0012-129 (SFD)# 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:
(. )• 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'& -Prof essionals
Code).
O I am exempt under Section B&P.C. for this reason
D/e / 3 Vo ' Signature of Owner
WORKERCOMNSATION DECLAR,A�T
'S PE
I�ON 'r
I hereby affirm under penalty of perjury one of. the tolling declarations:
O 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 sectionneed notbe completed if the'permitvaluation 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' '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 $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 10rth';6n hl's
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
the
above-mentioned property for ins ect ntpurposes i?
Signature (Owner/Agent)' �'�'Date
' BUILDING PERMIT PERMIT# _
DATE J VALUATION LOT 0012, 2,9 TRACT
f,r. 19TZ7
JOB SITE
ADDRESS
APN
OWNER
CONTRACTOR/DESIGNER/ENGINEER
"Ali-f'mm,
'
qtr., PRI' `
P6 ZQXA 440IA
(gfMA
.�.
r
USE OFFPERMIT
►(.&- VAX49,Y DIRMING
►u`q
Sim a faN"wri' 1 r N0, T INCI.Xdt?. a1.4f_K_'WAu, d PC'tt?t:.fDR aM A.Y
'APPROACH,
T.�A ;T CONSTRUCT11-M . l,S3 ,OD 'IF .
��tCh1��A'CIG3 A:�9,114 ��+
QA3tAC3F.lC.°AR;PORT 54CM OF
r
s FT. WOOE., Poict aotl.aa r,F
..pp ��'t�y.i"lRl�AIM:D COS.[' 010 �.`(;�KS'�x�7C.°�`.�:�"3I�Y
y /�,�j�yg� ,�E� ae 1,.,,
'COU.' 'Ri.;CTION' RE 101min-00.416-000 8.640,50
PLIAN CHECK ECK FEE 1t)1-(.�t&C�-��?fir-31 3. X5.33.149
MEG°HMUCAt. FEE 101-0.00.421.0(DO $00.00
21.I.+uC°'Y IUC.'-t L YdKK e 0.1 uG1: 4.20-000 0133,83
Rill SiBmo RE .10 1 -W'04119.000 0336>'
St'ROING MOTION—IrEE - RESID 101-000-W-000 410,141
f�it,FAl��lC3l�•� 1�1�()�e�!.��.:�^ig(3t3 . S3a,i1t�
DF,VFA,0P1tR IMPACT YEE
PRECIN PLAN 101-000-441-345 5100,40
P A�aF'S - R SIE 7IP
RT 3HE
31��?jPU�CMX
p yQi-
11,y/C�0 0$=A$'y�p5-�.JJtlicf�i p y$C(2t
LESS M-PAYD?.0
4250,00
TOTAL
DEC 2.2 2�
'IT Y V��
RECEIPT DATjE !t !t
ABY
DATE FIN�p�p'0.
INSPEI}TON
(V
INSPECTION RECORD
t/_7P�
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
!
Return Air
Steel
Combustion Air
Roof Deck
. 01 -7
Exhaust Fans
O.K. to Wrap
— _ 2—
F.A.U.
Framing
p
Compressor
Insulation
_ B - O 2—
Vents
Grills
Fireplace P.L.
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
-oz.,
Drywall - Int. Lath
_
Final
Final
oZ
POOLS - SPAS
BLOCKWALL
APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Water Piping
Heater Final
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
O7
Encapsulation
Gas Piping
Gas Test
. O
Appliances
Final
COMMENTS:
W
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
06w (10-1
Building 5I _')Q.5
Address UU
4
ud!'�Gv
P.O. BOX 1504
78-495 CALLE TAMPICO
t - LA QUINTA, CALIFORNIA 92253
Owner AA Id,
Mailing
Address P 0 X f
City Zip Tel.
V
ress l ).
City IZip
State Lic. I City
& Classif, Lic. #
Arch., Engr.,
Designer
Address Tel.
City `Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed underi provisions of Chapter 9 (commencing with Section
7000) of Divisio�n3of the Bu/siness an/d`Professions Code, and my license is in full (force and
effect. iG-,ef�'_'�1i'r-1�� C'rx. ,.•r _.,r J�.Ci1�`
SIGNATURE - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5.8usiness and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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 civilpenalty of not more -'than five hundred dollars ($500): - 44-1n,
I: 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
I'I I, as owner of the property, am exclusively contracting with licensed contractors to con-
strutI the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
I1 I am exempt under Sec. B. & P.C. for this reason
Dale ' '%' Y „Owner f. .r:/ �..-t•''r ! C.r r .v err, �,....;..
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
f7 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work. for which this permit is issued, I shall not
employ any person in any manner soas to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become
subject to the Workers' Compensation provisions of the Labor'Code, you must forthwith
comply with such provisions or this perinit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 city to enter the above•
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, Slate, Zip
APPLICATION ONLY
BUILDING: TYPE'CONST./:'�t.E% OCC. GRP.
A.P. Number 7 %T' 2 `ifr1
Legal Description LO T 2—
Project Description
Is -
Sq.
Sq. Ft. No. / No. Dw.
Size r ��% U Stories S if<: Uni s
New 2--- Add ❑ Alter ❑ Repair ❑ Demolition ❑
_'.A -IM i�- 4\5 `;I - 5 W -S 114. i"I tt w lI i Nk:7-
Aimated Valuation
PERMIT Y AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. M • " r -
r '7
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setba.:k from Center Line
Side Setback frorr Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Desert Sands Unified School District
T 47-950 Dune Palms Road, ;
Notice: La Qu`inta,`CA 92253 h J
Document Cannot Be Duplicated, •'760-771-8515
Y
CERTIFICATE OF,COMPLIANCE `
Date 12/20/00 .. -' APN # 773-182-014
No. 21368 - :,> Jurisdiction' La Quinta =+t,
Owne "NameRichdrd Crockett `g - Permit # '
x :No. 51-785. Street' Avenida' Villa Y �Log
City La Quints , Zip 92253'.- f ' Study Area
xTract # Lot # Square Footage 1526 1 r~
# Typeof Development Single Family Residence , No -of Units 1
At the present time,. the Desert Sands 'Unified School District does not collect Jees ori ga-ages/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
`r
2.05 X 1,526 or $ 3,128.30.. the property listed above and that tuilding
* permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued f
Fees Paid By Richard Crockett 1 Telephone ;,7.60=564=0864
J
'Name on the check. `� Y
• ,,. :�, _ ,. ' - ;7. +. : :� �- is i,. - f
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by. Vickie Durrett Payment. Received 4 ��.�.
(� Check No. 2008126717
u 17 rti
c
Y V r'
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) 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 b another public entity authoriied.to'
collect them on the District('s)(s') behalf, whichever is earlier.. + z
Collector: Attach a copy of county or city plan check application form to district copy for all waivers. '
x, wEmbossed Original- Building belpt./Applicant Copy - Applicant/Rec-eipt ' Copy - Accounting
y ;~. „' ,. •X+. 'C'1,' .J i � ,+ �i ti• 4' n. l y, - ,•t .,t -�. _ �_ „ .
- y:
4-OuESTED By
EN RECORDED MAIL TO
qNp MAIL TAX STATEMENTS TO
. ,ME Knsty A. Brady
ADDRESS P.O. Box 1440
CITY La Quinta, CA 92253 y
STATE & ZIP
GRANT DEED
TrFLE ORDER NO. ESCROW No. AM Na 773472-01X4
THE UNDERSIGNED GRANTOR(s)DECLARE(s)
DOCUMENTARY TRANSFER TAX is i CITY TAX =
computed an full value of property conveyed, or computed on full value less value of liens or encurrtlxances remaining at time of sale,
Unincorporated area: City of LA QUINTA, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
WALLACE S. MILES, AN UNMARRIED MAN
hereby GRANT(s) to
Kristy A. Brady, an unmarried woman'.
the following described real property in the County of 'Riverside State of California:
Lot 2, Block 119 of. Santa Carmelita at Vale La Quinta Unit No. 12, Tract, County of Riversied State
of California, As per inap recorded in book 18. Page 79 & 80 of.Miscellaneous maps, in the office of
the county recorder -of said county 773-182-015 -
Dated
WALLACE S. MILES
STATE OF CALIF RNIA }
CCUNTY OF t ILI-0 )S.S. {►n
On /k �% �: 02cco " before me. / /'(i (.i e- A
(here i .= and title of the officer), Personalty appeared I/ii p .1-14 C
personally known to me (or Proved to me on the basis of satisfactory evidence) to be the Pere
and to me that heV43Wy executed the same in hgAo*& authorized capa
the r the entity upon ffehiff of, which the personKacted, executed the insbwnenL
WITNESS my hand and official seal.
A10 744
• / P_ f
wtwse narrrej(4 i&" srb6cribed to the within instrurnent
i}', and that by hisb+�rhpeifsignaturgKon the instrument
MICHELLE RAMOS
Commission 4 1246360 =
Notary Public - California
Riverside County ,
MVcwn. 8gJrw Dec2D 2003
%.o1 i T V r LPA %A U 11 V t 6'. OW un 1-10 9 _ - r� �✓ `— `' � /j
JOB ADDRESS�y � • PERMIT NUMBEF,, Oii NEFt_�!C��C���= d� �,-OJBL®ER i/
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons pear q,dn this list or their employee are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to corn ly will result in a stoppage of work and/or the voidance
^f h, idriinn normit Fnr aach applicable trade. all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade / Classification'.'.
Contractor ,;;:
r s License :: .::.::..:...
State. Cont actor.
W rkers::Corn ensation Insurance
Cit .Business'`. License .
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
lxxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK(C-12):; ,::...:
CONCRETE IC -81;,:''.`^.
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C 2.5-
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STRUCT:-$TEEL IC -5'14::<>.
MASONRY (C-29) ;:.:.
PLUMBING (C-36)
7375-7
3/
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2 - 26o
SF6
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LATH, PLASTER (C-35) ;
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2 9-01OZ 'T'�°U
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DRYWALL (C-91
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HVAC IC 20)
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ELECTRICAL (C-10)
'L A E2 S/ 6"J pit.
C 0
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2 /• 6r�
ROOFING (C-39)-'::`.-:--.:-:--':'::';:.
Q f) /J Q EE 91>6F
C -3
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tit -01-01
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FLOORING (C-15
y
GLAZING:(P
a'►'l C k ,
c -17
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3-31-o/
IN'SULATiON,(C-2) ; ::.':;;
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3
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,A
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3/2 oACACi-ovt
e2 e
!LL ;(? -60;(? -60 a'OvP.
PAINTING IC -33).. .
ti Isp 12 41UTSC
:3� �
2 -Zo
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CERAMIC TILE (C-54)
14otE 17 d t -
CABINETS (c-6) : ; '
o r D r 6-1
FENCING IC -131 :.:::.:"<,.;:
>� ���� . r�Ncr c,� N j
L /�
2 79D 9
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Ga.cmi /ic�Ei�t N s
C N E l �o Z
LANDSCAPING (C-27)";.��
1-10 nT
/
"
i, POOL (C-53)
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as th-P builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of recordon 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 ail permits for which they
apply:
If you plan to do your own work, with the exception of various 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 I _tensed 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 socia -1 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 "Cwner/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 con.irm 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
FAX: (760) 777-701.1,
MAO
O ER'S ATURE/ E
PROPERTY ADDRESS
ooh _.Z-;?
PERMIT NUMBER(s)
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MEMORANDUM
TO: NICKIE GROMLEY, BUILDING AND SAFETY DEPARTMENT
FROM: STAN B. SAWA, COMMUNITY DEVELOPMENT DEPARTMENT
VIA: CHRISTI DI IORIO, PLANNING MANAGER
SUBJECT: COVE PLAN CHECK FOR 51-785 AND 51-805 AVENIDA VILLA
DATE: SEPTEMBER 20, 2000
The Community Development Department has determined that the above noted plans
are not acceptable as shown for both lots Pursuant to Municipal Code Section
9:50.090 A3, residences within 200 feet of each other cannot be identical. The two
plans proposed on adjacent Avenida Villa are the same. One of the plans' front
elevations must be changed using different roof treatments, windows treatments,
garage doors, exterior colors, etc. The plans as submitted are acceptable on one of
the lots of the applicants choice-.
Should you have any questions, please call me at extension# 7064.
.. i
` t
�
P.O. Box 1504
C Gtr 78-495 CALLE TAMPICO
(760). 777-7000
OF � LA QUINTA, CALIFORNIA 92253 (TDD) (760) 777-1227
J
November 29, 2000
Ms_ Kristy Brady
P:. 0. Box 1440
La Quinta, California 9.2253 ,
SUBJECT: MASTER DESIGN GUIDELINES 2000=011
Dear Ms. Brady:
0n November 28, 2000, the Plarining Commission, on a 3-0 vote, adopted Minute
Motion 2000-022 approving your architectural guidelines for USE. in the RC Zone .
District at 51-785 and 51-805 Avenida Villa.
The Planning Commission's decision may be appealed to the City Council pursuant
Section 9.200.120 of the Zoning Ordinance, provided a written appeal and filing fee
of 075.00 are received by December 13, 2000: Please contact this office for
assistance should you desire to file an'appeal.
If you have any questions, please contact me at (760) 777-7067.
Sincerely,
JERRY HERMAN
C MU Y DEVELOPMENT DIRECTOR
G US ELL
Associa a .Planner
GT.
c: orrimunity Developments Director'
/Building and Safety Director
LT PC MDG Brady - 45gt } �}�
r
P. O . Box 1504
78-495 CALLE TAMPICO "
MOFL
Clrl�O (760) 777-7000
A QUlNTA, CALIFORNIA 92253 (TDD) (760) 777-1227
November 16, "2000
Ms. Kristy Brady -
P.O. Box 1440
La Quinta, California 92253.
SUBJECT: MASTER DESIGN GUIDELINES 2000-011
Dear,Ms. Brady:
On November 14, 2000,.the Planning Commission, on a 4-0 vote, adopted Minute.
Motion 018 denying your prototype house plan (Elevations A and .B) for the RC
District. The Planning Commission comments on your project were: 1) provide
additional architectural facade features and details," 2) provide photographs of existing
Cove houses"you've constructed that are the same as those proposed, and 3) .provide
legible and accurate architectural plans.
The Planning Commission's decision may be appealed to the City Council pursuant
Section 9.200.120 of the. Zoning Ordinance, provided a written appeal and filing fee
of $175.00 are received by November 29, 2000. Please contact this office for
assistance should you desire to file an appeal.
Should you, desire to go back before the Commission on November 28 for
reconsideration, please submit seven sets of your new 'architectural drawings and
photographs to this Department by November 20 at 9:00 a.m.
If you have any questions, please-contact me 'at (760) 777-7067.
Sincerely,
JE Y AN
C U IT/ DEVELOPMENT DIRECTOR
G O SDELL
Associa Tanner r
c: �Community Development Director
Building and Safety Director
Itr MDG 011 PC - 45greg (SS/CI)
r RQDISTRICT - PLANNING REVIEW FORM
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential)
District, in order to determine the applicability of,compatibility issues or need to require the filing of Master
Design Guidelines by the applicant. It shall be transmitted to the.Building and Safet} Department as your
correction list. ' Please attach additional explanations as necessary.
APPLICANT 4RZSTY BRADY
SITE.ADDRESS 51=7,85 Averiida Villa r
APN 77? 3 NO'. CASE NO.: ' 2000'307
R
LEGAL: LOT .. 2 -BLOCK 'UNIT -S.C.@V L.Q.—* -
CHECKED BY: Stan Sawa 'DATE: �(-?LC,>-o>J
Inform the assigned Building., plan` checker upon your assignment to'this case.,,. The CDD Executive
'Secretary maintains: a log book to track applications and. assign case numbers. °
REQUIRED ITEM'
Y
N
} • COMMENT/CORRECTION
Com patibility.Review,
Case logged and number assigned
Verify legal and APN. information
Ij,
Consistent with MDG on file (as.applicable
MDG filing required (5 filings since 9/3/9.8)
Consistency with street/surrounding area:
• Colors
Materials'
Architecture
t F,
•
`
Other Requirements:
�� 20 - (� tan -
Certifi'
cate- of''O.'c upancy
a.
Cit -,of La-,Quinta
Building and Safety Department OFti°
This, Certificate issued pursuant to the requirements of Section .109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the ,various ordinances
of the City regulating building construction or use. For the following-
BUILDING
ollo.wing:BUILDING ADDRESS: 51-785 AVENIDA VILLA•
Use Classification:. SINGLE FAMILY DWELLING Bldg. Permit No.: 0012-129-
Occupancy
012-129-Occupancy Group: R-3 Type of Construction: " VN- Land Use Zone: 'RC :.
Owner of Building: KRISTY'BRADY , Address:, P.O. BOX 1440
City: LA .QUINTA, CA 92253
. By: RICHARD KIRKLAND . .
Date: 06-18-02
' Building Official
POST IN A CONSPICUOUS PLACE