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PAT (12-1280)v"P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4'yl 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: e'--12"00001280-- Property Address: 52970'AVENIDA MENDOZA APN: 773-333-012-15 -000000- Application description: PATIO COVER - RESIDENTIAL Property Zoning: COVE RESIDENTIAL` Application valuation: 4150 Applicant: Architect. or Engineer: OIL 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 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).: _ IJ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and P` 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, 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. BAP.C. for this reason ot Date: it) 1'2(a:: caner: / 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: �A LQPERMIT VOICE (7 2 FAX (7 7 11 INSPECTIONS (760) 777-7153 Date: 10/26./12 Owner: RUSSELL CURTIS 52970 AVENIDA MENDOZA. LA QUINTA,- CA 92253 -------------------------- - ----- Q D Contractor: " OCT 2 6 2012 Owner CITY OF lA ®UINTA FINANCE DEPT ------------------ 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 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 11 forthwith comply with those provisions IC 0 2L I I 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 FORAN 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 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 ity Ind county ordinances and state laws relating to building construction, and hereby authorize representatives O' is cou ty o "i to enter upon the above-mentioned property fnspection purposes. Date: �J,2ly /� LSi lure (Applicant or Agent): / Application Number . . . . . 12-00001280 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee - 46.80 ' Issue Date Valuation . . . . 41.50 Expiration Date 4/24/13 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ----------------------------------_------------------------------------------ Special Notes and Comments 8' X 39' (312 S.F.) LATTICE SHADE STRUCTURE Q SIDE OF RESIDENCE, CITY STANDARD, 2010 CODES. Other Fees . . . . . . . . . .BLDG STDS ADMIN (SB1473) 1.0,0 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid Credited Due --------- - - ---- ---- - Permit.Fee Total 72.00 .00 .00 72.00 Plan Check Total 46.80 .00 .00 46.80 Other Fee Total 1.50 .00 .00. 1.50 " Grand Total 120.30 .00 .00 120.30 LQPERMIT - i ' Bin. # i City Of la Qum td Building a Safety Division Permit #1_80P.O. Box 1504,-78-495 Calle Tampico d' La Qur' to CA 92253 ' 760 777 7 n O I2 1 Building Permit -Application and Tracking Sheet Project Address: 5-2 9 7 p 41 c ., do Z Owner's Name:. A. A. P. Number. % � f n+c` CA- 9 53 Address: Aue-n 1 d4, Men. -4o 2 - Legal Legal Description: Ci ST Zi f tY. , p `� �J ; n �c`. CA i- 'i Z Z-.-.3 Contactor:ati?> Telephone: -71 3 Address: Project Description: City, ST, Zip: v , \ d 3 Telephone: a ,�C "\ ;y ✓< City Lie. #: le__e T�o� State Lic. # : Arch., Engr., Designer. Address: City., ST, Zip: Telephone:` ° State Lic. #: ,...... Construction Type: , U0 Occupancy: Project type (circle one): Ne Add'n Alter Repair Demo Name of Contact Person: ASS*-_" Clir+iS Sq. Ft.: 3 f a # Stories: # Units: Telephone # of Contact Person: 7 C -D - Sy 5_2,x3 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd 'Reed TRACKING PERMrr FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Pians picked up Constructioa _ Flood ptafa plan_ _ Maus -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 lk 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 Schodl Fees Total Permit Fees gyp® a 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 & Formsfor Owner -Builders Applying for Construction Permits I.11I1°QR NOTICE TO PRQPI RTY OWNER 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 �2 97o AoeAide. !j'l�..dda4 44 We are.pfoviding you with an Owner -Builder Acknowledgment and Information Verification Form to make you awnne:of your' resporasibilities 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'prevision, 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. -- _ .-��.., . �..=�„�r.. a.�,lslriyA�T�t >< PrPtL v 1t•;1�'1(;ATION O11< I1P�I€t'QR11�A,�OP1 DIRE MONS: Head and mitral earth: statement be#oWto signify you understand or verify this irtforrnaEion. f✓ 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 and material personally. 1, 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- !1- arty!1-2. 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.. 3. 1 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. 1, 4..l understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. (-t-'- 5.1 understand if 1 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_ 6. I 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. �k. 7. 1 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. P -L& 1 understand as an Owner -builder if I sell the property for which thispermit is issued, i may be held liable for any financial or personal. injuries susbained 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 ,employee, 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. t-10. 1 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: s2 -%7o A✓cn i atm 01,,l d - 24--4 �Z'�j ; o Vii~ _c A f -2_2 �3 _ .. . LCLl 1. I agree that, as the party legally and financially responsible for this proposed construction activity_ will abide by all applicable laws and requirements that govern Owner=Builders as well as employers. 14-12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the informatkm 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 airy financial loss you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be in'16vil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while.worldug 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 ate property licensed and the status of their woticers' 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 issuirng: fhe.permit. Note: A copy of the property owner's diriver'stkense: form ntrtariztttion, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the.ptoperty owner's signature. Signature of property owner �g- D. I o /z !° b z_ 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 1 understand is my personal responsibility,.1 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. Scope of Construction Project (or Description of Work): Project Location or Address: 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 required to bepresented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: fv 8. 1 understand as. an O-wner-Builder ifI.sell the property.for which this perQiit is .issued, 1. may-be.heldAiAk for any financial or personal. ,injuries. sus°tained,by.any.subsequent owner(s)`that result from any:latent construction defects in the wor�k`manship or materials. L -(C -Y. I understand I ma obtain more information regarding m obli ations as an "employee' froffi"the Iistesr#aI'Itevenue (� Y g � Y 8 mp Y'�" . Service, the United States Small Business Administration, the California Department of Benefit Payments, and thq.California Division of Industrial Accidents.: l also understand 1 ma .contact the California Contractors'. State License Board (U t bDI'1 i- 800-321-CSLB (2752) pr www.cslb.ca gov for more information about licensed contractors. -0-10. 1 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 activityat the following `address:. S2JTo✓eniar: /a'IeAdaz4; �J �Nw (1 �-t 11. 1.. agree that,. as the party legally and financially responsible for this proposed construction activity, I. will abide by all applicablel'sws and requirements -that govern Owner -guilders as well as employers. 14-C'l2. 1 agree to notify the issuer of this form immediately of any additioits;'detetions, of obh ges to any of.the infotmatio(h 1 have .provided on this form. Licensed contractors are regulated by.laws designed to protect the public. If. you 'Ontract with someone who does not have a lieeirse, the: Contractors'. Stale, License Board. maytbe unable to USM you with any` financial loss you may sust.4p.'as a result of a complaint Your only remedy against unlicensed Contractors may be tn'civil .court: It is also important' for you .to understandthai if.an.un}icensed.C®htractor or es3ployee: of,tliat individual or:Brm is injured whi}e :working on your property; you may be held habit for:damages. If you obtain a permit is Owner=Builder:and-wisir'to hire Contractors, you will be responsiljle for: verifyrug.,*r tther. or not -those. Contractors are`.propeiij+ licensed and `the'status of their wo#kers' compensation insurance coverage, Before a building permit can, be issued, this form must be coinpleted sand signed by theproperty. owner and returned to the agency responsible for issuiag:,t pierrnii. Note: A :copy of the property owner?o.4kiver's.lt�ee cej form rroiar .or other verification acceptable to the agency iss required 'ro be presented. when Elie permit is;issuer! .to vcrilY the prppert owner's signature: Signature of property owner I:o 12-4.b„;r . Note: 7'he 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 t?wner-Builder. AUTHORIZATION OF (AGENT TO --ACT ON PR;OPERTY OWNER'S BEHALF Excluding.the Notice to Property Owner; the execution of which 1 understand is my personal responubility, l hereby authorize thefollowing person(s) to act -as my agents) fo-applyfor' sign, and file the documents necessary to obtain an '0 Builder Permit for my project: - Scope of ConstructionProject(or:De'scription of Work). TTI Ie <�� 9 i�.t "��•�` Tom;' 1 �� ROIC�-}P�^..��, - I f / I I �, p _a7�� e •��V I E\3�. G b �• �3.2X' 'GPS.. Cl\ ,z—, Py�s�.stF�1f�` -�s Y��a y al �Jq ' ° �P..�9�uRl 1tiiF q y\[/•t ' • / AN{C 16 � OR1J, OR $oel e 4 38•-4° n p/y •, a� .. - - .... ... _ . .� Y - V" `,-� Y--� .` "__v.�_.._ y� � tee._` ...� • i. Ale — = — Closet Bedroom -0.x 9' 7 .ft. m Bedroom i ' N 4 192sq.ft. 132sq.ft. ` Zi 3•-0 loser 70' V6 -14m T-0° -i = 9'-0Twy x 31 3'-0° �,27 sq.ft. ' q Closet 6'0'x Y-0 • jli . 9nr Bath T -0'x 8'-0° Bath 6'-0' x 8'-0' 3--0.4 - i. 56sq.ft. 1 p 48sq.ft.§ �. • �� alfw 4 Bedroom ; 30 sq.ft.TItI 110sq.ft. 4 b 3 i , 4 ; *sq f. �G1 j Dining 3-0 11-0 130 .ft. sq —T-0-4 , -r CITY OF U� Qu 'BUILDING & S FETY DEPT. , r. 1 ,7'-0" x,6' PPR VE . � • � Kitchen • 27` ft- FOR,CONS UCTI b 13'-0' x 11-0° 4 ' _ 1 z 143sq.ft._ DATE • J 1 � P Y , 44 . Garage 21-0'x25-0' 'i.• 4 i ; • 525 sq. ft. I e' i' r• � q V,p 2 G a r ,, - f w , ` _ Z n � Tg �iL7G L z1:4• � RAFTER SPAN. TABLE ,` p GRADING .RULES `�'� s` ALL CONSTRUCTION SHALL CONFORM cs ° TO THE _ PROYISCONS OF 'THE,. r FEET 'INCHES) pJ��:' pJ��. pJG; �.. t Li' S.UPPLlAENTA NOTES :20_ 1-67 :_.0 C 24 — 6•_0 .7 _3- :24 t 6' O ..1247- _N/A HIAJ 1.. 32'i iXFTER SPACING IS ALLQWAB' LE .' FOR OPEN LATTICE PATIO COVERS ONl 2. FOR. -SOLD:: PATIO COVERS (NOT-LATTICEt RAFTER,Bd'AN {S:UMITED TO .10'-O' USING; ---._.. THl3:STANDARD ,. °lAtTICE R00F w _ ... BUILT—UP ROOF ' HEADERS . - HEADERS. VOOUrLAS FIR NO1 x 000GLAS '.'FlR NO' 1 r s SI' SPAN "SIZE SRAN ' ROOFING } N� TES. 4r4 :` a -0 r4x4 _ 4''"� A BUILT=UP, :ROLIEO ROOF SLOPE TO DRAIN`. 4x6 8'-0" 4x6 4x8 1 1 -0 4x8 g'`_p B ROCK :ROOF:` 3f 12 MAXIMUM PITCH , ;4x1A`, W-40 — 0 4x1O 10'-0 4x-12'` 2 .. 6x8 14' 6x10 17 —0 6x1.0 14.=01,