07-3145 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00003145
Property Address: 78905 AURORA WY
APN: 609-470-037-42 -23773 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5533
T4ht 4 4v Q"
Applicant: Architect or Engineer:
Cb
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjur 1 am licensed u rovisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the slness an fessi als Co e, and my License is in full force and effect.
Licensee lass: B Licen No.: 860958
�Date:Q (a��, Contracto •>
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perju t 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 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).:
(_ 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 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, 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/13/07
Owner:
JAKSON RESIDENCE
78905 AURORA 'WAY
LA QUINTA, CA 92253 O
(760)345-7495
�pp1
Contractor:
PELLETIER PATIO
79275 DESERT STRE
LA QUINTA, CA 92253
(760)275-7593
Lic. No.: 860958
-----------------------------------------------
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 EXEMPT Policy Number EXEMPT
I certify that, in the performance of the work 'ch this permit is issued, I shall not employ any
person in any manner so as to become bject to ie workers' compensation laws of California,
and agree that, if I s e sub ct to the rkers' compensation provisions of Section
1 p/7700//07of the Labo odeg
I shall rth th comply ith those provisions.
Date: f , 1��y7 Applicant:
WARNING: FAILURE TO SEC' S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI NALTIES 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 t e above i ormatio is corr t. I agree to comply with all
city and county ordinances and state laws relati to building cons ruction, nd her y authorize representatives
of this co my to enter upon the above-mentio d proper for in ec 'on pu ose
+�Daate--:-, Signature (Applicant.or A ent):
Application Number . . . . . 07-00003145
Permit . . . PATIO COVER PERMIT
Additional desc .
Permit Fee` 81.00 Plan Check
Fee
52.65
Issue Date . . . . Valuation
. . .
. 5533
Expiration Date.. 6/10/08
Qty 'Unit Charge Per
Extension
BASE FEE
45.00
4.00 9.0000 THOU BLDG 2,001-25,000
36.00
------------------------------------------------------------
Special Notes and Comments
---------------
ALUMA WOOD LATTICE PATIO COVER PER ICBO
NO. ER 2621P & APPROVED PLANS TOTAL OF
416 SQ. FT.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI)
- RES
.55
Fee summary Charged Paid Credited
----------------- ---------- ---------- --- ------ ----------
Due
Permit Fee Total 81.00 .00
.00
81.00
Plan Check Total 52.65 -00 _
.00
52.65
Other Fee Total .55 .00
.00
.55
Grand Total 134.20 .00
.00
134.20
LQPERMIT
BI" #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pet l#
l
5�
Project Address: _
Owner's Name: �c>LLCc 5c��
A. P. Number:
Address: 7 8 - C o 5� ".fbv-c.
Legal Description:
Contractor: �( D .
City, ST, Zip:�;�-�
Telephone: 3L4�5 - 74 9 i pJ
Address: ��{2) j `� Q�„�Q — S'
Project Description:
City, ST, Zip: CA- U "Z-5-3
Gp
Telephon , Z &0)
State Lic. # : Gj• j �b . City Lic. #:
Arch., Engn, Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type:- Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: 1(P # Stories: # Units:
Telephone # of Contact Person: Z:"? —?5 Ct3
Estimated Value of Project: 170 (� °O
APPLICANT: DO NOT WRITE BELOW THIS LINE
'#
Submittal
Req'd
Rec'd
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:
'`" Review, ready for corrections/issue
'Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
lli?i7:'2007 09:21 FAX 76I )t 7 cl,
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11/20//2007 09:20 FAX 760 325 8803 I�OU1
` - STARLIGHT DUNES HOMEOWNERS ASSOCIATION
c/o Personalized property Management Co.
November 20, 2007
SAM & PAULINE 3ACKSON
78.905 AURORA WAY
LA QUINTA, CA, 92253
Re: Architectural application approval for addition of patio cover, 78-905 Aurora Way,
star/i ht Dunes Hom ryners Association
Dear Mr. & Mrs. Jackson:
'The Architectural Committee/Board of Directors met and reviewed your request for the
addition of a paiio cover shade structure at your home. After review of this application
as well as the enclosed materials that you were nice enough to provide for the Board's
edification, the project has been deemed approved.
With receipt of this letter, please feel free to proceed with your project in exact
accordance with the specifications, drawn pians and application submitted and
approved, as soon as possible. Please contact the undersigned upon completion of your
project to arrange for evaluation and final sign -off on the project and if all is deemed in
conjunction with said plans and approvals, the return of your security deposit.
Thanking you in advance for your cooperation.
,For the Starlight Dsrrtes f%meeowi7e-rs AssociWYW7
Board ofDirrs
6el*Michael
ston rCAM, AAMS1,
Community Manager
cc; Board of Directors
Enc.
File.
68-950 Adelina Road
Cathedral City. Ca. 92234
(760) 325-9500 fax(760)325-9300
11/20/2007 09:20 FAX 760 325 8809
STARLIGHT DUNES
HOMEOWNERS ASSOCIATION
APPLICATION FOR ARCHITECTURAL. / LANDSCAPE MODIFICATION APPROVAL
Date: Q (ZS 10-7
Owner's Name: �� y, j '� 7 � =
Modification requested:
To: ARCHITECTURAL /LANDSCAPE REWEW COMMITTEE
You are hereby advised that the above work is proposed and approval is requested. Attached are drawings
to scale (minimum 1/8° = V) of the work to be done and types V materials to be used are indicated on the
drawings. We understand that Building Permits for some modifications are required by the City of La
Quinta and that the costs of the permits and the responsibility of obtaining permits and subsequent
inspection will be bome by the applicant.
We acknowledge that all approved changes in the original design will be at our expense; that any damage
to or relocation of existing sprinkler systems, underground utilities, building structure and exterior
landscaping to other damage to Association property resulting from the construction and/or installation of
these permitted improvements shall be at our expense.
Ale acknowledge a Security Deposit of —10% _20% None of the total cost of the project is required
to cover any damage to the common area or clean-up necessary for the completion of the project
Deposit amount will be determined by the ALC in relation to the extent of the wort, The deposit must be
submitted prior to commencement of work. After inspection of the completed project by the ALC, the
deposit will be refunded if ail components are restored to original or better condition.
**NOTE: constructionfinstailation of requested and approved modifications must begin within 45
days of receipt of written approval and said modifiicabons must be completed within 90 days of
written approval.
Prior to commencement of proposed modification, please submit with this application Contractors
Insurance, band and copy of license if other than Homeowner Installation. Failure to comply with these or
any of the above specifications will result in the nullification of this document and subsequent approval
thereof.
OWNER SIGNATURE
Mailing Address: �' yG ``ice?_-.tJ 41-�J
Phone # day;
Evening: _
Z002
11/20/2007 09:20 FAX 760 325 8803
Send To:
Starlight Dunes Homeowners Association
C/o Personalized Property Management
68-990 Adelina Road
Cathedral City, Ca. 92234
Attn: ALC Committee
*MIO.�tWrFteMtopllgKrtMM'►1Mh1ie+�eW►1W�pklaoMMWAkeltvVf 4rMW tthrr@r!►MONp�Y0.mMMeKrtMf60NMMvrtf►sweY�4yyy�pe
The above request has been reviewed by the ALC and has been: O approved (; denied O pending
Comments: _---
Date reviewed: it A,
Approved