BPAT2016-008078-495 CAL LE TAMPICO
LA QUINTA, CALIFORNIA 92253
- haw
COMM_ UNITY'DEVELOPMENT DEPARTMENT
BUILDING PERMIT`
VOICE (760) 777-7125 '
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 7/21/2016
Application Number:
BPAT2016-0080 Y
Owner: ,
Property Address:
51905 AVENIDA RAMIREZ
OWNER / BUILDER
APN:
773165020
51905 AVENIDA RAMIREZ
Application Description:
RYAN FLORES / PATIO
LA QUINTA, CA 92253
Property Zoning:
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Application Valuation:
$3,000.00
l_ certify that in the performance of the work for which this permit is issued, I
Applicant: -Contractor'.
RYAN FLORES RYAN, FLORES
51905 AVENIDA RAMIREZ 51905 AVENIDA RAMIREZ
LA QUINTA, CA 92253 • LA QUINTA, CA 92253
Llc. No.::CONV:140528101254094006
LICENSED CONTRACTOR'S DECLARATION- WORKER'S COMPENSATION `DECLARATION
I hereby affirm under penalty.of perjury that I am 1'1 ,censed unifier provisions of Chapter
I hereby affirm under penalty of perjuryone of the following declarations:
9 (commencing with Section -7000) of Division 3 of the Business and Professions Code;
I have and will maintain certificate of consent to self -insure for workers'
and my License is in full force and effect. .f
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: License No.::CONV:140528101254094006
of the'work•for. which.t6is'permit is issued.
I haveand will maintain workers'.compensation insurance, as required by
Date: Contractor:
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:
OWNER -BUILDER DECLARATION
Carrier: _ ' Policy Number:
I hereby affirm under penalty of perjury that.1 am exempt from the Contractor's State
l_ certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 70315, Business and Professions Code: Any
shall not -employ anyperson in any manner so as to -become subject to the workers'
city or county that requires a permit to construct, alter;, imp rove, demolish, or repair
compensationlaws,of California, and agree. that, if I should become subject to the ,.
any structure; prior to its issuance, also requires the=applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant`to, the provisions of the
complyw ih those provisions.
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 exerripttherefrom and the
Date: Applicant:
basis for the alleged exemption. Any violatiob.of Section.7031.5 by any applicantfor a
permit subjects the applicant to a civil penalty of notmore than five hundred' dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
( ) '
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
, a owner of the property, or my employees with wages as their sole
ONE,HUNDRED,THOUSAND DOLLARS-($ 300;000).. IN ADDITION TO THE COST OF
compensation, will do the work, and the structure isnot intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
apply to an owner of property who. builds orimproves thereon, a4vyho does the,work
`.
himself or herself through his or her own employees; provided thatahe improvenients'
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the;building or improvement is sold
IMPORTANT: Application is herebymade to the Building Official for a permit subject to
within on year of completion, the owner-builderwil6haveghe burden of provirig;that
the conditions'and restrictions set forth on.this application.
not build or improve for the,purpose ofsale.)..
1 Each person upon whose behalf this application is made, each person at whose
s owner of the property, am exclusively contracting with licensed contractors
request and'forwhose benefit work is performed under or pursuant to any permit
to,coristruct the project. (Sec. 7044, Business and P�ofession5 Code:The Contractors'
issued as a result of this application', the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property"who builds or -improves .
shall defend, indemnify arid hold harmless the.Cityof La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a•contractor(s) licensed pursuant to
employees for anyact or omission related to the work being performed under or
h o ractors' State License Law.).
following &uance.of this permit.
fm exempt under Sec. . B.&P.C. for this reason
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
2 1 2/ >
work for 180 days will subject permit to cancellation.
�Dafe:� Owner:
I certify that 1 have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY
1 agree to complywith all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for
construction and -hereby authorize representatives of this city to enter upon the
the performance of the work for which this permit is issued (Set. 3097, Civ. C.).
above-mentioned Iroperty for inspection purposes.
Lender's Name:
Lender's
_t
_:�" :• , a S�q+m-••g.y3^ `q'R';�''4..::. f c Y X5:4-
zACCOUN fes' TY'AMOUNT� mom`° ' PAIDr PAID`'DATEs
�: �1DESCRIPTION�frS6.��.,_=..:. Asa ,. x��a iE4 ._„n
BSAS SB1473 FEE. 1010000-20306 0 $1400 $1.00 7/21/16
''�`�'sta'f._.;z:xa.`"s 3_�m.�,T s3"%"nr.�:ii��',?. x.=5#i �» is `i ,3�...,;._�,e",a "V,_"`-y�a '�- cs§a't, .t:;Sdrr ,.?&�4 '?`. .... .' x.
q tr 4PAIWBY . ` � �.; ; r � . METHOD . , £" RECEIPT # CI ECK # SIX N&
.Yxm'%d;Wiz v".vkt�SS�d`+:.z.i.7a:,.-h.�.e.-A Vm`x..... �Ei�A`E._� <a aY$8i�ei.L*`'aYv"Sw'.at'5...,.�aE�e
G� E •Y`' ., 30 a" `" W - ,e c'�» ,` a�`Fx.';'xw n�£.w Yw`iGdS���.x' � �i:fr''���G..fi.r.:v''S :.vc4a�.Ss'cxX:tSK�:.�c :3asv&;Sa�v�nlSu
..
.RYAN FLORES DEBIT 2 -:R'17280 RSE
Total Paid for BUILDING STANDARDS' ADMINISTRATION BSA: $1:00 $1.00
'i;S S R{ li a*.Sc -{'{" Y..req..� b'i::.$o. i..i1.: ''' . ..
DESCRIPTION
,RHM ..:. -,`s�....:».;..a :.
Y4Ni: ,�Y yr''':s.:fS: 7 �..'.. '. `` '':
ACCO}UNT
�;°;•�i .i{;'?:. t"z.'.,,•dfe, �.'��°�'�..�' _ �G
.i�x"��.x"9
QTY=AMOUNT;
nv,xx
R 6 k'4 fF< ,:. ..
;.c§:.. ,:k?-«3:fua°-^�.°�' a�..�i�l€t4xau4�7,§
f..: "'4'K .f«.a;{i%#p wy:.n.
���., PAID
r.�q,.??^.:`.Hj..E:F$
PAID
P,A�TI,O� COVER; STD, OPEN. '.
� 101' 0000-4240.4 � ��
�� 0,
'� $97.17 � �
� � .."$97.17
7/21/16
. a9�
. i` 9='3c'.'eBM" ..••4na¢: '".-' "Y
.PAIU�BY�
VIA 3.::�.; i Sft�•`$"`teL UV Vgyss4 '',
�METHODi
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EE.PT�#�
Y "`a.`k:iS4f �O er
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°.e`."'.a�`a�a'S "xl`
RYAN FLORES
DEBIT
1117280 ..
RSE
y
�,f. A� 4 - -:: `+`m s La- :` 5'G4 '" $6�..p'
��xDESCRIPTION ..�A000UNTQT1(
'84 "F k3•+.$?3AxY
AMOUNT
�T'PAID�
N..
zPAIDDATE
r'ATIO COVER, STD; OPEN'PC
101.0000-42600
0' $95 72 _ �.
.. $95:72,,
7/21/16
�T. �i:
E _ m�¢ �PAID)BY R ; '. "
�..T_£,�.".A:.. _;§ hhR,-:e,...:f3:r3aaW14.fi.�5X..-�h .+�zC
eeyv`Y�k.a.Ei'3���..9#
�.. METHODS
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g RECEIPT:# : _CHECK#�
F...t3., .ti A'Ju._.:...H{�.e.�e,vCnie-.•'�ir
syCL<TD,BY ..
Raw s%a'
£4&iY3C�:i,'-.kfr!-Ar''l
RYAN FLORES
61:EBIT.
R17280
RSE
Total Paid for PATI6COVER:/ COVERED PORCH /-.LATTICE: ,' $192.89
.w:3hkfh`a�.c: �`....xaS.bCiy�
' u DESCRIPTION k H '
.-.c ,`._s•-.y4-3-� _.. oaOR Yom.
� AC,GOUNT n I' E
S$�192'.89
o-%SA�a `rl..w'ey$�`X�&�`1q-'.. v�FCi§`S uv
QN � M� NT
'IN.t%'.^.' 2. m4'�iS^""
" , H AID ...t
PAID DATE
SMI - RESIDENTIAL
101 0000-20308`
0" $0 SO.,$0.50
7/21/16
a-Tro..C'S. Y S ..: i�'F iF.isla•.' 'rn x"i`..' 3"a! `.xti� vY... ... "`
„ <r x PAID=BYK g
�sk..7'.n'a..,�t-:i.,..Y44
€' "'3,".W"SYS�Yvy' jCw-3s :. £ xEv"� ,q.yi'
METHODS " 51
'3.
y -.R' d,=a,�i�iv'1T.; �K`i'�t h.. "`
"; RECEIPTS#
1 Y u4 V4
ss i rtEt'm'i`.".. s5:1:°✓+q>'<,.'. ..k
i`c -iY , a•
^CHEEK # �
#�a'4'.':;ii;r.
y
�'CLTD BY
RYAN FLORES
..DEBIT'
1117280
RSE '
Total Paid for. STRONG MOTION INSTRUMENTATION SMI $0 50 $0:50
•I •I
Description: RYAN FLORES / PATIO
Type: PATIO COVER
Subtype: CITY STANDARD/PRE-
Status: APPROVED
Applied: 7/21/2016 RSE
ENGINEERED - OPEN
Approved: 7/21/2016 RSE
Parcel No: 773165020 Site Address: 51905 AVENIDA RAMIREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE
LA QUINTA Block: 58
Lot: 8
Issued:
UNIT 5
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $3,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: 420SF TRELLIS WOOD PATIO COVER AT REAR YARD [CITY STANDARD] THIS PERMIT DOES NOT INCLUDE.ELECTRICAL INSTALLATIONS.
2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Thursday, July 21, 2016 1:50:12 PM 1 of 2
S YS Tf MS
DESCRIPTION
-
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK # `
NIETHOD
PAID BY
CLTD
,
.
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/21/16
R17280
DEBIT
RYAN FLORES
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$97.17
$97.17
7/21/16
R17280
DEBIT
RYAN FLORES
RSE
OPEN
PATIO COVER, STD,
101-0000-42600
0
$95.72
$95.72
7/21/16
R17280
DEBIT
RYAN FLORES
RSE
OPEN PC
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89 $192.89
SMI -'RESIDENTIAL
101-0000-20308
0
$0.50
$0.50
7/21/16
R17280
DEBIT
RYAN FLORES
RSE
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50
$194.39 $194.39
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
Printed: Thursday, July 21, 2016 1:50:12 PM 2 of 2 CPEAJF
SYSTEMS
U—STRAP OR ANGLE
16d NAILS
L— .Iorsr. PANCEROR sap OR BOLT-
MAIL RAF iM To BLOOK NC
RROVIOE 1-. CLEARANCE
BETWEEN POST.ANO
CONCRETE
BUILDING DEPARTMENT APPROV-AL BELOW
ANCHOR. BOLT.:(EMBEO
T MIN.-. -'INTO, CONCRETE)'
TYPICAL;,P:ATIQ COYER
DATE OF APPUG1TIOt4
OWWER-S NWE .
STREET ADDRESS
CITY. ST ZIP
T ELE PHONE
RAFTER SPAN TABLE
GRADING RULES 7 ALL CONSTRUCTION SHALL CONFOR!
PS 20-70 vS� �� vs� �� TO THE PROVISIONS OF THE..
(FEET & INCHES)
oQ4?
- 7' A'-
2x4 16' O.C.
1
RAFTER IRAN IS
3
a
lA1TiCE ROOF'
BUILT-UP ROOF
HEADERS
HEADERS
DOUGLAS FIR NO. 1
2x6 16' O.C.
*
15-1=t
14'
1 '- '
1 '-0`
4x.4 �'-0"
4x6 8'- «
24'
1 -
4x8 11'-p«
-
1
4x 10 14'-Q
4x 12
3Y "
1
1 T'-0
4x 12
N/A
6x8 14'-p«
2x8 16' O.C.
1
6x10
i
24'
-
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID. PATIO COVERS (NOT LATTICE)
RAFTER IRAN IS
LIMITED T0.10'-0' USING
THIS STANDARD.
lA1TiCE ROOF'
BUILT-UP ROOF
HEADERS
HEADERS
DOUGLAS FIR NO. 1
DOUGLAS nR NO. t
SIZE SPAN
SIZE SPAN
4x.4 �'-0"
4x6 8'- «
4x4 4- -
4x8 11'-p«
4z6 6'-0
4x$ 8'-0
4x 10 14'-Q
4x 12
4x 10
1 T'-0
4x 12
6x8 14'-p«
6x8 1 �•_�••
6x10 17'-
6x10
sy�LVN16k F T%R 112
ROOFING NOTES;
A. BUILT-UP. ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/412 MAXIMUM PITCH.
P.D. BOX 1504.
LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENTS
78-495 CALLE TAMPICO (760) 777=7012
LA QUINTA, CALIFORi4iA 92253 FAX- (760) 777-7011
PROPERTY OWNER' SSTACKA.GE
Disclosures & Forms. for Owner. -Builders Applying for Construction.Permits
IMPORTANT/ NOTICE TO PROPERTY OWNER
Dear. Property Owner:
An application for a:building eimit has been submitted in your name listing .yourself as the builder of the property
i rovements specified at'51 t�t� Jam" i(Gr11: 4 1 Z 9,j'li f-�- :.6^ Z
,_ :'
We are providing you with an Owner Builder Aclmowledgmentnand Informahon',Verificarion Folin to make you aware;of your
responsibilities and possible nsk ou ma y g p y
P P y y mcur b ,havin :this emit •is. sued in our name'as the
Owner -Builder.: We will not issue a building pernut until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our officfal address indicated. Ari agent of the 'owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the pennittinj" authority.
DIRECTIONS: Read and initial each statement belotiv to signs you understand or.vei-ify this information.
5
I understand a frequent practice. of unlicensed persons is to have the property owner obtain, an "Owner -Builder
bbui2ing permit that erroneouslyrimplies.that the.property owner is providing -his or her own labor and material personally. I, as
an Owner -Builder, .may be held liable a:nd subject'to' serious 'financial4risk 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
ri
injues. I am willfully acting as an Owner -Builder andam aware of the liinits*of my insurance coverage'for injuries to workers
Y
on m property.
P P rty.
I understand building permitsare not required' to be signed by property owners unless they are responsible for the
ction 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
from potential financial risk by.hiring a licensed Contractor and having.the permit file d'in his or her name instead of my
understand Contractors are required by law to be licensed and bonded,in California and to list their license numbers on
and contracts. .
SPI 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"
undeiistate and federal law.
K �. 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.
�vV;;l r 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 perforated
under contract with a licensed general building Contractor.
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
workmanship or materials.
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 (CSLB) at 1-
8001321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
V"arfyleg�lly._
0.I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
and _financially resp9g0ble_for_proposed construction—activity at the _following address:
I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
.e laws and requirement* that govern Owner -Builders as.well as employers.
l— 172. 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 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 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.
Signature of property owner / "�� Date:_2 V Jw L f (p
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
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:
Bin ##
Clty of La, Quinta
Building 8F SafetyDivision
78-495 Caffe,Tampico
.
Permit ##
La Quinta, CA 92253 :-(760) 777-7012
Building- Permit Application,and Tacking Sheet
Project Address: r"1 -9p5 4VUN I iA, Owner's Name:,
A. P. Number:
"���j(L��TS
Address: 51-9ds Avufjt7>A RA.AA1(2-t✓L
Legal Description:
City, ST, Zip: L A -Qj I .tint- C/�, 01.22 3
Contractor:
Tele P. hone: b0 -DLA
Address:
Prfoject Description: At>t, I'1'1 ��1 �i /�(j-�
City, J'l`, Zip: -f'
ST -AN
Telephone:
State Lic. #.:
City Lie- #.:
Arch., Engr., Designer: .
Address:
City, ST, Zip:
Telephone:
TXPe. O ccu an c Y�
Construction P S
U �
State ic.
'ect ne A d d'n AlteRepair Demo
P ro bP icircle o
Name of Contact Person:
Sq. Ft.:2 t # Stories: ,v
#.Units:
Telephone 4 o Contact Person:
Estimated Value of Project:
APPLIGANTi•DO NOT WRITE BELOW THIS LINE
t/ Submittal Req'd Rcc'd . TRACICllVG . PERMIT„yEIiS
Plan Sets
Plan Check submitted
Itent
Amount
Structural Calcs.
A..
Reviewed, ready for corrections
Plan C� c D posit
Truss Calc
Called Contact Person
�P,tAoClreck Balance,
Title 24 Calcs.
..
• Plans picked up
Construction '
'
y
Mechanical
Floodplain plan
Plans resubmitted
Grading plan
2"° Review, ready for. corrcctions
s
Electrical ..
Subcontactor List
C�ll� d'�nttat Pcr n
Plumbing
I
Grant Deed
Plans pickcd;up
.�.-
S.M.I.
H.O.A. Approval
ns resubmitted
Grading
IN IiOUSF:-
—1000
Review, ready foacorrcctionstssue
Developer Impact,ee
Planning Approval
Called Contact Person
y-A:I.P.P.
Pub. Wks. App
'Date of permit issue
School Fcc
ems""
. -
- •�
�O
-
Total Permit.ccs