09-0498 (PAT)4 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: 5/19/09
Application Number: 09-00000498 Owner:
Property Address: 53490 AVENIDA RUBIO BEN GILMORE
APN: 774-073-012-13 -000000- 54-955 AVENIDA ALVARADO'
Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA 92253,
Property Zoning: COVE RESIDENTIAL ---------------------------------
Application valuation: 2407
Contractor:
Applicant: Architect or Engineer: Owner
-----------------------------
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
1 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
anpplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
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.&f. for this reason
Date:
I CORUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there Wa 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:
LQPERAIIT
--------------- - - -
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 I Policy Number
I certify that, in the performance of thew k for which this permit is issued, I shall not employ any
person in any manner so as to becom subject to the workers' compensation laws of California,
'/1'r/9//aandn7d'�9agree that, if I should become lect to the the compensation provisions of Section
—_� 6' 0 of the Labor C 0,1 hall f hwith comply with those provisions.
.Date: 6 - Applicant:'
WARNING: FAILURE TO SECURE WORK 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 fallowing 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 b g constr� ion, and hereby authorize representatives
of this county to upon the above-mentioned pro , ins �*ction purposes.
Date: V Signature (Applicant or Agent):
67
Application Number . . . . . 09-00000498
Permit PATIO COVER PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check
Fee 35.10
Issue Date . . . . Valuation
. . . . 2407
Expiration Date 11/15/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
.
181SF PATIO STRUCTURE AT FRONT OF
DWELLING/VB/RES-3 [ENGINEERED] THIS
STRUCTURE IS DESIGNED WITH ELEMENTS
EXCEEDING THE LIMITATIONS OF CITY
SPECIFIED STANDARDS FOR PATIO COVERS.
THE EXCLUSION OF THE HORIZONTAL
DIAPHRAGM HAS BEEN DESIGNED IN
ACCORDANCE WITH ACCEPTED ENGINEERING
PRACTICE AND THE PROVISIONS OF THE 2007
CALIFORNIA BUILDING CODE. [SEE PROVIDED
ENGINEERING ON FILE]
May 19, 2009 10:57:20 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
STRONG MOTION (SMI)
- RES .50
`Fee summary Charged Paid Credited Due
Permit Fee Total 54.00 .00
.00 54.00
Plan Check Total 35.10 :00
.00 3.5.10
Other Fee Total 1.50 .00
.00 1•.50
Grand Total 90.60 .00
.00* 90.60
LQPERDiIT
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: l�aJ �b jA 1IE,,,J D A (j,v{j
Owner's Name: Ka-rn0111Zc
A. P. Number:
Address: �Q C.d19t2A%0
Legal Description:.
City, ST, Zip. J_A ,) A e—A ?2'1-73
Contractor: /��^�,,� ,/�, %3 L 1. i -.r /�
�-'V 1 / � ' � (�!
elephone:
h •:i•.' • x•.f. Orr:/'Nfii G:v
Address: �'�s yV ID& A LJAet A Da-
Project Description:
City, ST, Zip:2�
La4 i r-JTA CA
Telephone a – 6
'?'?;?::; :;:z::>:;:s:<%i<•<:<•;:;;r::1,4
r6 Ho—
State Lic. # :
City Lic. #.-
Arch., Engr., Designer:
"
Address:
City., ST, Zip:
•:S;ii}}i'+•.+�•i}i$4:y'{:�:::�w :. :.}::.}:•nxXxii+ri:•i:'
•. : v+.!•.r:%: ''Ti •il;ti:}iff. ij:}�!i:;ittiii�:vi•.}•.};:,'.
Telephone: <::<:>:x :>.<:<,sfi<; ':
State Lic. >:.}::zh:;<i<ry::±;:::r<4>i::
-
::. Construction Type: Occupancy:
Project type (circle one): New . Add'n Alter Repair Demo
Name of Contact Person: .
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:Estimated
Value of Project: 40VIV' }in)
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitte
I �� n
Item Amount
Structural Calcs.a,
Reviewed, ready for &orrections I
Plan Check Deposit ^�
Truss Calcs.I
Called Contact PersoiJ� i '
ifl
I Plan Check Balance,
Title 24 Calcs.
Planspicked up
I Construction CA ab
Flood plain plan
Plans resubmitted
Mechanical �•
Grading plan
2n° 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:-
"4 Reyiew,.ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
to
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
'
Total Permit Fees ��
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 -70 12
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
WPORTANT! NOTICE TO PROPERTY 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
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.
OMMER'S AC"OWLEDGMENT AND YERMICATION OF INFORMATION
DIRECTIONS: Read and initial each. statement below to signify you understand or'verify this information.
V 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. 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
construction and are 'not hiring a licensed Contractor to assume this responsibility.
_LA,/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.
�5. I understand if I employ or otherwise engage any persons, other than California licensed Contractor's, 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.
V 6. 1 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.
VV 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.
Z8. I understand as an Owner -Builder if 1. sell the property for which this perfr6t is issued, I may be held liable for any
financial or personal. injuries sustained by any subsequent owners) that result from any latent construction defects in the
workmanship or materials.
__L19. 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 (CS'LR) at 1-
8'00-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
-3
V" 10. 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:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, .l will abide by all
applicable laws and requirements that govern Owner=Builders as well as employers.
12. 1 agree to notify the issuer of this. form immediately of any additions; deletions, or changes to any of the infArmatioh 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 assistyou 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 f= 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 property 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 Mver's.licensei form notarizatebn; or
other verification acceptable to the agency is r guired to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Date: O
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
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
1 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' 's signature..
Property Owner's Signature: Date:
` vl CHARLES D. GARLAND ARCHITECT
Architecture, Interiors, Space and Land Planning, and Structural Design _
Principle: Charles D. Garland, Architect
Associate: Efrain Cardenas, Engineer in Training, +,
14 May 2009.. , ; ; - .• . , '4 P _ � : ,' : ,-`
The City of La Quinta
Department of Building and Safety ` ' -
78:495 Calle TampicoY-
La Quinta, CA 92253
Project: Renovations to The Gillmore SFR at: Y `
53=490 Avenida Rubio - {
La Quinta, California
-s
Regarding: Structural Certification ".
To Whom It May Concern,
I am a licensed Architect in the State of California and am herewith submitting structural attachment detailing for the
noted project's structural system at the patio colonnade.
I hereby state therefore, that the project will still conform to the structural design intent of the structural design
intent as exhibited in the design drawings submitted by MVP Designs.
If you have any further questions regarding this project please dornot hesitate in contacting me.
Respectful) p ARCCITY OF LA QUINTA
�C g D. pqR F�►� BUILDING & SAFETY DEPT.
Q: APPROVED
Na. 011891 o FOR CONSTRUCTION
/2009
Charles D. Garland ilollTE DATE l�I 8Y
Architect
1- SOF CA��
74-991 Joni Drive, Suite 9 - Palm Desert, CA'92211 o Plone: (760) 340-3528/Facsimile (760) 340-3728
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I. EXISTING 4" THK. REINFORCED SLOPED CONCRETE 12. EXISTING ROOFING: GRAVEL OVER ROOF FELTS
GARAGE SLAB H/ 4`x6" CURB 0 EXTERIOR HALLS. PLYWOOD 5HEATHIN6.
2. EXISTING 4" THK. REINFORCED CONCRETE 15. NEW DIAGONAL 2x4 BRACING PER APPROVED
RE5IDENCE-5LAB wl PERIMETER FOOTINGS: STRUCTURAL DETAIL.
5. NEW 4" THK. SLOPED CONCRETE PATIO SLAB kq/
6x6/I0xIO N.N.F. 4 PERIMETER FOOTIN05 -SEE
FOUNDATION PLAN 4 DETAILS.
4. REMOVE EXISTING STUCCO 4 PROVIDE NEW MIN.
1/8" THK. STUCCO OVER METAL LATH AND TYVEC.
5. PROVIDE NEW MIN. Ile)" THK. STUCCO OVER METAL
LATH AND TYVEC.
6. VERIFY OR PROVIDE PLYWOOD 5HEATHIN(5 PER
STRUCTURAL ENGINEER FOR SHEAR HALLS OVER
EX15TINO 2x STUDS 0 16" 0-6-
1. VERIFY OR PROVIDE MIN. R-15 BATT INSULATION a
EXTERIOR HALLS - TYPICAL.
8. VERIFY OR PROVIDE 5/8" TYPE 'X' GYP. 5D. 0
INTERIOR OF GARAGE WALLS.
1. VERIFY OR PROVIDE 1/21, GYP. BD. ON 2x STUDS SLAB
Ib" ox,. - TYPICAL.
10. REMOVE EXISTING OVERHANG 4 FASCIA BOARD a
PERIMETER KALL5 - TYPICAL.
11. VERIFY OR . 5D. ON 2x ftw = B
- PROVIDE 5/5" GYP. PAT 5 h' T� I uo` h N
JOISTSR CEILING ')All - rep I r. A I c
RAFTERS L-r-%zP I-/
SCALE: 1/411 = 1'- 0"
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PROVIDE NEW ROUC-7H-5ANN
110, 221xI2 BAND
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to 1-4111211 12 1'-611121
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CONSTRUCTION HOURS
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Mohday nei�y,!.* ..:00 a.m. to 5:30 p.m*
8:00 a.m. to 5:00 pm. on the following Code Holidays:
Sa irdar.
None Sulay: N CITY OF A QUINA
Go ernment Code Holidays: None New yeaes Day EXISTING
BUIUDIN13 C 11-1krMY
M Dr. Martin Luther 10ng Jr. Day
WALLLEGEND: 14st - Septem, r 30th I�'p'�D
Mopday _Friday: :00 a.m. to 7:00 p.m. President's Day
Sattrday: 8:0 a.m. to 5:00 p.m. rortk cm , m lu wmM,! v
Memorial Day RESIDEK'CE
a
THE, I
30'h
00 a.m.,
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EXISTING RESIDENCE ROOF FRAMIN(5 Lavorvay"?
NOTE: TYPICAL WALL 5PACINO UNLE55 NOTEDVeteran s Owl PHASES q CO STRUCTION AND MUST BE
OTHERV415E ON THE PLAN. I Thanksgiving Day EMPTIED AS NE ESSARY. FAILURE TO DO SO
Cs�
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LIVING ROOM
THE % TO HAVE THE CONTAINER
Christmas Day MAY CAUS 1TY Yaw- -to -efv7)vl fIpw,;,
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D TTNEEXPENSE OF THE OWNER/
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EXISTING 12" DEEP \—EX15TINC, REINFORCED
PERIMETER FOOTING 195" 50. x 12" DEEP COL. SCALE DATE
FOOTING
I AS K1nTf:n 4.30-9009
..........
................................ ..............
; - ......................... . .... ... ... ..................
... ................
... . .... ...
A T I F mmm' AAK M I N G P LAa 'i'm`
r %Me
50ALE: 1/4" = 1` 0"
-7� NORTH
Mill M
SCALE: 1/411 0 11
NORTH
'T , If"11
0"
WALL Lr.%Mr.IMLJ-- SHEET NUMBER
---i EX15TINC72x4 STUDS 6 1611 0-6-
NEV4 2x4 STUDS 0 16" 0-r-. (OF #I).
NOTE: TYPICAL WALL 5PACINC7 UNLE55 NOTED
OTHERK15E ON THE PLAN.
APRIL 30, 2009
0
.... I . .....
------------
NORTH 13