13-1279 (PAT)4f�G1�GV
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/08/13
Application Number: 13-00001279 Owner:
Property Address: 52955 AVENIDA CARRANZA WOLLASTON NORMAN
APN: 773-321-010-10 -000000- 52955 AVENIDA CARRANZA
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253 o
Property Zoning: COVE RESIDENTIAL (
Ip\
Application valuation: 700 D (�
Contractor: r v p 2013
Applicant: Architect or Engineer: Owner U
CPf Y OF 1-p` QUIPITA
FIN CEO
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
apy�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.).
, 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.).
0_/L./ I am exempt under Sec. , B.&P.C. for this reason
Date:AD' 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: ff��
Lender's Address: U\
LQPERMIT
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
AC/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:�fhF l 3 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 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 county to enter upon the above-mentioned property for inspection purposes.
DateSignature (Applicant or Agent): 441p '-7,4 Al /
Application Number . . . . . 13-00001279
Permit . . . PATIO COVER 2013
Additional desc .
Permit Fee . . . . 95.81 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 700
Expiration Date . . 4/06/14
Qty Unit Charge Per Extension
1.00 95.8100 EA MISC PATIO COVER, STD 95.81
----------------------------------------------------------------------------
Special Notes and Comments
PATIO COVER - 144 SQ FT LATTICE PATIO
COVER [CITY STANDARD] 2010 CALIFORNIA
BUILDING CODES.
------------------------------------------------ ---------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, PATIO COVER 94.38
STRONG MOTION (SMI) - RES .50
Fee summary Charged
Permit Fee Total 95.81
Plan Check Total .00
Other Fee Total 95.88
Grand Total 191.69
LQPERMIT
Paid Credited Due
.00 .00 95.81
.00 .00 .00
.00 .00 95.88
.00 .00 191.69
V
Bin #
Submittal
Req'd
City Of La Quinta
Building 8i: Safety'Division
P.O. Box 1504, 78-495 Calle Tampico
—L-a-Quinta; _C_4.-922,5-3---(-7-69)-7-7-7--70-1-2---------.- --- -- --
Building Permit Application and Tracking Sheet
Permit.
_ _
Project Address: SZ 9
S� Ate-
t�a
Owner's Name: N v Sv
A. P. Number:
Plan Check submitted
Address:
Legal Description:
Contractor:�
Structural Calcs.
City, ST, Zip: 7 "a t^ pr 2
Telephone:
Address:
614 1-4.4�
Project Description:
City, ST, Zip:
.2 4s'
t9 / iG-A1 6
Telephone:
o V.6.2
"•'ifyi:i?:� i:iS;:fij:Q: t;ij%.:''� iifij �;ii'r{:;:: ii
:;t,;:i`::a:;y'::•ia•91.;;:iyiii;:i:<rigiN,.¢ii;:'<4r
�►
State Lic. # :
City Lie. #:
Title 24 Calcs.
Arch., Engr., Designer:
Plans picked up
Address:
Flood plain plan
City., ST, Zip:
^
Plans resubmitted
Telephone:
p
;.;,,..;::.,:. •.: «.;::•,-:.;.:.:::<..
.:'t4:Y.•r'� :iii �.:.: F.•i :viii:•i>:4:. i:iA:..�:{}j_.
`i'•�� i•'iiF-::.i:i'%tii f:4ji;t:i i`Ri:%i:'': iii::
.Y�:?ili jifvf� i�Ci:F�.:lvri` ri;Y ri
"'> >.,;:; : `'f'i '< ii''"'"i i r >
Construction Type. Occupancy.
State Lic. #:
Project type (circle one): ew Ad Alter Repair Demo
Name of Contact Person:
Electrical
Sq. Ft.:
# Stories•
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 77
Plumbing
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
'Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god 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.1.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
rIi�4�.7
I
i
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAT LS hl! BY
4110"
1..
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
e
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
DWORT'ANT t NOTICE TO MOFERTY 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 �'-? g �" IiE _ �/� o4R►�N z4 L fi ca, 9:�_p S 3
W are providing you with an Owner -Builder Ackaowledgment-and Information Nerification 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.
OAR'S ACKNOWLEDW) T AN]) 'VERIFICATION OF RWORMIWN
17fREt'770NS: Read and initial eachstatement below to signify you uirclerstand or verify this informaEion.
i�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-
Z/2.
roperty
Z/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.
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.
mz4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
A1415. 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"
under state and federal law.
A /6-4. 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 -
A/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.
X28. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be he'd 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 1 may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
X10. 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 reslwns to . for proposed construction activity at the following address:
AZ11. I agree that, as the party legally and financially responsible for this proposed construction activity,.t will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
/v L) 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 oufirm 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 hitt Contractors,
you will be .responsible for. verifying whether or not those Contractors are properly licensed and the status of ftir wotkers'
compensation insurance coverage.
Before a building permit can be issued, tiffs form must be -completed and signed by the property owner and returned to
the agency responsible for issuing,6e..permif. Note: A copy of tke property owner's ditiver'sAcemm, farm notar;,�0470; 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 /� G%� Date: Z2
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 persons) to act as. my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Buitder
Permit for my project.'
Scope of Construction Project (or Description. of Work):
Project Location or Address:
Name of lkuthorized 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: Date:
•vv Ln NLL ArQ SPAC*4C
--------------
ROOF PITCH
COAPTs --------
(SAW SSQES)
HEADER Sai
4•TER SPAN: .
REAR SETiACK $WE SOW
2000 P.S.I Cof#CRm _._ . 1 nNISI+ CRADE f ORA
L -J
, I
OP" LATTICE- PATIO COVERS MAY BE ATLZHM. TO
WC OtrE 1��' r S' (/� SCREWASCm
T1410lJCN FASCIA INTO EACH `RAnER 1
3/11' ` S' LAC SCRENS M40 STTIY4 .T ., n
..v.a►vvvkkR OR SOUO 6LOCsmc
NAIL RAFTER TO OLOCK1M0
BUILD!NG DEPARTMENT APPROVAL BELOW
SPLC" ROOFINC " SHEATIONC OR OPEN LATTM;E
(SEE ROOFk1, NOTE ON REVERSE)
------------ -- - ----
'T' AM 'L' STRAPS --
i�a6'r1'r1/6� WITH
(4)'164, NMLS OR DOLT
L �- . Mil. I r Y l r F001M*1G I 1.
L -J ' 12'' 6EWW 0WOE L -J
U -STRAP OR AN(
NON —COkR0 p7k
(4.)- 16d NAILS
OR BOLT
rKVVVJL. i' -LIXARANCE
BETWEEN POST AND .
CONCRETE=-----�
U—STRAP OR ANGLE
(4)- 16d , NA1LS --
OR. BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST MD
CONCRETE
ANCHOR BOLT (EMBED —
T MIN. INTO CONCRETE)
TYPICAL PATIO COVER
OATE Of APPLICATION — L
13
OWNER'$ KAUE
STREET AOORESS�,
ffY
C, ST ZIPf'.,.�: 4 P9
Q.. Q. Q.
RAFTER SPAN TABLE.... � 4�,`Q-' 'q- q-' 000
GRADING .RULES `) C.') c) Gi
'(FEET °dc INCHES)
O�
)O
N.OTES:-
1. :32 -'PAF"C'ER.SPACING IS ALLOWABLE
FOR -OPEN LATTICE PAT10 COVERS ONLY.
2. FO,R SOLD. PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED. TO 10'-0« USING
TN19 STANDARD.
BUILT—UP ROOF I
HEADERS HEADERS,
OOVGLAS FIR N0. 1 DOUGLAS nR NO. 1
SI7E SPAN SIZE .SPAN
4x•42'-0" 4x4 4'--0"
4x68.0 4x6 6'-0
4x8 11'-0IL
4x8 8_0
4910 14'-0 400
4x 12 1 T-0 4x 1.2 1 '—nom
6x8 14'-0" 6x8 1_
_ `F C'«
6X 10 `�17'-0 1-6x10_ 14'-.0
ALL CONSTRUCTION SHALL CONFORti
M -THE. PROVISIONS :OF THE :.
:: [ LATTICE ROOF `
5
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF; 3/112 MAXIMUM PITCH.
16"O.C..
®®oma
®■rte
N.OTES:-
1. :32 -'PAF"C'ER.SPACING IS ALLOWABLE
FOR -OPEN LATTICE PAT10 COVERS ONLY.
2. FO,R SOLD. PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED. TO 10'-0« USING
TN19 STANDARD.
BUILT—UP ROOF I
HEADERS HEADERS,
OOVGLAS FIR N0. 1 DOUGLAS nR NO. 1
SI7E SPAN SIZE .SPAN
4x•42'-0" 4x4 4'--0"
4x68.0 4x6 6'-0
4x8 11'-0IL
4x8 8_0
4910 14'-0 400
4x 12 1 T-0 4x 1.2 1 '—nom
6x8 14'-0" 6x8 1_
_ `F C'«
6X 10 `�17'-0 1-6x10_ 14'-.0
ALL CONSTRUCTION SHALL CONFORti
M -THE. PROVISIONS :OF THE :.
:: [ LATTICE ROOF `
5
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF; 3/112 MAXIMUM PITCH.