12-1180 (PAT)1
P.O. BOX 1504 VOICE (760) -
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/05/12
Application Number: 12-00001180 Owner:
Property Address: 51772 AVENIDA CARRANZA TAPIA RESIDENCE
APN: 773-165-002-23 -000000- 51-772 AVENIDA CARRANZA
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL ---------------------------------
Application valuation: 1556 D
Contractor:
Applicant: Architect or Engineer: Owner OCT 0 5 2011
-----------------------C!•W-0FLAQUINTA
FINANCE DEPT.
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:
r _ .
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, 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.).
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. , BAP.C. for this reason
`
Date: f o S Owner ! Cl7_/
T.,
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:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
1 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 I 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
q 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: FJ i 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.
1 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 co u ty to enter upon the above-mentioned propert or inspection�pyrpose
Date: � /! 2, Signature (Applicant or Agent): /
Application Number . . . . . 12-00001180
Permit . .
. PATIO COVER
PERMIT
Additional desc .
Permit Fee . . .
. 37.00
Plan Check Fee
24.05
Issue Date . . .
.
Valuation . . .
. 1556
Expiration Date
4/03/13
Qty Unit Charge Per
Extension
BASE
FEE
15.00
11.00 2.0000 HND BLDG
501-2,000
L
22.00
--------------------------------------------
Special Notes and
Comments
----------------=--------------
FRONT YARD PATIO,
117 SQ FT. PER
CITY
STANDARD.
------------------------------------------------------------------------------
Other Fees
. . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
- -----
Charged
---------- ----------
Paid Credited
---------- ----------
Due
-----------
Permit Fee Total.
37.00
.00 .00
37.00
Plan Check Total.
24.05
.00 .00
24.05
Other Fee Total
1.00
.00 .00
1.00
Grand Total
62.05
.00 .00
62.05
LQPERMIT
I
"At ItR SIZE AND SPAClNG 0
ROOF PReH
CONTINUOUS(SAME tLoom
AS RAFTERS)
HEADER SIZE
SPECIFY ROOFpIc AND sHEA.TNINc ORti N_
(SEE ROOFING NOTE ON REV
— LQ --. I `r ASID V STRAPS I
1 VICKI'x1/6 WITH W
(4) 160 .NAILS OR BOLT
' RAFTER SPAN: � � � 1
O.M. POST V_A N I3
OVERAIL HCT".
-----^ POSE Stte:
REAR SETBACK Wfor &m.) i0
I
1NAS11 CRAKE ftAS" GRADE
I. 1AK 1Zx17' FOOTIHC I 1
I
L__j iT BCW* CRADE L__j
PROVIDE 1" CLEARANCE
FioTF. BETWEEN POST AND
tATTTCE PATK) CONCRETE
VIA ONE 1/s' r �r COVERS IMAM 8E ATTACHED TO EXISTMIG FASCIA
SCREt1I T►1itOUGN FASGLt INTO EACH RAFTER TAIL
U—STRAP OR ANGLE ---
LAG SCREWS MO STUDS AT 16'0
.C. NON—CORROSIVE PLATE —
••� ' �.vicec uH 50UD BLOCKM
NAIL RAFTER TO BLOCKING
(4)— -16d NAILS
OR BOLT
U—STRAP OR ANGLE —
(4)— 1 Gd NAILS
OR BOLT'
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
BUILDING DEPARTMENT APPROVAL BELOW I
ANCHOR BOLT (EMBED
T MIN. INTO CONCRETE)
-- TYPICAL PATIO COYER
_ - -- — DATE OF APPUCATION
r' OWNER'S NAME
STREET ADDRESS �^72—
CITY. ST ZIP f r/7p f�-•f N
--- - TELEPHONE 6 Q og,7,q i✓ !� Z —
H.O.A. APPROVAL
___
RAFTER SPAN TABLE
GRADING .RULES
PS 20-70
(FEET & INCHES)
2x4
16 0_C.
24"
10'-6`
9'=5
T -i
DOUGLAS FIR NO. 1
8'-6' -v" 6'-0'
7'-T
SPAN
SIZE SPAN
j_2_4_
16' O.C.
15'-0:
14'-
1 -
13'-0"
- 8'-9
1 ,
- A
N A
14'-0
400
2x8
lli U.C.
1 '- "
1
3'-G
16'-6
1600.
17'=0
6x10 14'-0"
NOTES:-
1.
OTES:1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID. PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED TO 10'-0" USING
THIS STANDARD. .
LATTICE
ROOF
BUILT-UP ROOF
HEADERS
HEADERS
DOUGLAS FIR NO. 1
DOUGLAS FIR. NO. 1
SIZE
SPAN
SIZE SPAN
4x.4
4x4 q•.p"
4x6
4x6
4x8
11'-0
4x8 8'-0
.4x10
14'-0
400
402
17'-0
4x12 _ 12'-0"-
16x8
14'=0"
6x8 _ 1?' -Q"
1600.
17'=0
6x10 14'-0"
o°
ALL CONSTRUCTION SHAI.L CONFORM
T0. THE. PROVISIONS OF THE
SUPPLEMENTAL NOTES: I
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN
B. ROCK ROOF:. 3, 12 . MAXIMUM PITCH.
t`
'
o°
ALL CONSTRUCTION SHAI.L CONFORM
T0. THE. PROVISIONS OF THE
SUPPLEMENTAL NOTES: I
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN
B. ROCK ROOF:. 3, 12 . MAXIMUM PITCH.
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA.92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
PROPERTY OWNER" S PACKAGE
FAX (760) 777-7011
Disclosures & Forms for Owner -guilders Applying for Construction Permits
11WORTANTr NOTICE TO PROPERTY OWNER
Dear Property Owner.
An. application .for a building t has been submitted in your name listing yourself as the builder of the property
impnovernents specified at.
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.
OVMWS AC!9P_WLE_R(; MT AND VERMCA ION OYMORMUON
DIRECTfONS: Read cared initial each_ statement betow is signify you understand or ve 6 this information.
RTP 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 Ownr-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
Op my Piny
�r.I understand building permits are not required to be signed by property owner
�s unless they are responsible for the
construction and are not hiring a licensed Contractor to.assume this responsibility -
1 -40-1 I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that 1 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.
Av_i. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
Or 5. understand if I employ or otherwise engage any persons, other than Califomia 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.
12 1 V6. 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 fmancial
risk.
la -W7. 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.
'c
11 8_ I understand as an Owner -Builder if I sell the property for which this permit is issued, 1 may be held liable for any
financial or personal. itt cries snistained 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 "employee' from the Interr`nal Revenue
Service, the United States Small Business Administration, the California Department of.Benefit Payments, and the California
Division of Industrial Accidents. 1 also understand I may contact the California Contractors' State License Board (CSLB) at I -
800-32 1 -CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10_ I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that 1 am the
party legally and financially. responsible for proposed construction activity at. the following address:
�r11- 1 agree that, as the party legally and ftnancially responsible for this proposed construction activity,.I will abide by all
applicable laws and requirements that govern Owner=Builders as well as employers.
�'f i" 12. 1 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 firm is inyuted while.working
erty;
on your propyou 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 Contactors are properly 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 issu_i .%e.permit. Now A copy of the property owner's dsiver'slecenset form rrotar a; or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the.preperty
owner's signature.
J � j
Signature of property owner. Date -
Note:
C2---1
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, l 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: 5 1-772— A-J� �i►-f� Wil,—ter
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 t6 be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: / J �.r�%° Date: 5 �—
.4 permit8. 1 understand as an Owner -Builder if I sell the property for which this pert is issued, I may be held liable for any
financial or personal. injuries sussed by any subsequent owner(s). that result from any latent construction defects in the
workmanship or materials.
M9. 1 understand I may obtain more information regarding my obligations as an "employee, from the lnterual Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand 1 may contact the California Contractors' State License Board (CSM at 1-
800-321-CSLB (2752) or www.cslb.ca_gov for more information about licensed contractors.
TV -10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
parry legally and financially responsible for proposed construction activity at the following address:
1 agree that, as the party legally and futaucially responsible for this proposed construction activity, .1 will abide by all
applicable laws and requirements that govern Owner=Builders as well as employers.
�, 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 Contiwtors' State License Board may be unable to assist you with any 6naneisl 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 firm 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 ConUactors,
you will be responsrible for verifying whether or not those Coutractors are properly licensed and'the status of their wo#icers'
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 issaiftil e.MmiL Nese: A copy of the property owner's Myer's ticenesvi form"MrA00m, or
other verrfrcadon acceptable to the agency is required to be presented when the pennit is issued to verify the,praperty
owner's signature. �)
Signature of property owner GYM 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 BEHALF
Excluding the Notice to Property Owner, the execution of which 1 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.
Scope of Construction Project (or Description of Work):
Project Location or Address: S Z t- -J4� _
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 be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: ,�iK 7yZr,-��/ �l�'L?4 Date:Z—
~. W,2 - ('I1 ':Y UFLA QUINTACase
No - -
.>
Fee: $200
�~ ° Community Development Department
APPLICATION FOR MINOR ADJUSTMENT
APPLICANT: Submit this form with two copies of a scaled site plan, drawn to adequately depict the nature of the request.
A nonrefundable fee of $200 is required when the Application is submitted. The check must be made payable to the "City
of La Quinta". A Minor Adjustment Permit (Section 9.210.040/Zoning Ordinance) maybe approved only for deviations
of up to ten percent of a numerical development standard (for example, a reduction of one foot from a ten -foot setback
requirement) or for deviations specifically identified in the La Quinta Zoning Ordinance. Other deviations shall require
consideration of a variance (pursuant to Section 9.210.030Nariance\Zoning Ordinance). If the Applicant is not the owner
of the property, a letter must be submitted by the owner authorizing the Applicant to execute this document in his behalf.
PLEASE PRINT OR TYPE
APPLICANT/CONTRACTOR: PrTVID �A-i�) i K-) DATE: j
CONTACT PERSON (IF DIFFERENT): ,� l�C ° l e -,f- PHONE: 5 LA
MAILING ADDRESS: S i �" } L CA -a -f2_ A-r� �' G(Z Z 3
(Address)
OWNER'S NAME:_ py M 6
(City) (State)
(Zip)
MAILINGADDRESS: y I Z
C&e_O-AN ZA
l Q 0 �4'r p+'
q ZZ.
(Address)
(City) (State)
(Zip)
STREET ADDRESS OF PROPERTY:
fJ L Z A 0-46, C^-
IZ t21Q M 'Z A --
LEGAL DESCRIPTION OF PROPERTY: LOT #
TRACT
ASSESSOR'S PARCEL NUMBER:
ADJUSTMENT REQUESTED:
OV -71- (0
REASON FOR REQUEST:
SIGNATURE OF APPLICANT
v
i •.�FINANCEDel-
DATE
p
SIGNATURE OF OWNER (if not the same as applicant)
PLANNER: I
The following findings shall be made by the decision-making authority prior to the approval of any Minor Adjustment
Permit:
1. Consistency with General Plan. The project is consistent with the General Plan.
2. Consistency with Zoning Code. The project is consistent with the provisions of the Zoning Code.
3. Compliance with CEQA. Processing and approval of the permit application are in compliance with the requirements
of the California Environmental Quality Act.
4. Surrounding Uses. Approval of the application will not create conditions materially detrimental to the public health,
safety and general welfare or injurious to or incompatible with other properties or land uses in the vicinity.
A2\Form013
Bin. #
OW Of % Qu(n to ,
Buil(flng 8t Safety Division
Permit #
P.O. Box 1504,78-495 Calle Tampico
r� Q
1a.Quinta, CA 92253 -:(760) 777-7012
Permit
Building Application and Tracking Sheet
Project Address:Owners
Z
Name:.
A. P. Number.
Address: Z
Legal Description:
City, ST, Zip: (,A-
i Contractor.
� �
yTelehone:
p
Address:
Project Description: pl TIC
City, ST, Zip:
i Telephone:
if �i`1yry'":\moi
State Lia N:
City Lie. #:
Asch., Engr., Designer.
j Address:
City., ST, Zip:
Telephone:
Construction Type:. Occupancy:
State Lie. #:fl�
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
�] ��P Sq. Ft : # Stories: #Units:
Telephone # of Contact Person:
Z Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
fl Submittal Req'd
Recd TRACKITTG PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Pian Check Balance -
Tide 24 Calci.
Plans picked up Construction
_-- Flood plaln pion,
-Plans-resubmitted.. -Mechanical —
--
Grading plan
Z" Review, ready for correctionstissue
Electrical _-
-
-Subeontactor List
--
Called Contact Person
Plumbing - - --- '
Grant Deed
Plans picked up
S.M.L
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. Apps
Date of permit Issue
School Fees
Total Permit Fees