07-1232 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application -Number:
07TM0.0001232
Property Address:
81518- ULRICH-DR
APN:
764-270-999-101 -300234-
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning: '
MEDIUM HIGH DENSITY RES'
Application valuation:
2820
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
• BUILDING PERMIT
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�Lyiveense is in full force and effect.
License Class: C51 ��� n,AcenseJ)p.: 4,16379
-VWNER-BUILDER DEWRATION
I hereby affirm under penalty of perjury that I am exempt from the C tractor'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.).
( • 1 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
Owner:
JOHN MISTERLY
81-518 ULRICH DR.
LA QUINTA, CA 92253
D
Contractor:
LA QUINTA PATIO COMPANY
40133 CALLE LOMA ENTRADA
BERMUDA DUNES, CA 92203
(760)863-4335
Lic. No.: 449379
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/23/07
a U1
APR 2 4 207
CITY OF LA. QW1111TA
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 VIRGINIA SURETY Policy Number WEN0003727-01
_ 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' compensation laws of California,
and agree that, if I should become subject to the workers' comp sation provisions of Section
3700 of the Labor Code, I shall forth: it o wit os visions.
rJateyy-PPlicant:
WARNING: FAILURE TO SECURE WORKERS OMPENSATION COV GE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS l$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 building constructio an hereby authorize representatives
of this coupty toenterupon the above-mentioned pr pe or inspecti s
fte .
Date: �/ ignature (Applicant or Agent):
Application Number . . . . 07-00001232
Permit
PATIO COVER
PERMIT
Additional desc .
Permit Fee . . . .
54.00
Plan Check
Fee
35.10
Issue Date . . . .
Valuation
28.20
Expiration Date
10/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
.1.00 .9.0000
THOU BLDG
2,001-25,000
9.00
--------------------------------------
Special Notes and Comments
-----------------
-------
--------------
212 SQ. FT. ALUMAWOOD
--
PATIO COVER
=
---=--------------------
Other Fees . . . . .
-----------
. . . . STRONG
-----------------
MOTION (SMI)
-------
- RES.
--------------
.50
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
.50
.00
.00
.50
Grand Total
89.60
.00
.00
89.60
LQPERMIT
81518 U LRICH
PROPOSED ALUMAWOOD OPEN LATTICE
SHADE STRUCTURE OVER COURTYARD
II GARAGE
ENTRY
CAS ITA
17•-911
HOUSE
COURTYARD-'!
121-511
PROPERTY LINE TYP
CITY OF LA
BUILDING & SAFETY DEPTT..
APPROVED
FOR CONSTRUCTION
DA `Z �?BY
f :1-nlogy.$ La Quinta Dosign Guidelines _ 04w I �A/a
`7 7
SUBMITTAL CHECKLIST
TRILOGY AT LA QUDUA MAMINANCE ASSOCIATION
DESIGN REVIEW COMM=E APPILICA110N
(Owner to Complete)
11= Cheddist ma be oamlwkY4 byr_Owner mats bo attnol od to the Demp Rcvbcw Clow nittce ApplicatimL Failure to
complete and include this checklist ooustikibm an imcorggete mbn itiaL )jy ttee MIT rc wmn au,tmplege
edmiatalsTilhovt rm iew.
A de;criptioo of what mood be u oludod on each of the drawmp required below may be fowmd in tht Ucsigm
Sffirndands.
PARI' I o A%1C.I119lI'�OYEl1�T'i'S -
Tins past lists tint submdW roT=m oats for All !MMMOMIs that most be; twhided wilt am and all nbmittal
0 cckwewd Design Rob w Comm ittce AWIicafm Farm— Unbit'A' (2. pages)
Submittal Chcddist
® Improvewimt Sotarigy Deposit Foe of 5500.00 for initM Mations of fent or rear rod Iandscapiu
.apphamtions, or S1,000.00 for Impnvemeat ph= twee tg qt cunstimctleu or pe
demwts (P-9- POO&N Was, "otbw SIDd leant hardscape festovs).
[� Dedgsn Review Foe of M.00 (No&_- cmh initial ingglation of landmping (front ywd and ream yacd)
wxjuires paynnwt of the Design Review Fee)
PARC n - LAXI)SCA1PE DdMOVEMEM
This part must be eovnpleted by all applimts for impromesnmts involving all hodw2pin$ in any yzd (i c.: plant
anaaoiial, hw dsmm spa or gook fatoes and w►alLs�
❑ Part I Submittal requiavwmts
❑ lmdscapc Play (may be included on plot plan)
PART dela - kDMPJOR ]t1VjPROVEMUM
This putt mmist be ootttptdcd for cKtc rxz altctabons including ro M additions, txcI6 and sunsbadcs, g=4m, balcony,
window and door treatnweM and exterior color or matc5 W clu ages,
Part I submittal requir+errncats f7f
X4 Exterior nevations
❑ Floor Plana (in the case of detached struck= such as gauebosa, floor p1a>aq �Y be ir�luded otm the plot plan).
PART IV - SPACE nwrROVEbEENn
This part moan be Completed for vpwc fiWrmveumt]nts such as room additions. la gc decks and room conversions
affaxing tht extmior appearance of time home.
rogmt ==ts Elanterior Elevations
❑ Floor Plans (mwuy be included on plot plan) ❑ Building Sedion(s)
❑ Rooman
30
1'01 LL09989 RT-aa%S1w dLS:SO LO LT -J- Fu
_ 4
at L_a Quinta Design Guidelitao.s^ —
'I'RMOGY AT LA QUINTA MAINTENANCE ASSOCIKrION
DESIGN RFVMW COMM THEE APPEXCAT10N
pww to Corwete)
pk= emVieto this requcd fo+fn, the bubMtital checldist Corm and attach two (2) Wpics of your WOPoscd
=Vmy=wt plans. Yne mpko appUltatiow wM not be ecnderod and wM be art LMVL To USAM PtOuVt
coD6detat7on, review all Wbcdtml m0cr is fm oompkUnm befxe tft them to the Ri=p Review
Golts�ittec darough the on-etz Assam office or by deuvely or card to:
T&M at im QumCa DoSign Review CA)'mwtteo
% Action haopaty Mamg=ent
W75®Ta14Wpa kWny
14 Mita, CA 9M3
�►:o H ►� ►-�,��� t�ar� f�� Date: 50 o
Owner
M$Ain Ad&t= city zip
)%A
t home t'taoeee Nundoc¢ AM Code week F6,eN=bcr
P opedy Ad&vss: fart', _ t )L ICIN '"D L1 -
J
Lot Pio:
TraaNW. . QC) 23 -4
AMMU ct, Pn&= or OWM's R tyt: (1[f a"lacabie) Attach sdditiotaal dMts, if rs OMA Y
Addrm:
Phone M
i,icensc M:
TYpe of Work (Check all'F at am 4pi- )
❑ Y must remove an eking b loek wait In. order to cnmpictc my projcLt
❑ Room Addition Attacked Patio toyer GazebojShade
❑ SP, swkwnwgpool Pond, Fountain, Wate faU Fire ]Pit, pirePiace
❑ Barbecue Drainage SYMc I Fenoe,Serem Nail, G ttc ❑ Ttrelln, Arbor
❑ mront Yard ❑ Rwr Yard RUnte r, ReWaing'P SU ❑ Seat WA
❑ Tubular Steel ❑ Driveway WK- I ng Irgiption ❑ Mwing
❑
Exterior Low Volfte LigbU ® Kiterior Ifflgh Voltage )i..fi&S
Other* g ts_T..! '�w 41 ,-, 0-^X o a
Starting 1)2t&-
2•d
1ftt£ A MLM ANDIOR APPROVAL OF AMY MAA IIM[PROVEMNM t`OPKFB'rSti CONMLCUOM UQ- ZV YOE WNW" REVIEW
COb9drr1W AOOR'M WARD W DOKE'TO dMDLX FM COMFORMANCL WTM'rtit; CCS AND SPIE lDEMGM CXJ'DXL r1S
AM DOES NOT RIMCW NOR WANRAW TM PI,AM AS RWARMS CWOVRMIANCB W FM ANY A7CrUCANX, COVER 41N(C CODES
AKD (MD114MCESS NORSiE UCT RAI. grAB M Ott SZtrt'ABRZr'Y_
31
LLOSSeS
91.Aa2s1w dLS:SO LO LT .add
Ne Awning 24'X 1 'w/sun ind
se by All W at or Awni gs
1
exist roofed area
! New Awning 12'X 8'-6 w/sun/win
6
sensor
Lot 4101
Existing Home
! Drawing is not to scale
0
0
Note: All landscape, pavers and
Pool were completed under a
previous submission
Scope of Work:
1. Install 2 awnings both to have
sun/wind sensors and electric
motors. Fabric color: Linen
Frame color: Sand V
2. Install Alumawood sun shade
between house and casita.
New Alumawood lattice patior
cover. color White or
mapelwood�
approx: 12'X 18' by
La Quinta Patio
(Lo 4,S MnTtAt �klsti►�
Casita `' (%X_L "-'
John & Donna Nlisterly
81518 Ulrich Or 702-3484
E'� LLOSSBS aTiags1w alLS tso Lo LT .add
Bin #
City of La Quinta
Building M Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
o a3
Project Address:'
Owner's Name: Z-�,A/ 1qi S L,
A. P. Number:
Address: 2 /S/ g (J �— %J CH 7->A `
Legal Description:
City, ST, Zip: ,� �°� ZZ�
Contractor: wA-) T - pr P+T-/o 0 D
Telephone: 76p -7D;2- --3'11!r
Project Description:
Address: 40 - (3-3 CI+LL L! I--0 /ll O
City, ST, Zip: I N 01 O C- A
Telephone: 7 /oD - 5- 7 q - 3
State Lic. #: 'q ?J %
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:Construction
State Lic. #:
Name of Contact Personw o L- F
Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: Zf' Z # Stories: # Units:
Telephone # of Contact Person: '7 CSD - 5 i 4 ,3
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
q12 "
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans bicked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2°" Review, ready for correctio /issue
Z>
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'" 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