07-1279 (AR)P.O. BOX 1504
r 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
Application Number:
07-00001279
Property Address:
79115 CALLE BRISA
APN:
649-450-026- - -
Application description:
ADDITION - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
29412
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 P fessionals Code, and my License is in full force and effect.
License Class: B iceim 792381 oe
Date: Contractor:
OWNER -BUILDER DECLARATIO
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(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:
WILLIAMS BILL D
Contractor:
RISEN CONSTRUCTION
82775 CHARLESTOWN
INDIO, CA 92201
(760)347-6399
Lic. No.: 792381
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/05'/07
u
JUN 0 662007
CITY AF
ew...It
A qUINTA
_
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 229-0025305
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 ecome subject to the workers' compensation laws of California,
and agree that, if I should b me s jec to the workers' compensation provisions of Section
3700 of the Labor Code, I all f hw' c those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE W ERS' COMPENSATION COVERAGE I WFUL, 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.
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 cocti , a d hereby authorize representatives
of this county to enter upon the above-mentioned property for ' ect' p Z=2e_t�
_
Date: (D Signature (Applicant or Agent):
c!- Application Number . . . . . 07-00001279
r'
Permit
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
284.50
Plan Check
Fee..
184.93
Issue Date . . . .
Valuation
29412
Expiration Date
12/02/07
Qty Unit Charge
Per
Extension
BASE FEE
252.00
5.00 6.5000
----------------------------------------------------------------------------
THOU BLDG 25,0.01-50,000
32.50
Permit
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
27.74
Plan Check
Fee
6.94
Issue Date
Valuation
0
Expiration Date
12/02/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
364.00 .0350
--------------------------------------
ELEC NEW RES -'l OR 2
--------------------------------------
FAMILY
12.74
Permit
MECHANICAL,
Additional desc .
Permit Fee . . . .
24.00
Plan Check
Fee
6.00
Issue Date
Valuation
. . . .
0
Expiration Date
12/02/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH APPL
REP/ALT/ADD
9.00
-------------------------------------------------------------------------------
Special Notes and Comments
add 364 sq. ft. to existing
----------------------------------------------------------------------------
casita:
Other Fees . . . . .
. . . . ENERGY
REVIEW FEE
18.49
STRONG
MOTION (SMI)
- RES
2.94
Fee summary Charged
----------
Paid Credited
------------------------------
Due
----------=------
Permit Fee Total
336.24
.00
.00
336.24
Plan Check Total .
•197.87
.00
.00
197.87 .
Other Fee Total
21.43
.00
.00
21.43
Grand Total
555.54
.00
00
555.54
LQPERDIIT
5(8
'i --ILC J1I.10 1
JP(/W R.F-(,
Total Permit Fees
Bin #
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
Permit'#
a
`� 1
Address:' 79_ S
Owner's Name:umber:
.
..
Address:Description:City,
F
ST, Zip: � lltjL44ctor:
.il PJ
Telephone: •
ss: �_ St�N
Project Description:
City, ST, Zip: l eA- 9' ZZQ r .
a
Telephone: V6 O 34 °7 -6 -S
City Lic. #:
State Lie. # : 7qZ
Arch., Engr., Designer:Co r+t S. s. is11
Address: 72— ggQ
City, ST, Zip: .01
Telephone:(760 : S Construction Type: Occupancy:
State Lic. #: C f 3 g Project type (circle one): New Add'n . Alter Repair Demo .
Name of Contact Person: t �o Sq. Ft-:
#Stories:
#Units:
Telephone # of Contact Person: &WJ 4g$'- S%SQ. Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal .
Req'd
Reed
TRACIMG .
PEPOW FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, rea for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Peon
1 l
Plan Check Balance
Energy Caeca.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2"' Review, ready for correctio issue
Electrical
Subcontactor List
Called Contact Person()
Plumbing
Grant Deed
Pians picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
5(8
'i --ILC J1I.10 1
JP(/W R.F-(,
Total Permit Fees
04/25/2007 09:11
04/16/2007 11:10
7603460689
7507778961
C R SHUPE ARCH
RLQ HOA
RANCHO LA, QuiNTA.
MASTrx.A$sQCIATION
rchitcctural
-Con tr-aE4mmittoe
April 16, 2007
Mr, and -Mrs. Kirby dramer
79-115 Calle Brisa
La Qui ita, CA 92253
PAGE 01/01
PAGE 01
(a
Itl �
:R
Re. 797115 Calle Bnsa
AlpCval of Submission
The Architectural Committee reviewed your submission for an addition to
your existing Casita. The submission as presented is approved upon
condltlon of•
The Committee requires the following:
• Additional Landscaping is to be added to the side and front area of the
Casita upon completion of Construction. to "'Soften" the structural view.
• • All work is to be done In accordance with all applicable requirements of
governmental entities, iMcluding the City of la Quinta and in
accordance with all Homeowners Assodatiort architectural guidelines
and governing document$..
• 1f applicable, a City of La Quinta building permit be obtained and copy
fUmished to the Association prior to Commencement of work.
When the work has been finished, please return "NO&O OfcaRlpfWOn"to
•the'Assadation Office. The ASSULIation'S architectural consultant will perform
•a final inspection after receipt -of such notice; when verification,of the
-.approved 'pian modifications halve been concluded, your Skurity Deposit will
be processed for refund.
Thanking you in advance and If any questions please do not hesitate to call
me at ffIA on-site office 777.8807,
air, rc�yr e�e,i,<,t�
Mary.E. ker, ccAm, Airs
General anager
Rancho La Quinta Masterassociatian
760.777.8807 fax 760,777.8961
Ercall I7iwalkerCu7drmintern * .art,
cc: Architectural Comm.
toot 9'7, aev �
79:315 Y¢ RANCU6 T.A QI;INFTA Nt. 6"QVINTA, CA 92253 •760-771,M7• VAX 760-777-8961
Is
CERTIFICATE OF COMPLIANCE 4�'So
Desert Sands Unified School District
47950 Dune Palms Road Q BERMUDA DUNES 0
N RANCHO MIRAGE
Date 6/6/07 La Quinta, CA 92253 INDIAN WELLS
PSERT
No. 29485 (760) 771-8515 `yv> LALA QUENTA�'
PINDIO yrD
O
Owner Williams APN # 649-450-026
Address 79115 Calle Brisa Jurisdiction La Quinta
City La Quinta Zip 92253 Permit #
Tract # Study Area
Type Residential Addition No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 79115 Calle Brisa
Unit 2
Unit 3
Unit 4
Unit 5
Comments Addition to Casita
364 Unit 6
Unit 7
Unit 8
Unit 9
Unit 10
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 364 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 - Sijifredo Fernandez Check No.
Name on the check Telephone
Funding Exempt
By Dr. D ris Wilson
Superintendent
Y.
Fee collected /exem e y Sha on McGilvrey Payment Recd - $0.00
s Over/Under-,
Signature
NOTICE: Pursuant to Government Code Section 66P0(d)(1), AS will serve 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 damson which 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 if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting