12-0461 (PAT)�,o PIt. BOX 1504 '4.144��
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: 4/26/12
Application,Number:- 4� 32-00000461'" Owner:
Property Address: 61120 TALEA DR JEFFERS RESID
APN: 764-280-004-1 -35996 - 61120 TALEA D APR 2 6 2012
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 2 53
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3525
CITY OFlAQuINTA
FINANCE DEPT.
Contractor:
Applicant: Architect or Engineer: VALLEY PATIOS
37897 CHESTERFIELD STRE D
BERMUDA DUNES', CA 92203
(760)534-4634
Lic. No.: 937811. APR 26 9
• 2U12
CITY OF LA QUINTi4
----- FI ANDEPF•---- --=
- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION _
I. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm underpenalty of perjury one of the.following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation,'as provided
License Class: C51 -CS License No.: 937811 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
? .issued.
Date: 1 contractor: 'I have and will maintain workers' compensation insurance; as required by Section 3700 of the Labor
i
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION - insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SOUTHERN INS CO Policy Number WSIO047500-01
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section '
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or. 3700 of the Labor Code, I shall forthwith co ly with those rovisions. -
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).: ;Date: r: Applicant: _
(_ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND. CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement its sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND,ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner of the property, am exclusively contracting with -licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law�does not apply to an owner of conditions and restrictions setforth on this application:
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.)• whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _) I am, exempt under Sec. , B.&P.C. for this reason 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.
Date: Owner: - 2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from data of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation. •
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - , 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 ins -coon purpo Rs.
Lender's Name:
Date •�b��`'!Signature lAPPlicant-or AgentC-+
Lender's Address:
LQPERMIT
Application Number. . . . . . 12-0000.0461
Permit PATIO COVER PERMIT -
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee
40.95
Issue Date Valuation
3525
• Expiration: Date 10/23/12
Qty. Unit Charge.•Per
Extension
BASE FEE
45.00
2.00 •9.0000 THOU. BLDG 2,001-25,000
18.00
Special Notes and Comments:
;
ALUMAWOOD PATIO COVER "PER DURALUM
PRODUCTS, INC.
----------------------
----------------_-----------------------
Other Fees BLDG STDS ADMIN (SB1473)-
--------------
1.0.0
Fee summary Charged Paid Credited_
Due
Permit Fee Total. 63.00 .00 .00
63.00
Plan Check Total 40.95 .00 .00
40.95
Other Fee Total. 1.00 .00 ..00
1.00.
Grand.Total 104..95 .00 .00
104.95.
f
LQPERMIT -
,
Bin. #
City of, La Quinta
Bullding 8t Safety Division
P.O. Box 1504,78-495 Catte Tampico
LOWnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
I
Project Address: o
Owner's Name:.
A. P. Number:
Address: ►—
Legal Description:
City, ST, Zip:
Contractor.r
'r t s 4
t
Telephone: 53-1 " 6 31�
Project Description:
,`
.z:Mc ?.s • ,
Address: ?j 7 g 1 C Ski �.� S�
City, ST, Zip:L�
Telephone: 57!Li - k-1 634
OWN��ME—
State Lie. # : 937 6 1
City Lia #.-
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: Ar,&
�
rai
,..;w :.' �. -
r–i SV a
Construction Type-...Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: ?,G 5 # Stories.-
#Units
Telephone # of Contact Person: – ,L( (rj �j� -r
Estimated Value of Project oZS.Ocy `—
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
' Rec'd
TRACHING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit.
.
Truss Calcs.
Called Contact Person
Plan heck Balance
Title 24 Calci.
Pians picked up
Construction
Flood plain plan
Plans resubmitted..
Mecharitcal,
Grading plan
2iQ Review; ready for correcdonsfissue
Electrical .
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.NLL
H.O.A. Approval
Plans resubmittedGrading
IN ROUSE:-
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.Called
Contact Person
A LP.P.
Pub: Wks: APPr '
Date of permit Issue
School Fees
Total Permit Fees
Trilo'
• April -12, 2012
Jerry Jeffers _
r
Carol Jeffers' • y .
17853 Santiago Blvd #107-299
Villa.Park, CA 92861
- Property: X61120 Talea Dr-
• Account: -.015000055410
CONDITIONAL APPROVAL
,Dear Jerry Jeffers:
We are pleased to inform "you that your plans for installation of an attached`patio cover, received on
04/16%2012, have been approved by the Design Review Committee with the following conditions: 1; 2, .
;3 and 19, (see attached copy). �. -
This approval does not ,constitute consent by the-Association'for the applicant to, encroach, trespass,
or build ori 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
ensurecompliance with building codes, or other local or state laws. Please be advised that ;chis
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. F
Siely,
Fo-Te D i eview. Committee
BaStere , CC AM CMCA, AMS ' t
.Associatio Business Manager f ,
Enclosures
cc: ' Board of Directors
Design Review Committee ;
Trilogy at La Quinta Maintenance Assoc.
Professionally Managed by Action Property Management, Inc. `
' 60-750 Trilogy Parkway, LaQuinta, CA 92253-7717
• _ Phone: 760-777-6059 Fax: (760) 564-2474
www.actionlife.com `