BPAT2015-006878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
'ter 4 4v Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPAT2015-0068
60395 LIVING STONE DR
764420003
SHON / OPEN LATTICE PATIO COVER
$2,030.00
Applicant:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
37897 CHESTERFIELD STREET
INDIO, CA 92203
SCANNED
�m
OCT 00 2015 ''J`
CITY OF LA OWN -v,
,
COMMUNITY DEVELOPWiVtW_i✓i:"-if:_,
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: C-8. C51 License No.: 937811
/ I
Dae:�. (� / ZO i Cot tor:
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
12
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/20/2015
Owner:
RONALD GRANADER
1005 TIMBER PASS
HARBOR SPRINGS, MI 92253
Contractor:
VALLEY PATIOS INC DBA VALLEY CONCRETE &
37897 CHESTERFIELD STREET
INDIO, CA 92203
(760)534-4634
Llc. No.: 937811
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: W-6 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 the Labor Code, I shall forthwith
comply wwith those provisions. q�,�
Dae 1 �ZC) %(� App plicant: 46!d" /
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 relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date-.' ZO Signature (Applicant or Agent): k� r
FINANCIAL .• 1
DESCRIPTION ACCOUNT CITY AMOUNT
PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
PAID BY 'METHOD RECEIPT'#
CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY '
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
TOTALS:00
Description: SHON / OPEN LATTICE PATIO COVER
Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 10/20/2015 SGU
ENGINEERED - OPEN
Approved: 10/20/2015 SGU
Parcel No: 764420003 Site Address: 60395 LIVING STONE DR LA QUINTA,CA 92253
Subdivision: TR 30023-3 Block: Lot: 47
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,030.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No: Stories: 0 No. Unites: 0
ADDRESSI
Details: 203 SCIFT LATTICE PATIO COVER AT REAR YARD (DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013
CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
VALLEY PATIOS INC DBA VALLEY
CONCRETE &
37897 CHESTERFIELD
STREET
INDIO
CA
92203
CONTRACTOR
VALLEY PATIOS INC DBA VALLEY
CONCRETE &
37897 CHESTERFIELD
STREET
INDIO
CA
92203
OWNER
RONALD GRANADER
1005 TIMBER PASS
- HARBOR
SPRINGS
MI
92253
Printed: Tuesday, October 20, 2015 9:05:21 AM r 1 of 2 r CR
SYSTEMS
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$97.17
$0.00
OPEN
PATIO COVER, STD,
101-0000-42600
0
$95.72
$0.00
OPEN PC
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 1 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
TOTALS:•0
Printed: Tuesday, October 20, 2015 9:05:21 AM 2 of 2 CI?
SYSTEMS
Bin #
��
City of La Qulnta
Building u Safety Division
. • 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
LI' .
Project Address:bO [1 S
Owner's Name: S b C O C
A. P. Number:
Address: v' vt S
Legal Description:
City, ST, Zip:
Co ntractor: 1
\ S
ele h ne•
TP0
Address:
Project Description: O
City, ST, Zip: (1�4�0 L% Cr .
Telephone: O_.7 —3 Z
-
State Lie. # : 6� 7- D
City Lie. #:
Arch., Gngr., Designer:
Address:
City, ST, Zip:
one:
Telephone:
P
Panc Y:
Construction ti e: Occupancy:
on
s uc T
Type:
Lie. #
air
Project type (circle neNe Add'. Alter ReP
DemoStato
Name of Contact Person:
Sq. Ft.:
Stories:
#Units:
Telephone # of Contact Person:
Z3 0 ' 3 ZO fj
Estimated Value of Project: � 3
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Revicived, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2n° Review, ready for corrections/issue
Electrical
Subeontactor 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 correct ionsPssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees,
Total Permit Fees
)Iv
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
October 14, 2015
MICHAEL SHON / LINDA SHON
60395 Living Stone Dr
La Quinta CA 92253 USA
RE: Design Review Modification Conditionally Approved
60395 Living Stone Dr / Customer ID #. TRLAQ-0487-02
Dear Michael Shon / Linda Shon :
F�>
Trilogy
Trtloay al La Qatab \tatohaaece dssochlEo■
We are pleased to inform you that your plans for installation of a patio cover, received on September 24, 2015,
have been approved by the Design Review Committee with the following conditions: 13, 14, 15, 16 and 22 (see
attached copy).
Please note: Any damages caused by contractors due to construction must be repaired.
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 Aceves
Asst Manager On -Site Property
Enclosures
cc: Board of Directors
Design Review Committee
TRILOGY AT LA QUINTA
CONDITIONS OF APPROVAL
Property Address:
H. 0.:
Date Reviewed: 1C)I t2A.
is consistent with the Design
encs per city code and
uidards and all plants are
measured from the rear
the front yard.
.a Quinta codes. All
-om any lot or street and
ks are 6" for hardscape and
ortion of block wall to gain
1, style and color or shall be
ie flush with the turf and
S).
Roofing materials shall
such a manner that it does
- that blends with the
Trilogy'at La 'Quinta Design Guidelines
EXHIBIT `B'
NOTICE OF COMPLETION FORM
TRILOGY AT LA QUINTA MAINTENANCE ASSOCIATION
Today's Date: / / Tract #:
Address Where Work Took Place:
Mailing Address:
Daytime Phone: (_)
Brief Description of
Lot #:
Evening Phone: ()
TO: TRILOGY AT LA QUINTA MAINTENANCE ASSOCIATION:
Notice is hereby given that the above-described improvement has been completed in accordance with the
Application as submitted to and approved by the Design Review Committee.
Date Work was completed:
Applicant's Name:
(Please Print)
Applicant's Signature:
Applicant's Name: Applicant's Signature:
(Please Print)
Copy of required City of La Quinta Building Permit(s) attached.
(Do Not Witte Below Line. This is to Be Completed By Design Review Committee Only)
.........................................................................................................................................................................................................
Committee Comments:
APPROVED DISAPPROVED
Additional work required
RETURNED TO APPLICANVOWNER
Date:
Staff Signatures:
Design Review Committee Member
Design Review Committee Member
Design Review Committee Member
4
Date
Date
Date
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