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12-0328 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application .valuation: Applicant: d 0012 51st AVENIDA RAMIREZ 773-0837006-19 -000000- PATIO COVER - RESIDENTIAL COVE RESIDENTIAL 5320 TA -ht 4 4a 9" Archiiect WEngineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JORGE CELIS 51340 AVENIDA RAMIREZ. LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/28/12 LQPERMIT - .LICENSEDrCONTRACTORyS DECLARATION 'y - WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am lioensed'under provisions of Chapter 9 (commencing with: •' I hereby affirm under penalty of perjury one ofthefollowing: declarations: - Section -7000) of Division 3 of the Business and Professionals Code; and my License is in full force and effect.have;and will maintain a certificate of consent to self -ins'u're for workers' compensation; as provided - License Class: -LicenseNo.: - :.. for by Section 3700 of the Labor Code far:theperformance,of`the work for which this -permit is Date: Contractor: issued. • .. I have and will maintain workers' compensation insurance; as required•by Section 3700 of the Labor _ Code,forthe performance of the work for, which this permit is issued. -My workers' compensation • e . .'"'. OWNER -BUILDER DECLARATION -for -insurance carrier'and policy number are: �' I.heretiy affirm under, penalty of perjury thatl -am exempt from aheContractor's,8tateLicense Law, the Carrier Policy;Number. . following reason,(Sec: 7031.5, Business and Professions Code. Any city or: county thatrequues atpermit to I certify that, in the performance of the work'for which this permit is. issued, I shall ndvemploy, any •., construct,4ter, improve, :demolish, or repair any structure, prior to its issuance, also reqthe.applicant for the -Auires person in, any manner so as to become subject to the workers) compensation laws:of'California, ' peimit¢o file a signed:statemeni that he:or-she is licensed pursuant to the:provisions'of•the Contractor`s State and agree that,if I should become subject to the workers' compensation provisions of Section - License Law (Chapter 9 -(commencing with Section 70001 of Division 3 of the Business and Professions Code)°or .3700 of the Labor Code, I shall forthwith comply with those provisions. _ that he or. she is exempt therefrom and the basis for the -alleged exemption.' Any violation of. Section. 7031.5 by any pplicant for a permit subject's`the.applicant to a civil'penalty of: not more than five hundred. dollars (55001.: Date: ' '',dant:' • Y -. /'`-:. - • 11 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and / • .� the structure isnot intended or_offered.for sale (Sec: 7044, Business and Professions Code: The WARNING: FAILIifiE TO'SECURE WO'RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors%State License Law does'not apply tgan owner of property who; builds or improves thereon, SUBJECT AN: EMPLOYER TO CRIMINAL PENALTIES`AND CIVIL`:FINES UP=TO.ONE HUNDRED THOUSAND ' and who -does the ,work himself or herself throtigh his or her own employees :,provided that the DOLLARS IS100,000). IN'ADDITION TO THE COSTOF COMPENSATION, DAMAGES AS*PROVIDED FOR IN improvements are -not interided.or offered for sale. .If, .however --the building or improvement is sold within .SECTION 3706.OF THE LABOR CODE, INTEREST,.AND ATTORNEY'S�FEES. - - - one yearof completion, the owner -builder will have the, burden,of.proving tharhe"orshe did not build or _ improve for the purpose of sale.). - - APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property; am exclusively contiactingwith licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to tha.Directorof Building and Safety for a permit subject to. the 7044, Business and Professions Code: The Contractors' State -License Law does not apply to an owner of conditionsand restrictions set forth on'this application. - - - property who builds or improves thereon, and who contracts for the projects with.a contractoi(s)�licensed , 1! Each person upon whose behalf this application is made, each person at whose request and .for pursuant to the Contractors''State license Law.): whose. benefit work' is; performed under or pursuant to any permit issued as.a result of this application, (_) I am exempt under Sec..' _ , B.&P..C, for this reason the owner, and the applicant; e.ech'agrees to, and shall def end;. 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. '.l ner. 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 CONSTRUCTION LENDING AGENCY permit to cancellation. _ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information incorrect. I agree to comply with"all work for which this permit is issued (Sec 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of t ' county to enter upon a above= mentioned property for inspection purposes. Lender's Name: C 7ate: _ i nature (Applicant or Agent): V _ Lender's Address: K •' - LQPERMIT LQPERMIT Application Number . . . . . 12-00000328 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . 81.00 Plan Check Fee 52.65 Issue Date . . . . Valuation 5320 Expiration Date 9/24/12 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG,2,001-25,000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 400 S.F. SOLID PATIO COVER,.CITY ` uSTANDARD.'2010 CODES. ------------ ----- ----- ------------------- .--------------------- -Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) ----- 1.00 STRONG" MOTION ( SMI) - - RES- : 53 - Fee'summary Charged Paid Credited Due ;. ..Permit FeeTotal 81.00. 00' 00 81:.00 Plan Check •Total 52.65- .00 .00 52.65 Other Fee 'Total• 1.53' .00 0.0 1.53. Grand -Total; 135.18. .00 .00. 135:18: LQPERMIT NOTE OPi . t nIM PATIO COVERS wy BE ,•ATTACNEO TO EXtSTfNG 'FASCIA ow / S VG SCREW TNROLIGN FASCIA kNfO EACH RAFTER TAIL ' U. -STRAP OR ANi 3/8" ',x 5 L64 SCREWS' M0. STUDS 'AT, 16" O.C. - '`NON -CORROSIVE CONTINUOUS L VAR '16d NAILS OR BOLT' - PROVIDE 1" CLEARANCE BETWEEN POST .AND CONCRETE . U -STRAP OR' ANGLE (4)- 16d' NAILS ' .lour HA NCER OR SOLO BLOCKING OR BOLT NAIL. RAPIER TO BLACIUNG ' P PROVIDE 1. -CLEARANCE' BETWEEN:POST AND CONCRETE BUILDING DEPARTMENT APPROVAL' BELOW II II II LI ANCHOR BOLT (EMBED CIT!/ OF LA QUSNT,n T MtN. INTO CONCRETE) BUILDING & SAFETY DEPT. APPROVED TYPICAL PATIO COVER 'FOR -CONSTRUCTION DATE Of APPLICATIONS OWNER'S f"ME BY STREET ADDRESS CITY. ST ZIP TELEPHONE r N.O.A APPROVAL O N • RAFTER 'SIZE ANO'SPACINC ; SPECIFY ROOFtNC AND SNEATNiNC OR OPEN (SEE RO"F ; NOTE ON REVERSE) UTT1C: - - --- y _ �, _se ROOF PITCH corrtmx)us : LEDGM .: (SAME - WC AS, RAFiER4)' HEAM SIZE STRAPS 6'i6'it"til/6" WITH i RAFTER / D:.: 2 J t (4) 16d NAILS OR BOLT ' 3 u SPAN: • I ' gs.J-J L O.N. ¢ POST SPACING: OVERALL LENGTH_' W O.N. a ' OvmALL avi O / pm. sm: 6,K ._._ REAR 'SETBICK SWE SETHACIC. (,rut* utm.) 2000 Ps .1 CONCRERE ---+1 I flrltSH CRApE Ur l__J —': IT'xt F'OOTk1G t 1 I .. tf • BEL0W ORAOE L - J NOTE OPi . t nIM PATIO COVERS wy BE ,•ATTACNEO TO EXtSTfNG 'FASCIA ow / S VG SCREW TNROLIGN FASCIA kNfO EACH RAFTER TAIL ' U. -STRAP OR ANi 3/8" ',x 5 L64 SCREWS' M0. STUDS 'AT, 16" O.C. - '`NON -CORROSIVE CONTINUOUS L VAR '16d NAILS OR BOLT' - PROVIDE 1" CLEARANCE BETWEEN POST .AND CONCRETE . U -STRAP OR' ANGLE (4)- 16d' NAILS ' .lour HA NCER OR SOLO BLOCKING OR BOLT NAIL. RAPIER TO BLACIUNG ' P PROVIDE 1. -CLEARANCE' BETWEEN:POST AND CONCRETE BUILDING DEPARTMENT APPROVAL' BELOW II II II LI ANCHOR BOLT (EMBED CIT!/ OF LA QUSNT,n T MtN. INTO CONCRETE) BUILDING & SAFETY DEPT. APPROVED TYPICAL PATIO COVER 'FOR -CONSTRUCTION DATE Of APPLICATIONS OWNER'S f"ME BY STREET ADDRESS CITY. ST ZIP TELEPHONE r N.O.A APPROVAL j v Q- Q O RAFTER SPAN. TABLE p GRADING .RULES `o C-7 C7 c)cq 6 � ALL CONSTRUCTION SHALL CONFORM PS 20-70 ���' c,�� jlky TO THE. PROVISIONS OF THE:. (FEET & INCHES) pJ,`�. pJ�� 0 4? C, 2x4 16" O.C. 24' 10'-6` 8'-6' 9'-l;" 8'- ;' T -.i 6'-0' DOUGLAS FIR NO. 1 DOUGLAS FIR N0. 1 S17E 2x6 16' O_.C. 24" 32" 1 S'-0" 14'-(T _10'-9` 13'-0 10'-0". 8'- A N LA 2'x8 16' O.C. 24" 32" '- " 1'S'- 1 - .17':- " - -6" t1'- 3'-C 11'-0" N A. 16`-0" 13'-Y- . NOTES: - 1. 32" RAFTER SPACING IS ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. 2. FOR SOLID; PAT10 COVERS (NOT LATTICE) RAFTER SPAN IS LIMITED TO. 10'-0" USING THIS STANDARD. LATTICE ROOFBUILT -UP ROOF HEADERSHEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR N0. 1 S17E SPAN SIZE SPAN 4r.4 5'-0" 4x4 4x6 8'-0" 4X'6 6'-0 4x.8. 11'-0" 4x8 4x10 14-0 4x10_ 4x12 17'-0 4x12_ 12'-0 I .6x8 14'-0" - 6x8 6x10: 17'=0' ' 6x10 ROOFING NOTES: ' A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF:. 3; 12..MAXIMUM PITCH. 0 P.O. BOX 1504 LA QU'INTA', CALIFORNIA 922474504 BUILDING & SAFETY DEPARTMENT 78495-CAULE TAMPICO, (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 PROPERTY-0N_E.R--!S. PACKAGE Disclosures' & Fo'ffiis'lor Owner -Build rs Applyingfor Construction Permits e 0 IMM-TANT1 E 10 E'ROVERITY.0 . ©ear -Property Owner 'Aii. application for 4' biiAding peri ait-has `been submitted y -i'llame listing yourself as -the builder of the pf0p" -improvements specified at �.ou ,.We we providing •you with an Owner -Budder Acknowledgment and Information Verifies ',Form to make you awam-of your 'bilities and possible tisk y64 -may recur by h5,permit'iisue�f_ m��vqnamas :the Owner -Budder. We will not isjile 1j, U'r. uffdWg-per. t'46tily4m ,r*adJhlda1o�ye ''understandingofeach1provisto signed, and returned, this. form vim cannot, execute this':notice ffliW�address.�ind.lea.t�d.Anag,�nt , Of the �o "'no ce unless you, the property owner, obtain the prior approval of the permi"g:authority_ Ilia. 16,31 you ei*tander:ver*das inform.aden. .�(_a_ .1 understand a frequent practice of unlicensed: persons is to . have the, property owner obtain an "Owner-Builder'building permit that erroneously'- im'' pliesdiat.the Oroperty owner is providing his. or her own labor and material personaft. 1, as an Owner -Builder, may. be. held liableand subject to serious. financial'riA for any injuries sustained by an unlicensed person and his or her employees while working - on,my p�diorty.,'Owner My homeowner's insurance may not. provide coverage for diose. injuries. I am willfully acting ai.an 0 injuries to workers Owner -Builder and'am' aware of the of insurance -coverage for i on my PAY - .3LC 2. 1 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 ass; i une,this.responsibility.. I understand'as an `owner -Builder, i ani-the,l responsibleparty of record:on the Wrinit I understand thatmay protect myself frOffl* potential financial &,kl by hiring a licensed Contractor and having the permit filed in his -or her name instead of my own. S CC4. I understand Contractors are required by law�to'b6 licensed and bonded in California . and to list their license numbers on permits and contracts. XC C5. I understand if I employ or,otherwise engage any persons, other ther 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. AUG I understand if i am considered an "employee, under state and Weral law I mug re ..and federal register with the state government, withhold. payrbtl.taxes,_provide., Wdikers'�compefisiition disability insurance, and contribute to unemployment compensation for each.1'employee I also understand' failure to abide - by these' laws may subject me to serious financial risk _NLj_7. I understand under California Contractors'. State Lic*eiise Law, an Qwner-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 anycalendaryear, or all of the work is performed under contract with.a licensed general budding Contractor. �8. I understand as an Owner -Builder if I sell the property for which this per, it is issued, I may be held liable for any financial or personal_ i' .tines sustained by any subsequent owner(s) that result from any latent construction defects in the woriananship or materials. , C'I. I understand I may obtain more information regarding my obligations as an "employes" from the Inter 'nal 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.csib.ca.gov for more information about licensed contractors. S�e10. 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: ,%:�,Ll l- I agree that, as the party legally and financially responsible for this proposed construction activity,.l will abide by all applicable laws and req uirements that govern Owfter-lauilders as well as employers. S CC12. 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 doess not have a lieeense'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 inn' civil court. It is also ibu WUMt for you to: unde stand that if an urtlic ensed Contractor or employee of that individual or firm is injuwd while woddng on your property; you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to him CoHUfttors, You will be responsblo for veer vAiedwr or not those Contractors are properly licensed and'the status of their workers' compensation insumnoe. 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 issabg. tfm.pwm#t. NoW 4 copy, of tke ph opertr owner's 4Jver,1sJ4'beasry fom ttotathloati»n, or other verification acceptable to the agency is required to be presented when the pemdt is issued to. verify the psgperty owner's signature. Signature of property owner �/ 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 AGL TO ACT ON PROPERTY OWNER'S BERALF Excluding the Notice to Property Owner, the exmption of which I understand is my personal responsibility, I hereby authorize the following persons) to act as my ageat(s) to apply for, sign, and file the documents necessary to obtain ani 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 be presented when the permit is issued to verify the property owner's ignature.. Property Owner's Signature: Date: Bin. # ,. , cit . Of : QLirnia :. - `Bul/dfng.BL`SaferyDivirion .° : .. P.O-Box 1504,"7B-49S Caffe.fiamplco,_ La.Q- - ' CA 92253 - (760) 777-70-12 Building' Permit Application and Tracking Sheet Permit # �. Project Address:. ,—ve 'Owner's Name:. ., O-./& ' A. P. Number Address: AY A o Legal Description:. City, ST, Zip: Contractor. 0 a s Telephone p Address: Project Description: -' City, ST, Zip: Telephone:..O City<Lic. #; State Lic. # : Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lic. #: Name of Contact Person: ' Construction Type: Occupancy: Project type (circle one): " New Add'n Alter Repair Demo Sq. FL: [�Q V 5. #. Stories: # Units: Telephone # of Contact Person: - Estimated Value of Project ' APPLICANT:; DO. NOT WRITE BELOW THIS UNE M # Submittal Reg'd Recd TRACIMG PERWW FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for: corrections; Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24.Calks. Pians picked up Construction Flood plain plea Pians resubmitted.. Mechanical Grading plan Z°' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Piurobing Graut Deed Plans picked up SALL" H.O.A. Approval Plans resubmitted Grading IN IiOIISE:- 7i° Review, ready for'correctionsfinue DeveloperImpact Fee Planning Approval Called Contact Person A:LP.P. Pub. Wks. Appr a of ptfkii sueI AIh1IT School Fees g C t 1 r' . V l r v� o [�nC nF P i, T CT�ON ' Totai Permit Fees