07-3032 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
07-00003032
794-80—BRIARWOOD
7.72-020-004- -
ADDITION - RESIDENTIAL
LOW DENSITY RESIDENTIAL
33486
Architect or
c&t!t aF4a4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Lic. No.: ---------------
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: 13 cense No.: 691405
Dat Contractors
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 _ 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(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: _
Lender's Address:
LQPERMIT
Owner:
TEAL ROBERT G
79-480 BRIARWOOD
LA QUINTA, CA 92253
Contractor:
CLASSIC BUILDERS, INC.
45475 CLUB DRIVE
INDIAN WELLS, CA 92210
(760)333-1935
Lic. No.: 691405
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/24/08
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 EXEMPT Policy Number EXEMPT
_ 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
4 3700 of the Lab Code,__I shall forthwat�tK/p y ith those provisions.
I/ t
Date: L 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 1 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 property for inspection p rp s.
P� Q YA
Date: Signature (Applicant or Ag
0
LQPE% IIT
Application Number .
. . . . 07-00003032
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee . .
. .
310.50
Plan Check Fee
201.83
Issue Date . .
. .
Valuation . . . .
33486
Expiration Date
7/22/08
Qty Unit
Charge
Per
Extension
BASE
FEE
252.00
9.00
-------------------------7--------------------------------------------------
6.5000
THOU BLDG
25,001-50,000
58.50
Permit .
. .
ELECT-- ADD/ALT/REM
Additional desc
. .
Permit Fee . .
. .
29.32
Plan Check Fee ,.
7.33
Issue Date
Valuation
0
Expiration Date
7/22/08
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
392.00
.0350
ELEC.NEW
RES - 1 OR 2 FAMILY
13.72'
30.00
-7--------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
.60
Permit .
. .
GRADING PERMIT
Additional desc
.
Permit Fee . .
. .
15.00
Plan Check Fee
.00
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
7/22/08
Qty Unit
Charge
Per
Extension
----------------------------------------------------------------------------
BASE
FEE
15.00
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee . .
. .
39:50
Plan Check Fee
9.88
Issue Date
Valuation . . . .
0
Expiration Date
7/22/08
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
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
VENT FAN
6.50
Permit PLUMBING
Application Number
07-00003032
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
58.50
Plan Check
Fee
14.63
Issue Date
Valuation
. . .
. 0
Expiration Date
7/22/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 6.0000
EA PLB
FIXTURE
24.00
1.00 6.0000
EA PLB
ROOF DRAIN
6.00
1.00 7.5000
EA PLB
WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB
WATER INST/ALT/REP
3.00
1.00 3.0000
EA PLB
GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
392 SQ.FT. CASITA ADDITION
WITH
30 SQ.
FT. MECH. AND 92 SQ.
'FT. PATIO
----------7-----------------------------------------------------------------
Other Fees . . . . .
. . . .
ENERGY REVIEW FEE
20.18
STRONG MOTION (SMI)
- RES
3.34
Fee summary Charged
----------
Paid Credited
---=--------------------------
Due
-----------------
Permit Fee Total
452.82
.00
.00
452.82
Plan Check Total
233.67
.00
.00
233.67
Other Fee Total
23.52
.00
.00
23.52•
Grand Total
710.01
.00
.00
710.01
LQPERIMIT
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
Date 3/12/04 La Quinta, CA 92253
No. 25639 (760) 771-8515
Owner
Robert Teal
APN #
Address.
1 Rue Deavuville
Jurisdiction
City
Newport Zip 92660
Permit #
Tract #
26524
Study Area
Type
Residential Addition
No. of Units
Lot #
Unit 1 3
Unit 2
Unit 3
Unit 4
Unit 5
Comments
No. Street
79480 Briarwood
S.F.
387 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
Q BERMUDA DUNES r
C�n RANCHO MIRAGE
INDIAN WELLS
PALM DESERT .y
LA QUINTA
1 Q1 N0O,�i
0
769-760-004
La Quinta
0401-411
1
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under
500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile
homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
f*:/=1►'J1;All
This certifies that school facility fees imposed pursuant to
Education Code Se'ttioh 17620 and Government Code 65995 Et Seq.
in the amount of $646X 387 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt- David Larson Check No. N/A
Name on the check Telephone
Funding Exempt
By Dr. Doris Wilson
Superintendent
Fee collected
Signature
Payment 4$!k'. $0.00
N r/Under
NOTICE: Pursuant to Government Code Section 66WO(d)(1), this will serve to notify you that the 90 -day approval period in which you mayrqWthe fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from ttt�dlrt which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier'''
NOTICE: This Document NOT VALID if Duplicated
Embossed Original I §MinqA
oWmenpAppl cant Copy - Applicant/Receipt Copy - Accounting
�I\
March 14, 2008
City of La Quinta
Department of Building & Safety
Post Office Box 1504
' La Quinta, Ca. 92253
Re: Teal Residence
79-480 Briarwood
The Estancias
WALLING & McCALLUM LIMITED
ARCHITECTURE • ENGINEERING • PLANNING
W A L L i N G A R C H @ A ❑ L C ❑ M
45-190 CLUB DRIVE PH\(760)360-0250
INDIAN WELLS, CA 92210 FX\(760)360 0786
• 1
Gentlemen
I have inspected the shear walls, post and beams and their connections to the structure for This
residence, and have found them to be in reasonable compliance with the drawings.
Yours truly,
JGW/mlm
k
B`n
PerttTit #
/ t2�
r
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: &j _81tIAK W aot
Owner's Name:
A. P. Number:
Address: SA"r—d
Legal Description:
City, ST, Zip:
Contractor: gSr1C_ B o u, D im S j A/C
Telephone:
Address: (. 1j �3 bA,
Project Description:
City, ST, Zip: /M /*#J (,(,)ifU--9kA -/i:.(a
ATMaNel, d*i A—i'M lGIJ
Telephone: 3
State Lic. #: City Lic. #:
Arch., Engr., Designer:, .• G. LLU04
� ✓ `�t �
Address: qj*-I O
City, ST, Zip: JN D/JbO [t%GZG.3 dA -A.M
Telephone: 360 -0 7.r0
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New . Add'n Alter Repair Demo
Name of Contact Person: 1AVI J5 /-*/t S 6 A)
Sq. Ft.: at? 30
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
2
Reviewed, ready for corrections
13 0>?
Plan Check Deposit
Truss Calcs.
Called Contact Person
((
W
Plan Check Balance
Energy Cales.
Plans picked up L L pm. Sit
D
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctio /iss
41
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
100 -'A? `q 1h qt 8tur�fl
,4, Al 15 RFC,
,--'
Date
1/24/08
No.
29882
Owner
Teal
Address
79480 Briarwood
City
La Quinta Zip 92253
Tract #
Type
Residential Addition
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
APN #
Jurisdiction
Permit #
No. of Units
BERMUDA DUNES
CAI RANCHO MIRAGE (7
INDIAN WELLS
PALM DESERT ,y
LA QUINTA
INDIO
O
772-02-004
La Quinta
1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 79480 Briarwood 392 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments Attached Casita Addition
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
EXEMPT
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 392 S.F. or $0.00 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By Exempt - David Larson Check No.
Name on the check Telephone
Funding Exempt
BY Dr. Sharon P. McGehee : -
Superintendent
. r
Fee collected /exem a by 'ar n II rey Payment Recd J $0.00 _�
Over/U, Ideir
Signature r .
NOTICE: Pursuant to Government Code Section 66020(d)(1), th\s wills a to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on .tio the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID without embossed seal
Embossed Original - Building Department Applicant Copy - Applicant/Receipt Copy - Accounting
CITY OF LA QU.INTA SUB -CONTRACTOR LIST
JO) ADDRESS PERMIT NUMBER OWNER _ , _ BUILDER.
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to wor;i
on this job. Any changes to this list must be approved by the Building Division prior to commencement. of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by -applicant. ."On File" is not an acceptable response.
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