12-1450 (RER)} P.O. BOX 1504
78-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
VOICE (760) 777-7012
_/ � FAX (760) 777-7011
- J` �
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
12-00001450
Property Address:
61480 TOPAZ DR
APN:
764-530-035-147 -300237-
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
10000
Applicant: Architect or Engineer:
n % /
N4-
------------------
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 Busi and fessionals Code, and my License is in full force and effect.
License Class: B / Lit c No.: 650
y Date: 2- L 701
omracto?'ry
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of 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 1, 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.)-
(_ 1 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.).
(_) 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
2/27/13
Owner: u
KURT BLOUNT
61480 TOPAZ DRIVE
LA QUINTA, CA 92253 _ �p 2 203
C1TY OF LA QUINTA
Contractor: FINA, n��'T'
ALL VALLEY CONSTRUCTI
39813 CLEMENTS WAY
MURRIETA, CA 92563
(760)774-5786
Lic. No.: 906650
-----------------------------------------------
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 for which 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 sh become subject to the workers' compensation provisions of Section
3700 of the Labor C , I shall forthwith c with those provisions. -
Date: Ii 3 Applican
WARNING: FAILURE TOS E 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.
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 that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to build'9 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned prope J �r inspection urpos
Date: Z Z S' Signature (Applicant or Agen
Application Number . . . . . 12-00001450
------ Structure Information EXIST. RESIDENCE -----
Construction Type . . . . . TYPE V, UNPROTECTED
Occupancy Type . . . . . DWELLG/LODGING/LONG <=10
Other struct info . . . . . CODE EDITION 2010
# BEDROOMS .00
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 117.00 Plan Check Fee 76.05
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 8/26/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
8.00 .9.0000 THOU BLDG 2,001-25,000
.72.00
-----------------------------------------------------=----------------------
Special Notes and Comments
REMODEL TO EXISTING REAR COVERED PATIO
TO REMOVE CENTER COLUMN PER ENGINEERED
DESIGN. 2010 CODES. CHARLES GARLAND C
11991
----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN.(SB1473)
1.00
ENERGY REVIEW FEE
7.61
HOURLY PLAN CHECK
140.00
STRONG MOTION (SMI) - RES
1.00
Fee summary Charged Paid Credited
----------
Due
-------------- - -- ---------- ---------- ----------
Permit Fee Total 117.00 .00 .00
11.7.00
Plan Check Total 76.05 .00 .00
76.05
Other Fee Total 149.61 .00 00
149.61
Grand Total 342.66 .00 .00
342.66
LQPERMIT
Bin.#
Citjr of La Quinta
8WWg & Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permlr #
i'
Project Address• YOTo PQ Z
Owner's Name:.
A. P. Number.
Address: L1 b ToPis -z-
z
Legal Description:
Legal
City, ST, Zip:
Contractor. (_ I- VQ L L_ f- Co N S yUr
lsGJ�/.
Telephone: 07- 3��- 414
Address: 3Q g� 3 G (;_flan x #07S
Project Description:
City, ST, Zip: MQ2(L-1 ETA CA, 5�3
REM6V6 GE�i7T !� GoLUAn 0
Telephone: % ! -• 5786
76 0- %
,�f;? u ..
z ��`ri '
City Lic. #.:
d
j6T F -LA (� Pio T / C�
State Lic. 4: a6 0
Arch., Engr., Designer. �Q �� &O
Address: P. ®• &0X. 10 is
S G $�► .
City., ST, Zip: (Vu 1n�1'4 CA � �2, `4 7
Telephone: 7b 6- � 4 - WZ, 7
State Lic. #:project
Name of Contact Person:
Construction Type: Occupancy:
type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories:
# Unity:
Telephone # of Contact Person: CO -. 7 = 5j 73,6
Estimated Value of Project: d �-
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Renne'd
TRACKING
PERMIT FEES
Plan Sets
4t,
Plan Check submitte
AL
, q
Item Amount
Structural Cabs.
A
1
Reviewed, ready or corrections)
(i 1
Plan Check Deposit. .
Truss Cafes.
Called Contact Person
.6/11.
Plan Check Balance.
Title 24 Cafes.
Plans pieked up
1
Construction
Flood plain plan
Plans resubmitted
3� 0
Mecharitcal
Grading plan
2'! Review, ready for correctionskssue
Electrical
Subeontattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
`
-F
Plans resubmitted
Grading
61 ROUSE: -T
3" Reyiew, ready for correction sue
Z
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
LTowrmit Fees T[�4 ►eK
December 13, 2012
The Blount Family Trust
61480 Topaz Dr
La Quinta, CA 92253
Property: 61480 Topaz Dr
Account: 015000020837
Trilogy' RECEIVED
Dear The Blount Family Trust:
JAN 31 2013
CITY GF LA QUINTA
COMMUNITY DEVELOPMENT
CONDITIONAL APPROVAL
We are pleased to inform you that your plans for removing column, install header and two structural support
post, remove concrete and replace it with flagstone, received on 11/30/2012, have been approved by the Design
Review Committee with the following conditions: 1, 2, 3, 5, 7, 8, 9, 19 and 23. Please submit a color sample
for the Alumna wood patio cover (see attached copy).
Please note: Any damages caused by contractor due to construction must be repaired; all irrigation
and landscape shall be restored to original condition.
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 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.
Forhho'Desi& Ripiew Committee
CCAM, CMCA, AMS
General
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
STRUCTURAL CALCULATIONS
A CUSTOM ADDITION
FOR:
MR. KURT BLOUNT'S
RECEIVED
.JAN 31 2013
CITYOF' QUINTq
61480 TOPAZ DIVMMUNITY DEVELOPMENT
LA QUINTA, CALIFORNIA
CHARLES D. GARLAND, ARCHITECT
LICENSE NO. 11991 EXP 10/31/13
74-991 JONI DR. SUITE #9 PALM DESERT CA 92260
PHONE: 760/340-3528 FAX:760/340-3728
F
ITY OF tA�O�--rUINTAUILDING &
APPROVED
FOR CONS
DATA= BY
� No.
* 11991
.k 1031 /2MS
9�! EXP"' DATE Q'2
CA�`�O