BRES2020-0217BUILDING PERMIT
DESIGN & DEVELOPMENT
PHONE (760) 777-7125
DEPARTMENT
WWW.LAQUINTACA.GOV
78-495 CALLE TAMPICO
ta Qa�fra
APPLIED DATE: 09/08/2020
LA QUINTA, CALIFORNIA 92253
ISSUED DATE: 12/18/2020
CALIFORNIA
Permit Type: Building Residential
Owner:
RICHARD DOAN
Permit Number: BRES2020-0217
PO BOX 8011, RANCHO SANTA FE, CA 92067
Property Address: 81359 PEARY PL
Applicant:
Karl Voigtlander
910 west st, Oceanside, CA 92054
APN: 767680021
Legal Description
Contractor:
RICHARD DOAN CONSTRUCTION
PO BOX 8011, RANCHO SANTA FE, CA 92067
Property Zoning:
Valuation: $833,830.30
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors' State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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 upon the above -mentioned property for
inspection purposes.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 5/23/25 11:12 am Page 1 of 5
Permit Type
Building Residential
BUILDING PERMIT
Permit Number:
Property Address
BRES2020-0217
81359 PEARY PL
DOAN/9469SF SINGLE FAMILY DWELLING *** 9,469SF DWELLING - LOT 59 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. SOLAR PERMIT AND INSPECTIONS REQUIRED AT OR BEFORE
FRAMING COMBINATION INSPECTION REQUEST. 2019 CALIFORNIA BUILDING CODES. #111# DOAN/9469SF SINGLE FAMILY
DWELLING *** REVISION 1 - 332SF ADDITION OF BATHROOM, AT BEDROOM THREE, WHILE UNDER CONSTRUCTION. REFER TO
NEW PERMIT BRES2021-0411 FOR REVIEW AND INSPECTION HISTORY. 2019 CALIFORNAIA BUILDING CODES.
nnstruction Det;:.
Residential Work Type Dwelling - Single Family Conditioned Square 9469 Garage Square 1283
Detached Footage Footage
Patio Square Footage 1903 Fire Sprinkler Square 10752 Construction Type V-B
Footage
Code Edition 2019 Number of Floors 1 Number of Bedrooms 6
Number of Units
1
Building/Unit
Occupancy
Classification(s)
Dwelling Units per
1.52
Number of Flag or
Acre (CVMSHCP)
Light Pole(s)?
Electrical Service?
Yes
Temporary Power
Service?
Number of Forced Air
7
Number of
Furnace(s)
Condenser(s)
Number of Exhaust
3
Number of Plumbing
Hood(s)
Fixtures/Traps
Number of Water
3
Water System Install
Heater(s)
or Alteration?
Sewer Connection?
Yes
R-3: 1 & 2 Family
Grading Required? Yes, New Dwelling
Dwellings, U: Utility/Misc
Structures
0
New Electrical Square 12655
Footage
Yes
Miscellaneous 3
Electrical
7
Number of Ventilation 9
Fan(s)
31
Number of Roof Drains 18
Yes Number of Gas 18
Outlet(s)
Type Group Sq Ft Value
Printed: 5/23/25 11:12 am Page 2 of 5
Permit Type
Building Residential
BUILDING PERMIT
Permit Number:
Property Address
BRES2020-0217
81359 PEARY PL
Invoice No. Fee
Fee Amount
Amount Paid
PERM IT-BRES2020-021 TUMF 2018 - SINGLE FAMILY DWELLING
$2,310.00
$2,310.00
7 CONDENSER/COMPRESSOR
$281.75
$281.75
NEW CONSTRUTION - SINGLE FAMILY RESIDENTIAL
$161.00
$161.00
ROOF DRAIN PC
$241.56
$241.56
BUILDING SEWER PC
$18.78
$18.78
EXHAUST HOOD PC
$16.11
$16.11
RE -INSPECTION FEE
$83.37
$83.37
GAS SYSTEM, 5+ OUTLETS
$40.25
$40.25
DIF - FIRE PROTECTION
$369.00
$369.00
DIF - MAINTENANCE FACILITIES
$235.00
$235.00
BSAS SB1473 FEE
$34.00
$34.00
CASH OVER DRAWER
$0.00
$0.00
DIF - CIVIC CENTER
$1,086.00
$1,086.00
RESIDENTIAL, EA ADDITIONAL 1,OOOSF
$164.28
$164.28
FIXTURE/TRAP PC
$182.39
$182.39
VENT FAN PC
$48.33
$48.33
WATER HEATER/VENT
$40.26
$40.26
DIF - PARK IMPROVEMENTS
$2,077.00
$2,077.00
ART IN PUBLIC PLACES - RESIDENTIAL
$1,584.57
$1,584.57
RECORDS MANAGEMENT FEE - MAJOR
$21.00
$21.00
WATER HEATER/VENT PC
$24.15
$24.15
RESIDENTIAL, FIRST 1,000SF
$161.00
$161.00
RESIDENTIAL, FIRST 1,000SF PC
$53.13
$53.13
SMI - RESIDENTIAL
$108.40
$108.40
PLAN CHECK DEPOSIT - RESIDENTIAL
$1,200.00
$1,200.00
DIF - COMMUNITY CULTURAL
$543.00
$543.00
GAS SYSTEM, 5+ OUTLETS PC
$26.83
$26.83
TECHNOLOGY ENHANCEMENT FEE
$5.00
$5.00
DIF - TRANSPORTATION
$3,426.00
$3,426.00
CONDENSER/COMPRESSOR PC
$187.81
$187.81
FIRE NEW RESIDENITIAL PC
$242.00
$242.00
RESIDENTIAL - CUSTOM HOME >7KSF PC
$201.25
$201.25
FIXTURE/TRAP
$416.02
$416.02
RESIDENTIAL, EA ADDITIONAL 1,000SF PC
$67.68
$67.68
EXHAUST HOOD
$40.26
$40.26
BUILDING SEWER
$26.83
$26.83
DIF - LIBRARY
$397.00
$397.00
HOURLY CHARGE - CITY BUILDING STAFF
$80.50
$80.50
FURNACE
$281.75
$281.75
FIXTURE/TRAP PC
$233.63
$233.63
RESIDENTIAL - CUSTOM HOME >7KSF
$40.25
$40.25
FURNACE PC
$187.81
$187.81
VENT FAN
$120.78
$120.78
ROOF DRAIN
$241.56
$241.56
FIRE NEW RESIDENTIAL
$161.00
$161.00
Printed: 5/23/25 11:12 am Page 3 of 5
Permit Type
Building Residential
BUILDING PERMIT
Permit Number:
Property Address
BRES2020-0217
81359 PEARY PL.
Workflow Step / Action Name
Inspections v.1
Grand Total for Permit $17,468.29 $17,468.29
Action Type Start Date End Date
09/08/2020 0:00
----------------------- ----------------------------------------------------------------
FINAL** v.3
Inspection
----------------------- ----------------------------------------------------------------
FINAL** v.2
Inspection
---------------------------------------------------------------------------------------------------
FINAL** v.1
Inspection
---------------------------------------------------------------------------------------------------
FINAL INSPECTION v.1
Inspection
---------------------------------------------------------------------------------------------------
TEMP USE OF PERM PWR v.1
Inspection
-----------------------------------------------------------------------------------------------------
DRYWALL NAIL v.1
Inspection
----------------------------------------------------
DEFERRED SUBMITTAL v.1
------------------------------------------------------------
Inspection
----------------------------------------------------
INSULATION v.3
---------------------------------------------------------------
Inspection
----------------------------------------------------
INSULATION v.2
------------------------------------------------------------------
Inspection
--------------------------------------------------------------------------------
FRAMING v.5
Inspection
--------------------------------------------------------------------------------
INSULATION v.1
--------
Inspection
--------------------------------------------------------------------------------
FRAMING v.4
--------
Inspection
-------------------------------------------------------------------------------
ROUGH MECH v.1
--------
Inspection
------------------------------------------------------------------------
ROUGH PLBG v.1
-------------------------------------------------------------- -
Inspection
------------------------------------------------------------------------------------
FRAMING v.3
----------------------------------------------------
Inspection
------------------------------------------------------------------------------------
ROUGH ELEC v.1
----------------------------------------------------
Inspection
------------------------------------------------------------------------------------
ROUGH ELEC v.2
--------------------------------------------- --- ---
Inspection
------------------------------------------------------------------------------------
LATH v.1
--------------------------------------------- --- ---
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
FRAMING v.2
Inspection
------------------------------------------------------------------------------------
BOND BEAM v.4
--------------------------------------------- --- ---
Inspection
------------------------------------------------------------------------------------
OVERHEAD ROUGH PIPING v.1
--------------------------------------------- --- ---
Inspection
- ----------------------------------------------------------------------
BOND BEAM v.3
--------------------------------------------------------
Inspection
----------------------------------------------------
FOOTINGS v.2
-----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
BOND BEAM v.2
-----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
FRAMING v.1
-----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
OKAY TO WRAP v.1
-----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
ROOF DRAIN v.1
-----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
ROOF NAIL v.2
-----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
ROOF NAIL v.1
----------------------------
Inspection
----------------------------------------------------
SLAB v.1
----------------------------
Inspection
----------------------------------------------------
BOND BEAM v.1
-----------------------------------------------------------------------------------
Inspection
----------------------------------------------------
FOOTINGS v.1
----------------------------
Inspection
----------------------------------------------------
UNDERGROUND PLBG v.1
----------------------------
Inspection
----------------------------------------------------
UNDERGROUND GAS v.1
---------------------------
Inspection
----------------------------------------------------
SEWER CONNECTION v.1
----------------------------
Inspection
----------------------------------------------------
TEMPORARY POWER v.2
----------------------------
Inspection
------------------------------------------------------------------------------
TEMPORARY POWER v.1
--------------------------------------------------------
Inspection
---------------------------------------------------------------------------
DEFERRED TRUSS v.1
----------------------------------------------------------- -
Inspection
Printed: 5/23/25 11:12 am Page 4 of 5
BUILDING PERMIT
Permit Type: Building Residential
Permit Number: BRES2020-0217
Property Address: 81359 PEARY PL
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid.
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the buildinq official.
Printed: 5/23/25 11:12 am Page 5 of 5
DEFERRED TRUSS SUBMITTAL REQUEST
Date: 12/02/2020
Permit Application Number
Project Street Address:
Applicant:
BRES2020-0217
81359 Pearly
Karl Voigtlander
Policy Conditions and Acknowledgment:
zLimited to Custom Residential Prefabricated Wood Trussed Roof Projects
WQaiaa
CALIFORNIA -
Submittal Package Shall Consist of Electronically Stamped and Signed Truss Calculations with Engineer
of Record's Acceptance and a Roof Truss Layout
P1City Anticipated Initial Review Time is Ten (10) Working Days with Rechecks of Five (5) Workings Days
WlFee for Plan Review and Processing will be the Actual Hourly Cost Incurred by the City Consultant and
the Hourly Cost per the Applicable Fee Schedule for City Staff
WlApproval and Payment of Fees are Required Prior to Request for Roof Nail Inspection, No Exceptions
By signing this form, the applicant agrees to, and will be solely responsible for any delays incurred by not
complying with, the timelines, conditions, and requirements as identified.
Signature:
City Staff
Approved By:
Building Permit Number'
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not sub ect to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date) 1'2 /js/
Job Site Address 81359 Peary Place
La Quints, CA 92253
Ownets Name Richard Doan
Number, Street, or PO Box P.O. Box 8011
City, State, Postal Codel Rancho Santa Fe
Owner's Phone Number (619) 871-4930
Owner's E-Mall Address) Richiedoar)@yahoo.com
Project Manager's Name I Jose Zavala
Project Managers Phone Number (760) 766-5450
Project Manager's E-mall Address ZavalastoyzCaol.com
Builder I Contractor
Richard Doan
Number, Street or PO Box
P.O. Box 8011
City, State. Postal Cade
Rancho Santa Fe, Ca 92067
Project Square Footage
9459
Approval By Burrtec/l�./C_..—
Date of City Approval
Materials To Be Discarded:
Product
Tons
Trash
5 G40 Not recyclable
Product
Tons
Asphalt
0,00 Recyclable
Masonry (broken)
0.00 Recyclable
Brick/Block
0.00 Recyclable
Plaster
77 43 N Recyclable
Cardboard
2.5-O-eO Recyclable
Scrap Metal
0.00 Recyclable
Commingled
0.00 Recyclable
Tile (floor)
—� Recyclable
Concrete
i 0$9 Recyclable
Tile (root)
jr2s 069 Recyclable
Drywall
0.89 Recyc,abie
Wood
1$ 9100 Recyclable
Donated / Reuse'
0.00 Recyclable
Landscape Debris
0-00 Recyclable,
"Describe Items
Totals: Roc clog Trash Projected Diversion:
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the District
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Management Plan (DMP) fo- the above named project shall guarantee that at least 65% of the jebaite waste is diverted
from landfill:ng. The remaining material viti be recyaed or reused I will divert, for recycling or re -use, remaining materials
generated from the first day of the project through the completion of the project in accordance with this plan. This DMP is
issued in the name of the propetty owner(s) and shall remain their property throughout the construction and/or demolition
project. A contractor serving as agent of the owner may obtain a DMP for the owner. However. the DMP is still issued in the
name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisions of the DMP are
adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progress through bi-monthly
reports. It self-h rig, all r se material from this project site must be taken to an approved recycler or transfe station,
evflloper H�ger / Superin1la ant Date
Coachella 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
AMOUNT
LEVEL ONE AMOUNT:
DATE:
LEVEL TWO AMOUNT: I MITIGATION AMOUNT: I COMKIND. AMOUNT
RECEIPT: I CHECK#: I�RLaLS
CERTIFICATE OF COMPLIANCE
Project Name: Madison Club (California Education Code 17620)
Owner's Name: Richard Doan Date: December 9, 2020
Project Address: 81-359 Peary Place, LaQuinta Phone No. 760-766-5450
Project Description: SFD
APN: 767-680-021
Tract #:
Lot #'s:
Type of Development: Residential XX Commercial
Industrial
Total Square Feet of Building Area: 9,469 sq. ft.
Certification of Appticant/Owners: The person signing certifies that the above information is correct and snakes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: December 9, 2020 _ 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
17620
65995 Approval
Commercial
Number of Sq.Ft.
9469
Amount per Sq.Ft.
$4.08
Amount Collected
S38633.52
Building Permit Application Completed: Yes/N\ o
By: Laurie Howard
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note:
Pursuant to AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
homes being relocated within the same school district's
Jurisdiction are exempt from developer fees.
Certificate issued by: Laurie Howard, Administrative Spec Signature: Aa,, 4"Jc_ J
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, mlNgation 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 ofan"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 he granted.
1 U2010
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name: Madison Club
Owner's Name: Richard Doan
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT
LEVEL TWO AMOUNTS
MITIGATION A -MOUNT
I COMMVIND, AMOUNT
DATE:
RECEIPT:
CHECK #:
[17T[ALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Address: 81359 Peary Place, LaQuinta
Project Description: Addition
APN: 767-680-021
Tract #:
Type of Development: Residential XX
Commercial
Total Square Feet of Building Area: 332 sq. ft.
Date: July 22, 2021
Phone No. 760-766-5450
Lot #'s:
Industrial
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: July 22, 2021 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
17620 65995 Approval
Commercial
Number of Sq.Ft. 332
Amount per Sq.Ft. $4.08
Amount Collected $1354.56
Building Permit Application Completed: Yes/No
By: Laurie Howard
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note:
Pursuant to AB 181 any room additions or enclosures of 500
sq. ft. or less are exempt from developer fees. Any mobile
homes being relocated within the same school district's
jurisdiction are exempt from developer fees.
Certificate issued by: Laurie Howard, Administrative Spec. 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 (I) 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.
MV:umydocs;devfeesjcertihcateofcompliance form updated3-2007 11/2010
T4t!t44Q"
DESIGN & DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7125 FAX (760) 777-7011
CERTIFICATION OF BUILDING AREA
STREET ADDRESS OF JOB: 81359 PEARY PLACE
APN: 767-680-021
DESCRIPTION OF WORK: ADDITION
SQUARE FOOTAGE: 332
OWNER'S NAME: RICHARD DOAN
PO BOX 8011
RANCHO SANTA FE, CA 92067
For questions regarding this letter, please contact:
City of La Quinta Permit Center
(760) 777-7125
Coachella Valley Unified School District
83-733 Avenue 55
P0Box 847
Thermal, CA 92274
(760) 398-5909
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE 07/20/2021 BY'D C
Please note: This letter verifies conditioned square footage. Please call your School
District to verify school fees, requirement for cashier's check or money order and hours
of operation.
T4iff 4 a(4P 4UMrw
DESIGN & DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7125 FAX (760) 777-7011
1V[CIuk kwel
STREET ADDRESS OF JOB: 81-359 PEARY PLACE
APN: 767-680-021
DESCRIPTION OF WORK: SINGLE FAMILY DWELLING
SQUARE FOOTAGE: 9469
OWNER'S NAME: RICHARD DOAN
Il9l36):E:111M
RANCHO SANTA FE, CA 92067
For questions regarding this letter, please contact
City of La Quinta Permit Center
(760) 777-7125
Coachella Valley Unified School District
83-733 Avenue 55
P O Box 847
Thermal, CA 92274
(760) 398-5909
Desert Sands Unified School District
47-950 Dune Palms Road
Lo Quinta, CA 92253
(760) 771-8515
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE 1 1 /23/2020 aY"D C
Please note: This letter verifies conditioned square footage. Please call your School
District to verify school fees, requirement for cashier's check or money order and hours
of operation.
Z
Domestic Water System Flow Analysis
Coachella Valley Water District
75515 Hovley Lane East
Palm Desert, CA 92211
Domestic Water System Flow Analysis (Hydraulic Model)
Requested By:
RICHARD DOAN
Date:
APN:
6/18/20
Address:
PO BOX 8011
RANCHO SANTA FE, CA 92067
Req. Fire Flow:
Project Name:
gpm at 20psi for hours.
LOT 59A ON PEARY PLACE, MADISON
CLUB
Contact Name:
CAROLYN HICKEY
Phone:
858.204.6188
Email: doanconstruction@yahoo.com
Cell:
858.204.6188
Domestic Water System
FIRE FLOW ANALYSIS -HYDRANT CLOSEST TO LOT 59A ON PEARY PLACE, MADISON CLUB, LA
Flow Analysis Location:
QUINTA, GEO 6-7-10-3, PZ 20-11131
Model Information
Flow Analysis Description
Requested7Domestic
Test 1
Test 2
4
Flow
without
—. exceeding
Elevation (Ft):
2
7Test3Test
Steady State, Dynamic (psi):
75.85
57.09
Residual Pressure (psi):
Fire Flow Tested (gpm):
3,500
N/A CVWD's
N/A criteria.
Combined Total:
Tested Model Junction:
J2868
Duration:
2 hours
Demand Conditions:
Peak Day Demand (PDD)
Reservoir No./Level (s):
Reservoir 6726/27.4'
Pumps Operating No's:
Pumps On
Pressure Zone and HGL:
lake Cahuilla (145')
Working 5-9 19-CVWD-DomesticWater 012616
Model:
Comments:
The domestic water system is capable of providing 3,500 gpm for 2 hours that satisfies CVWD's minimum
pressure, velocity, and/or head loss criteria. This flow can be achieved by using multiple fire hydrants. This
simulated system flow analysis may not include all facilities that may be required for this development/project.
Please check with Development Services for further information on all required facilities. The theoretical flow to
drop the residual pressure to 20 psi is greater than 5,000 gpm. Please note the theoretical flow exceeds CVWD's
design criteria on the domestic water network.
These results are based on hydraulic modelling and not a guarantee that CVWD's domestic water system will have the capacity to
supply water to the project at the flows or pressures indicated. It is important to note that the capacity of the on -site fire system,
meters, service lines, backflow assemblies and other appurtenances were not considered in this analysis, which may alter actual
flows or pressures. Due to continuous changes in the system, CVWD only considers this system flow analysis, valid for six months
frorn date of modelling/analysis. These system flow analysis comments are for plan check purposes only. The ultimate design
responsibility resides with the Engineer -of -Record for this Project.
Should you have any questions or need additional information, please contact me at (760) 398-2661, ext. 2397.
Completed By:
Date: 74z;lo-lo
Page 1 of 1 ENG DS-016
ATeq (8/31/15)
I
-------------------------------------------------------------------------------------------------
I
6 J 10 7 I
-- - -- 0 '00 200 400 GDD 900 1
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _J_ _ _ _ _ _ _ _ - _ - _ - _ _ _ _ _ - - _ - - _ _ _ _ _ _ _ _ _
Sladden Engineering
45090 Golf Center Parkway, Suite F, Indio, CA 92201(760) 863-0713 Fax (760) 863-0847
6782 Stanton Avenue, Suite C, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369
450 Egan Avcnuc, Bcaumont, CA 92223 (951) 845-7743 Fax (951) 845-8863
www.Sladdenenginecriiig.com
October 28, 2020 Project No. 544-20284
20-10-545
Mr. Richard Doan
P.O. Box 8011
Rancho Santa Fe, California 92067-8011
Project: Proposed Custom Residence
81333 Peary Place - Lot 59A
The Madison Club
La Quinta, California
Subject: Foundation & Precise Grading Plan Review
Ref: Geotechnical Update prepared by Sladden Engineering dated September 9, 2020,
Project No. 544-20284, Report No. 20-09-453
In accordance with your request, we have reviewed the Foundation Plans and Details prepared
by Res Struct along with the Precise Grading Plans prepared by McGee Surveying, Inc. for the
custom residence proposed for Lot 59A located at 81333 Peary Place within The Madison Club
development in the City of La Quinta, California. Based on our review, it is our opinion that the
recommendations provided in the above referenced Geotechnical Update as well as the previous
geotechnical reports have been properly incorporated into these plans.
If you have questions regarding this memo or the referenced report, please contact the
undersigned.
Respectfully submitted,
SLADDEN ENGINEERING
BRETT L.
Brett L. Anderson �g46,3$9
Principal Engineer -
CIVIL
* ENGINEERING
Letter/ra
Copies: 4 / Mr. Richard Doan
Sladden Engineering
www.Sladdenengineering.com
City of La Quinta
VENDOR: 09921 DOAN, RICHARD
DATE ID PO #
7/25/2022 R63357
7/25/2022 R63357
7/25/2022 R63357
7/25/2022 R63357
7/25/2022 R63357
7/25/2022 R66289
7/25/2022 R66289
7/25/2022 R66289
7/25/2022 R66289
7/25/2022 R66289
DESCRIPTION
07/25/22 - DIF OVERPAYMENT REFUND BRES2020-0217
07/25/22 - DIF OVERPAYMENT REFUND BRES2020-0217
07/25/22 - DIF OVERPAYMENT REFUND BRES2020-0217
07/25/22 - DIF OVERPAYMENT REFUND BRES2020-0217
07/25/22 - DIF OVERPAYMENT REFUND BRES2020-0217
07/25/22 - DIF OVERPAYMENT REFUND BRES2021-0185
07/25/22 - DIF OVERPAYMENT REFUND BRES2021-0185
07/25/22 - DIF OVERPAYMENT REFUND BRES2021-0185
07/25/22 - DIF OVERPAYMENT REFUND BRES2021-0185
07/25/22 - DIF OVERPAYMENT REFUND BRES2021-0185
City of la Quinta BANK OF THE WEST
78-495 Ca Ile Tampico 90-78/1211
La Quinta, CA 92253
4
yV Oil, 11
1
I
PAY ---Two Thousand Four Hundred Ninety Four DollarsAand 00/100 Cents.;�7�
TO THE DOAN, RICHARD __ - _ -.
r �
ORDER , - _�j.�� 7 ;
OF
PO BOX 8011
RANCHO SANTA FE, CA 92067-
CHECK NO: 208533
08/05/2022
GL ACCT #
AMOUNT
250-0000-43200
583.00
251-0000-43200
29.00
254-0000-43200
413.00
259-0000-43200
78.00
252-0000-43200
144.00
254-0000-43200
413.00
259-0000-43200
78.00
251-0000-43200
29.00
252-0000-43200
144.00
250-0000-43200
583.00
CHECK TOTAL 2,494.00
CHECK NO: 208533
08/05/2022
PAY THIS AMOin—]
'•n
THIS CHECK EXPIRE ND IS VOID 180 DAYS FROM ISSUE DATE
AUTHORIZED SIGNATURE
4
AUTHORIZED SIGNATURE
11120853Pe 1:1211007821: "NOS 973L85III,
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated & effective 9/25/2009
Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO
NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL
requirements listed below are complete. Incomplete applications or applications which cannot be processed will be
returned to applicant.
Date: / / Developer:
Tract No.: Tract Name:
Address(s):
Lot No.(s):
Phone Number: ( ►
The following are the requirements for Public Works Clearance to authorize issuance of a building permit from the
Building & Safety Department:
CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW
�] TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW
WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad
(maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6
months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet
submittal until a Pad Elevation Certificate can be provided.
2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed
Soils Engineer. Recently rough graded residential developments which have a previously approved
geotechnical certification are exempt from this requirement.
3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots.
4. Complete the attached < 1 acre per lot or inf ill project Fugitive Dust Control project information form, PM10
plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy
plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with
grading plans & are subject to additional requirements. A current PM10 certification number is required.
5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building
location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain
development plan.
6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations.
7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW
approved building construction projects require either a WQMP or a completed WQMP exemption form.
Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search.aspx
I have reviewed and confirmed the requirements listed above as presented and find the improvements to be
sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s).
Pursuant to my findings, the above project may be released for building permit issuance.
This section completed by City staff.
Recommended by:
Date: /
Public Works Distribution: ( ) Green Sheet to Building & Safety
( ) Green Sheet to Planning Department
Declined for approval for reason(s) as follow(s), please correct and resubmit:
T:\Checklists - Forms & Applications\Forms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doe
City of La Quinta - PM 10 Fugitive Dust Control Project Information
Construction Phase PM 10 Aareement (< 1 acre/lot or Inf ill Proiect)
Project Information
Project Contractor:
Project Phase
(check one)
❑ Construction
❑ Demolition
Project Name:
Project Tract/Lot Numbers:
Project Street Address:
Total Acres in Active
Construction (< 1 acre per
Lot):
Anticipated Start Date: / / Anticipated Completion Date:
PM10 Contact Information
Please note: Dust control is required 24 hours a day, 7 days a week, regardless of
construction status. Person listed below is responsible for dust control during
business and non -business hours.
Name:
Title:
Company Name:
Mailing Address:
City, State, ZIP Code:
Primary Phone #:
Fax #:
24 Hour Emergency
Phone#:
Cell Phone #:
Email Address:
PM 10 Certificate #:
The above stated property owner (or authorized representative):
❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to
SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP;
❖ Shall constitute an Agreement to comply with all project conditions as identified in the approved dust
control plan.
❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week,
throughout the period of project performance, regardless of project size or status;
❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project
shall be in continuous compliance with all requirements of the approved dust control plan;
❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the
dust control plan are necessary;
❖ Shall authorize representatives of City/County to enter the property for inspection and/or abatement
purposes;
❖ Shall hold harmless the City/County and its representatives from liability for any actions related to this dust
control plan or any City/County initiated abatement activities.
9ro � OL �r�aLo-
Signature of ProperVy Owner or AWthorized Representative
10/29/2020
Date
City of La Quinta - PM10 Fugitive Dust Control Plan (< 1 acre per Lot or Infill Project)
This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401,
402, 201, 203 and Portable Equipment Registration Program (PERP).
❖ WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times
daily. Water shall be applied from an adequate sized metered water source to dry soils to prevent:
■ Visible dust emissions > 20% opacity
■ Visible dust emissions that travel > 100 feet from the source (within site)
■ Visible dust emissions that cross any property line
❖ EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class
and obtain PM10 certificate number prior to construction activity (training information may be obtained by
contacting SCAQMD at (909) 396-2183).
❖ CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be
kept on site. At least one short-term stabilization method must be used during off hours. At least one
long-term stabilization measure must be used within ten (10) days of ceasing activity.
❖ WEATHER MONITORING: Wind predictions shall be monitored.
❖ SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella
Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines.
❖ TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles
operate on pad, pad shall be kept firm and moist through hose watering and sprinklers; and a maximum
traffic speed of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to prevent
unauthorized traffic on pad.
❖ PARKING: Parking is not allowed on pad. All vehicles must park on street at designated areas only.
❖ TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works
inspectors. No dirt on public or private roads. Track out shall be cleaned up within one (1) hour of incident
and at the conclusion of each workday.
❖ DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per California Building Code grading
requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will require stockpile
or grading permit.
❖ FENCING: Provide PM 10 fencing at perimeter of public roads and where applicable. Wood slat fencing can
be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can
replace PM 10 fencing during the construction phase.
❖ EQUIPMENT: Extra hoses and sprinklers shall be maintained on site.
❖ EXCAVATION MEASURES: All areas to be excavated or graded shall be pre -watered. Water shall also
be applied during excavation or grading operations.
❖ DUMP TRUCKS: Open top dump trucks shall be wet down, moist and covered with a tarp prior to leaving
site.
❖ INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required.
❖ RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records, records of use of
chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner (or Authorized
Representative). Property Owner shall notify the City and SCAQMD within 10 days of completion of
project.
Water Quality Management Plan (WQMP) Exemption Form - Whitewater River Region
Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs and Source Control BMPs by
Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of Land Uses
or for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project)
Yes
No
Entitlement or construction of new single-family hillside residence(s) that create 10,000 square
feet, or more, of impervious area where the pre -development natural slope is 25% or greater?
Entitlement or construction of new single-family hillside residence(s) that create 10,000 square
feet, or more, of impervious area where the pre -development natural slope is 10% or greater
where erosive soil conditions are known?
Entitlement or construction of new commercial and industrial development(s) of 100,000 square
feet or more?
Entitlement or construction of new automotive repair shop(s) including body, upholstery, paint,
exhaust, tire, transmission, engine or other automotive specialty repair. [Standard Industrial
Classification (SIC) codes 5013, 7532, 7533, 7534, 7537, 7538, and 75391?
Entitlement or construction of new retail gasoline outlet(s) disturbing greater than 5,000 square
feet?
Entitlement or construction of new restaurant(s) (or potential restaurant shell space) disturbing
greater than 5,000 square feet?
Entitlement or construction of new home subdivision(s) with 10 or more housing units?
Entitlement or construction of new parking lot(s) of 5,000 square feet or more, or with 25 or
more parking spaces, and potentially exposed to Urban Runoff?
Applicant Information
Name and Title
Company
Phone
Email
Project Information
Project Name
Type (SFH, Multi -Family, Commercial, Etc.)
Location or Street Address
Nearest Cross Streets
Municipality/County/Zip Code
La Quinta
Tract Number(s) and/or Assessor Parcel Number(s)
Other Location Information
Watershed
Whitewater River
Source Control BMP Information
Size of Project Area (nearest 0.1 acre)
Project Area managed with Site Design or Low
Impact Development (LID) BMPs (nearest 0.1 acre)
Is the project subject to onsite retention by City
ordinance or policy?
Name of the Entity that will implement, operate, and
maintain the Source Control BMPs
Contact Name
Street or Mailing Address
City
Zip Code
Phone
Check Item
To be
Performed
Source Control BMP Requirements - All Projects Require Non -Structural BMP Source Control
Non -Structural BMP (See Appendix H, Section 4.5.2.1)
Ongoing Irrigation System and Landscape Maintenance
Ongoing Litter Control
Ongoing Drainage System Inspection & Maintenance
Education/Training for Property Owner, Operators, Occupants, or Employees
Activity Restrictions — Prohibition of Debris Blowing/Sweeping/Washing into Street/Storm Drain,
Closed Trash Lids, Restriction of Vehicle Washing
Ongoing Street Sweeping at Private Streets and Private Parking Lots
Check Item
To be
Provided
Source Control BMP Requirements — Small Sloped Lots, Small Commercial, < 10 Unit
Subdivisions, < 5,000 Square Ft. Parking Lots, Etc.
Structural BMP (See Appendix H, Section 4.5.2.2)
Storm Drain Inlet Stenciling and Signage
Landscape and Irrigation System Design to Minimize Erosion & Nuisance Runoff
Protection of Slopes and Channels to Minimize Erosion
Multi -Family Project Use of Community Car Wash Racks
Wash Water Controls for Food Preparation Areas to Use Sanitary Sewer
Fueling Area (Design & Maintenance) Including PCC Surface, Canopy & Spill Prevention
Air/Water Supply Area Drainage (Design & Maintenance) Including Spill Area Containment
Trash Storage Areas (Design & Maintenance) Including Attached Lids, Storm Water Controls
Loading Docks (Design & Maintenance) Including Storm Water Controls, Dry & Frequent Cleaning
Procedures
Maintenance Bays (Design & Maintenance) Including Indoor Location & Storm Water
Containment
Vehicle and Equipment Wash Areas (Design & Maintenance) Including Canopy & Containment
Outdoor Material Storage Areas (Design & Maintenance) Including Canopy & Containment
Outdoor Work Areas or Processing Areas (Design & Maintenance) Including Canopy &
Containment
CC&R's, Maintenance Agreements or Other mechanisms will be used to ensure the ongoing
operation, maintenance, funding, transfer and implementation of the project -specific WQMP
requirements. Legal description and plat stamped by Registered Surveyor to be attached to the
applicable CC&R or Maintenance Agreement for recordation at Riverside County. (Optional
Requirement to be reviewed on a Project by Project basis)
BMP Acknowledgement
The applicant shall comply with listed BMPs and applicable
d e,A.ICLLeA.
provisions of the City's NPDES stormwater discharge permit,
Signature: (�
LQMC Sections 8.70.010 et seq. (Stormwater Management
and Discharge Controls), and 13.24.170 (Clean Air/Clean
Print Name:
Water); Riverside County Ordinance No. 457; the California
Regional Water Quality Control Board — Colorado River Basin
Title:
Region Board Order No. 137-2008-0001 and the State Water
Resources Control Board's Order No. 99-08-DWQ.
Date:
Phone:) )
Applicant Certification
I certify that I have read this form in its entirety and
understand the City's submittal and review process and the
Signature:
requirements for this form. I understand and agree that if
during the processing of the form, it is determined the
Print Name:
information contains errors or omissions, clarification and/or
supplemental information may be required and the
Title:
preparation of such information may be considered, in the
Community Development Director's judgment, an
Date:
unreasonable delay and will result in a suspension of
processing time limits in accordance with the California Code
of Regulations, Title 14, Section 15109.
Phone:l ►
Owner Certification
I certify under the penalty of the laws of the State of
L p q,rL
California that I am the property owner of the property that
Signature:
is the subject matter of this application and I am authorizing
and hereby do consent to the filling of this application and
Print Name:
acknowledge that the final approval by the City of La Quinta,
if any, may result in restriction, limitations and construction
obligations being imposed on this real property.
Title:
Date:
Phone: 1 1
Certificate of Occupancy
Design and Development Department
— GEM of the DESEKI' —
This Certificate is issued pursuant to the requirements of Chapter 1 Section R110 of the
California Residential Code, certifying that, at the time of issuance, this structure was in
compliance with the provisions of the Building Code and the various ordinances of the City
regulating building construction and/or use.
BUILDING ADDRESS: 81359 PEARY PL
Use classification: RESIDENTIAL - SINGLE FAMILY DWELLING
Occupancy Group: R3 U
Code Edition: 2019
DUANE CLAYTON
Date: 7/12/2022
Building Official: AJ ORTEGA
Type of Construction: VB
Sprinkler Installed: YES
Permit No.: BRES2020-0217
Owner of Building: RICHARD DOAN
Address: PO BOX 8011
Land Use Zone: RL
Sprinkler Required: YES
City, ST, ZIP: RANCHO SANTA FE, CA 92067
POST IN A CONSPICUOUS PLACE