07-2312 (PAT)M
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ` 07-00002312
Property Address: 78955 BAYBERRY LN
APN: 604-304-003-32 -23995 -
Application description: PATIO COVER RESIDENTIAL
Property Zoning: I LOW DENSITY RESIDENTIAL
Application valuation: 4841
Tiht 4 4Q" -
Applicant: Architect or Engineer:
0+''' aha
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 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 ISec. 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 ntracti with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: he Con actors' State License Law does not apply to an owner of
property who builds or improves thereo , and w contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State Lice se Law..
(_ 1 1 am e�empt tfitder Sec. , Bl&P. . for thi eason
Date: caner:
C NSTR TI .LENDING AGENCY
1 hereby affirm under penalty of perjury that there s a construc on lending agency for the performance of the
work for which this permit is issued (Sec. 3097, C Y. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
SCHRAGER JOVIE
78-55 BAYBERRY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
---------------------------------
Contractor:
Owner
------------------
WORKER'S COMPENSATION DECLARATION
Date: 8/15/07
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 wor which this permit is issued. My workers' compensation ,
insurance carrier and policy nymber re:
Carrier
certify that, in the performan o the workIfor which this permit is issued, I shall not employ any
person in any manner so a ecome su(,ject to the workers' compensation laws of California,
a agree that, if I should ome subje'-}[ to the workers' compensation provisions of Section
300 of the Labgr Code, all jorthwit�l comply with those provisions:
WARNIN(1: FAILURE TO SECURE WOJKkSCC141Pl5W5ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINIL POIAtTrEIS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION 110 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE,`1NTEREST, 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 p r 't.
2. Any permit issued as a result of this ap i be mes n Il.and void if work is not commenced
within 180 days from date of issu ce of s c p r it, or cessation of work for 180 days will subject
permit to cancellation. i
I certify t at I have read this application and tate that a abo a information is correct. I agree to comply with all
city and c un y ordinances and state laws lating to it ng o truction? and hereby authorize representatives
of thi my o e'/�t{1er upon the above -me tioned pro a for n ection 'urposes.
ate: jS ature (Applicant or ent):
Application Number . . . . . 07-00002312
Permit . . .
PATIO COVER
PERMIT
Additional desc .
Permit Fee . . . .
72.00
Plan Check
Fee
46.80
Issue Date
Valuation
. . .
. 4841
Expiration Dat.e
2/11/08
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
3.00 9.0000
THOU BLDG
2,001-25,000
27.00
----------------------------------------------------------------------------
Special Notes and Comments
364 S.F. SOLID PATIO
COVER, CITY
STANDARD
----------------------------------------------------------------------------
Other Fees . . . . .
. . . STRONG MOTION (SMI)
- RES
.50
Fee summary Charged
Paid Credited
Due
----------------- -7
Permit Fee Total
-------- ----------
72.00
----------
.00
----------
.00
72.00
Plan Check Total
46.80
.00
.00
46.80
Other Fee Total
.50
.00
.00
.50
Grand Total
119.30
.00
.00
119:30
LQPEn11T
I TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNER/BUILDER INFORMATION
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.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection.
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX: 760) 777-7011
oc..
OWN S SIGNATURE/DATE
56 Bw 6tgV LrWTA
PROPERTY ADDRESS
PERMIT NUMBER(S)
Qscoy-
at te-
me
e m ed
I
Bin #
City of La Quints
0 m
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico AUG p 1 2007
La Quinta, CA 92253 - (760) 777-701 .
Building Permit Application and Trac ' g Sheet
Permit # `/ice
Project Address:
Owner's Name: QJ f0. e(
A. P. Number:
Address:
Legal Description:
City, ST, Zip:�-
Contractor: OWfic� �1
Telephone:
Address:
Project Description: ,
City; ST, Zip:
Telephone:
City Lie. #:
State Lie. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: Constrgctio ype: W&)61. Occupancy:
State Lie. #: Proj (circle one): New Add'n Alter Repair Demo
—7Name of Contact Person: ` O 2 Sq. Ft.: # Stories: # Units:
Tele hone # of Contact -Person: p � Oco- Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Coles.
Reviewed, read or corrections
Plan Check Deposit
Truss Coles.
Called ontact .}Plan
Check Balance
Energy Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
S
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:-
3r1 Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
6' F#. CL'PU existing
Perimeter Wall
i
f �"1
r(
1
b' H. Self Closing `
W.I. Gate
Existing Residence
P
QJ
Goner Information
owner-,
Schrager Residence
78-955 Bayberry
La Quanta, CA
Legal Description:
78-955 Bayberry
La Quanta. CA
Protect:
Proposed Addition To
Single Family Residence
Occupancy-.
R-3
lone:
R-1
Building Code:
All Warm To Conform To CK, CEC, CMC, & CRC
2001 Ed. & All Lacs{ Ordinances
Bldg, Sq. Ft.
New Covered Paallo:,,..--356 S.F.
I
RAFTER SPAN JARLE
GRACIINO RULES t' `4 `� y'7 aF' ALL CONSTRUCTION SHALL CONFORM
C'S ?G-70 +� sue+ 4�° TO THE PROVISIONS OF 7HE:.
(FEET & wGHES)
w e 2001 CALIFORNIA BUILDING CODE-
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NOTES:
1. It' RAFTER SPACING IE ALLOWASLE
FOR OPEN LAML7 PATIO COVERS ONLY.
x. FOR SMM PA'nO MVERS (NOT LATTIC I
SAFTER SPAN IS LIMITED TO VSING
oT stTitctinn Is PIT PERi4lTM
on the 10110wing Code holidays;
New Year's pay
site Plar. artin LutherKn9k aaYrA
Pro dent's DaY -d
I
1/8
M2" ora iiy
1,96epandellce pay
Lat. ar Day
Uomn's Day
T1,v1hs9Mn9 03Y -
Ch", sirnas Day
A SCHEDULED
f5
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+wa CW ifs' . ,� LAG SCWV —.NO Pq FAX. W* UC1" R%FM Tm.
A{A� 11+1T[�, ro ■i erxre
ti BUILDING DEPARTMENT APPROVAL BELOW
►r I t Vr' LA QUINTA
U11_Dlrt A SAFf.-ry DEpT,
APP 0■ED
FOH C014S THU0,11C)tq
{C7 a.-
PROY C F CU PNHCC
5;"rnh w_Pa5T ANO
1T-SIVAP OR Am
NON-CORR05NE
(i)- 76d KQL5
C1P WXT
V-51W OR ANCL.E
(M)- 1W NAR5
OR aOLT
"O'JIE1E Y CLEARANCE
@EMEEN apsT ,AN4
C�!WRm
AK14OR BOLT ([USE(] -
T urn wro (ONCRETE)
TYPICAL PATIO COVER
b.1C of APrLI€ATI¢"
vn. ST ;1R LA
Tac.A+aw� -7f?o rQ d.:;11 ltrl'n
FMA rr PROTAt
F ERAL SPECIFICATIONS-
N any ERRORS, CIS CREPAKIES or QMt551pFt5 appear in the drMn9s,
Wifkatiarrs or other cmtract 4armats, the GMR4 EWMACI'OR
sett notifr the"ner in I r00g ct such error ortaasim
In the front that the EMAL CONTRACTOA fats to ginsu& nnlire
before ,W%trl tkM aftugr Iabricak" of fm xxk, THE SEICk EIS" -
TRACTOR WILL OE HELD RESPQit IF to the rmdt of my errors, As-
axparKes or missims and the Cast of rectiffing the use.
of (3-
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CONTENTS;