PAT (10-0461)52681 Avenida Martinez
10-0461
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000461
Property Address: - 52681 AVENIDA MARTINEZ
APN: 773-301-020-7 -000000-
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 8379
T a -!t- 4 4 Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.:
ate: ( ractor: f .fit'
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 _ 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 _ 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.).
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
LQPERD1IT
Owner:
WILLIAMS HERMA
52681 AVENIDA
LA QUINTA,
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
6/01/10
-----------------------------------------------
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 should become subject to the workers' compensation provisions of Section
3(700 of tl at Cod , I shall forthwith comply with those provisions.
Date: — 1 16 Applicant1 , 1(
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 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 th is °unty to enter upon t above-mentioned property or inspection purposes. -
atl7 e: ` /-/0 ' nature (Applicant or Agent):
Application Number . . . . . 10-00000461
Permit
ELEC-MISCELLANEOUS.
Additional desc .
Permit Fee . . . .
16.50- Plan Check Fee
4.13
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/28/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 .7500
------------------------------------------------------------=
PER ELEC DEVICE/FIXTURE 1ST 20
---------------
1.50
Permit . . .
PATIO COVER PERMIT
Additional desc .
Permit Fee
108.00 Plan Check Fee
70.20
Issue Date
Valuation . . . .
8.319
Expiration Date
11/28/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
7.00 9.0000
THOU BLDG 2,001-25,000
63..00
----------------------------------------------------------------------------
Special Notes and Comments
630 S:F. SOLID (COMP
SHINGLE ROOFING)
PATIO COVER, CITY STANDARD, PER APPROVED
PLAN - GB. INCLUDES 2
ELECTRICAL
OUTLETS 2007 CODES.
=----------------
--------------------------------------------------
Other Fees . . . .
. . . . BLDG STDS ADMIN (SB1473)
---------
1.00
STRONG MOTION (SMI) - RES
.8.4
Fee summary Charged Paid Credited
Due
Permit Fee Total
124.50 .00 .00
124.50
Plan Check Total
74.33 ..00 .00
74.33
Other Fee Total
1.84 .00 .00
1.84 .
Grand Total
200.67 .00 .00
200.67.
LQPERMIT
RAFTER- SPAN.: TABLE
GRADING RULES
PS 20-70
(FEET .& INCHES) pJ
1. m
v v
Z-* p
.ALL CONSTRUCTION SHALL CONFORM
v TO THE PROVISION'S OF THE
Q
2009 CALIFORNIA BUILDING CODE,
CoQ.I
SUPPLEMENTAL NOTES:
NOTES: t-
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS. ONLY.
2. FOR SOLID PATIO COVERS (NOT LATTICE)
.RAFTER SPAN 1S LIMITED TO 10'-0" USING
THIS STANDARD:
E. LAT:T710E7 ROOF BUILT-UP ROOF ----------------
IHEADERS HEADERS
DOUGLAS , FIR NO. 1 DOUGLAS FIR' NO. 1
SI7E' . SPAN SIZE
SPAN ROOFING NOTF •
44r..4 5'=0" 4x4 Al BUILT -Up, ROLLED ROOF: SLOPE -TO DRAIN:
x6 8._0.. 4. 0..
4x8 4z6 6'-0.
11'=0" 4x8 8'-0" B. ROCK. ROOF: 3; 12
4x 1 0 14'-0" 4x10 MAXIMUM PITCH:
4x.12 10'-0'
402_
. 6x8
6x10--7
0
,i
RAFTER SIZE AND SPACING 2%(_ (Z e iSPECIFY ROOFING AND SHEATHING OR OPEN LATTIC09- E
(SEE ROOFING NOTE ON REVERSE)
$'GG NofE $, t,oW
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE --
W
z
O.H. a:
La
0
a
O.H:
T' AND 'L' STRAPS
WITH
(4) 164 NAILS OR BOLT
7 >"
POST SIZE.'
REAR SETBACK SIDE SETBACK (.4 x4 MIN.).. 1O
2000 P.S.1 CONCRETE ---+1 I FINISH GRADE FINISH GRADE
L— J ) I 6 --.MIN. 12"x12' FOOTING
L_-)1 I
L— 12" BELOW GRADE L—J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTE, CONCRETE —
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4' x 5 LAG SCREW THROUGH FASCK INTO EACf RAFTER TAIL.
3/8" x 5 LAG SCREWS INTO STUDS AT 15' O.C.
r- CONTINUOUS LEDGER
JOIST' HANGER. OR SOLID ' BLOCKING
NAIL RAFTER TO BLOCKING
U—STRAP OR AN(
NON—CORROSIVE
(4)— :16d NAILS
OR 13OLT
XI lJ-STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT .
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
BUILDING DEPARTMENT APPROVAL BELOW
II II
LO II II
aT► a C V"r.¢- - mss 'TO 5 .►T o►J TD OF. -1-of 'FLAr(e
ANCHOR BOLT .(EMBED
of "67-102- vYALj_ . .7*- MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION 6 D/► _
• OWNER'S NAME /Gf- I AM 5
STREET ADDRESS 5 2 „ 691 .
CITY, ST ZIP
TELEPHONE
14.0-k APPROVAL
1 I,,
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
IMMI'ANT! NOTICE TO TROEERTY OWNER
Dear Property Owner.
An. application for a building rmit has been submitted in your name listing yourself as the builder of the property
improvements specifiedat h, 6 f} % 4v -e- /fi/i 1
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue 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 owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
ON R'S ACI04OWLEDGMIENT AND VERMCATION OF N
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
y4' 1. 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 propertyowner is rovidin his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to .ious 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
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property -
14/2.
2. 1 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.
9 /
3. 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 filed 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.
A. 1 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"
under state and federal law.
W 6. l understand if I am considered an "employer" under state and federal law, I must register with the state and federal
overnment, 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.
#7. 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 license4
subcontractors and, the number of structures does not exceed four within any calendar year, or all of the work is performee
under contract with a licensed general building Contractor.
,b—'W. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal. injuries sustained. by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
ervice, 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 (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
A40_ I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
Pah'S,Zg d financially nsible for proposed construction activity at the following address:
V"l l• 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.
agree to notify the issuer of this form immediately of any additions; deletions, or changes_ to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you confract with
someone who does not have a license,. the 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-wllicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be field liab4e for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
You will be responsible for verifying whether or not diose Contractors are properly licensed and the status of their workers'
compensation insurance 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 issuing, the Note: A copy of the property owner's driver'alfcense; farm notaraical<bn or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Z Y. / Date:
Note: The following Authorization Form 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 ACT ON PROPERTY OWNER'S BFH_ALF
Excluding the Notice to Property Owner, the execution of which I understand. is my personal responsibility, I hereby authorize
the following person(s) to act as. my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project. pp
Scope of Construction Project (or Description of Work): ./ d
Project Location or Address: 42UZ jGj/ e 7,
Name of Authorized Agent: Tel No ;7tl
Address of Authorized Agent: L e Z
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 required be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: 1j,0,, e, -M %[/ Date: 15 — l 0
Bin #
City of La Quinta
Building a Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet '
Permit #P.O.
d
Project Address: ,2, 9/ X
iO'"&'s Name: l elleon vh / Y S
A. P. Number: X
Address: -e Z
Legal Description:
City; ST, Zip: C
Contractor:/-: v
Tclephorie: {(/ Q (9 % ' 0 % 3
Address: %le
Project Description:
City, ST, Zip: U C 9Z Z 3
Telephone: ;a x>;%w` z ,,'..A,; r,_a ...
State Lic. # : City Lic. #;
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: p ' Construction Type: Occupancy:
State Lic.-r
.x' r.: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories: # Units:
Telephone # of Contact Person: E `ia '" --w " ' ' b . a
Estiiniited Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING PERMIT FEES
Plan Check submitted Item Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Tide 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans 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
M HOUSE:-
Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees