division JJ
P.O. Box 1504, 78-495 Calle Tampico
l,a Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.# 11.q a
Project Address: "'3" - 60 1, 13 R U R /
Owner's Name: K r} 1 1 6PI2I L.1d U% f l E /2
A. P. Number: 7 7 -
Address: _ 86 & f3 p r 3
Legal Description: C.R S 1 y
City, ST, Zip: L U/ N r i?
Contractor: /V11-
Telephone: - lq774(
Address: ��, / G X Z Z 09
Project Description:
City, ST, Zip: tJ / /V rH T Z L Cj 7
Telephone: 7,1-o- r6 q- owl
State Lic. # 13 - 3 3 3
City Lic. #:
Arch., Engr., Designer: ,y 7/Z t/ C %/ Q J
Address:
City, ST, Zip:
Telephone:
Construction Type: woo p Occupancy: V/ /Yi; C 1.
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person;j717 Ui ,-/ JG i? 47 A N
Sq. Ft.: .3 4
17
# Stories:
# Units: l
Telephone # of Contact Person: 74 0 . 6 y - 4/
Estimated Value of Project: -7
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
pt
Plan Check submitted
bl
Item
Amount
Structural Calcs.
Reviewed, ready or corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
G'
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
C
Mechanical
Grading. plan
2°" Review, ready for correctioissue
Q
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
11
�l
Total Permit Fees
{ /
l
Bin #
7City of La uinta
Building 8Z Safe_ty D ' 'on
P.O. Box 1504, 78-495 t ampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1
Project Address: S�QQ�jn torn
Owner's Name:
A. P. Number: -7 'Z W `a�2 — �j
Address: f G R�,jC►'1
Legal Description: L.P-f 01(0 l?7G Oo v,
City, ST, Zip: I.
G 0", 4 Z Z 53
Contractor: u ilke owA7
Telephone:
Address: f- JU(_
Project Description:
ems-
City, ST, Zip:
_
(fags, ? C
Telephone:
� r �'- s
h sir
State Lic. # :
Arch., Engr.,' Designer: e-ka e, l
City Lic. #:
*{-
Address:
City, ST, Zip: =fi.c?
Telephone: S+7 - —7 6CO7
State Lic. #:
� r � . '` r,'
Construction Type: Occupancy:
Project hPa(circle one) New Add'n Alter Repair Demo
Name of Contact Person: f4 ICZ�alla✓ �2—
Sq. Ft.:
Stories:
# Units:
Telephone # of Contact Person:
—7 e)(7
Estimated Value of Project: x73, VP 1_44611fw
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted /11
Item
Amount
f 1lQ
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
`"rl
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
6; (n
Plans resubmitted
Mechanical
Grading. plan
2°" Review, ready foreorrecti nsrlssue
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 let (N
School Fees
EVE
Total Permit Fees
6 N
Scgod
0
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name:
Owner's Name:
Arnie Weisler
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/MD. AMOUNT:
DATE,
RFr.F.IPT,
CHECK #,
INITIAI C'
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Address: 55-866 Brae Burn La Quinta, CA
Project Description: Addition while under construction
APN: 775-2807062
Tract #:
Date: June 20, 2006
Phone No.
Lot #'s:
Type of Development: Residential RIX Commercial Industrial
Total Square Feet of Building Area: 32 sq. ft.
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: June 20, 2006 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
17620
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
Gov. Code Project Agreement Existing Not Subject to Fee
65995 Approval Prior to 1/1/87 Requirement
32
$3.75
$120.00
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
N--
Note::
Certificate issued by: Elvira Mattson, Office Technician Signature:
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.
.^':CiD1Yd0C5`ilevlees/cerlificate urcompliance I' rm table.]") US.". o 1/16/03 T
Yy,
C6Ala 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:
COMM/MD. AMOUNT:
DATE:
RECEIPT:
CHECK N:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Arnie;"&GailW;eisler, Date: 04/26/06
Owner's Name: Arnie & Gail Weisler Phone No. (760) 777-9774
Project Address: 55-866 Braeburn, La Quinta, CA
Project Description: 1 Casita Addition
APN: 775-280-062-5 Tract #: Lot #'s:
Type of Development: Residential XX Commercial Industrial
Total Square Feet of Buildin 540 sq. Ft.
Certification of Applicant/Owners: The person signing c 'fres th i the above)information is correct and makes this statement under
penalty of perjury and further represents that he/she is aut rizec/to sign pn behajf offthe owner/developer.
Dated: 04/26/06
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 Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Number of Sq.Ft. 540 sq. ft.
Amount per Sq.Ft- $ 2.63
Amount Collected $ 1,420.20
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Leticia C. Torres, Facilities Analyst
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 haw, 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.
[."I':� mg(IiiC� (ICY'I�L'S:'CL'lLilCatl' of compliance form table -,TO l SL(loc 1/16/03 T
i
.t'.
.,• I ,r S ,�'' 4T a� r � �. ,�� Y ,
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QuINTA, CALIFORNIA 92253
August 8, 2005
Mr. Michael Swartz
PMB #14 .
81-730 Highway 1 1 1, #4
Indio, CA 92201.
SUBJECT: MINOR USE PERMIT 2005-667
Dear Mr. Swartz:
(760) 777-700.0
FAX (760) 777=7101
Your request for approval of Minor .Use Permit 2005-667 allowing the construction
of a detached single -story casita at 55-866 Brae Burn 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 Community Development 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 Community Development Department, your Minor Use Permit is not complete
and a final inspection will not be issued by the Building & Safety Department.
Should you have any questions, please call me at (760) 777-7067.
Very truly you s,
JAY WUU
Assistant Planner
Attachments
c. Building and Safety Department
r,
(-i
RECORDING .REQUESTED BY:
Mr. & Mrs. Arnie and Gail Weisler
WHEN RECORDED PLEASE MAIL TO:
Mr. Michael Swartz
PMB #14
81-730 Highway 1 1 1, #4
Indio, CA 92201
COVENANT AND AGREEMENT RESTRICTING THE USE OF THE RESIDENCE AT
55-866 BRAE BURN, LA QUINTA, CALIFORNIA
This Covenant and Agreement are made and executed this 4t" day of August
by Arnier and Gail Weisler, 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:
LOT 5, BK. 775, PG. 28, TR 456.03, 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:
1 . The guest house may not be rented nor sold independent of the main single-
family residence (Minor Use Permit No. 2005-667);
2. No kitchen or cooking facilities shall be, constructed in the guest house per
the, provisions of Chapter 9.30.030 (RL Zone District) and 9.60.110 (Guest
Houses) of the La Quinta Municipal Code;
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.
STATE OF CALIFORNIA )
COUNTY OF RIVERSIDE ) ss.
CITY OF LA QUINTA )
On August 8, 2005 , before me, Regenia Hensley, Notary Public, personally
appeared DOUGLAS R. EVANS personally known to me to be the person whose name
is subscribed to the within instrument and acknowledged to me that he executed the
same in his authorized capacity, and that by his signature on the instrument the person
or the entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
REG IA HENSLEY
Notary Public
Commission # 1521423
Expiration: October 23, 2008
(Seal)
REGEMA`►
unk Comrnh3lon #. IiM423
Notary Public - California
Riverside County
My Comm. Expires Oct 23. 'XM
ON 3sba. �. .
1161*3
Va
�ffill fd3 0 1N3Wd013 I o