12-0007 (PAT)P.O. BOX 1504 VOICE (760)'777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/05/12
Application Number: 12-00000007 Owner:
Property Address: 81960 DANIEL DR FURNISS, WILLIAM & DONNA
APN: 764-270-999-11 -300232-
tl
Property Zoning: MEDIUM HIGH DENSITY RES p
Application valuation: 6078 JAN O 5 Zo qq 1L
Contractor:
Applicant: Architect or Engineer: GOLD STAR CSTM PTG LQ PATI CO C{TYOF LAQU( TA
42335 WASHINGTON ST #F363 r F kNC.Et`•=P1:
PALM DESERT, CA 92211
(760)574-1043 .
Lic. 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 70 01 of Division 3 o�IheBus ess a dProfessionals Code, and myLicenses in full force and effect.
License CI ss: C33 C511cese855623
DateS (Contra
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).:
(_ 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 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business andProfessionsCode: 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. , BAP.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
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 PAN AMER INS 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
370077 ��of the Labor Code IIall forthwith comp) it ose provisions.
Date: 0� 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 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 Dnstruction, and hereb a Drize representatives
of this co u ty enter upon the above-mentioned property f inspection purpose .
Date: 2gnature (Applicant or Agent):
Application Number . . . . . 12-00000007
Permit . . . PATIO COVER PERMIT
Additional desc .
Permit Fee . . 90.00 Plan Check
Fee
58.50
Issue Date Valuation
. . .
. 6078
Expiration Date 7/03/12
Qty Unit Charge Per
Extension
BASE FEE
45.00
5.00. 9.0000 THOU BLDG 2,001-25,000
45.00
--------------------------------------------------------------------------=-
Special Notes and Comments
(1) 179SF FREESTANDING LATTICE COVER AT
REAR YARD, (1) 117SF ATTACHED LATTICE
COVER AT REAR PATIO AND (1) 155SF
ATTACHED LATTICE COVER BETWEEN CASTIA
AND.RESIDENCE - DURALUM PRODUCTS [ENG)
THIS PERMIT DOES NOT INCLUDE ELECTRICAL
INSTALLATIONS. 2010 CALIFORNIA BUILDING
CODES.
January 5, 2012 2:15:24 PM AORTEGA
------------------------------
---------------------------------------------
.Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
------------------------------
----------
Due
-----------------
Permit Fee Total 90.00 .00
.00
90.00
Plan Check Total 58.50 .00
.00
58.50
Other Fee Total 1.00 ..00
.00
1.00
Grand Total 149.50 .00
.00
149.50
LQPERMIT
1 ,
O12'-4"
14'-6"
PROPOSED ALUMAWOOD
SHADE STRUCTURE
19'-6"
5'-3Z
6' EXISTING PATIO
--------------------
PROPOSED ALUMAWOOD
SHADE STRUCTURE
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PROPOSED ALUMAWOOD
SHADE STRUCTURE
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GARAGE
CASITA
DRIVEWAY
91
14'-6"
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2
December 8, 2011
William Furniss
Donna Furniss
1 Segada
Rcho Sta Marg, CA 92688
Property: 81960 Daniel Dr
Account: 015000020290
Dear William Furniss:
CONDITIONAL APPROVAL
We are pleased to inform you that your plans for rear yard re -landscaping, drainage, bbq, ext. low voltage lights, attached
and detached patio covers, fountain, gate, retaining wall, irrigation, fire table, paver decking, paver sidewalk from the
driveway towards the side yard and from the court yard towards the driveway, received on 12/06/2011, have been
approved by the Architectural Committee with the following conditions: 11, 12, 13, 14, 15, 16, 19, 20, 21, 22, 23 and 24.
Please submit a color sample for the Alumna wood patio cover and the wrought iron gate, please submit drainage
plans, free standing fire feature may not be attached to the property line wall. Note for future improvements: Please
submit a separate application for the spa and a picture or brouchure for the exterior low voltage lights (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 Architectural 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 Architectural 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.
Committee
CCAM,'CMCA, AMS
Manager
Enclosures
cc: Board of Directors
Architectural 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
Bin #City
of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) X777-7012
Building Permit Application and Tracking Sheet
Permit #
11. von'1
Project Address:
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: t b ,
! PA -1 nrlu
Telephone: r> '�<��«>'?�>�':>: � »'i$ •,
Address: f2 -3:35G> P6 (fl Aj6•i6N 5 t"' 3 re 3
Project Description:(,Z-)
City, ST, Zip: Yoe (1:v1 f�i2 C -A . q2 -2 -it
?6D -S i "/03
•
: :Telephone:
/% �JlUES
State Lic. # : p554Z3
City Lic. M.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:::..i::;;•,; :>, :;;<:;:.:>?.::.:;..;,:
Name of Contact Person: `/*p/V M p 41 A-.,- f!
Construction Type Occupancy
yP:
Project type (circle one): New Add'n . Alter Repair Demo
#Stories: # Units:
Sq. Ft.: S7 II
Telephone # of Contact Person: %
Estimated Value of Project: �C]
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
^
Truss Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Calcs.
Plans picked up
Construction
fill
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor 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