04-4458 (RPL)TWf 4 4 a9ha
BUILDING& SAFETY DEPARTMENT
P.O. Box 1504 •� - ° (760).777-7012
78-495 CALLE TAMPICO �+ t .777-7011
LA QUINTA, CALIFORNIA 92253 INSP ION UE T - 777-7153
Fee summary. Charged Paid
----------------- ---------- ----------
Permit Fee Total 35.00 .00
Plan Check.Total 22.75 .00
Other Fee Total ,50 .00
Grand Total 58.25 .00
Credited Due
.00
BUILDING PERMIT UL!MLAX(2
0 2004 U
22.75
Application Number
'M
04-00_0_:04458 CITY®FtAc1Ye
Ye
/20/04
Property Address
81656 PRISM FINANCED
764-270-999-189-300232-
Application description
PATIO COVER - RESIDENTIAL
Property Zoning .
. . . . MEDIUM HIGH DENSITY RES
.
Application valuation
1436
Owner
Contractor
--
M/M DISTLER
CONSTRUCTION DESIGN SYSTEMS, I
81656 PRISM DR
78401 HIGHWAY 111, SUITE
F-2
LA QUINTA
CA 92253 LA QUINTA CA 92253
(760) 771-3593
WCC: STATE FUND
WC: 1709785-03
02/01/05
CSLB: 767086.
08/31/05
CCC: A -B
----------------------------------------------------------------------------
Permit . . . . . .
PATIO COVER PERMIT
Additional desc
Permit Fee
35.00 Plan Check Fee,.*.
.22.75
Issue Date . . .
Valuation . . . .
1436
Expiration Date
11/20./04
Qty Unit Charge
Per Extension
10.00 2..0000
---------------------------------------------=------------------------------
BASE FEE
HND -'BLDG 501-2,000
,15.00
20.00
Special Notes and Comments
108 SF LATTICE PATIO
COVER PER ALUMAWOOD
SPECS & APPROVED SITE
PLAN. HOA APPROVAL
CONFIRMED.
Other Fees . . . . .
. . . . STRONG MOTION.(SMI) - RES
.50
Fee summary. Charged Paid
----------------- ---------- ----------
Permit Fee Total 35.00 .00
Plan Check.Total 22.75 .00
Other Fee Total ,50 .00
Grand Total 58.25 .00
Credited Due
.00
3.5.00
.00
22.75
.00
.50
.00
58.25
r
P.O. BOX 15049&f Ot 4V QUM&
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: C7 �, ¢ ¢ -y—
Applicant: Applicant:
DN
Applicant's Mailing Address:
Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
Architect or Engineer's Address:.
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 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'Licensg is in full force and effect.
�e Classes L} License No. -7& % O,h�
Date5--z0 viC� Contractor�-
'�i
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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
�^-- s:s �d?My workers_ compensation insurance carrier and oolicv numhwr 2m-
_ I certify that, ih the performance of the-work-forwhich-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 3700 of the Labor Code, I shall
forthwith comply with those provisions.
r❑
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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.
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
Lenders Address
IMPORTANT Application is hereby made to the Director of'Building APPLICANT SCKNOWLEDGEMENT
9 Safety Apermit subject to the conditions and restrictions set forth on this application.
I. 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 ofLe Quints, 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.
1 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 relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. .
20- Oq
ROM 64STLER FAX N0. 949 7669448 Apr. 16 2004 01:25PM P1
d4/16/1d04 116:31 ybyulrUlyyl 9t -I ILQ4 PRUrcmI Y MrlI rHUL ut
Trilogy at La Quinta Maintenance Association
April 15, 2004
David & Karen Disler
s 1656 Prisim I� ! APR 16 2004 11
La Quint®, CA 92253-7715
Property Address: 81656 Prism, Drive ___....._.__ _.. ..... ..... t
Dear Mr. & Mrs. Distler:
We are pleased to inform, you that your plans for installation of a patio cover. have been approved by the
Design Review Committee per your drawings.
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&Rs in accordance with the Architectural GuideMes. The approval does
not extend to the quality of work done by your architect, or contractor, or to any struct am). weneering, ;
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. If any portion of the common area is damaged during
construction, repair of same will be done by the Maintenance Association's contracted landscaper and fees
for the work will be deducted from your swwity deposit. Thank you for your patience in this matter and
for complying with the Association's policies and standards. ,
Sincerely, -
For the ,Architectural Committee `
ayton Dickey, CCM r
Association Manager
Enelosures . '
Professionally Managed by Action Property Management, Inc.
29B Tachnology Drive, Suits 100, Irvine, CA 92618
949-450-0202 800.4004264 .949.450.0303f= .
www. aalion-online. Com
�yI
/ . W, ,NEWPORT AND LAGUNA ORDER FORM
' , / , , a ' , �1 RS.' M VE
ORDER DATICK UP ! /
CUSTOMER Totally Covered, Inc. PO# /Job Name: ,
CITYLa uinta PHONE (760) 771-5103 FAX (760) 771-4933
PROJECTION '7 LENGTH -17 LIVE LOAD —10 MPH— 90 — ATTACHED
RESIDENTIAL
)LATTACHMENT,XWALL _ EAVES ❑ MOBILE HOME SLAB
13 LA CITY ❑ FOOTING
❑ COMMERCIAL
❑ FREE -STAND PATIO COVER
)O(STD
LAGUNA LATTICE
STD SPACE 3' - iZ"TQS S SPACE 4" O.C. WITH 2" TUBES
COLORS
❑ WHITE
DESERT SAND
SONORA BEIGE
❑ ADOBE
❑ MOJAVE TAN
❑ FLAT
XMITERED
O CORBELS
NEWPORT OLID
11 `STEE C -B ❑ 20 ❑ 24 ❑30'
Ii SAND STEE CLOVER EAF 10' ❑ ' ❑ 14'
AA f9C1/�G
ALL COVERS ORDERED AS PACKAGE MUST CONFORffTV C $QW6fQ
LAYOUT PLOT PLAN (SHOW GENERAL LAYOUT OF HOUSE AND COVER
Please draw In Proportion and Iu1N dimension.
8011006
POST HEIGHTS: 10'
HOME OWNER'S NAME
A``DDRESS/PHONE#
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c7% SPECIFICATIONS
{ i / SJRFACE APrA Or POOL _L l C14
DEPTHS AV r PERIMETER n O
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SPA PECI ICATIQNS tk TILE
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SpA DAY W4LL 1WOTM t f' WATER WE
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MCIAL NOTES f m FA
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`� �•�, -r �i t� i r•,y ' T~Pt r l�r1 EXPANSION JO'NTS ` i `O
t� yf s J `~>� �; `*.`^ � _moi .` LI . 6 t ON t, \1 � t`�r� -- � T # i"' .: s iii '' "" �1 � , ACCESS fRJN r CA�tfItEV�.R l r +�_ ami r U
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DEEP �ril0 RA�MP�� `!' .� "
r, # 4 "' • " " ��� �) l -1 r j i x ' �" L y ; T''f '`!d %` �: T ' Y Lbr- SEAT 1` "` LCCA DRAIN
r/.(, ja j�(g'� t G {�! � %t �.r♦ iN r } ^RETE' REVOVAL ' LOADS m COPE
#SM R'EMOVAL
�Mt+VA; LOAN ..+�•
3 I STEP EAC~ .►r
�° GATON REMOVAL � TLE PASE
r (i` ! y "° '� + < w f"• _ \ FIV.00N REPAIR SAW) AND VsME4
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^ r TAN S f DEPTH C I 1 P .....- MIA50NRY
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7I t. „� t j , v T/ !" } 'CENTERS • R 6.6 FACt"{S
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SPILLWAY TYPE
4 Ci ca
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ITP. WALLS
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4,Y ( (J ` �< V - 't SKhn�� TYS'E S ; i+h --
+ • " _ '� ` � �� Frat Lt,:PEUBLE PLASTER ,
10 1 ti f r'1 t' -T� 4_ _ p t i s i k CAS LNE +,t.._,( 11;7- S^�'L'S ? F LfG}'T$ SpA
_ _ '" _ _ - _ -' �-.-r •-• _ _W- = __ i fOUNTMNS/SPRAYNEA'JS ROILED EOt'!D BEAM
SM".FR DES {` E,)J,40 SPA M
A� . rATIt7 LL _ - 4 LIGHTS IN POM ,c i^"� IN $'A__.J_� t,k
x�" *„� , ' _ si STU9 S`+T E4U1+'MCNT �! FENCING
3_ • i 2z
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l ! i a.. � a ;', � C,? .T { f \t�� t t� ` t y r » i/ �/ � � t "" t % -{ . t h.1,.. i i ) Ci �a tIAt3 SZE t _ � 1E<�{T �E �
i 1 ( Rte_ Aia N •;.a,d. , , t
, ( i` f � • ti i GAT£
v + MA5Tt-l< GUNITE , GATE RrvEaSaL
# DC'C)Oi i DEEP VM RAMP REWVE & R£F'ANG � l
r 3y « r- 1 EX'E4^E0 2nd 3'EP P -- -^-
NOOK La�E^-AT �y
i- SP'ilWA Y TIF?"
"T C# VPL M'7M
CANT its
ti � ! T •� � b _•- � t � � .� - CC's; � .. _�,�' � i`!C,i�" F_.ti'.; r, ""o;.F t'"�` � '�.',ry -' --- - _
Rl9. •- SEE STM t
oft
iv_ f (KiTC141N- r OWNTR TO° (t) Dr'TEPWNE THE AP"ROrMATE ELEVATIC`F CF PM OR SPA AT LAYOUT DK DAY Or EXCAVATTN
F It '(2) TAVE XC, CE THAT POOL AND E0U'I' Er't LMAT1C1\S ARE --1n ECT TO ACC=TANCE OF I�
LOCAL E "LD" ; CEPAfiTV''i* AT TIRE OF Or Fr-'PU'T
WE -T C^%''{ 074COr' SPELL AT LEAST TWr-t Dei..Y Fri S,^- DAYS AFTE<{ 5"".L L5 W TAUn
(4) A-�E'c FUEPrS�`^�7
111AT CALIFO-17A LS IS NOT S'rn E FOP UNDER+rOU!-
NO CON^" CP 04 -CTS
°
AND ANY DAIJA'X TO C'.IPI-M 5'L'E'A'ALKS, DP"+EMArS LAWNS, t C'4+ER !TE►✓< !! TRE A^.C`3 A EA
• 4 _\. _ - { .f� . s ` --. _ (S) SEE THAT ALL FEN1,0fC, DATES, At") GAPA(wt DOCS NCO LOCAL COM FOR A POOL ENCLC :+.R°' 0
tI <
r r , _
_ �EMTRY " ; (E) ML POOL M'IMATELY Af;TR P'.ASTER (FOLLOW VSTMJCTIONS r. -'DO NOT USE R'J°"rR Hc -,E)
• f S is ""rr` ` � > (i) TAKE NC'SCE TPAT Tw#S D1AW--G {S TIE S:'LE Pi-C-71TY Or CALMOPNIA, POOLS AND THAT MY
` �• { ' + - «✓. { i � t ' ; ! USE N''NOUT yrt11EN P �" r �V OF CALIFCr+ rA POOLS, L*{C 15 PROM n TED EY LAR
-I c/1 4 • -, A .[ t3rL?' Ji?rS I ; t QF+t'�R A�tlP^vr5 PLAN. POOL, A"t^ EQt^�trhT LOCAI AND HAS READ THE PE5^C<5!�L"'ES AND NOTICES ASE
t(,�i,it+f`#.r.1� � • 1 Ir• *• Y la,r�
--,...-T
sm"
' i �, t a �. E• C-� ° #' � �r�a � � � • 5'G4A ;IP`:t..7
F;- S>'"ti V'NG POOL PLAN FOR.
DIS
STREET
j' � ' - _- • - ._ , __ ' . ., JOB ADDRESS ,'� r �`�� f✓ CITY �...F
.`.`_--- PHONE QFr tCE RES I �.:� _ `'i,�', � •,,; � �'I
EQT 4�S c' TRACT ,r 2 -z 3.'�AGE it OU % _ - -
}' r` i GAPAGt1 r MAP 804K PAGE N0. �`'
-
cITY
VAiL ADDRESS
CONSTRUCTION OFFICE PHONE NO,
1
!. Z
SCALE
DATE DRAVr'N BY SOLD BY CI-iEC 8Y J '
1/8
ILL r R �w i
+ \ —, � •,.-^"S"•+..-a....v...ca..v +w,w+.,r,..u.x-. _ _ _-nr..•r+i ' } . . t'^ ...,_,,) it i -�, ; REVISIONS DATE
�---.�-__----------- 1 � i
jGzly }CJ 's" '
41
- I SELEQ F 0-1
ti =Ci` ` OF A-0UIIyTT� _ f ,
f
CONSTRUCTION A,iJTH O R I ZATI � N STot�� � � �u��o�N�- BL�s�� os�t. �.,?
TILi`/�/�J1�}���\i/_�}i�vQ t
°
DIG
NSTRUGnoN :j
COULDERS
-im POW
DICK COLOR "°` �''` �`
r
i'*�'nl~IichUUNn' JANDY
T`ASO\'Rlx PEBB./PLAS`'-, I ,
f t
DECK
SIGNATURE a
Y 3
i
P1Z)~•T'P.I3T3T,T; DRAINAGE NOTE 17ra}' age cn irrigation for ptcnte,s and pots, b I
'others, unless otherwiser1cted.
"