11-1026 (PAT)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4� Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
,.;11-00001026,,:.,
Property Address:
79650 CORTE4BELLA
APN:
609-590-0117 - -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
3471
Applicant:
Architect or Engineer:
TOW^
--————————————————————————————————————————————————
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 (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 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, 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.).
(_) I am exempt under Sec. , B.&P.C. for this reason
-1"i ,l /7 w
XDate: .41 . & I I 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/09/11
Owner:
JOHNSON CHRISTOPHER & CHERIE R
79650 CORTE BELLA
LA QUINTA, CA 92253
-------------------------------
/A I!
Contractor: ! j 11q�
Owner ¢¢ IaJi� 16 2011
--—————————————————————————————————————————————
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, foi 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 1 should become subject to the workers' compensation provisions of Section
3700 of the Labor s II forthwi ' h those provisions.
Date: 1/-/12 4 Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 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 foil owing 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. - - . 1
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, an e y authorize representatives
of this county to enter upon the above-mentioned prop r in pection ose
Date:!/fa f/ Signature (Applicant or Agent): i
Application Number . . . . . 11-00001026
Permit PATIO COVER PERMIT INV FEE
Additional desc .
Permit Fee . . . . 126.00 Plan Check Fee
40.95
Issue Date Valuation . . .
. 3471
Expiration Date 5/07/12
Qty Unit Charge Per
Extension
BASE FEE
90.00
2.00 18.0000 THOU BLDG 2,001-25;000
36.00
----------------------------------------------------------------------------
Special Notes and Comments
261SF ALUMAWOOD LATTICE PATIO COVER AT
REAR YARD [ENGINEERED] THIS PERMIT DOES
NOT INCLUDE ELECTRICAL INSTALLATIONS.
CODE CASE: 10-595 [KM] ***INVESTIGATION
FEE ASSESSED PER 2010 CALIFORNIA
RESIDENTIAL CODE CHAPTER 1 §108.6'FOR
WORK COMMENCING BEFORE PERMIT
ISSUANCE*** 2010 CALIFORNIA BUILDING
CODES.
November 9, 2011 10:21:30 AM AORTEGA
---------------------------------------=------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 126.00 .00 .00
126.00
Plan Check Total 40.95 .00 .00
40.95
Other Fee Total 1.50 .00 .00
1.50
Grand Total 168.45 .00 .00
168.45
LQPERMIT
OVA �
t
P.O. Box 1504
LA QUINTA, 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
l QATANTt NOTICE TO PROPERTY OWNEit
Dear Property Owner.
An application for a �Mudder
has submitted in our n,sting yo as the builder of the property
improvements specifie('_ J/ �l it /�//I l /1
We are providing you Acknowledgment and Infatmatien 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. permit. 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.
Read and initial each statement below to signify you understand or verlytkis information.
IL1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildee,
building permit that erroneously implies that the property owner is providing his or her own labor and material pemnaft.1, 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
es. I am willfully acting as an Owner -Builder and am aware of the limits of my insuramce coverage for injuries to workers
n m property.
2. I understand building permits are not required to be signed by property owners unless they are responsible for the
co 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
miun
if from potential financial risk by hiring a licensed Contractor and having the permit fled in his or her name instead of my
wn.
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
is and contracts"
S. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
0o my construction is at least five hundred dollars ($500), including labor.and materials, L may be considered an "employer
and state and federal law.
6. [understand if I am considered an "employer" under state and federal Law, I must register with the state and feder
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemploymei
co nation for each "employee I also understand my failure to abide by these laws may subject me to serious financi
7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family resident
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licem
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is perforn
under contract with a licensed general building Contractor.
I understand as an Owner -Builder if I sell the property for which' this penhit is issued, I may be held liable for any
financial or personal irquries sustained by any subsequent owner(s) that result from any latent construction defects in the
w anship or materials.
1 understand I may obtain more information regarding my obligations as au "employer" from the Internal Revenue
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 (CS -LB) at I-
21-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
0. 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:
L I agree that, as the party legally and ftnaucially responsible for this proposed construction activity, I will abide by all
rble taws and requirements that govern Owner -Builders as well as employers.
t1�12. t agree to notify the issuer of this form immediately of any additions, deletions, or charges to any of the' information l
e provided on this form Licensed contractors are regulated by taws 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 verifring whether or not those Contractors are. propmly.fl,eased 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 isstiingthe.peratit. Note: A copy of rile property owner's driver'sRoense, farm notadVA'On-, or
other veriJuation 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 t Date: "/'6 / - / /
Note: The following Authorization Form is required to be completed by the proper. ty 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 BEHA)<.F
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 ageut(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 abc
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:
I
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CITY FLA QUINTAL
BUILDING & SAFETY DEP .
APPROVED
FOR CONSTRUCTION
DATE K 141 BY -M__
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CITY OF LA QUANTA
BUILDING & SAFETY DEPT..
APPROVED.
FOR CONSTRUCTION
I -DATE 44om i3y&-, I
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or
CITY OF LA QUANTA
BUILDING & SAFETY DEPT..
APPROVED.
FOR CONSTRUCTION
I -DATE 44om i3y&-, I
M #
City. of La Quinta
Building 8T Safety Division
Permit # /
P.O. Box 1504,78-495 Calle Tampico
�a
La .Quanta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name:
t
i
A. P. Number.
Address:
/i
Legal Description 0
Q� City, ST, Zi All d{
Contractor:
Telephone:
Address:
Project Description:
City, ST, Zip:
Telephoner
F'
State Lie. # :
c ,
City Lic. #;
Arch., Engr., Designer
Address:
, ! fJAM
City., ST, Zip:
Telephone:
a Construction Type:. Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter
Repair Demo
Name of Contact Perso
Sq. Ft.: # Stories: #Unit$:
Telephone # of Contact Person:
Estimated Valine of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd
Recd TRACIUNG PERMIT FEES
Pian Sets
Plan Check submitted q 21 Item
Amount
Stmetural Cates.
Reviewed, ready for corrections i0 Plan Check Deposit.
Truss Calve•
Called coutaet Perso t% 3 ( Plan Check Balance,
�--.
Title 24 Cates.
Plans picked up 10 Construction
'
Flood plain plan
Plans resubmitted. , ? f I1�Iechafil.1
Grading plan
2i6 Review, ready for correctio N Electrical
^
Subeoutactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
'^' Review; ready for correcdons/issue Developer Impact Fee
^
Planning Approval
Called Contact Person . Ad.P.P.
Pub. Wks. Appr
Date of permit issue
m
School Fees
Total Permit Fees
4/28 -C_
(tr=-
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
RESIDENTIAL PLAN CHECK CORRECTION LIST (os)
DATE: OCTOBER 3, 2011
STATUS: FIRST REVIEW
PLAN CHECKED BY: AJ ORTEGA
TELEPHONE NUMBER: (760) 777-7018
ADDRESS: 79-650 CORTE BELLA
DESCRIPTION: PATIO COVER
APPLICANT: CLERIE JOHNSON
PLAN CHECK #: 11-1026
This submittal has been checked for compliance with the 2010 California Residential, Mechanical, Electrical,
Plumbing, Energy, and Green Building Codes, and the City of La Quinta Municipal Code.
APPLICANT:
The following items are being returned to you for
correction:
2- UNMARKED PLAN SETS
2- STRUCTURAL CALCULATIONS
1- CORRECTION LIST
BUILDING DEPARTMENT STAFF:
DO NOT accept any resubmittal unless ALL of the
following items are included:
2- PLAN SETS
2- REVISED STRUCT. CALCS.
1- ASSESSORS SITENLOOR PLAN
1- CORRECTION LIST w/responses
INSTRUCTIONS TO APPLICANT:
1) Provide a written response to each comment on the following pages, noting specifically where the correction
can be found. Responses such as, "Sheet A-3," or, "Handrails shall be per CBC Section 1003," are not
acceptable. Show or note specifically how compliance with a code requirement is achieved. Responses
such as, "Added note 16 on sheet A-3" are appropriate and will help expedite your back check.
2) Corrections may not be made by handwriting on existing drawings. Revise originals and reprint Plans and/or
Calculations as necessary.
3) Return all red -marked Plans and/or Calculations with your resubmittal.
4) Each sheet of resubmitted Plans and/or Calculations shall include the preparer's name and telephone number
and shall be wet -signed by the preparer. If the preparer is a licensed architect or engineer, all documents
prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and
Professions Code Section 5536. Resubmittals will not be accepted with signatures missing.
5) Return this list, your written responses, and all documents listed above with your resubmittal.
Residential Plan Check Correction List Page 1 of 2
SECTION A - GENERAL
1) Provide the Project Address on the first sheet of Plans.
2) Provide on each sheet of resubmitted Plans and cover sheet of bound Calculations the preparer's name and
telephone number and wet -signature. If the preparer is a licensed architect or engineer, all documents
prepared by that licensed individual shall also bear his/her stamp as prescribed by California Business and
Professions Code §5536. Resubmittals will not be accepted with signatures missing.
3) Note on Plans: "All construction shall comply with the 2010 California Residential, Mechanical, Electrical,
Plumbing, Energy, and Green Building Codes and the La Quinta Municipal Code." Remove notes referencing
other Codes.
4) Note on Plans: "All `or equal' substitutions must be submitted to, and approved by the Building Official prior
to installation of the item."
5) Provide a current paper copy of the following ICC Evaluation Report(s): Duralum Products - Patio Cover
SECTION B — PRECISE / SITE PLAN / ZONING
1) Provide a complete Site Plan showing north arrow, property lines and lot dimensions, location of existing
curbs (or edge of street paving if no curbs exist), all existing and proposed structures, setback dimensions,
utility locations, and (if utilized) location of private sewage disposal system. (CRC §R106.1.1)
SECTION C - STRUCTURAL
1) See separate structural correction list, attached.
Important note to Engineer of Record:
If these corrections require revisions to structural calculations, in response to these corrections, do NOT simply
submit two copies of a few supplemental calculations.
For resubmittal, include:
• One complete set of structural calculations from the previous submittal, and...
• Two complete, stamped and wet -signed sets of structural calculations for review and approval. Your written
responses should direct the plan reviewer to the appropriate revised page(s).
Failure to provide documentation in this manner will delay approval of your client's project. Incomplete sets,
loose pages will not be assembled by the Building Department.
SECTION K - MISCELLANEOUS COMMENTS
1) Red marks on Plans, even if not specifically mentioned in this list, indicate items needing correction. Revise
Plans as necessary and provide written response, noting where correction can be found.
2) Provide one copy each of the Site Plan and Floor Plan for the County Assessor's office. While not required
for resubmittal, this administrative item must be addressed prior to issuance of building permit.
END CORRECTION LIST
As further information is provided and reviewed, additional corrections may be required.
Residential Plan Check Correction List Page 2 of 2
City of La Quinta Building and Safety Department
Plan Check Corrections
Structural
Johnson Residence Patio Cover Addition
79-650 Corte Bella
La
is
Revise code reference to the 2009 IBC / 2010 CBC.
P ide calculations for the column foundation.
. �r
If corrections require revisions to the structural calculations, provide one complete copy of the
redlined calculations from this submittal plus two complete, bound copies of the revised calculations
for review and approval. Providing only a few supplemental, revised pages will not be accepted and
will delay approval of this project.
Please incorporate requested corrections into plan sets and reprint.
Engineer: Thomas Campbell, PE
Plan Check No.: 11-1026 (Vt check)
Date: 9/27/2011
Plan Reviewer: John W. Thompson, P.E.
Phone No.: 760-834-8860 Fax No.: 760-834-8861