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09-0220 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: '09-00000220 Property Address: 53585 AVENIDA RUBIO APN: 774-112-015-4 -000000- Application description: PATIO COVER - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 2394 Applicant: Tji!t 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 ISec. 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 appJi for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001: 1 _ 1 as 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 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.&P.C. for this reas9A n 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 Owner: BENITEZ ADELAIDA 53585-AVENIDA RUBIO LA QUINTA, CA 92253 ( Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 f Date: 3/10/09 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 ubject to the workers' compensation provisions of Section 3700 of the LaborrCC�odd�e/ III hall f thv ' co 'th those provisions. Date: /62az ; Applicant! O/'1 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 workis 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 pr perty for jAspegnipri f32t�� Signature (Applicant e Application Number . . . . . 09-00000220 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee 54.00 Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 2394 Expiration Date 9/06/09 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 180 SQUARE FEET PATIO COVER TO CITY STANDARDS AND APPROVED PLANS APPROVED KK March 10, 2009 9:51:58 AM pjuarez. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00. .Fee summary Charged Paid Credited _Due Permit Fee Total 54.00 .00 .00 54.00 Plan Check Total 35.10 .00 .00 35.10 Other Fee Total 1.00 .00 .00 1.00 Grand Total 90.10 ..00 .00 90.10 LQFERMIT RAFTER SIZE AND SPACING SPECIFY ROOFING AND'SHEATHING OR OPEN LATTICE -ZXC--A-�-�- (SEE ROOFING NOTE ON REVERSE) 1 �pw, ,.Q • ROOF PITCH—� CONTINUOUS LEDGER (SAME SIZE AS RAFTERS) HEADER SIZE X m' AND 'L' STRAPS ' _1 Cx�xl'xt/8" WITH f --- i (4). 164 NAILS -OR SOL I. u % I/ J L x RAFTER SPAN; l� �. Z � -� POST SPACING: O.H. v �& 0 OVERALL LENGTH: a OVERALL LENGTH: �� . POST SIZE: 1 REAR SETBACK 1 SIDE SETBACK (4-wr MIN.):. �O 2000 P:S.I CONCRETE _- I FINISH GRgDE FINISH GRADE ` MIN. 17'x12 FOOTING 1 I L --J i2'BELOW GRADE L—J PROVIDE ,1" CLEARANCE BETWEEN POST AND NOTE, 'CONCRETE OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA VIA ONE 1/4" x 5 LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL U—STRAP OR ANGLE Ito 5 LAG SCREWS INTO STUDS AT .16* O.C. NON—CORROSIVE PLATE- . ApE • CONTINUOUS LEDGER • GR - • III � II (4)— :16d NAILS OR BOLT U -STRAP OR ANGLE 16d NAILS JOIST HANGER.OR SOLID BLOCKING OR BOLT . NAIL RAFTER TO BLOCKING PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE I I III II ' II II BUILDING DEPARTMENT APPROVAL 'BELOW ANCHOR BOLT (EMBED 7". MIN. INTO CONCRETE) TYPICAL- PATIO COVER DATE OF APPUCATION O • OWNER'S NAME STREET ADDRESS s lV VST CITY. ST ZIP -ox TELEPHONE ,. H.O A. APPROVAL i %f 11 Z15j, PAT - 02 Z. xo/zx Taf 4+�P'aawo P.O. Box. 1504 LAQUINTA, 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 & Forms for Owner -Builders Applying for Construction Permits - IMPORTANT! 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.p.ermit 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 D ' ECTIONS: Read and initial eachstatement below to signify you understand or verify this information. 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 o struction and are not hiring a licensed Contractor to assume this responsibility. 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 f4. I understand Contractors are required by law to be licensed 'and bonded in California and to list their license numbers on prrn and contracts. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value 6�_5. m construct' "y ion is at least five hundred dollars ($500), including tabor and materials, I may be considered an employe" under state and federal law. goLI understand if I am considered an "employer" under state and federal law, I must register with the state and- federal ent, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unempoyment . compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial 'sk. 7 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential ures 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. a 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 orkmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue U" ervice, 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- 0-321-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 I am the _,parte legally ,,,and fmanrciallv xe nonsible for oronosed construction activity at _the followine address: —11-1 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. MM12. I agree to notify the issuer of this. form immediately of any additions, deletions, or changes to any of the information I e e 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 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 dri-ver's.lceense; 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. Signature of property owner - .1 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 I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agents) 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): ?(Aii Q Project Location or Address:.53 S F S Ae-vi,dQ F All o (n 'a Name of Authorized Agent: �, . Vim# Tel No Address of Authorized Agent: ke y� , o 2 Vb t o C _ 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 thfpermit is issued to verify the property owner's signature.. Property Owner's Signature: X iMCWJ(0 Date: /Oq Bin # City of La Quinta Building & 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: e o � ` 6 4 Owner's Name: A. P. Number: Address: 5ngs��� d� vb t d Legal Description: Contractor: City, ST, Zip: tck G •- Telephone: WON- I _. v Address: Project Description: A, ' City, ST, Zip: Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #:ject Name of Contact Person: Construction Type: Occupancy: type (circle o : New Add'n Alter Repair Demo Sq. Ft.: Q # ories: #Units: Telephone # of Contact Person: stimated Value of Project: APPLICANT: DO NOTWRI ELOW THIS LI # Submittal Req'd Reed- TRACKING 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 Energy Calcs. Plans picked up Construction Flood plain plan Plans 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 IN 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 School Fees L V Total Permit Fees i C&ty/ 4 4(4_4'Q" 78-105 CALLE ESTADO = LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 August 5, 1992 To Whom It May.Concern: In ref_erenc.e t.o the—s.pe_cial inspection of the patio enclosure located_a.t_5.3=5.8.5�Rubio,�our findings are as follows: 1. One inside light was installed i.n the. existing exterior fixture (now enclosed). 2. Must have a light 'installed outside of new sliding glass door to meet code. 3. No new electrical, heat or. air has been run into patio enclosure. 4. All walls appear to be non-bearing and meet. code. 5. Floor is concrete (no flooring installed) 6. We are unable to check the framing member as they are covered up. We are unable to check for insulation in all new walls. We are also unable to check the drywall nailing do, "to paneling installed over wall surface. 7 The enclosure does not meet city codes as a patio enclosure or room addition. Should you have any questions., please do not hesitate to contact me. Sincerely, 'BUILDING AND SAFETY DEPARTMENT Lonnie Day Building Inspector I LD/lec MAILING ADDRESS P.O. BOX 1504 - "LA QUINTA, CALIFORNIA 92253