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BPAT2016-006478-495 CALLE TAMPICO D �IICl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPAT2016-0064 Owner: Property Address: 51445 AVENIDA MENDOZA SECUNDINO APN: 773093007 51445 AVEN Application Description: ALICIA AGUILAR / PATIO COVER LA QUINTA, Property Zoning: Application Valuation: $1,000.00 Applicant: SECUNDINO AGUILAR 51445 AVENIDA MENDOZA LA QUINTA, CA 92253 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: _ License No.::CONV:1405281012S4125013 Date:ofK-/ 2-16 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).: ((jLLYJ, 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, 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.). (L410am exempt under Sec. . B.&P.C. for this reason /41,Date: i�% he — �7 l Owner.�.,��" / /=��i t j 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 Na Lender's Add Contractor: SECUNDINO VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153' Date: 6/17/2016 .R N DO&A i3 JUN 1 7 2016 CITY OF LA QUINTA ,A)ITY DEVELOPMENT DEPARTMENT 51445 AVENIDA MENDOZA LA.QUINTA, CA 92253 (760)899-6180 Llc. No.::CONV:140528101254125013 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 3700 of the Labor Code, 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cityto en er upon the above mentioned property for inspection purposes. �jj i Date / 7-1&LSignature (Applicant or Agent) DESCRIPTION 1 .• 1• FINANCIAL ACCOUNT QTY AMOUNT:' PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 $$1.00 $1.00 6/17/16 PAID BY METHOD RECEIPT # ' CHECK # CLTD BY SECUNDINO AGUILAR DEBIT R16417 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN 101-0000-42404 0 $97.17 $97.17 6/17/16 PAID BY METHOD. '' RECEIPT # CHECK # CLTD BY SECUNDINO AGUILAR DEBIT R16417 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PATIO COVER, STD, OPEN PC 101-0000-42600 0 $95.72 $95.72 6/17/16 PAID BY METHOD RECEIPT# CHECK # CLTD BY SECUNDINO AGUILAR DEBIT R16417 RSE Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89 DESCRIPTION ACCOUNT QTY AMOUNT PAID :PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 6/17/16 PAID BY . METHOD RECEIPT # CHECK # CLTD BY SECUNDINO AGUILAR DEBIT R16417 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 •, Description: ALICIA AGUILAR / PATIO COVER, Type: PATIO COVER Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 6/17/2016 RSE ENGINEERED - OPEN ADDRESSI Approved: 6/17/2016 RSE Parcel No: 773093007 Site Address: 51445 AVENIDA MENDOZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 137 Lot: 3 Issued: NO 14 LA QUINTA CA 92253 Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 SECUNDINO AGUILAR Details: 480SF TRELLIS PATIO COVER AT REAR YARD [DURALUM] THIS PERMIT DOES NOT INCLUDE ELECTRICAL INSTALLATIONS. 2013 CALIFORNIA BUILDING CODES. 92253 (760)899-6180 ADDITIONAL SITES CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT SECUNDINO AGUILAR 51445 AVENIDA MENDOZA LA QUINTA CA 92253 (760)899-6180 CONTRACTOR SECUNDINO AGUILAR 51445 AVENIDA MENDOZA LA QUINTA CA 92253 (760)899-6180 OWNER SECUNDINO AGUILAR .51445 AVENIDA MENDOZA LA QUINTA CA 92253 (760)899-6180 rINANCIAL IWORMATION Printed: Friday, June 17, 2016 9:22:11 AM 1 of 2 CR SYS7EHiS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/17/16 R16417 DEBIT SECUNDINO AGUILAR RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PATIO COVER, STD, 101-0000-42404 0 $97.17 $97.17 6/17/16 R16417 DEBIT SECUNDINO AGUILAR RSE OPEN PATIO COVER, STD, 101-0000-42600 0 $95.72 $95.72 6/17/16 R16417 DEBIT SECUNDINO AGUILAR RSE OPEN PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89 SMI - RESIDENTIAL 101-0000-20308 0. $0.50 $0.50 6/17/16 1 R16417. DEBIT I SECUNDINO AGUILAR RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 $194.39 $194.39 INSPECTIONS PARENT PROJECTS ATTACHMENTS Printed: Friday, June 17, 2016 9:22:11 AM 2 of 2 C srsrrnns (S.AW SIZE AS RArTbnl NEARER SIZE O.N. r L ' REAR' SE18tit.'K 2000 PS.1 E 1 F1N6N CRAD------------- E r ; iiNIS t_—J OPE?I uit>CE "Tq OOVCftS Mar eE A Wt ONE 114' K s' (1G 9C%Ri1U �� FI�Ki M EACH `RAFR TML t1W SCREWS INTO S71 /1¢ • r . t .... sPE(rr aoov.Nc AND sHUTHINc OR OPEN uTTi,•; -� (SEE�ROOr)+C -►COTE ON REVERSE) ----------- BUILDI- NG DEPARTMENT APPROVAL BELOW U -STRAP OR ANGLE — (4)- 16d NAILS OR BOLT PROYIOE 1' CLEARANCE _ / N. --,r /M 'l' STRAP$ � I MrtT►t � (�) 16a NAIL•$ OR 801T I P06T SPocNG:_� QK OMFRI�iL , 'NCTN b pPQpS��� SIZE: MRI.) `— J —' Yrt t t iit F�pOTk�C t t it 9ElA'K OIIAOE L - J PROtitpE 1' CLEARANCE • BETWEEN POST AND • CONCRETE U -STRAP OR ANGLE ' NON -CORROSIVE PLATE I (4)- 164 NAILS / OR BOLT •,••�• •r-•R.tN DR SOLID BL_OCKRIG Nll✓L RAFT To 9L BETWEEN POST MIO . CONCRETE ANCHOR BOLT (E►gBEO — 7" MIN. INTO CONCRETE) TYPICAL .PATIO COVER GATE Of APP(.Cj,TgN OWNER'S NN.tE STREET ApORESS CITY. ST ZIP 7ElEPH OME � - O RAFTER SPAN TABLE sq-' Z Q,`Q p0 GRADING RULES `7 `o O 3 ALL CONSTRUCTION SHALL CONFOR': PS 20-70 (3 C' �s� �� TO (FEET &INCHES) THE PROVISIONS OF THE :. pJGi pJc., oJ�`� �,� �p 'IV >O ^� )O� c V �Q* �p'4Z- 0' 2x4 16' O.C. 24' 1 g 2x6_ 16' O.C. 1 14' 4x6 24 1 32' ' 1 2x6 16' O.C. 1 24' ` 17'—O 4x 12 32" ' t t, , , •. NOTES: 1. 32' RAFTER SPACING IS ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. 2. FOR SOLID. PATIO COVERS (NOT LATTICE) RAFTER SPAN IS LIMITED T6 RAFTER USING THIS STANDARD. LATTICE ROOF BUILT—UP ROOF HEADERS HEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR NO. SIZE SPAN I SIZE SPAN 4r.4 4x6 �'-0` 4x4 4'-0` 8'— 4x6 6'-0 4x8 4x8 8'-0 400 14'-0 4x 10 4x.1 2 17'—O 4x 12 6x8 t 4'—Q" 6x8 6x 10 17'—Q 6x 10 14'—D . ROOFING NOTES - A. BUNT—UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITON. Bin # Permit# �"i - cidt Address: S-lelys- City. of La. Q uin to Building 9 Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet 2 G ilowner's Name: 4be-1k k a/ Z#"— A. P. Number: V Address: /J Za Legal Description: Contractor: City, ST, Zip: 4e Telephone: -4 o- Address - Project Description:,* City, ST, Zip: O J s— Telephone: State Lic. Arch., Engr., Designer: City Lie. Address: City., ST, Zip: Telephone: State Lic. �Name of Contact Person:6M tM pe: Cons ction T� Occupancy: .. . ........... ........... .... ......... I .. ........ .................. ....... . . Project -type (circle one): New Add'n -Alter Repair Demo Sq. Ft.: i # Stories: # Units: :Telephone # of Contact Person: L Estimated Value of Pr ojccrV APPLICANT: DO NOT. WRITE BELOW THIS LINE N Submittal Rcqld Rcc1d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up. Construction Flood plain*planP,resubmitted Mechanical Grading plan 2" Review, dy 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 ROUSE:- Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, 4N11 Total Permit Fees .1 P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 BUILDING &.SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 PROPERTY OWNER'S PACKAGE.,,; Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application fora building permit has been submitted in our name listing yo self as a builder of the property improvements specified at -5y ��%_�y , ��. ' __ ell LG A �� 9,2,2,3— We are providing you with anOwner-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. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signs you understand or verify this information. Ak 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 property owner is providing his or her own labor 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 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. ✓ 2. I understand building permits are not required to be signed by property owners unless they are responsible for the const�31 uction and are not hiring a licensed Contractor to assume this responsibility. � ✓derstand 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 natne 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 permmiits and contracts. v 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" 76. to and federal law. understand if I am considered an "employer" 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. i A/i 7. I understand, under California Contractors' State License Law, an' Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. . kAr I--8. 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. 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 (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. �0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally, and financially ' responsible for proposed' construction activity at the following address: s'iyys� C.4 L tsa ✓ 11. 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. r 12. I 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 contract 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 unlicensed Contractor or employee of that individual or frrn is injured while+working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those 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 permit. Note. A copy of the property owner's driver's license, form notarization, or other verification acceptable to the enis required to be presen ed when the permit is issued to verify the property owner's signature. Signature of property owner Date: 4� / to 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 BEHALF 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 rm Peit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: 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 to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: