09-0615 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tityl. '4 4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
09-00000615
Property Address:
44125 CARMAN PL
APN:
604-151-003- - -
Application description:
PATIO COVER - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
5121
Applicant: Architect or Engineer:
s
--------------------------------------------------
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 ISec. 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
anVy �Pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 15500).:
( V) 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.).
(_ 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ I I am exempt under Sec. , B.&P.C. for this reason
Date: 6" 10'01 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:
ORLOFF BRAD
44125 CARMAN PLACE
LA QUINTA, CA 92253
(
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/10/09
-----------------------------------------------
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, 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 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwi co lI iithhtthose provisions.
Date: 14 0 * 0 `I Applicant: 19AIA
U Ly
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 construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propertyJor inspection purp es.
Date: e? Signature (Applicant or Agent): / 4
Application Number
. . . 09-00000615
Permit . . . . . PATIO COVER
PERMIT
Additional desc . .
Permit Fee . . . . 81.00
Plan Check
Fee
52.65
Issue Date . . . .
Valuation
. . .
. 5121.
Expiration Date . . 12/07/09
Qty Unit Charge Per
Extension
BASE
FEE
45.00
4.00 9.0000 THOU BLDG
2,001-25,000
36.00
----------------------------------------------------------------------------
Special Notes and Comments
PATIO COVER 385 SQUARE FEET PER
CITY
STANDARDS AND APPROVED PLANS PER
S.T.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
-----------------
Paid
Credited
Due
--------------------
Permit Fee Total 81.00
----------
.00
----------
.00
81.00
Plan Check Total 52.65
.00
.00
52.65
Other Fee Total 1.00
.00
.00
1.00
Grand Total 134.65
.00
.00
134.65
LQFERMIT
`.. _... .
- SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE—
(SEE
ATTICE—(SEE ROOFING NOTE ON REVERSE)
2000 P.S.I CONCRETE --•N 1 FINISH GRADE FINISH GRADE L t. MIN. /7 x1 FooTING 1 `! 7
l –J L–J iT BELOW GRADE �--J Sada SNS
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 11, x 5 LAG SCREW THROUGH FASCIA INTO EACH RAFTER TNI...
A /A' � K 1 M trOrwc Mf f% 4 Tl 1n . r . r ^.
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
-------------------------
1.S - 1V(] 1
NollonHISNoo H0j
03AOUdd�
'1d30 AL3.dVS V JN.10-lin8
ViNin " til _Ao xilo
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
------
U-STRAP .OR ANGLE —
NON -CORROSIVE PLATE -
(4)- 16d NAILS
OR BOLT
� G%
U -STRAP OR ANGLE —
(4)- 16d NAILS
OR BOLT
PROVIDE t" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED -
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY. ST ZIP
TELEPHONE
t rb,'
Q.• Q• Q -
ti v v
4 � 4• X44• �
RAFTER SPAN TABLE
GRADING RULES. � �' � co (1)
PS 20-70
(FEET & INCHES) OJ�� OJti? 16 X47 Q
2x4 16" 0.: .
24 "
2x6 16 O.C.
24'
32" "
2x8 lfi O.C.
24"
32" "
10'-9— 13'-
-111'-6"
4x8
400
4x12
6x8
600
8'-9 10'.
-o .
8 —6
N/A I s
—0
17'-0
13*—6* 16'
NOTES:
1.
32" RAFTER SPACING IS ALLOWABLE.
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED TO 10'-0" USING
THIS STANDARD.
LATTICE ROOF BUILT—UP ROOF
HEADERS HEADERS
I DOUGLAS FIR NO.1 DOUGLAS FIR NO. 1
j SI -E SPAN SIZE SPAN
4x4 5'-0" I 4x4 4'-0"
! 4x6 P.' --n" ( 4.Yri F'—n..
ALL CONSTRUCTION SHALL CONFORM
TO :THE PROVISION'S OF THE
2,401 CALIFORNIA BUILDING CODE.
s
ROOFING NOTES:
A. BUILT—UP. ROLLED ROOF: SLOPE TO DRAIN.
4x8
400
4x12
i 6x8
6x 1 O
11'-0"
14'-0"
17'-0"
14'- 0"
17'-0"
4x8
400
4x12
6x8
600
8'-0" B. ROCK ROOF: 3•%12, MAXIMUM PITCH.
l0'-0"
12'-0"
12'-0"
L_J
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/47 x 5 LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL_
I /o' _ C' , err, eroor a — c -r. — . r – –
NAIL RAFTER TO BLOCKING
! BUILDING DEPARTMENT . APPROVAL BELOW
�► �a a - 3p ilea
-NOupnH1SN00 b0.,i
G A0Hdd
'1d30 Al2-WS'S ONIG-li08
l iNino vi j® /�llo
I %--' VAIN. T r x T Z' FOOTM 11
---T-
L_J Qr. BELOW GRADE L_JSit s+
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE -=--�
U -STRAP .OR ANGLE —
NON -CORROSIVE PLATE -
1 (4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE t" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED -
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
I.
F
RAFTER SIZE AND SPCC NG'
IyX 8 ,� O L
_. - _
SPECIFY ROOFING AND SHEATHING OR OPEN LATnCE —
(SEE ROOFI/N�GJNOTESON REVERSE)
_ -At. -IIS a.J__ 'w,1
L_J
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/47 x 5 LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL_
I /o' _ C' , err, eroor a — c -r. — . r – –
NAIL RAFTER TO BLOCKING
! BUILDING DEPARTMENT . APPROVAL BELOW
�► �a a - 3p ilea
-NOupnH1SN00 b0.,i
G A0Hdd
'1d30 Al2-WS'S ONIG-li08
l iNino vi j® /�llo
I %--' VAIN. T r x T Z' FOOTM 11
---T-
L_J Qr. BELOW GRADE L_JSit s+
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE -=--�
U -STRAP .OR ANGLE —
NON -CORROSIVE PLATE -
1 (4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE t" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED -
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
Bin #
Permit #
i
Project Address: i/Y 125
Qty Of .a Quints
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
R' Owner's Name: d 1 G
A. P. Number:
Address: 6,49 M .4N P Z
Legal Description:
City, ST, Zip: JJ
C. U►ti4G,
Contractor:
Telephone: ,:.�'%.•t'�;,:. :s+.��s;<�,',:..:;,.:ry? ::?. .�,
::4i% vFh. :•f.:::�ii: t% iffi. tL
Address:
Project Description: o u 2
City, ST, Zip:
Telephone:
p
? '
5
State Lic. # :
City Lic.
Arch., Engr., Designer:.
Address:
City., ST, Zip:
Telephone:.^
State Lic. #:
�v:> �� ?x;-<. ? •;:::: <••:n:
x;.:4y,:.;,}:;x;,:,,:,4,.�;y:,.
:�w,3,'.!� �.�:z<r:!%�c
Construction Type: Occupancy.
,
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: 38 -5—#
Stories:
# Units:
Telephone # of Contact Person:
# Submittal Req'd
Plan Sets..
Estimated Value of Project:
APPLICANT: DO NOT WRITE. BELOW THIS LINE
Recd TRACMG PERMIT FEES
Plan Check submitted Item Amount
Structural Caics.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance.
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
tad Review, ready for corrections/issue Electricnl
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
7rd Repiew,.ready for correctionsrissue Developer Impact Fee
Planning Approval
. Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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
07ANT! NOTICE TO PROPERTY OWNER
Dear Property Owner
'An. application for a building permit has been submitted .in your name listing yourself as the builder of the ,property
improvements specifiedat i1q/d S CARMAN PJ_ � w a) ; N -� a A
We are providing you with an Owner -Builder Acknowledgment-ada Information 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.
OVI E'S AC1Qg0WLE1DQMW AND'YERIWATION OF MORMAT N
DIRECTIONS: Read and initial each statement belowto signify you understand or verify this information.
i1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his. or her own labor and material personally. I, 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 emptoyees. while working on my property. My homeowner's inisurance may not provide coverage for those
injuries. I am willfully acting as. an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
a2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as. an "Owner -Builder" I am the responsible party of record onthe permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
&4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
W5. I 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"
under state and federal law.
46. 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
_%7. I 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 performed
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.
I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Se ce, 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-
800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
10. 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 f naneially responsible . for:. _ roposed construction activity at . the following address:
VY/2S CARMrAA/ IPL
!�1. I. agree that, as the party. legally and financially responsible for this proposed construction activity, t will abide by all
Iicabfe I'aws and requirements that govern Owner -Builders as well at employers.
h�12.1 agree to notify the issuer of this. form immediately of any additions-, deletions, or chanFS* to any of the information 1
avhav 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 assistyou with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be inicivil court It is, also
itnportW for you to: understand, that if an unlicensed Contractor or employee of thatindividual•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 bee 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 tke property, owner's driver's.lk-Wei form n0tari¢atl0n3. 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: �70
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 persons) to act as my ageat(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 perjurythat I am the property owner for the address listed above and I personally felled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form hotarization, or other verification
acceptableto the agency is required'to bepreseiited when the permit is issued to verify the property owner's signature..
Property Owner's Signature: Date: