PAT (07-2739)55580 Medallist Dr
07-2739
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
- Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant: I
07-000.02739
55580 MEDALLIST DR..'
767-510-016- - -
PATIO COVER - RESIDENTIAL
LOW DENSITY RESIDENTIAL
6810
Architect on Engineer:
VOICE'(760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/11/0-7
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 Professionals Code, and my License is in full force and effect.
`\ License Class: \C51 j LicenseNo.: 449.279
` Date: / \ Contractor:
' OWNER -BUILDER DECLAZATION '
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the -
following reason ISec. 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.).
(_ I 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
. 7044, Busines's and Professions Cade: 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 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:
CONNOLLY OYLER
55580 MEDALIST
LA QUINTA, CA 922
(760)564-4170
Contractor:
LA QUINTA PATIO.0
40133 CALLE LOMA
BERMUDA DUNES, CA
(760)863-4335
Lic. No.: 449379
Jfi- ; '
OCT 112001 -
_ J
my
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 ENDURANCE REIN Policy Number WEN0003727-02
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
700 of the Labor Cod I shall forthwith mply 'th,those pr isions.
Dater . z pplicant,
WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVE E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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. _
I certify that I have read this application and state that the above information is correct. I agree to comply ith all
city and county ordinances and state laws relating to building construction, and eby authorize rep a tives
of thiscounty to
(eennttter upon the above-mentioned prope spection pure e -
bate: (17 1 ature (Applicant or Agent):
Application Number 07-00002739
r
Permit .. . . . PATIO COVER PERMIT
Additional desc .
Permit Fee 90.00 Plan Check
Fee
58.50
Issue Date Valuation
6810
Expiration Date 4/08/08
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
--------
(2)ATTACHED ALUMAWOOD PATIO SHADE
STRUCTURES TOAL 512 SQ FT PER ICBO &
APPROVED PLANS.
-- -----------------------------------------------
Other Fees STRONG MOTION .(SMI)
- RES
68
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 .68. .00
.00
.68
Grand Total 149.18 00
.00
149.18
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:Nr_,bA-uST-
Owner's Name: C01/(fpGL
A. P. Number:
Address: 55'.5 $ p /Zi E t>14 5 %
Legal Description:
City, ST, Zip: (put t-) 4 3'3
Contractor: L 4 UI AJ I -,Pr P+7-/ CD 0-0.
Telephone: S6, — 4 17 0
Address: 40 - ( 3 3 e1' LL i= c) M L) rIZA-pA
Project Description: -
City, ST, Zip: I N 01 0 t: A- , C? a Z O 3
a2 7 TW 'Aa> - L v WA- Z),- 17i
Telephone: 7 (O - 5- 7 q -q/ U 3
Reviewed, ready for corrections
- S L %Z V C7 tJ moi- -3 m .f/
State Lic. #: 13 7 /
City Lic. #:
® —Fr >
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: /- W O (- F
Telephone # of Contact Person: -7 (.O -5 -7 '4 - D `f 3
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Reviewed, ready for corrections
Plan Check Deposit
Structural Calcs.
Called Contact Person
Plan Check Balance
Truss CAlcs.
Plans picked up
Construction
Energy Calcs:
Plans resubmitted
Flood plain plan
2" Review, ready for corrections/issue
tchal
Grading plan
Called Contact Person
Subcontactor List
Plans picked up
S.M.I.
Grant Deed
Plans resubmitted
Grading
H.O.A. Approval
Review, ready for corrections/issue
Developer Impact Fee
IN HOUSE:-
Called Contact Person
A.I.P.P.
Planning Approval
Date of permit issue
Pub. Wks. Appr
School Fees
- --- --
-- --.
.
Total Permit Fees
• - -
- - -
55580 MEDALIST DRIVE
PROPOSED ALUMAWOOD OPEN LATTICE SHADE STRUCTURES
. rvr rrw wwr • +.
10" X 10" SQUARE
-%-71 nn I ENDURA-STONE
N X t o C o L-
PROPERTY LINE TYP.
? .%9/19/2007 03:36
,7607712367
TERI MARTIN PAGE'" 02/03
M
September 18, 2007
A. & Mrs. Connolly Oyler
14974 rhmna AP) Mar
Pacific Palisades CA 90272
Re: 55-580 Medallist
ArchitecwraVLandscape Application
Landscape update
BBQ extension of patio decking, alumawood patio. covers (2)
Dear W. & Mts. Oyler.
Tbank you for subtrumng your plans to the Amhitectural/Landscape Comrrsittee, Tice
committee reviewed your plans and has given conditional approval based upon the
following:
The Pato Verde tree roust be ten feet (10) from all property Bines
® The citrus triees ion nt be of a dwarf variety and must be five feet (5) from all
Property lines/walls
e The Phoenix Roebellini requites a certificate of origin which must be in the
Association office prior to ,refund of the consbiwtion deposit
Note(s): (dz cw nx z& yew ard4icrd appal)
® lie Saga Palms should be planted in a protected at= The intense desert sun will
burn them easily
p Gar+denias are no longer on the Association's approved plant palette. They are know
insect anr=ors (aphids, awaly bugs, scale, etc) and require frequeut fertilization
"Approval is expressly pmdkwd upon the applicant providing complete plans and being in
comp1mce with published architectural guideline rules and regulations. The applicant .
represents and wanwns that they have complied with all arch itecmW ndes, regulations and
conditions set forth in the Architectural Guidelines.
Post Office Boa 1690 • La Quints, California 92247 Phone (760) 776-5100 a Pax (760) 776-5111
if YOU slwuld have any quesuon im regard W this correspondence please do not hesimu to
contact the Association office at any Wine.
Sincerely,
PGA WEST F w A sso
Amarral/Lmjap Comim
ARCi/ncp
Cc: AmhieectwWiaudscape Go aee
Teri IUrtin - consultant
File
Monday, September 24, 2007
Subject: Engineer of Record
Attention: Building Official
Gentlemen,
This is to inform you that Fox Engineering Inc:, shall remain as "Engineer of
Record" for the following ICC/ICBG plans:
1. TCC ER-2640P 10 , 20 & 3U Patio Covers
2 ICBG ER-5888P 10 Patio Enclosure
Our stamp has recently been renewed, with an expiration, date, of 9/30/2009.
If you have any questions or comments, please contact me at the numbers
provided.
C
QP`OF Ess ro
o ti
Gregory . Fo ' 21543 f\
Vice President 9.30-2009 T
Zo
s crvi\.
qr` GF CALF
f
8060 'Telegraph Rd.
Downey. CA 90240 Email: foxeng@botmail.com
(662) 806-1337
Fax: 927-2509