BPAT2016-003078-495'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tihr440ums
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT ' .
Application Number: BPAT2016-0030
Property Address: Cj0LGC—C APD LUSS : (OW8 Toto
APN: 764530026 CAMYOM
Application Description: JONES RESIDENCE / PATIO COVER 214 SF
Property Zoning:
Application Valuation: $2,000.00
Applicant:
�QY T ,
ANILOM INC DBA GOLD STAR CUSTOM PAINTING 1 ZO16
77-682 COUNTRY CLUB DR STE H _ CITyOFLA
SUITE F363 COMtdUM YDEVELOfl EfJTDEPIRTMENT
PALM DESERT, CA 92211
,�-
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 Professions Code,
and my License is in full force and effect.
License Class: C33. C51 License No.: 855623
Date: —37 3—/6. Contractor.
OWNER -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).:
(� 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 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.).
(_) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 7774153
Date: 5/5/2016
Owner:
JACKJONES
61678 TORO CANYON
LA QUINTA; CA 92253
Contractor:
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
77-682 COUNTRY CLUB DR STE H
SUITE F363
PALM DESERT, CA 92211
(760)574-1043
Llc. No.: 855623
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: Policy Number:'_
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 should become subject to the
workers' compensation provisions of Section 3700 oft abor Code, I shall forthwith
comply with those provisions.
Dat : S `13—Applicant:
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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 building
construction, and hereby authorize representatives of this city toenIt�er on the
above-mentioned property for inspection purposes.
I
Signature (Appi ant o�e n t
For Ag,
70�
sFINANCIAL INFORMATION
:MESCRIRTION� ' ' � •ACCOUNTk QTY. A AMOUNTr° °°'sj { ' PAI PAID;:DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
44 R 11.. 11 r ,s �- �. 4 3.`ap ._n f .. p. s F 'r -:,-c
PAID.BY < METHOD k RECEIPT{# -A CHECK # GLTD BY;
y1XIa ,,°°r r . ..
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION= "
ACCOUNT ':'
?QTY"
a AMOUNT
PAID ` x �,'
PAID'DATE `
F
e;�
r
PATIO COVER, DESIGNED
101-0000-42404
0
$133.43
$0.00
PAID. yBY# _ ;
k
a
RECEIPT #
CHECK #
CLTU BY
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•DESCRIPTION
`ACCOUNT',
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:AVUUNT
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PATIO.COVER, DESIGNED PC
101-0000-42600
0
$168.24
$0.00 '
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Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $301.67 $0.00.
DESCRIPTION,
,' k ACCOIJ(dT x
:QTY
AMOUNT '' £
PAID k'
PAID DATE .
;4 4
b
SMI - RESIDENTIAL
101-0000-20308 • '
0
$O.SO
$0.00
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RECEIPT#
�CHECK #
?CLTD BY,
,s•_ _ `'�''
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'• Total Paid for STRONG MOTION INSTRUMENTATION SMI: $O.SO $0.00
TOTALS:00
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Description: JONES RESIDENCE /.PATIO COVER 214 SF
Type: PATIO COVER
Subtype: SPECIAL/ENGINEERED Status: U NDERREVIEW
Applied: 5/5/2016 MFA
DESIGN -,OPEN/ENCLOSED
Approved:
Parcel No: 764530026 Site Address: 61678 TOPAZ DR LA QUINTA,CA 02253
Sub'division: TR 30023-7
Block: Lot: 138
Issued:
Lot Sq Ft: 0
Building Sq'Ft: 0 Zoning:
6
Fi.naled:..
Valuation: $2,000.00 -
Occupancy Type: Construction Type:
Expired:
No. Buildings:0
No. Stories: 0 No. Unites: 0.'
61678 TORO CANYON
Details: 214 SO ALUMAWOOD PATIO COVER AT REAR YARD. THIS PERMIT DOES NOT1NCLUDE ELECTRICAL
INSTALLATIONS. 2013 CALIFORNIA
BUILDING CODES.
. ... ... . ..
.................
N E
CONTACTS
.... .... ...
SR -6,77 R� TY
NAME ix M 'N'AMiEA.z
............
APPLICANT ANILOM INC DBA GOLD STAR -
CUSTOM PAINTING
17-682 COUNTRY CLUB
DR STE H
PALM DESERT
CA
92211
CONTRACTOR ANICOM INC DBA GOLD STAR
CUSTOM PAINTING
77-682 COUNTRY CLUB
DR STE H
PALM DESERT,
CA,
..92211
OWNER JACK -JONES,
61678 TORO CANYON
LAQUINTA,
CA
92253
`DESCRIPT.ION7-71
ACCOUNT ,
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.PAID Via"
' PAID DATE
s.RECEIPT#
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.CHECK #"
METHOD
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• DATE' y
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Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PATIO COVER,
101-0000-42404,.
0
$133.43.
$0.00-.
Printed: Thursday, May 05,2016 10:55:45 AM
2 of 2
DESIGNED
SYSTrms
PATIO COVER,
101-0000-42600
0
$168.24
$0.00
-
DESIGNED PC
.Total Paid for PATIO COVER / COVERED PORCH / LATTICE: '$301.67 $0.00.
SMI -RE SIDENTIAL
101-0000-20308
0
$O.SO
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50' $0.00
TOTALS- $303.17
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REVIEW TYPEREVIEWER .. SENT�DATE DU.E DATE : - .K
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Printed: Thursday, May 05,2016 10:55:45 AM
2 of 2
SYSTrms
. '.. 'STREET
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JACK-JONES ' -
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61678 TORRO• *
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.LA-QUIN
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B
G SAFETY DEPT.
LAQ U I NTA,_ CA,.
A F,EPr.
oNST ICTION
'.ATE
00
iii
Iain #
City of La Quintd
Building 8& Safety Division
78-495 Calle Tampico'
La Quinta,'CA 92253 - (760) 777-7012
Bu' ing Permit Application and Tracking Sheet
Permit #
Project Address:
J �
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: (,
G
Telephone:
............
Address: Dub 414
Project Description:
City, ST, Zip:
I/ X13 d 'd' i D M
Telephone:. 7 7
State Lie. #
City Lia #c
Arch., Engr., Designer:
Address:
City., ST, Zip:. .
:
Telephone: hone
�>
Construction on TYPe• Occupancy:aneY
: .
a
St te Lie. #:
Project type (circle w
e •one): N Add'n ' Alter Repair r Dem 0
Name of Contact Person:
Sq. Ft.: a/
# Stories:
# Units: .
Telephone # of Contact Person:
Estimated Value of Projec .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check.Balance
Title 24 Cales. '
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Gradin Ian
Grading P
2nd Review, ready for corrections/issue
Electrical
Subcdntactor 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 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 ai La Quinta
60-750 Tri logy Pkwy ; t;.. `• • ,
La Quinta, CA;92253
\Ph: 760-777=6069 '
Tr6jy at I,a�Quint$ ]Snint�naocc assoridtiuo
F'ax:760-777-1620
April 13,'2016
]ack�lones./ Sandra A ]ones
61678 Toro,Canyon Way, W
La Quinta CA 92253 USA '
RE: Design Review. Modification Conditionally Approved
61678'Toro Canyon• Way'/ Customer-ID"itT TRL"AQ=09"13=01 — "
Dear Jack ]ones / Sandra' A )ones
4We are pleased -to informyou that your plans for. installation of 'an attached: patio cover, received on March 28;.
016, have been approved by the' Design Review Committee with therfollowing'conditions: 13, 14 and 20 .'(see
` attached copy.)..
Please note: Any damages caused by.contractors due -to construction must be repaired; allr irrigation and
landscape shall be restoeed.to the original'condition.
This approval does not,constitute consent by the Association for the applicant to.encroach; trespassi or build on
any property other than. that of the applicant:This. approval is related solely to tfie 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 anystructural,engineeringi, soilsengineering, or site grading
and, drainage design. You are urged .to obtain;the,s' nNices of a state licensed professional for consultation_as
needed.
The Design Review Committee is composed of -volunteers. As such, it does not,re'view 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 a.gencies.i,nvolved 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; I
For the Design Review Committee; r
Mirna Aceves
Asst Manager On -Site -Property
Enclosures
-
cc: Board'of Directors
Design Review Committee
i
5Y�"b5 4w�}`4S