12-0410 (PAT)16 .
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000410
Property Address: 48431 BIG HORN DR
APN: 623-480-034- - -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6863
Applicant:
LICENSED
I hereby affirm under penalty of perjury that I am Ii i
Section 7000) of Division 3 of the Business and oft
License Class: B -C47
Date: , !Z Contractor:
Architect or Engineer:
M
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------
4TRACTOR'S DECLARATION
J under provisions of Chapter 9 (commencing with
anals _Code my License is in full force and effect.
License No.: 742402
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).:
1 _ 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.).
(_ I 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 reason
Date:
Owner:
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:
STOREDAHL RESIDENCE
48431 BIG HORN DR
LA QUINTA, CA 92253
Contractor:
MEDINA GENERAL MANUFACTU
30440 SAN JACINTO STREET
HEMET, CA 92543
(951)538-5840
Lic. No.: 742402
M
.VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/16/12
H Ar1r
a't I
------------------
WORKER'S COMPENSATION DECLARATION
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.
_ 1 have and will maintain workers' compensation in rance, as required by Section 3700 of the Labor
Code, for the performance of the work for ich this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy umber EXEMPT
_ I certify that, in the performance of th ork for which this permit is issued, I shall not employ any
person in any manner so as to be me subject to the workers' compensation laws of California,
and agree that, if I should beco a subject to the workers' compensation provisions of Section
3700 of the Labor Co I s I fo i s.-
Date: ! Applicant:
WARNING: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 d hold harmless the City
of La Quinta, its officers, agents and employees for any act or omissio related to the work being
performe&under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and oid if work is not commenced
within 180 days from date of issuance of such permit, or cess ion of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that the above inform ion is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin cgnstru on, and hereby authorize representatives
of this county to enter upon the.above-mentioned grope o pe ion purposes.
Date: (� C_ Signature (Applicant or Agent): .
Application Number . . . . . 12-00000410
Permit . . .
PATIO COVER PERMIT
Additional desc .
Permit Fee . . . .
90.00
Plan Check Fee
58.50
Issue Date
Valuation . . .
. 6863
Expiration Date..
10/13/12
Qty Unit Charge
Per
Extension
BASE FEE
45.00
5.00 9.0000
THOU BLDG 2,001-25,000
45.00
---------------------------------------=------------------------------------
Special Notes and Comments
516 SQ FT. PATIO PER
CITY STANDARD
PLANS. NO ELECTRICAL
2010 CODES
---------------------------------------------------------
Other Fees . . .
-------------------
. . . . BLDG STDS ADMIN (SB1473)
1.010
Fee summary Charged Paid
----------
Credited
--------------------
Due
---------------------------
Permit Fee Total
90.00
.00 .00
90.00
Plan Check Total
58.50
.00' .00
58.50
Other Fee Total
1.00
.00 .00
1.00
Grand Total
149.50
.00 .00
149.50
LQPERMIT
RAFTER SIZE AND SPACING (SEE
ROOFING ANO SHEATHING OR OPEN VAMCE —,
(SEE Ro0FV4G NOTE ON REVERSE)
Roof PITCH
CONTINUOUS LEDGER - ---
(SAME SIZE AS RAFTERS)
HEADER SIZE --/
' �M
AFTER SPAN:
w I 1 rumu. A- L
23v b
REAR SETB4Cc SIDE SETBACK
1
2000 PS.1 CONCRME ',MRH CRADE nNism CMDF
L -J
Si4S�:
OM?fN LATTICE PATO COVERS WAY BE ATTACHED TO EXISTING FASCIA
VHA ONE 1/t x S LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
M& RAFTER TO BLACIGNG
I"
BUILDHNG DEPARTMENT APPROVAL BELOW
�F LA QvINTA
CITY SA�E}�( DEPT.
BuILDIN P Rw Ep
FOR oNSTRUCTioN
gY
DA
U -STRAP OR ANGLE
NON-COkROSIVE PLATE --
MR
(4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE .
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME r L
STREET ADDRESS
CITY. ST ZIP ` 1i
TELEPHONE 1
H.O.A APPROVAL
STRAPS
'T' AND -L'STRAPS
I C><CKI".1/6- WITH
(4) 164 NAILS OR BOLT I
I
_ POST SMallo:L"�a
O.H.
GM.__L__
�
OYERIut
GX6'v
POST SIZE:
i
(4c x4r MIN.)
E..
I'
I UK It
L
L -J t2. 11Envw t1RA0E --J
PROWDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
U -STRAP OR ANGLE
NON-COkROSIVE PLATE --
MR
(4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE .
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME r L
STREET ADDRESS
CITY. ST ZIP ` 1i
TELEPHONE 1
H.O.A APPROVAL
i
RAFTER SPAN TABLE �� A� pp°
GRADING .RULES `'' C9 y cl) C9 ALL - CONSTRUCTION SHALE CONFORM
PS 20-70 ��' c,�� cs� ��° TO THE PROVISIONS OF THE*,
(FEET & INCHES)
O� Obi O� G.�Q
_ s
Cn C� 211Q Cl inns_ rurulw. ' unrrc. -
2x4
16 O.C.
24'
10'-6
T-6
HEADERS
8'-6 8'-i` 4 6'-0"
1 7'-3"
SPAN
SIZE SPAN
2x6
16« O.C. ,
24"
32« «
1 S' _0:
14'-(r
10'-
13'4"
4x8.
11'-0"
1 -0 . 8'- « N A
N/4
14'-0
4x10 _
2x8
16 O.0
24«
32« «
1 1-0"
«
3'-6
16'-0•
6x10:
17'=0
13' -Cr t 1'- N A .
.
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID<PA`FIO COVERS (NOT LATTICE)
RAFTER $PAN IS LIMITED TO 10'-0" USING
THIS STANDARD.
LATTICE ROOF
BUILT—UP ROOF
HEADERS
HEADERS
DOUGLAS FIR NO. 1
DOUGLAS FIR NO. 1
SIZE
SPAN
SIZE SPAN
4Y4
4x4
4x6
8'-O"
4x'6 6'-0
4x8.
11'-0"
4x8 8'-0
4x10
14'-0
4x10 _
402
17'-0"
4x12
1.6x8*
14'=-0"
6x8 1?' -0"
6x10:
17'=0
600
ROOFING NOTES-
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF:. 3,/ 12 ..MAXIMUM PITCH.
}
MAIs .. ....�. �...__ _ _
. _.....__. _.__ .._.....--'-•`.rr._.....
07
L ..
PROPERTY AnDRIEBS �~ —
NAME
AR royal
(proved By Date ZY7 (?^
() Jected By Date
(ending Further Information
Comments cVw)h re. �e ►net
a� re
V � � Celrn � �i, 1�'ier, 5JJWAv'e Ib M J ►11 VW 1
ARC Approval 2
Proved By ! Date W 3
()Rejected By Date
( )Pending Further Information
Comments
Board Approval:
( ) Approved By
( )Rejected By
( )Pending Further Information
Comments
Completed Work Inspected by
Security Deposit Collected
Amount Deducted
Security Deposit Returned
Comments
1/14/2009
Page 1 of 1
Date
Date
Date
zoo
P�^t'
C4-
Bin. #
l , .
�Of : La �uiil . ,
Building 8z Safety Aivlsion _ .
P.O. Box. 1504,78 -495 Calle Tampico r .
ia.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: '�' '3 `13,N vovvx. Ir�� J
Owner's Name:. 2.KC `1` S
A. P. Number.
Address: ACE 43 j Y VL Ar \
Legal Description: La,
City, ST, Zip,- 1 C
Contractor. r. ` \ N
Telephone:
Address: 30 S k
Project Description:
City, ST, Zip: ewte-L- CA 3
Telephone: lGJ - 306 -5- 2 l i
State Lia #: 7T2 . O 2 City Lia #c
rV r
v^
Arch., EW., Designer:
Address: 3 aV1 s t
City, ST, Zip: (-,A 12is--,q 3
,
Telephone:Ifl -3 06 _S 1& 11 Construction Type:. Occupancy:
State Lie. M Project type (Carle one): Add'n Alter Repair . Demo
Name of Contact Person: Y sq. Ft.: 6 # Stories: # Units:
Telephone # of Contact Person: \SJ 6 —57- Estimated Value of Project: 6
APPLICANT: DO NOT WRITE BELOW THIS UNE
Il
Submittal
Plan Sets
Req'd
Recd
TRACENG PERMIT FEES
Plan Check submittedItem Amount
Stmctural Calm
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Caged Contact Person Plan Check Balance.
Title 24 Cal&
Plans picked up Construction
Flood pWn plan
Plans resubmitted.. Mechaiilcal
Grading plan
2'! Review, ready for correctionsfutsue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans plcked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN 110USE:-
''' Review; ready for correeBonslissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees