BPAT2014-1006•
0 p T� 4 4 Q6/
VOICE (760) 777-7125
78-495 CALLE TAMPICO
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/17/2014
Application Number: BPAT2014-1006
Owner:
Property Address: 81629 ULRICH DR
KEITH LAKE
APN: 764450009
Application Description: PATIO COVER - BACKYARD
Property Zoning:
92253 D n 0
Application Valuation: $4,000.00
r
JUL 1 7 2014
Applicant:
Contract
ANILOM INC DBA GOLD STAR CUSTO
ANILOM DBA ()A* SMA
42-335 WASHINGTON STREET
42-335 DEPARTMENT
SUITE F363
SUITE F363
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)641-7544
Llc. No.: 855623
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.: 85562317,
/
'Date: / l 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:
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 jork 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 polity 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 of th a or Code, I shall forthwith
i
comply with those provisions.
1
Date: ? 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 relatin to building
construction, and hereby authorize representatives of this city to enter on the above.
mentioned prty for inspection purposes.
prop
Date: Signature (Applicant or Agent►:
DESCRIPTION "` -
FINANCIAL INFORMATION
ACCOUNT ;;:"` ,`.' QTY '. AMOUNT' " PAID ,
..PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
- PAID BY _
METHOD
' . -RECEIPT #. i CHECK # .
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY`
AMOUNT .
�:_ .' ,^ PAID-
'PAID DATE
PATIO COVER, STD, OPEN
101-0000-42404
0
$95.81
$0.00
PAID:BY
METHOD '
RECEIPT # _ _
CHECK # _
'' ;CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$94.38
$0.00
PAID BYf
METHOD
+' RECEIPT # '
CHECK #. :y
CLTD BY
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $190.19 $0.00
.DESCRIPTION ''
ACCOUNT.
QTY
AMOUNT
PAID`
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.52
$0.00
-'PAID BY , a
4•METHOD.
RECEIPT# 'r' °
CHECK#
CLTD BY.
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.52 $0.00
TOTALS:00
Description: PATIO COVER - BACKYARD
Type: PATIO COVER
Subtype: Status: SUBMITTED
Applied: 7/17/2014 SKH
Approved:
Parcel No: 764450009 Site Address: 81629 ULRICH DR LA QUINTA,CA 92253
Subdivision: TR 30023-4
Block: Lot: 70
Issued:
Lot Sq Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $4,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: PATIO COVER -
432 SQ FT PATIO COVER IN BACKYARD. [METALS BUILDING PRODUCTS SPECIFICATIONS]. 2013 CALIFORNIA BUILDING
CODES.
CONDITIONS
FINANCIAL INFORMATION;
Printed: Thursday, July 17, 2014 11:31:18 AM 1 of 2
CR�SYSTEMS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND
INFORMATION
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID .
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$95.81
$0.00
OPEN
PATIO COVER, STD,
101-0000-42600
0
$94.38
$0.00
OPEN PC
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $190.19 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$0.52
1 $0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.52 $0.00
TOTALS:00
INSPECTIONS
•SEQID
INSPECTION TYPE
INSPECTOR .
SCHEDULED
COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
FINAL"
SETBACKS
FOOTINGS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Thursday, July 17, 2014 11:31:18 AM 2 of 2 cRyv
SYSTEMS
BOND
INFORMATION
ATTACHMENTS
Printed: Thursday, July 17, 2014 11:31:18 AM 2 of 2 cRyv
SYSTEMS
CITY O LA QUIfVTA
BUILDING &SAFETY DEPT.
APPROVED
KEITH LAKE
81,629 ULRICH
LA QUINTA, CA
16'
BACK OF HOME
GOLF COURSE
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
Thursday, June 19, 2014
Keith W. Lake / Margaret L Lake
81629 Ulrich Dr
La Quinta CA 92253
RE: Design Review Modification Received
81629 -Ulrich Dr / Customer ID #: TRLAQ-0650-01
Dear Keith W. Lake /Margaret L Lake:
Trilogy
Trilogy at La Qninta Maintenance Assodation
This shall confirm receipt of an Design Review submission, received on June 16, 2014, for the above referenced
address for installation of an attached patio cover. Please be advised that the application and plans have been
forwarded to the Design Review Committee for review. The governing documents for your Association allow
forty five days (45) for review; however, we hope to have a response to you within 3-4 weeks.
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. You are encouraged to contact the governmental
agencies involved to ensure your plans comply with these codes. Thank you for your patience in this matter and
for complying with the Association's policies and standards.
Sincerely,
For the Design Review Committee,
Minna Hernandez
Asst Manager On -Site Property
cc: Board of Directors
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
Wednesday, June 25, 2014
Keith W. Lake / Margaret L Lake
81629 Ulrich Dr
La Quinta CA 92253
RE: Design Review Modification Conditionally Approved
81629 Ulrich Dr / Customer ID #: TRLAQ-0650-01
Dear Keith W. Lake / Margaret L Lake:
Ar
Trilogy,
TrUogc at La Quinta Maintenance Association
We are pleased to inform you that your plans for installation of an attached patio cover, received on June 16,
2014, have been approved by the Design Review Committee with the following conditions: 1, 3, 5, 19 and 235'
(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 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.
Sincerely,
For the Design Review Committee,
Mirna Hernandez
Asst Manager On -Site Property
Enclosures
cc: Board of Directors
Design Review Committee
Bin #
City of La Quints
�a- 8w7dfng Sc Sarety Division
P.O. Box 1504, 78-495 Caffe Tampico
La QLdnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Ptnit
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9
Pmject Address LPU r
Owner's Name:
A. P. Number.
Address: S a4 t-e
Legal Description:
City, ST, Zip:
Contractor.
T hoact Q -7 7— •513
Z 3S j,(%ltsln e ED St t- F IM3
Project Description:
-u
City, ST, Tap:
17
G,4v L
Telephone: 7 �Ol? � foci
State Lic. # : city Lic. #;N
Arch., Engr., DsivM_
Address
City., ST, Zip:
> aha
Telephone
State Lic. #: ; .wv "
iAnstruction Type: occuPan -
Project type (circle one): New Add'n Alter Repair Demo
Name of Comact Person:
Sq. Ft..
#Stories:
# Unita
Tekphone #,of Contact Person:
Estimated Value of Projtx (jjJ�
APPLICANT: DO NOT WRITE BELOW THIS LINE
t3
Submittal
Req'd
Reed
TRACKING
PEF:AMFEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
'Noss Calm
Called Contact Person
Plan Cheek Balance,
Trtie 24 Cases. !r
Plans puked up
Comiruction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
r' Review, ready for correetio
Electrical
Subcontactor List
Called Contact Person ^ `
Plumbing
Grant Deed
Plata picked up
SALL
A O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
&d Review, ready for correctionsrMe
Developer Impact Fa
Planning Approval
Called Contact Person-
A.U.P.
Pub. Wks Appr
Date of permit issue
Schoch Fees
Total Permit Fees