05-3534 (PAT)0
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
'Application description:
Property Zoning:
Application valuation:
Applicant:
05- 000'3 34
799-10_-CORTE—CAL-FRO
609-580-049- - -
PATIO COVER - RESIDENTIAL
LOW DENSITY RESIDENTIAL
10055
Architect or E
c&ty/ 4 *P' 4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
ngi r: AUG 101005
CITY OF LUINTA
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.Icommencing 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, 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.).
(_ 1 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , BAP.C. for thjp4eason
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:
SEAN & KELSEY CAMPBELL
79910 CORTE COLERO
LA QUINTA, CA 92253
(
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
Date: 8/10/05
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 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 I s uld become ject o the wor s' compensation provisions of Section
3700 of the Labor ode I shall orth ith omply t hose provisions.
Date: - ft3 C� Applicant: ? '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 following 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.
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 constru ' n, apd hereby authorize representatives
of this coynty,to enter upon the above-mentioned propeq for insp do pur oses. ,) X
I
lb
ik
N
L
LQPERMIT
Application Number . . . . . 05-00003534
Permit . .
. PATIO COVER
PERMIT
Additional desc .
.
Permit Fee . . .
. 126.00
Plan Check
Fee
81.90
Issue Date . . .
.
Valuation
. . .
. 10055
.Expiration Date
2/06/06
Qty Unit.Charge Per
Extension
BASE
FEE
45.00
9_ 009_0000 THOU BLDG
2,001-25,000
. 81.00
-------- --------
Special Notes and
--------------------------------------------------
Comments
756 LATTICE PATIO
COVER PER CITY
STANDARD.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . STRONG MOTION -(SMI)
- RES
1.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
--------------------
126.00
----------
.00
----------
.00
126.00
Plan Check Total
81.90
.00
.00
81.90
Other Fee Total
1.00
.0.0
.00
1.00
Grand Total
208.90
.00
.00
208.90
IV TER SIZE AND SP.AONG
&J' erg f �YL
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE —,
(SEE ROOFING NOTE ON kCE ERSE)
HEADER SIZE
OWNER'S NAME
T` AND 'l' STRAPS
STREET ADDRESS
C o-k;ro
CITY. ST ZIP
CX6,Kl-Y,/6- WITH
—� ��---
-H.O.A. APPROVAL
�C�S ........-
Q 4z'
Q
RAFTER SPAN TABLE c') C) � c' � � ALL CONSTRUCTION SHALL CONFORM
GRADING .RULES /p
PS 20-70 �s� cs� cv �`� TO THE PROVISIONS OF THE
(FEET & INCHES) oJA`�. OJ�.�'' oJ0 Q
ocl>o o �� 3001 CALIFORNIA BUILDING CODE.
�o C\, �° "� �° `v o
=OQ SUPPLEMENTAL NOTES:
2x4
16" O.C.
24" "
10'-6" 4
9'-6" 1
7'-3"
¢'—a"
8'—C I 6'-0"
I T-3"
DOUGLAS FIR
NO. 1
2x6
16" O.C.
24
32" "
SIZE
14' -0
10'-9"
13'-0'
-11'-6" 8'-9"
10'-6"
8'-6" N A
FT
N A
4x6
6'-0"
2x8
16" O.C.
24"
32"
17'-0"
13'-6"
16'-0"
1 S'-6 6" 11'-0"
13'-0"
13'-0" 11'-6" N/A
N/A
4x12
12'-0"
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID. PATIO COVERS (NOT LATTIC'E4-
RAFTER SPAN IS LIMITED TO. 10'-0" USING
THIS STANDARD.
LATTICE
ROOF
BUILT—UP
ROOF
HEADERS
HEADERS
DOUG.=.LAS
FIR NO. 1
DOUGLAS FIR
NO. 1
SI7;
SPAN
SIZE
SPAN
4r.4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x'8
8'-0"
4x10
14'-0"
4x10
10'-0"
402
17'-0"
4x12
12'-0"
1 6x8
14'-0"
6x8
I 6x10
17'-0"
600
r- 5'
21Fb Z Xb Z t. 6
R�jr, 4r
ROOFING NOTE GG
A. BUILT-UP, ROLLED ROOF: SLOPE TO Al i, D
B. ROCK ROOF:. 3!12 MAXIMUM PITCH.
A
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253
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 contracts 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- 1
elll
R'S IGNAT RE/DATE
_T99 (O Co4Q C011Q ro .
PROPER'T'Y ADDRESS
o5-- 7s--3
PERMIT NUMBER(S)