07-1755 (PAT)P:O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001755
Property Address: 60507 WHITE SAGE DR
APN: 764-270-999-75 -300231-
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 3764
Applicant:
J
Tiht °F:Fw
Architect or Engineer:
0 1 k
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury tha r under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine s and Professiona Code, and my License is in full force and effect.
Lice se Class: B s� Lic s No.: 860958
Date: D ontractor:
�ept
-BUILDER DECLARATION
I hereby affirm under penalty of perjury that from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and s 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 contractors) 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: at r
LQPERMIT
Owner:
JIM SPENCER
60507 WHITE SAGE
LA QUINTA, CA 92253
Contractor:
PELLETIER PATIO
79775 TIRSRRT GTPPA—v] PR
LA QUINTA, CA 92253
(760)275-7593
Lic. No:: 860958
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/18/07
WORKER'S COMPENSATION DECLARATION
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 CNCLD/ACE AMRCN Policy Number WLRC44460427"
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
workers' compensation laws of California,
and agree that, if I sho bject to the or ers' compensation provisions of Section
f�3700 of the Labor C de, I shall forth 'th m�?�
those provisions.
0� icant: _
WARNING: FAILURE TO SECURE IVORKEPCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI IILTIES 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 statI
r 's- rreQlagreto comply with all
city and county ordinances and state laws relatinc ion, an aa representatives
of this cRt�t�enteth
above-mentioneti n purpo S.Da�Applicant or Age
Application Number . . . . . 07-00001755
Permit . .
. PATIO COVER
PERMIT
Additional desc .
Permit Fee . . .
. 63.00
Plan Check
Fee
40.95
Issue Date . . .
.
Valuation
. . .
. 3764
Expiration Date
12/15/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
2.00 9.0000
THOU BLDG
2,001-25,000
18.00
----------------------------------------------------------------------------
Special Notes and
Comments
283 S.F. ALUMAWOOD
LATTICE PATIO
COVER
-------------- -------------------------------------------------------------
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
LQPERMIT
-Bin ff
INHOUSE: "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 . ..
City o f La Quinta
Building u Safety Divisicn
Permit f/
P.O. Box 1504, 78-495 Calle Tampico
o 5
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: S
/
Owner's Name:
s ell
A. P. Number.
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3
Address:
Legal Description:
City, ST, Zip:'1L
Contractor:C
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Telephone: — 4,
Address:lcurjS _VeMVtS1LrQj,V0Project
Description: A
City, ST, Zip:
7,J
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COVOr
Telephon .
�pCA
State Lic. # : ;
City Lie. #:
Arch., Engr., Designer:
Address:
City,: ST, Zip:
Telephone:
Construction Type: Occupancy:
P cY:
State Lic. #:
Project* type (circle one): New Add'n Alter 'Repair Demo
Name of Contact Person.) a
L
Sq4 Ft
# Stories:
# Units:
Telephone # of Contact Person.
Z. l — 7mated
Value of Project:
APPUCANT:
DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACIMG ..
PERIMT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed,xcady for corrections
Plan -Check beposit
Truss Calcs.
Called Contact Person •
Plan Check Balance
Energy .Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading_plan'
2'' Review, ready for correctionsCissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S iVI l
H.O.A. Approval
Plans resubmitted .
Grading
INHOUSE: "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 . ..
FROM : FSCS++000001CS
June 15, 2007
TO Jim Eckvahl
FAX: 760-345-4396
PHONE NO. : 3103796680 Jun. 15 2007 09:52AM PI/2
From: Nancy &Tim Spencer
RE: Trilogy Design Review Approval
Please see attached approval.
Thank you for going forward with the permit and scheduling next week for theInstall.
Thank you for confirm receipt of this fax.
Nan.cv
760-445-1670 or 760-77I-4778
FROM : FSCS++00000ICS PHONE NO. : 3103796660 Jun. 15 2007 09:52AM P2'2
Trilogy at La Quinta Design Guidelines
4v/ti
EXHIBIT `A ' -- PAGE 3
TRILOGY AT LA QUINTA MAINTENANCE ASSOCIATION
DESIGN REVIEW COMNUTTEE APPLICATION
(Do Nor Write. ,Below Lase. 7'lris iv it) Be Completed By Design Review Committee Only) ^
Received by the Design Review C:ommittce:
The attached
Date
esign Review Committee and its action is:
_APPRO D � 8crAS" CONDITIONAL ONnL APPROVAL
64AV40 ❑ See Notes on plans
❑ DISAPPROVE F71 See conditions of approval check list
❑ hicomplete Submittal Other Pit tO V,e e "M Si yFp r L-,-0j-74-
F
-0j-74-
❑ Require Additional Information T sl`� 1 S 4 &YKv U
❑ Others RaI
RETURNED TO APPLICANT/OWNER
Date: _7. --7
Date: CG r d Signature:
'Fc�e Design eview Conunit ee
Final hispection: ❑ Approved a submitt.c ti D Disapproved (refer to attached comments)
Date:�._ _ Signature: _
For the Desi&m Revicw 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 URC.
33