BPAT2015-0080r �
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VOICE (760) 777-7125
78-495 CALLE TAMPICO
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FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/17/2015
Application Number: BPAT2015-0080
Owner:
Property Address: 61765 LIVING STONE DR
VALLYA CONKLIN
` -
APN: 764770021
61765 LIVING STONE DR
r
Application Description: PETERS / (1) PATIO COVER
LA QUINTA, CA 92253
Property Zoning:
4 i
Application Valuation: $2,800.00
Applicant:
Contractor:
ANILOM INC DBA GOLD STAR CUSTOM PAINTING
ANILOM INC DBA GOLD STAR CUSTOM PAINTING G
42-335 WASHINGTON STREET
42-335 WASHINGTON STREET
SUITE F363
SUITE F363
�s
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)641-7544
Llc. No.: 855623
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under ovisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Busin and Professions Code,
and my License is in full force and effect.
License Class: 3 CS, License No.: 855623
Date: �P Contractor:
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 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 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 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
Lender's
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, o r 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: _ 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 becom jest to the
workers' compensation provisions of Section 3700 of th ab o ode, I shall forthwith
comply with those provisions.
Date: 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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application..
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is c rrect.
I agree to comply with all city and county ordinances and state laws relating t uilding
construction, and hereby authorize representatives of this city to enter up the
above- mentionedk roperty for inspection purposes.
Date: • A( % ignature (Applicant or Agent):
FINA s • e
fa�.,.�
4 ".l, CS +r��4"` x'�?�l�v y++Ei 4§• "iX' �i^"!.*" f A.' T%L'�i�rr' e4 T -tv YA ',iXzY^'
DE$CRIPTIQN ACCOUNT
s�4,a z _ „ w,C�T�Y ,AMOUNT � �,PA PROw PAID-DATE.
BSAS,SB1473 FEE 101-0000-20306,
0
$1.00 $0.00
- Y ry .- �: - 4•Ys qy,.......� J'xa'ki , .x1vT j' :4daS
w
AID BY .tr>4 R YE ... -METHOD
g;RECEIPT# # CLTD BY
..: 4 4t
W"w`�a' ` Yf 'Y,.s.+i i'mK»c'�, �i _V&
9 L , .'CHECK
Total Paid. for BUILDING STANDARDS ADMINISTRATION BSA: $1:00 $0.00
f 'DESCRIPTION
ACCOUNTEnkxIN
SPA D r G
PAIDsDATE:
jj` £t
QTSY;xAMOUNT
'..h
.6E.
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
$0:00
T.
r' . -S .� 3 i u'E•rE „h..Y'
2 $ i�. Nom. F-+•§wr''rh` 'i`;TY
°�i RECEI.PT�#t..CHECK
f - .i l� x' '..
# 'CLTD,.BY
Si
§METHOD, Km:
u:
DESCRIPTION
ACCOUNT
._:
A1111OUNT
c d'4r y.,.z
c
PAID DATE
y
y a
QTY
hAK,#� PAID
l'i.x.,
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72p
$0.00
x PAID BY.,( "
P• 4 k
ME7HOU �€ 3RECEIPT#��
Y{ ^
P f E PT W\ 1 S rff
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_CHECK#� r*CLTD
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BY
t
- +'•R• C" „Y �«'Ap F^.+-s�,a,x .tic'rz z. .r-.rl?.0
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U.b±Lx-ee'fa?a�iFWmF.. e "'.0,.
Y?-� br r<nAYS._ Y. iY
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Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $0.00
MW
DESCRIPTION
ACCOUNT
+ QTYAMOUN
�a 3PAID
PAID DATE
,;=
SMI - RESIDENTIAL
101-0000=20308
0
$0.50
$0:00
A - TYF r ..s ;'�v,5;'
PAIOfBY
METHODs�
yrc$i
RECEIPT§#
3
4 $
CHECK #
yXLTD BY,,
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
OT��
Description: PETERS / (1) PATIO COVER
Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW
Applied: 11/17/2015 SKH
ENGINEERED - OPEN
Approved:
Parcel No: 764770021 Site Address: 61765 LIVING STONE DR LA QUINTA,CA 92253
Subdivision: TR 30023-6 Block: Lot: 27
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:.
Finaled:
Valuation: $2,800.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
42-335 WASHINGTON
Details: 174SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013
CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE.
ZIP
PHONE
FAX
EMAIL
APPLICANT
ANILOM INC DBA GOLD STAR
42-335 WASHINGTON
PALM DESERT
CA
92211
CUSTOM PAINTING
STREET
CONTRACTOR
ANILOM INC DBA GOLD STAR
427335 WASHINGTON
PALM DESERT
CA
92211
CUSTOM PAINTING
STREET
OWNER
VALLYA CONKLIN
61765 LIVING STONE
LA QUINTA
CA
92253
DR
Printed: Tuesday, November 17, 2015 11:17:24 AM 1 of 2 ��
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 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
TOTALS:•4 i0
PARENT PROJECTS
Printed: Tuesday, November 17, 2015 11:17:24 AM 2 of 2 CB?
SYSTEMS
CITY
BUILDING & SAF6TYu, ..
APPROVEDc
FOR CONSTRUCTION
DATE -rill' -.L
Bin #
Oty Of La QUinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: I
Owner's Name: p S
A. P. Number
Address: IJAA L S On f,
Legal Description:
City, ST, Zip: Ck q G. CA
Contractor: �.�. Tat
Te phone: — — 0 ;. -
Address: 7335- w(, 9k0
.(-0
s1� ;fit. F
Project Description:
City, ST, Zip: (M
Telephone: b(f ��] �Lf .�
IrN
Lie. #;StateLic.#: ty
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lie. #:
x ' ` .
Construction Type: Occupy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone *,of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Taus Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
.Plans resubmitted
Mechanical
Grading plan
2°' Review, ready for correctionsfusue
Electrical
Snbeontactor List
I Called Contact Person
Plumbing
Grant Dad
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Trilogy at La Quinta
60-750 Trilogy Pkwy
La Quinta, CA 92253
Ph: 760-777-6059
Fax: 760-777-1620
October 28, 2015
SHARON PETERS
61765 Living Stone Dr
La Quinta CA 92253 USA
RE: Design Review Modification Conditionally Approved
61765 Living Stone Dr / Customer ID #: TRLAQ-1197-02
Dear Sharon Peters :
Trilogy,
Trpaga at La Qniata Maiatenaaei Associalion
We are pleased to inform you that your plans for installation of an attached patio cover, received on October 20,
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
4644 i,5 4.4,
V(ok.
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