PAT (07-1397)4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/09/07
Application Number:' 07-00001397 Owner:
Property Address: 81530 MONARCH CT DON SCHRIVER
APN: 764-280-999-3 -300237- 81530.MONARCH COURT
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES D
Application valuation: 6544 d
Contractor:
Applicant: Architect or Engineer: LA QUINTA PATIO COM MAY 09 2007
40133 CALLE LOMA EN
BERMUDA DUNES, CA 9 203 City OF LA
IA—Qu 863-4335 FfNAII► EDE'4
Lic. No.: 449379
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm underpenalty 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,4icense is in full force and effect.
License Class: C51 en o.: 379
Date: `'' G d ontractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 70001 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).:.
(_ 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, 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 dwner-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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address: 1J I In
LQPERI%IIT
-—--———------—----------————-—----———-----————-
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.
b(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 VIRGINIA SURETY Policy Number WEN0003727-01
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 work 'compensation laws of California,
and agree that, if I should become subject the orkermpensation provisions of Section
3 07of the labor Code, hall fort i o t e provisions.
Det . 6/ plicant: x1l,C
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION ZVERAGE 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.
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 my ordinances and state laws relating to building construction, and reby authorize repre tatives
of th' ounty t enter upon t above-mentioned property r inspection Apifs
ate: nature (Applicant or Agent): A.
Application Number . . . . 07-00001397
Permit . .
. PATIO COVER
PERMIT
Additional desc .
.
Permit Fee . . .
. 90.00
Plan Check
Fee
.58.50
Issue Date . . .
.
Valuation
6544
Expiration Date
11/05/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
5.00 9.0.000 THOU BLDG
2,001-25,000
45.00
----------------------------------------------------------------------------
Special Notes and
Comments
492 S.F. LATTICE ALUMAWOOD PATIO
COVER
-----------------------------------------------------------=----------------
Other Fees . . .
. . . . . STRONG MOTION (SMI)
- RES
.65
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
.65
.00
.00
.65
Grand Total
149.15
.00
.00
149.15
LQPERMIT
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: V JS,3D .l1�DN �(-� ('pV tit'
Owner's Name: DeAl S C (-f A-1 VF-JL
A. P. Number:
Address: s- 3 M p N C H (f o v Az-7
Legal Description:
City, ST, Zip: /_,+ g 1� �- �j¢ , C? S3
Contractor: L,,4 C)Iv r,Pr P+7'10 C,D
Telephone: 76>0-373- S�P Z-
Address:.40- (3-3 C'/+LL a L--O AJ O 1E- ti TA-A-DA
Project Description:
City, ST, Zip: I N D 1 O A- cj a Z D
�i—ftcl t�� 6 PSN -t-71 ct=
Telephone: 7 (O - $- 7q- /U`{3
M7tbtF $ ��✓ C%�
State Lic. # : -qq 013 7 9
City Lic. #: 99 / (o S
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
. Name of Contact Person: I1 A.- Z � W O L F
Sq. Ft.: � � Z
#Stories:
Units:
Telephone # of Contact Person: - 4 — 3
Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Celcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2°" 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:-
''" 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
Trilonvt La Quinta Design Guidelines
EXHIBIT ",4'- PAGE 3
TRILOGY AT LA. QUINTA MAINTENANCE ASSOCIATION
DESIGN REVIEW COMMITTEE APPLICATION
(Do Not Write Below Line. This is to Be Completed
//B��y Design Review Committee On1})
Received by the Design Review Committee: 4/2-4P
j 0-7
Date
The attached App i tionhas r ed by the Design Review Committee and its action is:
APPROVE 0 CONDITIONAL APPROVAL
41 F-1 See Notes on plans
DISAPPROVED* See conditions of approval check list
Incomplete Submittal Other
Require Additional Information
Other
PETURNED TO APPLICANT/OWNER
Date:
Date: Signature:
For the Design Repew Committee
Final Inspection: ❑ Approved as submitted _ ❑ . Disapproved (refer to attached. comments)
Date: Signature;
For the Design Review Committee
* In the event plans and specifications submitted to the DRC are disapproved, Owner may appeal to the
Board of Directors by submitting a written request for appeal. The written request shall be submitted to
the Board not more than thirty (3 0) days following. the final decision of the DRC.
33
81530 MONARCH COURT
PROPOSED ALUMAWOOD SHADE STRUCTURE
BACK YARD
PROPERTY LINE TYP.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATEsftloz