PAT (05-5143)60500 Living Stone Dr
05-5143
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT Application Number: tO-00005143 �. Owner:
Property Address: 605-90-1;IVING STONE DR JOHN FULWILER
APN: 764-270-999-157 -300234- 60500 LINING STONE DR
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY. RES
Application valuation: 6078
Applicant:
Architect or
Contractor:
YBARRA CONSTR CO, TONY M
566 STURGEON DRIVE
COSTA MESA, CA 92626
(714)979-5493
Lic. No.: 344248
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date' 11/22/05
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:.
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License lass: C11 D3 C51 License No.: W248 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�/ issued.
Cont tractor:,raMt!ry _ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
�.� l� Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER-BUILDERCLARATION insurance carrier and policy number are:
1 hereby affirm under penalty of perjury that Ilam exempt -from theFontractor's State License Law for the Carrier STATE FUND Policy Number ' 0653795-2005
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
-License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code `shall forthwith comply it ose provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by j / -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date:!`/- _ AppI _
(_ 1 1, as.owner of the property, or my employees with wages as their sole compensation, will do the work, and ,.._=rr -.
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORICE ' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the IDOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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:
LQPERMff -
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
- whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
Within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and co ty ordinances and state laws relating to building construction, and hereby auth ize representatives
of this cour�y to enter upon the above-mentioned property/or inspection purposes._ /
d
Application Number, .
. . . 05-00005143
Permit . . .
PATIO COVER
PERMIT
Additional desc .
Permit Fee
90.00
Plan Check
Fee
58:50
;. Issue Date
Valuation
. . .
. 6078
Expiration Date
5/21/06
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
5.00 9.0000.THOU
BLDG
2,001-25,000
45.00
Special Notes and Comments
TWO ALUMAWOOD LATTICE
PATIO COVERS IN
REAR YARD
---------------------------------------------------
Other Fees . . . . .
-----------------------
STRONG MOTION (SMI)
RES
.60.
Fee summary Charged
Paid Credited
Due
Permit Fee Total
90.00
.00
.00
90.00
Plan Check Total
58.50
.00
.00
58.50
Other Fee Total
.60
.00
.00
.60
Grand Total
149.10
.00
.00
149.10
LQPERMIT
Bin #
s City of La Quinn
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
i
Permit.# �J
j 7 `" 1�
Project Address:. �•
f%U �,(�� ' Q
Owner's Name:57w
A. P. Number:
Address:
Legal Description:
City, ST, Zip: �L
Contractor:
0-X,4W1dy
Telephon - 7 / in
Wm
, , Fm�,�. ,
Address:4 MV
-
Project Description:
City, ST, Zipry
Telepho
AIP, ocle
State Lic.
Arch., Engr., Designer:
Address:
� ig
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft.: 7-0t
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction'
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
-
Total Permit Fees
TRIL O G Y A T LA QUINTA MAINTENANCE ;
ASSOCIATION
November 21, 2005
John & Audrey Fulwiler
12752 Valley View Street.# T
Garden Grove CA 92845
.Property Address:. 60500 Living Stone Drive
Dear Mr. & Mrs. Fulwiler:
We are pleased to inform you that your application for an attached patio cover received on November 18,
2005 has been approved by the Architectural Committee per your submittal subject to the attached
conditions.
This approval does not constitute consent by the Association for the applicant to encroach, trespass, or
build on any property other than that of. the applicant. This approval is related solely ,to the items
reserved for approval by .the CC&R's in' accordance with the Architectural Guidelines. The approval does
not extend to the quality of work performed by your architect or contractor, or to any structural
engineering, soils engineering, or site grading and drainage design: You are urged to obtain the services of
a state licensed professional for consultation as needed. .
Please be advised that this approval does not relieve you from obtaining any necessary building permits
from the governmental agencies involved. Thank you for your patience in this matter and for complying
with the Association's policies and standards.
Sincerely,
For the Architectural Committee
Mindy Gutierrez, CCAM
Community Manager F.
Enclosures
cc: Board 'of Directors
Architectural Committee
Professionally Managed by Action Property Management, Inc.
60-750 Trilogy Parkway, La Quinta, CA 92253-
760/777-6059 800-400-2284 76.0/777-6097 fax
www. actionlife. com
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