09-1144 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00001144
Property Address: 60904 DESERT ROSE DR
APN: 764-270-999-185 -300233-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 15000
Architect or Engineer:
alp
4
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 License is in full force and effect.
License Class: B C53 A License No.: 185102
ate: �6 D Oontractor:
OWNER -BU DER DECLARATION
I hereby affirm under penalty of perjury t I am exempt from the Contractor's State License Law for the
following reason ISec. 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.).
(_ 1 1, 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 _ 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:
LQPERn41T
Owner:
ALLEN PANASUK
60904 DESERT ROSE DRIVE
LA QUINTA, CA 92253
Contractor: D
CALIFORNIA POOLS & SPAS .
78696 HIGHWAY 111
LA QUINTA, CA 92253 ff
(760)771-6141
Lic. No.: 185102
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
bate: 10/29/09
OCT --
YY .r. Uli4iA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 .ARCH INS CO Policy Number ZAWCI9090400
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 tct the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the L bor Code, I shall forthwith comply with those provisions.
f5ate: plicant:
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 15100,0001. 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 construction, and hereby authorize representatives
ofthiscounty to enter upon the above-mentioned property for inspection purposes.
&te: ignature (Applicant or Agent):
Application Number . . . . . 09-00001144
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 162.00
Plan Check Fee
105.30
Issue Date
Valuation . .
. 15000
Expiration Date 4/27/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
13.00.- 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
117.00
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 18.00
Plan Check Fee
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 4/27/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL FIREPIT (INCLUDES 84 L.F. GAS
RUN), LANDSCAPE & IRRIGATION.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
10.53
Fee summary Charged Paid
Credited
Due
-------------------------------------
Permit Fee Total 180.00
--------------------
.00 .00
180.00
Plan Check Total 109.80
.00 .00
109.80
Other Fee Total 11.53
.00 .00
11.53
Grand Total 301.33
.00 .00
301.33
LQPERI%11T
List #
EXHIBIT `A ' - PAGE 3
TRILOGY AT LA QUINTA MAINTENANCE ASSOCIATION
DESIGN RENEW COMMITTEE APPLICATION
(Do Not Write Below Line. This is to Be Completed By Design Review Committee Only)
........................................................................................................./...................................................................................
Received by the Design Review Committee:
Date
Homeowner Address
The attached Application has been reviewed by the Design Review Committee and its action is:
APPROVED (Initials & Date) CONDITIONAL APPROVAL (Initials & Date)
See Notes on plans
ee conditions of approval check list
Other
❑ DISAPPROVED* (Initials & Date)
Incomplete Submittal
Require Additional Information
Other
a
�G
�I4E,
RETURNED TO APPLICANT/ON
Date:
Date: Signature:
For the Design Review Committee
Final Inspection: ❑ Approved as submitted ❑ Disapproved (refer to attached comments)
Date:. Signature:
For the Design Review Committee
* In the event plans and specifications submitted to the DRC are disapproved, Owner may appeal to the Board
of Directors by submitting a written request for appeal. The written request shall be submitted to the Board
not more than thirty (30) days following the final decision of the DRC.
TRILOGY AT LA QUINTA H.O.: �C,1�rz__
n
CONDITIONS OF APPROVAL
D ` C
Property Address: ere � —� Date Reviewed:
Conditions
Your plans have been approved, provided that you meet the items checked below and all work is consistent with the
of Approval
Design Guidelines dated April. 20, 2005, contained in the TLQMA Handbook:
The patio cover material must be Alumna wood or other similar wood like construction. Roofing materials
shall match the roof material of the dwelling or be open wood lattice
2
The color of the patio cover matches the home's stucco, tri, accent, fascia or white.
3
Any patio cover or awning to be installed and attached. to -the home must be installed in such a. manner that.it
does not compromise the integrity of the water permeability of the home.
4
Due to the patio cover's size it must constructed with variable heights or must be constructed in two sections
with a separation in between
5
The size of the patio cover is limited to the size of the proposed patio slab.
6
The proposed retractable awning may not be a striped awning. It must be a neutral color that blends. with the
home. Please submit a sample of the fabric.
7
Obtain services of a state licensed professional for consultation.
8
Obtain necessary building permits from the city of La Quinta, meeting setback requirements per city *code and
maintain the existing drainage.
9
Maintained positive drainage in accordance with the Trilogy Design Guidelines (Section 3.8).
10
The screen door must be the color of the house stucco or be black.
11
If underground drainage is installed, the drain needs to terminate in the grass swale and be flush with the turf
Pool, spa, fountain, and air conditioning equipment set backs must comply with City of La Quinta codes. All
12
equipment shall be located, screened, or recessed in a manner so as to not be viewable from any lot or street
and the noise from the equipment attenuated fro the adjacent property owners. Pool set backs are 6" for
hardsca a and 18" for waterline.
13 IThe
color of the proposed concrete is natural of a neutral tone.
14 lRear
yard may not exceed 70% hardscape and must have a minimum of 30% softscape, measured from the rear
buildingface of wall to the side property lines.
15
Proposed planting meets with the Trilogy Rear Yard Minimum Planting Requirements standards and all plants
are included on the Revised Approved Plant List contained in the Design Guidelines.
16 1
The proposed wall or iron work to match the existing developer retaining wall in material, style and color or
shall be the Frazee Paint colorspecified in the guidelines.
17
Igain
Replace block wall per Shea Homes standard block wall specification, if removing any portion of block wall to
access to rear or side yard (requires inspection of rebar before cap is installed).
18
Refer to Exhibit "F" in the Design Guidelines. (Block Wall Design).
X
19
When work is completed, please submit Notice of Completion form attached! .
20
Make sure rear yard property line pins (markers) remain during construction (applies to golf course lots only)
21
All contractors must meet the Association representative prior to commencing construction.
22
Resubmit showing drainage flow/plans.
X
23 See
notes on plans (if any)
X
24 An
independent irrigation controller must be used for the rear yard, it cannot be tied into the yard.
Notes '-�
"front
CAT- C)
WASSOCIATIONS\Trilogy at La QuintMARCHITECTURALORC Fo"nslConditions dApproval
Bin #
City of La Quinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico / �1
La Quinta, CA 92253 - (760) 777-7012 G CJ
Building Permit Application and Tracking Sheet
Permit # ox�
Project Address: Q 16 of—s4-(,T P 65e-
Owner's Name:
A. P. Number:
Address: C10 To 'i 0,e Se,n* 0,5e
Legal Description: ] 3 85 MJ Sod 7 3
City, ST, Zip: LGA tL/ ,14 -
f4Contractor:
Contractor: Ca �
telephone:
Address: 8 6
Prolject Description:
City, ST, Zip: LG. I,t,i 4'(C61Lamin
A
SCS Tree 4.*/ Oq rlf I �(
ehn.
Telephone: I o
P 7 D 3 4
Y F
State Lic. # t 10 2
City Lic. #:
Arch., Engr., Designer:
Address: 18 06 111
City., ST, Zip: a 1`1-f4 Cc, %1 Ly3
Telephone: 766 yo y
on truetion TYPOccupancy:�
, e n I
Lic.#:
rcle one •NewState d'nAlter Repair Demo
Je ttYPe �ci Ad
Name of Contact Person:-T#Ta e M 0 h
m
Sq. Ft.:
# Stories:
Units:
Telephone # of Contact Person:
Estimated Value of Project: ODO.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
%d
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cal cs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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