04-3715 (PAT)Is
Sep
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760) 777-7012
7.8-495 CALLS TAmP1Co FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application' Number . . . .-•--4
0=000"03715- -# Date 4/27/04
Property Address . . . 43630'PARKWAY ES e
APN: 609-600-001-
Application description PATIO COVER - RE 7T,
IAL
Property Zoning LOW DENSITY RESI R 272004
Application tvaluatibn. 3644
CITY OF LA QUANTA
Owner, Contractor FINANCE,DEPT.
DEREK BROOKS YBARRA CONSTR CO, TONY M.
4.3630 PARKWAY ESPLANADE EAST -.566 STURGEON DRIVE
LA- QUINTA,: CA COSTA .MESA,. CA 92626
LA QUINTA CA 92253
WCC: STATE FUND
WC: 6537952004 01/01/05
CSLB: 34428 04/30/05
CCC: C61 -D3 -C51 -D24
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Permit . . PATIO COVER PERMIT
Additional de.sc
Permit Fee . . . 63.0.0 Plan Check.Fee 40.95
Issue Date Valuation . . . 3644
Expiration Date 4/27%05.
Qty Unit Charge. Per Extension.
BASE FEE 45.00
2.00' 9.0000 THOU BLDG 2,001-25,000 18.00
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Special Notes and Comments '
274 S.F. ALUMAWOOD LATTICE PATIO COVER.
ICBO PLANS 5580
Other Fees . . . . . STRONG.MOTION (SMI) - RES .50
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 .50 :00 .00 .50
Grand.Total 104..45 .00 .00 104'.45
P.O. BOX 1504 cu
LA
78-495 CALLS TAM►ICO
LA QUINTA, CALIFORNIA 92253 4
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7f12
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4-f -a2
Architect or Engineer rid t��� ��•
Architect or Engineer's Addres
/t ,
Lic. No..
BUILDING PERMIT DECLARATIONS
I hereby affirm under LICENSED CONTRACTOR'S DECLARATION
pesky of perjury that 1 arty licensed under PrMuma of CIOPW 9 (foo/nvwMV with Section 7000) of Division 3 of the Business and ProbssionNs
.gym mY l its force and effect /Limw
tractor
P"041
1 hereby alTrm under penally a perjury t,.t I am OWNER43M DER DECLARATION
city or county List requires a pen. b construct after. tom t» Corttraaors' swe License Law for the tobwing reason (Sec 7031.5. Business and Profssslons Coda My
stma rm Mat he or she k ioanead improve. f fhe C n a repair any hoer tea, o iof b Its ksuarh rn also requires the oppiant for tna permit b be a signed
Phe Is et exempt povisions of the Contracbrs' slab lkehae Law (Clhapbr 9 (oamherhuxng with Section 7000) of Division 3 of the Business
and pplica t t a Cade) or that f ot she khan&,hundred and the buns for the alkrped exemption. Any violation of Section 7031.5 by any appicat for a pamhit wbjects
the applicant b a civlf psraNy d not more than lfve Hundred doors (35pp),);
U 1. u owner of the property. or nhy errhpbyees wwMh wrapes as their 6018 oanperaabom will dote work. and the structure is not Mended or offered for sale (Sec 7U4..
Business and Professions Code: The Contrscbrs• stab License Law does not appy to an owner of property who bunds Or knProves thereon, and wrho does the work
� el or � or trough his or her own employees, provided that the knprwemerts aro not Mended or offered for sale. U. howeyer. the bulling or improvvnent a
U 1. as owner of to 1� al the owner -builder "'� have the burden of pwinp that he or she did not to Md or improve torte purpose d sale.).
State Lbense Low doepropertys riot apps to an ��� o h lfansed contractors b construct the project (Sec 7044. Business and Prdessio s Code: The Contactors•
apply b an ownwher of property who builds 0rimproves tha'eah. and who cotracts br the projects with a eonbscton(s) licensed puauant b
the Contractors• Slate Lieerhse Law.).
U I am exempt under Sec. B.& P.C. for this reason
1 hereby affirm under penalty of perjury one of the WORKERS' COMPENSATION DECLARATION
_ I have and wig maktakh a certificate of cortmd 10 sef;4nwre for workers'
of the work for whidh thispen. k l6wed. Ccrt'pQn as provided for by Sedkx► 3700 of the Labor Code. for the performance
_ 1 have and wiN maintain wakens' compensation insurance, u required by Section 37M 0(Ihe Labor Code. for the performance of the work for wlhid this permit k
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Insurance an
_ I Cawyc0n; that. in" pwfor mancrof # e work for which flu Pent k issued. I" not employ any person in any manner so as b became subOd b the workers'
cart tionhGm laws of Canaria. and. agree tmst, r 1 should become subject b the workers' compensation PnNisios o(section 3700 of the Labor Code. I shelf
/ J cornoy with triose p vvisiors.
WARNING: FAILURE TO SECURE THOUSAND
HOU RS�pENRATIOM COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CML FINES UP TO ONE H HUNDRED E. * US ES . AND DOLLARS (3100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE. MEREST. /Wig ATTORNEYS FEES. .
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury that then k a construction lendii agency for the perf0mOnoe of the work for which this permit is issued (Sec. 3097. Civ. C.).
Lendefs Name
Lender's Address
IMPORTANT Application is hereby made 10 the Dm ecbr of APPLICANT ACKNOWLEDGEMENT
1. Each person upon whom behalf this Buildup and Safety for a permit subject b the conditions and restrictions set forth on this app6=fM
Issued es • result of this application, � ocation Is ad a� person at whose request and for whose benefit wok k performed aider or ptnuw l to shy pert
officers. agents and employees for awry act or omission related to the wwoach � b. and shelf. defend. ind wing Issuance snit hold fmannbss mite CNy of L s Ourirta. Mx
2- Any hermit Issued as a result of mils application becomes null and void 1f worl�noott noormed ted witthor in Ijo ddays k m daale of permit.
ce 01 nosh p«mN, «
cessation of work for 160 days wit subject pertrhit b Cancellation.
1 certify that I a d read this buthorteappication and state that the above irtamation k correct. I agree b comply with elf city and county ordinances and stab laws relating b balding
representatives of this county b enter upon the above{nentiahed property for inspection purposes.
., ale 57gnature (Apptioant or Agent): r
7
. ;jlv!"�ir}yCrx.Y.�iiY',7'.•}t ; f �Sii�'�•(�4i.;iy F': ;v}.
r • Tom M. -mm
gum. PLOT LAN
566 antegeon Dr. .
Cam Mew CA 9x626-314
NAME f✓ /► I l� RIO Px0
srris ADDRESS 3 G3� P �� 9 �J 5 ���/ � ? GC / /
TRACT/PARCEL MAP LOT
ASSESSOR'S PARCEL NO. .
REAR PRAAFRT"Y Lir1E
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CITY OF L.XQUIN A
BUILDING & SA'FEWDEI�T.
APPROVE®
FOR CONSTRUCTION
DATE BY
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CITY OF L.XQUIN A
BUILDING & SA'FEWDEI�T.
APPROVE®
FOR CONSTRUCTION
DATE BY
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FRONT PROPERTY LINE
1610
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EXHIBIT "1"
ARCHITECTURAL IMPROVEMENT APPLICATION AND GREE ENT
DATE
NAME(S)_ FW4* �CiPP lY
STREET ADDRESS ggpl3 (PrS��6��1x.
LOCAL PHO ICE7k,02�'/," ���� OTHER PHONE n '
REQUESTED IMPROVEMENT
�_/_
0rAq " //V' 446 /� ME 4�
Approval is requested for the above improvement according to
the ,,plans attached. 'we -.havel,. attached -two (2) sets of •plans
outlining the.work,�fto be done `along .with, a complete description
of -the materials •and' colors to be, used. If, we. are' using a
contractor(s), we -enclose copies of the Contractor i`:r�icense.
Attachments:
(1) Two copies of the Architectural Improvement Application.
(2) Two sets of: plans-with materials and colors to be 'used.
Note: .',One set is for the 'management ' office`;: the other.
set to be returned' to you as "Approved".
(3) Contract or's••name and copy of contractor's license. (Not
required if,'. the improvement is under $300.00 or if Y
Owner—Builder").
(4) Brochures. (2); and/or color samples of manufactured* products
to be .used.
We. have read the Architectural Committee Rules and Guidelines
and, ihave, furnished copies to all contractors to be engaged by
us and' we agree to comply- with those Rules; and Guidelines.
We also understand that it is our 'responsibility to insure that
our Contractor(s),•comply with said Rules. We acknowledge that
Building. Permits— .f&r• home •impr'ovements may be required by'th`e
City of, ;LaQuinta The cost of permits, responsibility for
obtaining• them, and the subsequent inspections' will be our
responsibility. In all cases we recognize the requirement to
be in compliance with* applicable building codes inc_uding, but ,
not limited to, *•those adopted subsequent to the original
completion'and acceptance of our dwelling.
OVER
Rev. 4-96
Pa.ge Two
The Association has no responsibility whatever in achieving
compliance with newer building codes which apply as a result
of Homeowner prompted modifications. Further, we understand
that approval will not be granted for any modification which
directly or indirectly conflicts with the Declarations of
Covenants, Conditions and Restrictions. We also understand
we, are responsible for the accurate determination of property
lines and setbacks (as applicable).
We also understand that we will be responsible for all costs
of this improvement and for costs associated with any 'repair
to common area occurring as a result of implementing this
improvement. Examples include, but are not limited to, sprinkler
and irrigation systems, buildings, roofs, exterior walls, lawns,
plants and drainage. Further we recognize that any modifications
to the common area irrigation and landscaping scheme, are. subject
to formal acceptance by the Association. Any required remedy
to achieve the required maintenance standard 'or irrigation
standard are our responsibility.. Additionally, we understand
that the job site must be left reasonably clean at the end of
each day, that no debris .nor dirt may be dumped in common .area
or left at job site. Any maintenance or' replacement of permitted
improvements, except for certain landscaping, which are beyond
"initial" improvements, shall be the homeowner's responsibility.
We agree to indemnify for ourselves, as well as for our
successors and assigns, and covenant and agree to hold
Association harmless from all claims, demands or liability
arising.out of or encountered in connection with this Agreement,
whether... such :claims, demands or liability..ar.e caused; by Owners,
Owners' agents -or employees, or contractors or -- - subcontractors
employed on the project, their agents or employees, or caused
by any products installed on the project by said contractors)
or subcontractor(s). Such indemnification shall extend to claims,
demands or liability for personal injuries and/or property damage
occurring during installation, as well as after completion,
including, but not limited to, all Ownersmaintenance
responsibilities provided herein.
We further indemnify and hold the Association harmless from
all .liability related to any damage to existing improvements
(wherever located within the Subdivision) resulting from the
installation/construction of the Architectural Improvement
If required by the Architectural Review Committee, we agree
to record, .and pay for the recording, of this improvement at
the County Recorder's office.
We further acknowledge that the Architectural Committee may
require a deposit be submitted before work is begun.
Rev. 4-96
;t
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Page Three
We further agree, that this improvement will 'be completed in
a reasonable and diligent manner. We further agree that 1) if
we do not correct any damage caused as a result of implementation
of this improvement or, 2) if. 'we fail to complete this
improvement within the allowed time frame the Homeowners
Association` may' elect to complete the'work and/oi repairs, and
we will be responsible for the actual costs of such work. Payment
to the Association is authorized by us in the form of an
assessment or monthly penalty payments as. approved in .the
Guidelines.
By signing this Agreement below, we agree to -be bound. by. its
terms and conditions and any conditionsset.. forth by the
Architectural' Committee in the Architectural Committee
Certificate, which is attached hereto as Exhibit "A" and made
a part hereof.by this reference.' -
S gnature a 1 Owners:
(Signature) (Signature)
j
ARCHITECTURAL COMMITTEE CERTIFICATE
(Exhibit "A" to the Architectural
Improvement Application and Agreement)
The Architectural Improvement Application and .Agreement was
reviewed by the Architectural Committee on .54 0¢ and has
been:
Approved 1/ Conditionally Approved Rejected
subject to the following
conditions set forth below
Returned for Further Information
Required Modifications
Comments
Yes No
V Recording to be sent by owner to County Recorder's
office for roof and/or exterior wall modifications.
Deposit Required Deposit Amount Required $
4�9-0¢
a.te Architectural Committee
Architectural Com itt.ee Architectural Committee
Architectural Committee Architectural Committee
NOTE: THIS APPROVAL IS VALID FOR 90 DAYS FROM APPROVAL DATE
Rev. 4-96
COMPLETION INSPECTION
Completed work inspected and approved Dater
Deposit return' authorized (if applicable, and less any
reimbursement to the Association for costs incurred to bring
homeowner into c•ompliance with the governing documents).
Recording verified.
' Comments:
Signed 1 Date:
Architectural Committee Chairperson
Rev. 4-96
Toriy M. Ybarra
ConsaCo.
s sturge nr. [` PLOT PLAIN ,
Costa Mesa, CA 92626-3145
. �_ 8'00—�0�-�l/�- _ ` •
NAME �'r�'1� 11� .ice I PH4 A6
srrus ADDRESS �,/3/ - i -�LG1l ' Im A000"
TRACT/PARCEL MAP IAT
ASSESSOR'S PARCEL NO.
RFA'R PROPERTY LINE
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