BPAT2016-009478-495 CALLE TAMP ICO
LA QUINTA, CALIFORNIA 92253
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPAT2016-0094
Property Address: 60980 LAGO CT CT
APN: 764450029
Application Description: KARBON / PATIO COVER AT REAR YARD
Property Zoning:
Application Valuation: $4,000.00
Applicant:
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-.682 COUNTRY CLUB DR STE H
SUITF.F363
PALM DESERT, CA 92211
J
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
KARBON
60980 LAGO
LA QUINTA, CA 92253
Contractor:
ANILOM INC DBA GOLD
77-682 COUNTRY CLUB DR
SUITE F363
Y
1A�
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I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
1 have and will maintain a certificate of consent to self -insure for workers'
USTOM AINTIF
compensation, as provided for by Section 3700 of the Labor Code, for the performance
PALM DESERT, CA 92211
(760)574-1043
Llc. No.: 855623
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
1 have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C33 C51 License No.: 855623
of the work for which this permit is issued.
�haGe and will maintain workers' compensation insurance, as required by
r Date: Contractor
Section 3700 of the Labor Code, for the performance of the work for which this permit
L�
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48814682
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should becom to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of t e La� , shall to
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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
Date: �G Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
( ) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or'improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
( ) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. . B.&P.C. for this reason
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
Date: Owner:
work for 180 days will subject permit to cancellation.
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: t
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relat' building
construction, and hereby authorize representatives of this city to ent the
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above-mentioned perty for inspection purposes.
Date: Signature (Applicant or Agent):
t
Fr
Date: 9/7/2016
Application. Number: BPAT2016-0094
Owner:
' Property Address: 60980 LAGO CT CT
KARBON
APN: 764450029
60980LAGO
Application Description: KARBON / PATIO COVER AT REAR YARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,000.00
Applicant:
Contractor:
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-682 COUNTRY CLUB DR STE H
77-682 COUNTRY CLUB DR STE H
SUITE F363
SUITE F363
PALM DESERT, CA 92211
PALM-DESERT, CA 92211
(760)574-1043
---------------------------------------------------------------------------------------------
Llc. NO.: 855623
Detail: 3125F LATTICE PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING
CODES.
r
FINANCIAL • ' ' •
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72 r
Total Paid for PATIO COVER /COVERED PORCH / LATTICE: $192.89
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.52
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0:52
TOTALS: $194.4
OITY OF LA QU NTA
13UILDING & SAFETY DEPT.
PR0VE
FOR CONSTRUCTI N
DATE i BY
STREET
RIVEW
CASITA
KARBON
60980 LAGOCT
LAQ U I NTA, CA
6ifyLao- .+c�*t 1m— srt x
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Qin # � Qty of La Q uili t a I
Buifding 8i Safety Division
Permit #f 78-495 Caffe Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: �% Q �� Owner's Name:
A. P. Number:
Address:
Legal Description: ,�j
C '✓
City, ST, Zip:
Contractor: " t/
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hon
Telephone:
P e.
Address: 2—
Project Description:
City_ ST, Zip:
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TelP hone:
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State Lic. #
City Lic. #:
Arch.;Engr., Designer:
Address:
City., ST, Zip:
Telephone:
... .
Construction Type: e• ane
Occupancy:
Y •
State Lic. # •
ProJect type circleone • New Addn Alter
• Repair r Demo
Name of Contact Person:
Sq. Ft.: 7j
# Stories:
its:
Telephone # of Contact Person:
Estimated Value of Proje
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plait Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Revicw, ready, for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
1r0 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
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620 }'
June 30, 2016
MARK KARBON / LYNNE KARBON
60980 Lago Ct
La Quinta CA 92253 USA
RE: Design Review Modification Conditionally Approved
60980 Lago Ct / Customer ID #: TRLAQ-0605=02
Dear Mark Karbon / Lynne Karbon
Trilogy
TcOop at 1A Qavta \t4latrazacr Aaocistton
We are pleased to inform you that your plans for Installation of a pool, spa, bbq, an attached patio cover,
exterior low voltage lights, paver decking, drainage and landscape and irrigation modifications, received on June
22, 2016, have been approved by the Design Review Committee with the following conditions: 1. 2, 3, 6, 7, 8,
10, 11, -13, 14, 17, 19 and 20. The rock and aluma wood should be a neutral color. the exterior flood liohts
Please note: Any damages caused by contractors due to construction must be repaired; all Irrigation and
Landscape shall be restored to the original condition.
This approvai'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 Design Review Guidelines. The approval does not extend to the quality of.
work done 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.
The Design Review Committee Is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please be advised that this approval does not relieve
you from obtaining any necessary building permits from the governmental agencies Involved to ensure
compliance with these codes. Any violations of these ordinances will be your responsibility to correct. Thank you
for your patience in this matter and for complying with the Association's policies and standards.
Sincerely,
For the sl n Review Committee,
Mirna Aceves
Landscape/DRC Specialist
Enclosures
cc: Board of Directors
Design Review Committee ,