PAT (10-0533)52385 Avenida Martinez
10-0533
P.O. BOX 1504 .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000533
Property Address: 52385 AVENIDA MARTINEZ
APN: 773-271-017-6 -000000-
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 5453
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
G% `- //T V 'C/VW—,
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: License No.:
Date: 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
th a or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
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 w.).
1 _ 1 1 am exempt under Sec. , B.&P.0 r this reason
Date: Owner: inc
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:
LQPEPAIIT
Owner:
CASTRO FRANCISCA
52385 AVENIDA MARTINEZ
LA QUINTA, CA 92253
(760)564-3420
i
_ Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/18/10
e
_J1}N-172010...
101
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 ------ --- ----- ----- ---- 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 Idbe subject to the workers' compensation pr Bions of Section
3700 of the Labor orthwith comply with tho visions.
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 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 1 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 represe tatives
of this ounty to enter upon the above-mentioned propeZyfnspection purposes.
Datil Signature (Applicant or Ager C
Application Number . . . . . 10-00000533
Permit . ' . . . PATIO COVER
PERMIT
Additional desc .
Permit Fee 81.00
Plan Check Fee
52.65
Issue Date . . . .
Valuation
5453
Expiration Date 12/15/10
Qty Unit Charge Per
Extension
BASE
FEE
45.00
4.00 9.0000 THOU BLDG
2,.001-25,000
36.00
----------------------------- ----------------------------------------------
Special Notes and Comments
1116" X 35' PATIO COVER PER CITY
STANDARDS -&- APPROVED` PLANS -TOTAL
410 - --- - -- —_
_ ... ..._.. ...... .. .......__.._._ .. ...
SQUARE FEET. APPROVED PER A.J.
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total 81.00
.00 .00
81.00
Plan Check Total 52.65
.00 .00
52.65
Other Fee Total 1.00
.00 .00
1.00
Grand Total 134.65
.00 .00
134.65
LQPERMIT
rw I GN SILL AND SPACING
ROOF PITCH
(SAME SIZE AS R`AFTE'RS)
HEADER VVSIZE
SPECIFY ROOFING AND sHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
W
RAFTER SP
ao O.N.
T" AND 'L' STRAPS —
6ru6'x1"kI/6- WITH
(4) 16d NAILS ORR 8
OVERALL LENCTH: er I
d OVERALL IENCTH.
POST SIZE: ;
REAR SETBACK SIDE sETeAac (<'x4' MWJ
2000 P.S.I CONCRETE +I I FINISH GRADE FI 6H
GRADE
1—.IAN 1 r x 12" FOOTING 1 I Yt BELOW CRAM • L _ J
PROVIDE 1' CLEARANCE
NOTE
BETWEEN POST AND
CONCRETE =---
OPEN LATTICE PATIO COVERS WAY BE ATTACHED TO EXISTING FASCIA
W ONE 1/4- x 5 LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
U -STRAP OR -ANGLE =
3/6' x 5 LAG SCREWS INTO STUDS AT 11; O.C. NON—CORROSIVE PLATE —
/ /-- CONTINUOUS LEDGER /
.101ST. MANGER OR SOLID BLOCKING
.NIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
(4)- '16d NAILS
OR BOLT
U -STRAP OR ANGLE —
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED —
7 MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION 1
OWNER'S NAME00,
STREET ADDRESS ® ► M4 A
CITY. ST ZIP
i
t •JlCA
TELEPHONE74 ,1 1 .11 '1_4i — 1 <97>1
H.O.A. APPROVAL
I
2 O
RAFTER SPAN. TABLE k pp
GRADING .RULES `'' co c) 4 ALL CONSTRUCTION SHALL CONFORM
PS 20-70 y c, cvT ° TO THE PROVISIONS OF THE:.
(FEET & INCHES)
2-
O' • p' • p• .• p QO'
SUPPLEMENTAL NOTES:
2x4 16" O.C. 10'-fi 9'-6" 7'-3"
24' 6'-0" 7'-3" , ,
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICETIO COVERS ONLY.
2. FOR SOLID. PATIO COVERS IN 'T LATTICE)
RAFTER SPAN IS LIMITED. T0,10'-0" USING
. Tui SreNnean
U• F
BUILT-UP ROOF
HEADERS
HEADERS.
DOUGLAS
FIR NO. 1
DOUGLAS FIR NO. 1
S17E
SPAN
2x6
16"
24"
32"
O.C.
15"-0:
14'-0
4x6
12'-6"
4z6
10'-0. 8'-6" N A
N/A
11'-0"
4x8
2x8
16'
24'
32"
O.C.
18'-0",
17'.- "
13'-6"
16.-
t . -6" - -6" t 1'-0"
13'-0"
1 '- " 11'-t; N A
N A
6x8
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICETIO COVERS ONLY.
2. FOR SOLID. PATIO COVERS IN 'T LATTICE)
RAFTER SPAN IS LIMITED. T0,10'-0" USING
. Tui SreNnean
ROOFING NOTES
A. BUILT-UP ROLLED ROOF SLOPE TO DRAIN.
B. ROCK ROOF:. 3; 12..MAXIMUM PITCH.
U• F
BUILT-UP ROOF
HEADERS
HEADERS.
DOUGLAS
FIR NO. 1
DOUGLAS FIR NO. 1
S17E
SPAN
SIZE
SPAN
4r.4
5'-0"
4x4
4x6
8'-0"
4z6
4x8.
11'-0"
4x8
--'!8'-0"
4.x10
14'-0*"
4x10
402
17'-0"
4x 1.2
.6x8
14'-0"
6x8
6x10:
6x10
t4'-0'
ROOFING NOTES
A. BUILT-UP ROLLED ROOF SLOPE TO DRAIN.
B. ROCK ROOF:. 3; 12..MAXIMUM PITCH.
9,
, a
ow") 4ro.r.w -v "• / w„d r IA/f VA 1 I I"•.
,s
P.O. Box 1504
LA QUINTA, CALIFORNIA. 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760).777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
1JIMSTANT1 MTTCF Tn I?gQpEM OwN1 1
Dear Property Owner:
An. application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at
W -e are .providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
respowbilities and possible risk you may incur by having this -permit issued in your name as the
Own" -Budder. We will not ism a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at 'our official address indicated. An agent of the owe cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
DMECTfONS. Read and initial eachstatement below to signify you uraderstand"or'ver#ydbis information.
I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder'
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while. working on my property. My homeowner's insurance may not provide coverage for those
inludes• I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
'on
ff my property -
k::;. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit fried in his or her name instead of my
own.
(,4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
&.5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars' ($500), including labor and materials, I may be considered an "employer"
un er state and federal law.
I understand if I am considered an "employee" under state and federal law, I must register with the state and federal
government, withhold payroll taxes,- provide workers' compensation disability insurance, and, contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
A - I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residentia
structures cannot .legally build them with the .intent to offer them for sale, unless all work is performed by license(
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performe(
under contract with a licensed general building Contractor.
ellI understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
al or personal. Wjaries suffained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
I understand I may obtain more information regarding my obligations as an "employer" from the Internal revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CtLB) at 1-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
60. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
pay legally and financially responsible for proposed construction activity at the following address:
I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
i( 42. 1 agree to notify the issuer of this form immediately of any additions, deletions, or chgnges to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license,. flme Contractors' State License Board may be unable to assist you with any financial loss
You may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in -civil court- It is also
important for you to understand that if an unlicensod Contractor or employee of that individual or firm is injured while working
on your property, you may be held hable for damages. If you obtain a permit as Owner -Builder. and wish to hire Contractors,
you will be respomsble for verifj+ing whew or not those Contractors are properly licensed and the status of their workers'
compensation insuranve coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for Israiag,ihe.:pwmkL lVeIg. A copy of Mee property owner's driver'&AWMWi force not dmdvn3 or
other venTwation acceptable to the agency is required to be presented when the pertrr t is issued to verify the property
owner's signature. / l
Signature of property own Date:
Note: The following Authorization Foran is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACTON PROPERTY OWNCWS BEHAJtF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following persons) to act as my Agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project. C --
F
Scope of Construction Project (or Description of Work): {/ ) t b x ?S
Project Location or
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is require o be presented when the permit is issued to verify the
/property
y oow ner's signature.
Property Owner's Signature. Date:
Bin #
City of La Quinta
Building 8i: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application a d Tracking Sheet
Permit #
1V -
Project Address: S 67 M 0 7 U
Owner's Name Is Ca- 62,
A. P. Number:
Address: -13 641L AW -41
Legal Description:
411
City, ST, Zip: aU j ,
Contractor:
Telephone:
Address:
Project Description:
City, ST, Zip:
" w
Telephone:
f:;.;:;;;:>::}:_< >.:: :•v%.:; :;»:<'>:;:.:;:
JJ
State Lic. # :
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
S
}:•::}
Construction Type: Occupancy:
State Lic. #:
Project type circle one ew Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: 411 D
# Stories:
# Units:
Telephone # of Contact Person: Estimated Value of Project: u
7
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2•" 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
am