BPAT2015-0007�• 1
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ANDREW M.SCORTEANU
78940 SONESTA WAY
LA QUINTA, CA 92253
BPAT2015-0007
4 4P Qumrcu
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
78940 SONESTA WAY
604151028
OWNER/SCORTEANU/475 SQ FT PATIO COVER [CITY STANDARD]
$3,750.00
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 Professions 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
AI, 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
wit ' one year of completion, the owner -builder will have the burden of proving that
she did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors
o construct the project. (Sec. 7044, the
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 ntractors' State License Law.).
• ) I am exempt under Sec. B.&P.C. for this reason
Date: 2 d �� 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
VOICE (760) 777-7125
FAX (760) 777=7011
INSPECTIONS (760) 777 -?153
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 requiredby
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:
AWTcertify that in the performance of the work for which this permit is iss;ied, 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 forthwith
comply wit7101
se pr visions.
Date: y�� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70
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 Building Official for a permit subje:t 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 ta, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agent;, 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 co-rect.
I agree to comply with all city and county ordinances and state laws relating to budding
construction, and hereby authorize representatives of this city to enter upon the a 3ove-
mentioned pro ert for inspection purposes.
Date: y 11 W Signature (Applicant or Agent):
+`2/10/2015
Date:
Owner:
ANDREW M.SCORTEANU
78940 SONESTA WAY
LA QUINTA, CA 92253
— Lv�
o
Contractor:
Z T1
ANDREW M..SCORTEANU
90
78940 SONESTA WAY
LA QUINTA, CA 92253
z ru o
ozi C�
(760)668-2900
Eg Eg v ter+
LIC. No.:
m ��
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 requiredby
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:
AWTcertify that in the performance of the work for which this permit is iss;ied, 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 forthwith
comply wit7101
se pr visions.
Date: y�� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70
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 Building Official for a permit subje:t 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 ta, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agent;, 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 co-rect.
I agree to comply with all city and county ordinances and state laws relating to budding
construction, and hereby authorize representatives of this city to enter upon the a 3ove-
mentioned pro ert for inspection purposes.
Date: y 11 W Signature (Applicant or Agent):
t � .
FINANCIAL INFORMATION
•- „ is
a _ DESCRIPTION '' ' ' " ' G,','
9'sr ¢y ACCOUNT. A T.+
rQTY r MOUN
_; -.
PAID DATE.
.. t
-
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
k. !PAID.BY ' a;'*Ir METHOD x;•+ L�2:
K"K RECEIPT# r
k, CHECK# CLTC'BY
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION ` „
:Y :ACCOUNT .
QTY
AMOUNT
`' ,.' `. PAID
PAID DATE'
PATIO COVER, STD; OPEN
101-0000-42404
0
$97.17
$0.00
METHOD ; }.
% RECEIPT #
CHECK #.
CLTD BY
,
tc DESCRIPTION.`
`'ACCOUNT -' '"
'3QTYF
; 'AMOUNT.;
'-t. `: PAID
,PAID DATE,
> .=
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,
r
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
$0.00
r-: PAID BY l'
p .
a^ METHOD ',.
RECEIPT #
CHECK #
BY,
? : ,
{
,CLTD-
r
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $0.00
i' r rDESCRIPTIOIV M x
T,. a `,ACCOUNT `:
QTY
tiw--
AMOUNT
y
PAID MATE'
. • v
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
�,
-• METHOD '' *
'rw' RECEIPT #.:`
�L CHECK# ''
CLTDBYi"
,PAID$Y ya ,
-
M1
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 -
TOTALS: 00
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i
Description: OWNER/SCORTEANU/475 SQ FT PATIO COVER [CITY STANDARD]
Type: PATIO COVER Subtype: Status: UNDER REVIEW
Applied: 2/10/2015 SKH
Approved:
Parcel No: 604151028 Site Address: 78940.SONESTA WAYLA QUINTA,CA 92253 y
Subdivision: TR 23269 Block: Lot: 39
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,750.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: PATIO COVER - 475 SQ FT PATIO COVER AT BACKYARD. [CITY STANDARD] 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
DESCRIP aG
TION , ACCOUNT: TY AMO
. UNT ;'PAID PAID DATES .RECEIPT # CHECK # METHODr` PAID BY CLTD
,,
Q
a' L.
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Tuesday, February 10, 2015 2:11:36 PM 1 of 2 C
SY.C7FM.0
'DESCRIPTION
',7-A
D
PAID DATE
CHECK #'f
-7777
-METHOD
P�lb By
CLT.D
QTY,
OUNT
!RECEIPT#
4,
PATIO COVER, STD,
101-0000-�2404
0
$97.17
$0.00
OPEN
PATIO COVER, STD,
101-0000-42600
0
$95.72
$0.00
,OPEN PC
Total Paid for PATIO COVER / COVERED PORCH /,LATTICE $192.89 $0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
TOTALS: $194.39 $0.00
�
w
~REINSPECTION TYPE,`-��;` IINSPE CHEDULED'I COMPLETED REMARKS NOTES
IPARENT PROJECTS
BOND INFORMATION
ATTACHMENTS I
Printed:��TuesdaFebruary
' 2OlSZ:11:36P�W � 2of2 ^ ' ` _
— '
Bin YCity
of La Quinta.
• 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
Permit #
Project Address: g 1 I 0 �' 0ESTA
Owner's Name: SCDOZ`T J Lj '
A. P. Number:
Address: -7V-q L[0 ES- U-�
Legal Description:.
City, ST, Zip: nqVlJTko- 6* 22S�
Contractor:
Telephone: 76�/ ID�OI) ' Zell
ss?i`:%:?'.:;:..;,:.:,....,:;•:...:::::::.::
Address:
Prtiject.Description: (0 Cp v t;
City, ST, Zip:..
Telephone:
State Lic. 4:
City Lic. #•:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
«'f?>`<<.<:;;<:;>:>..r.;.s:.;:«;::•:
'""`'' ``'''r ` `
f ": "":`'<'::%:><<: »:::: :'"'':' =
Construction Type. Occupancy:
State Lic. #
w Add'n Alter. Re air Demo
Project type (circle on Now P
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
-7
Estimated Value of Project: —
APPLICANT: DO NOT WRITE BELOW THIS LINE
it Submittal Rcq'd Rcc'd TRACKING PERMIT FRES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21 CS.
Called Contact Person
Plan Check Balance.
Title"24Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`Q Review, ready for corrcctionsrissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
school Fccs
Total Permit Fees
Tih
. f44a".
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
IMPORTANT! 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 specified at '��— LlLCO s ndJES`1�k (JJAU La (2h Lt2-2.53
We are providing you with an Owner -Builder Acknowledgment and 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,.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRE TIONS: Read and initial each statement below to signify you understand or verify this information.
I.
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, maybe 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
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to,workers
on m3wrot)erty.
2. I understand building permits are not required to be signed by property owners unless they are responsible for the
]pion 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 on the permit. I understand that I may protect
.lf from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
• t
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.'
I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
oZ-0f my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
Xgove
. 1 understand if.I am considered an "employer" under state and federal law, I must register with the state and federal
rnment, 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
ub
scontractors 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.
4. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
nan!ial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
C9. I understand I may obtain more information regarding my obligations as an "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 (CSLB) at I-
800-32 -CSLB (2752) or www.cslb.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 financially responsible . for proposed conshuction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ave 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 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 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 the property 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.
Signature of property owner Date: ��A�
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 person(s) to act as my agent(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: Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
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.pennit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
3 r.
RAFTER SIZE AND SPACING
F PITCH
G
CONTINUOUS LEDGER .
(SAME SIZE -AS RAFTERS)
HEAD SIZE
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
EiL _---
1FTER SPAN: _ I _—
y0
O.N.
Z J�
a 13.
I N -'T' AND 'L' STRAPS
6' e'xI 11/8' WITH
1 (4) 16C NAILS OR BOLT
POST SPACING._L; C) C
I
1
1
ILL LENGTH:
¢
R a ,
�
/_ i
OVERALL LENGTH 6
POST SIZE: �► x 6
(4'x� MIN.) -
REAR SETBACK SIDE SETBACK
i
2000. P.S.I CONCRETE —+i 1 FlNISH GRADE FINISH GRADE LJ
L_J L_ J '^-- MIN, It i12` FOOTING 1 I
12' BELOW GRADE L - J
NOTE' .
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4' x g' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
3/8'x5' LAG SCREWS INTO STUDS AT 16" D.C.
�- CONTINUOUS LEDGER /
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE 1
U—STRAP OR ANGLE
NON—CORROSIVE PLATE
(4)— 16d NAILS
OR BOLT `
\� �Y U—STRAP OR ANGLE --
V�Y (4)— 16d NAILS
JOIST HANGER OR SOLID BLOCKING OR BOLT
NAIL RAFTER TO BLOCKING
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
BUILDING DEPARTMENT APPROVAL BELOW
ANCHOR ' BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL. PATIO COVER
DATE OF APPLICATION
OWNER'S NAME ndre,w V�1- ScorEe�v�U
STREET ADDRESS 7
CITY. ST ZIP�12ZS3i
TELEPHONE (,O 6Gr Z�j Dv
H.O.A. APPROVAL