10-0012 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: �10-00�
Owner:
Property Address: 617.04 TULARE
LN
BLACKWELL CHARLES &
APN: 764-280-999-106.-300237-
61704 TULARE LANE
Application description: PATIO COVER
- . RESIDENTIAL
LA. QUINTA, CA 92253
Property Zoning: MEDIUM HIGH
DENSITY RES
(570) 967-5453 .
Application valuation: 2421
Contractor:
Applicant:
Architect:or Engineer:
LIFETIME PATIOS
P.O. BOX 5806 C
LA QUINTA, CA 92248
(760)777-2650
LiC. No..: 770843
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: License No.: 770843
Da` `te: �_/f C 10 Co` ntra�or.
Cf
[ OWNE -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 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 thework, 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 soldwithin
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, 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 1 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: 1/05/10
CHARLENE
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. REISN' Policy Number WEN0015766-01
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 workers' compensationlaws 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.
Date: / O Applicant
WARNING: FAILURE TO SECURE WO ' 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.
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.
certify that I have read this application and state that the above information is. correct. I agree to comply with all
city and countyordinances and state laws relating to building construction, and hereby authorize representatives
of this coup y to nter upon the above-mentioned property for inspection purposes.
Dat G Sign�et-ure (Applicant or Agent):'
Application Number . . . . . 10-00000012
Permit . . . .
. PATIO COVER PERMIT
Additional desc .
Permit Fee . . .
. 54.00 Plan Check
Fee
35.10
Issue Date . . .
. Valuation
2421
Expiration Date,
7/04/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00 v
-----'------------------
Special Notes and
--------------------------------
Comments
-------
--------------
WEATHERWOOD SHADE
STRUCTURE APPROV. 182
....._... SQUARE FEETPER. APPROVED PLANS & 2006
IBC;2006 IRC; & 2007 CBC CODE.
----------------------------------------------------------------------------
Other Fees . . .
.. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged Paid Credited
----------------------------------------
Due
Permit Fee Total
54.00 .00
.00
54.00
Plan Check Total
35.10 .00
.00
35.10
Other Fee Total
1.00 .00
.00
1.00
Grand Total
90.10 .00
.00
90.10
LQPERMIT
Tri.logy
Trilogy at La Quinta Maintenance Association
Novcmbcr 25, 2009
Charles & Charlene Blackwell
4317 Terrabella Way
Oakland, CA 94619
Property Address: 61704 Tulare Lane
1-7
Dear Mr. & Mrs. Blackwell:
CONDPITONAL APPROVAL
We are pleased_ to_inform, y_ou-. that._ y_our..-plans_.for-. installation—of .an attached patio: -cover-,--received on-
11/24/2009, have been approved by the Design Review Committee per your submittal with the following
condition(s): 1, 2, 3, 5, 7, 8,19 and 23 (see attached copy).
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&R's in accordance with the Architectural Guidelines: The approval does not extend to the
quahty of work done by your, architect; or contractor, or to: any.atructural;engxneering, 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
Bar
Association Business Manager
Enclosures
.e
cc: Board of Directors
Design Review Committee
Professionally Managed by Action Property Management, Inc.
60-750 Trilogy Parkway, La Quinta, CA 92253-7717
---- —
7-60-777-6059 800-400-2284 - - ax
www.actionlife.com
Bin #
City of La Quinta
Building u Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 7.77-7012
uilding Permit, Application and Tracking
Bg S heet
Permit #
.
Project Address: 170 Y LA4jvoOwner's
Name:
A: P. Number:
Address: �---�
Legal.Description:
Contractor: (1� --gyL�-G�t 1'N G
Address: 30'� Vice
City, ST, Zip: ��✓�+t 1161
Telephone: p. 1
Project Description:
City, ST, Zip: L4 QU1444
Telephone: GG a�
•TTI
State Lic. #77G IrQ 4-
city Lic. #: 3245' .
Arch., Engr., Designer:
Address:
.City, ST, Zip:
Telephone:��'<
�t
. ;
ConstiuctionType: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated value of Project:
APPLICANT: DO NOT WRITE. BELOW THIS. LINE
#
Submittal
Req'd
Recd
'TRACIONNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
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'
2od 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 correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees