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LICENSED CONTRACTOR 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 # Lic. Class Exp. Date
Date Signature of Contractor
,..
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason: '
(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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
(�I am exempt under Section B&P;C. f this reason
Date _t l„ Signature of Owner 1 i.n
0 4r
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 & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
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' compens�tion provisions of Section 3700 of the Labor
Code, I.shall forthwith comply wi,th'Ithos9provisions.
Date:>w■�Applicant
Warning: Failure to secure WorkerV Worker'Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
T the above-mentioned pro erty-for inspection purposes.
�- „
Signature (Owner/Age{t) .� Date 0i
PERMIT #
BUILDING PERMIT
"WAK3
DATE VALUATION S38.0111.00 LOT TRACT
JOB SITE _
ADDRESS 79-395 RRIAR«OOD
769-760-1016
r
OWNER
CONTRACTOR / DESIGNER / ENGINEER
JAMES P"VIRELCI?1 .
OWNCR!Bun,nim
7939, FlRUMWOOD
LA 01..'tT1'r'A CA 92251
{ CPLii
USE OF PERMIT
1 ADDITION 7ui1 rri1 r
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5736.75
RECEIPT ♦
DATE
BY
DATE FIN ED
INSPECTOR
I
I
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set BacksUnderground
Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
bV
F.A.U.
Framing
-- (p.—pp
Compressor
1
Insulation
_ (� -
_
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
-
Drywall - Int. Lath
_
0
Final
Final
BLOCKWA
L PPROVALS
POO $ SPAS _
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
i
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICA A PROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Vottage Wiring
Fixtures
Main Service or
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
r Ary
Final
Utility Notice (Perm)
COMMENTS:
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Notice:
Document Cannot Be Duplicated
Date 2/7/00
No. 20003
Owner NameJames P. Whelchel
No. 79-395
City La Quinta
Tract #
Type of Development
Comments
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
Street Briarwood
Lot #
Residential Addition
100 sq. ft. Room Addition
' .: Sb711a1jC'�
Jurisdiction La Ouinta
Permit # 9908-063
Log #
Zip 922563 Study Area
Square Footage 700
No. of Units 1
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 or replacement mobilehomes. It
has been determined the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Government Code 53080 in the amount of
1.93 X 700 or $ 1,351.00
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 Check/Wells Fargo/Paul Whelchel
Teleph_one�
Name on the check
,,,. ,
By Dr. Doris Wilson
Superintendent
- -ca'
Fee collected /exempted by Mary Ann L. Borja
Payment Received $1,351::00
0/1 A* 1 A,'
Check No. 7377001770
Signature
(NOTICE: Pursuant of Assam* Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the Districtfs)(s) behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
PLAN CHECK CORRECTIONS
DATE: 7/3 O /f PERMIT #
JOB ADDRESS: 7?- -3
CONTRACTOR�T 7h e -fRl� CLI e -I
PLAN CHECKED BY: ,A
P
mw^,,., 50wLGr3 pw .- ✓l� lww SL msm.-G
C::F'ay. Se corAArS 0,A-7 LN�� Or 0 ,-LE4 TO r
hzwaay 1040 V4-lf7JA4f ,dLS
1 Ap A�Zovlag 146a A A5 P71 -AF- P/47/,"DSLP2.
40- ,wax- r� l�� rz�Z zc.S
ti
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May 10, 1999
WALLING & McCALLUM /LIMITED
ARCHITECTURE • PLANNING • ENGINEERING
45-190 CLUB DRIVE
INDIAN WELLS. CA 92210
Mr. Mark Harold
Department of Building and Safety
City of La Quinta
Post Office Box 1504
La Quinta, CA 92253
Re: Lot 26
The Estancias
La Quinta, CA 92253
Dear Mark:
(760] 360.0250
FAX (760) 360-0786
I have reviewed the truss calculations and find them to be in compliance with the
drawings. I have also entered in an agreement with the contractor to observe the final
framing to see if it is in conformance with the plans and specifications as prepared by this
office.
JGW/mpw
Tit it °F 44"
PUBLIC WORKS CLEARANCE LETTER
FOR
CUSTOM HOME LOTS
Dear Builder:
Prior to issuance of a building permit, you will be required to obtain clearance from the
Public Works Department for one, or more, of the following:
1. Verification that rough grading is complete, and the pad elevation certifications
preparedby a licensed surveyor, or engineer, are on file in the Public Works
Department.
2: Verification that infrastructure improvements and other required tract -improvements
are complete, or sufficiently advanced to warrant building permit issuance.
3. Prepare an engineered grading plan that provides for. on-lot.storm water retention,
and have it checked and approved by the Public Works Department.
• Tract 26524 (Estancias)
• Tract 26769 (Mountain View Estates)
4. Prepare an engineered grading plan that provides for building pad grading in
accordance with the existing soils report and tract grading plan, and have -it
checked and approved by the Public Works Department.
• Tract 28034 (South Valley Estates)
FOR INTERNAL USE BY PUBLIC WORKS DEPARTMENT
TRACT: 20.5-2
I LOT:
F:IPWDEPrDOCS%FORMSIPW CLEARANCE LETTER.ss
02/07/00 MON 1.3:52 FAX .760 346 991.8 D R M 1a002
Ichs, cl•t
■
�. ort
►1�:ur_wi
July 26, 1999
JPW Construction, LLC
Attn: Paul Whelchel
78365 Highway 111 #309
La Quinta, CA 92253
Re: 79395 Briarwood
Dear Mr. Whelchel,
The Architectural Committee for the Estancias at Rancho La Quinta has reviewed and
approved your submittal of plans for a remodel of your home on Briarwood. The plans
were completed by John Walling of Walling and McCallum. The remodel will consist of
an addition of two bedrooms at the front of the house.
Thank you for your submittal and patience in our review of the playas.
Sincerely,
Mindy Gutierrez, Property Manager
The Estancias at Rancho La Quinta
4 -
Professional Community Management / Desert Resort Management
Post Office Box 4772 • Palm Desert, CA 92261-4772
73-550 Alessandro, Suite 5 Palm Desert, California • (760) 346-1161 • FAX (760) 346-9918
.... . ........
..... . ... .. ... ..
City of La Quinta
....... ......
Building 8z Safety Division
P.O. Box 1504
. . ....
78-495 Calle Tampico
. . ............................
....................
.. . .............
. ........ .........
............ . .......
La Quinta, CA 92253
. . ... . . ..........
........... .
.........
.........
...................
...............
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name:
A.P.Nuniber:;,
Address: Y15 I'Ll-V-1,ZIIJ
Legal Description:
City,ST,.Zip: a<;
Contractor:'
. .... ......
Telephone: . .........
Address:
Project Description: R6
Cit),,ST, Zip:
Telephone:
............
State Lic. #
City Lic. #:
Arch... Enpr., Designer:
[Address:
X.-
.. .......
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. .......
M G E -Ml 'A I-ra_
2 S t 6 l,) t�V �-evcT CA t_GS
OLP6T- N)(-= Di gauss c4L-c5 J
ALO. roc ce.PrA;)cE L0117M- --.us'505 ,
t 4 r
OWNER / BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of variuus trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the'State and Federal Government as an employer and you are subject
to several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
(7 777-7011
ER'S SIGNATURE/ DATE
C1 LJ ao
PROPERTY ADDRESS
PERMIT NUMBER(s)
tl I -=I -P A 4 c> 2'2— ZP tZ- 1-+PA,0 4Q— s
i) Cx Pa PCZ2.c I N v�c.� �Pa�iZS c tc� sr
May 31 00 03:22p Walling a McCallum Ltd 760 3600786 p.l
.7 .1�
"Fpv
May 30, 2000
WALLING & MCCALLUM LIMITED
ARCHITECTURE PLANNING ENGINEERING
46-190 CLUB DR. 17601 360.02sn
INDIAN WELLS, CA 92210 PAX. (760) 360.0786
City of La Quinta
Department of Building & Safety
Post Office Box 1504
La Quinta, CA 92253
Re: Whelchel Residence
79-395 Briarwood
La Quinta, CA.
Dear Inspector:
I have inspected the shear walls, posts and beams and their connections to the structure
for this residence, and have found them to be reasonable compliance with the drawings.
Yours truly, ,1
ohn Walling, A.I.A.
JGW/mlm
Desert Sands Unified School District
Notice: 82-879 Highway 111
Document Cannot Be Duplicated Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Date 3/7/97
No. 15313
Owner Name La Quinta Orchard Partners
N0.79395 Street Briarwood
City La Quinta
Tract # Lot #
Type of Development Single Family Residence
Comments
APN # 769-760-00-16-2
Jurisdiction La Quinta
zip 92253
Permit #
Log #
Study Area 117
Square Footage 3704
No. of Units 1
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 or replacement mobilehomes.
It has been determined the above-named owner is exempt from paying school fees at this time due to the following
reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of
1.84 X 3,704 or $ 6,815.36 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 La Quinta Orchard Partners
Name on the check
By Dr. Carol McGrew
Administrator in Charge
Fee collected /exempted by Pauline Pearson
Signature
PA 11 OlAd AkAA j3A"I-
Telephone ,771-1941
Payment Received
Check No. 4005
$6,815.36
IOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
bove will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
ollect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting