11-1106 (PAT)_T
P.O.
P.O. BOX 1504 .
78=495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
11-0009
Property Address:,
79440 N SUNRISE .RIDGE DR
APN:
604-100-018-18 -19903 -
Application description:
PATIO COVER "- RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1436
f�Gl�Gv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RYAN JOSEPH & MARGARET
2762 BOSTONIAN DR
LOS ALAMITOS,.CA 90720
(071)489-6690
Contractor:
Applicant: Architect or Engineer: Owner_
LICENSED CONTRACTOR'S DECLARATION t
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 a scant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 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-buildei will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 1, 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 doesnotapply to.an owner of
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed,
pursuant to the Contractors' State License Law.). .
(_ 1 I -am exempt under Sec. B, B.&P.C. for this this reason'
CONSTR I,ON-Lff DINGAGENCY '
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
I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/07/11
OCT 07 2011 1
CIT OFF i..A+'' UINTiA
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 woikers'-compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3300 of the Labor Code, I shall forthwith comply with those provisions. -
t date• Lc7�'fX- gp ican��,+
WARNING: FAILURE TO SECURE WORKER '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 Whereby made to the Director of Building and Safety for 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 Quima, 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 andvoid 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) 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 court to Inter upon the above-mentioned property for in ,elitiog urposes.
%Date:
4 � �� Signature (Applicantror-A cg�rl�p
Application Number 11-00001106
Permit PATIO COVER PERMIT
Additional desc .
- Permit Fee . . . . 35.00. Plan Check
Fee .'. ".
22.7-5
-
Issue Date. . . . Valuation
1436.
Expiration Date 4/04/12
Qty Unit Charge :.Per
Extension
BASE FEE.
15.00
10.00 2.0000 HND BLDG 501=2,00.0
20.00
Special Notes and Comments
INSTALL PATIO COVER CITY STANDARDS PER
APPROVED PLANS, 12 FT WIDE X 9 FT LONG "
APPREOVED PER B.'H.
-------------------------
Other Fees BLDG.STDS ADMIN (SB1473)
11.00
Fee summary Charged - Paid Credited
Due
Permit Fee Total 35.00 .00
.00
35.00
- Plan Check Total 22.75. .00
.00
22.75
Other Fee Total 1.,00 .00
.00
1.00
Grand Total 58.75 .00
.00,
58.75
LQPERMIT
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
—08TANT1 MIOTIC TO PR(1PRRTV OVINE—
Dear Property Owner.
Leri. application for a building Permit has been submitted in your name listing yourself as the builder of the Property
improvements specified at
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 thispermit•ismed in your name as .the
Owner -Builder. We will not issue a buiiding.permit until you: have read, initialed yourunderstanding 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.
OV NEWS ACI W%EIDGIt' NT AND MR—MCATION OF INFORMAT ON
MECHONS. Read and initial ecz h statement-befow'tb 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 personak- 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 employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfirlly acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my. property.
2. 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.tlieresponsible.party of record on the 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.
;;j�:4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
Permits and contracts.
�5. 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.
6. I understand if I am considered an "employee' under state and federal taw, 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. Wjuries sustaked by any subsequent owner(s) that result from any latent construction defects in the
worlananship or materials.
9. I understand I may obtain, more information regarding my obligations as an "employe" from the Internal Revenue
Service, 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.cstb.ca.gov for more information about licensed contractors.
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. I agree that, as the party legally and fummially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers -
12. 1
mployers.12.1 agree to notify the issuer of this, form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you court with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financialloss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in'6vil court. It is also
important for you to understand that if an•unlicensed Contractor or employee of that individual or firer 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 responsbie for verifying whether or not those Comractors are properly licensed and the status of their wotkers'
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 tte.permit, Now. A copy of the property owner's dkiver's Jecense; form notaribativn4 or
other verification acceptable to the agency is required to be presented when the permit is Issued to verify the P. mPerty
owner's signature. '
Signature of property own Date: /t5 —7
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.
AUTROR17ATION OF AGENT TO ACT ON PROPERTY OWNER'S BEKnF
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:
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 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 permit is issued to verify the property owner's signature..
Property Owner's Signature: Date:
City Of % QM.
Bulk tng 8L Safety Dwon
P.O Box 1SO4,*78-49S Cage Tampico
La.Qublta, CA 92233 - (760) 7777012
Building Permit "Application and Tracking Sheet
Prinit #
1
ProjectAddce%: 9 4¢0 A+VRijexs:0615.
Owna'sName;�S-VN
A. P. Nnmbw.
Address: Z 62
Legal Description:
City, ST, Zip-jof gj0%24
Contractor. 0" N,{Z d, `
Address:
Telephone: /fL—
Project Dewription: '
City. ST, zip:
p
% %%�- %/?Tl o .e> \f
Telephone
State Lia # : 01
City Lic. C.
Arch., EW., Designer. t9t J41
Addrem
City, ST, Zip:
Telephone:
State Lia #: ARM
Construction TM.. OaupanY:
Project type (circle one): New Add'n Alter Repsir Demo
Ft: D&' # Stories: it Units:
Name of Contact Person:v
Telephone # of Comact Person: 7 / - VU— v / 4d
vaGu of Project Uo.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
ReWd
Beed
TRACING
PERNIfTFEES-
PIsn Se(s
Pian Cheek submitted
Item Amon¢t
Structural Qkr
Pwttwed, ready for corrections
Plan Cheek Deposit. .
Truss Cales.
Called contact Perm
Plan Check Balance
Title 24 calm
Pians picked ap
Construction
Flood plain plan
Ptaw rmbmitt d.' _
Mechanical
Gsnding plan
�! Review, ready for oormcgowftue
Electrical
Subeoataetor List
Called CoutaetPerson
Plumbing "
Grant Deed
Ptaar picked ¢p
ML
H.O.A. Approval
Plans resubmitted
Gradt¢g
IN HO113Br
Rt w', ready for corretilonsAssae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr -
Date of permit issue
School Fees
Total Permit Fees
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Rif iER SIZC ANO SPAQDC ' SPECKY ROOrMtC • MA SWAD-W. OR
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ULPARTMENT APPROVAL BELOW
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(4) I60 mks OR wti
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PROVIDE I" CLEWANCE
BETWEEN POST Aim
CONCRETE
U -STRAP OR ANGLE
NON-C:OFtR05NE PLATE
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OR NXT NAIL
PROVIDE i- CLEARANCE
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ANCHOR BOLT (EMBED
T MIN. INTO CONCRETE)
TYPICAL PAT19 COVER
Can or ^PPucwnm �0 7
OWW" MAW
sraoEr Acoacss -7 `i . N
a". ST zw 484
/ 2 ail
MEPMME
MDQ Aop ..
o7I Lol Loll lb: 1L
IbbIII/olI
RAFTER SPAN TABLE
GRADING RULES
PS 20-70
(FEET & INCHES)
�O
20 16' O.C.
24' '
2x6 1 C O.C.
24'
3Y
298 Ili O.C.
24" '
32" "
LH WiN I H bLLJU Utt I
Q Q Q.
'14 v
07 62 y h�
h h �*
OJT'' qJ p0_
Oti Oh Oh C��
7�• �y�Q: =y�Q•. �OQ�2
O
T p._Q.
NOTES:
1 • 32' RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COV'
<:RS ONLY.
2. FOR SOLID. PAT10 COVERS (NOT LATTICE)
RAFTER SPAN IS IJMITEO T0.10%0% USING
THIS STANDARD.
LATTICE ROOF ' BUILT-UP ROOF
HEADERS HEADERS
DOUGLAS FTR NO. 1 DOUGLAS FIR N0. 1
I'HUt !7J/ E7Q
ALL CONSTRUCTION SHALL CONFORM ;
TO THE PROVISIONS OF THE..
Slcf SPAN I SIZE SPAN f N N
4r.4
4x4
4•_
4x6 '
_
4x8 t'—
4x8
--:_��--
4x10
4x 12 _ 17'—A
4xi0v
6x8 14'-0
600 1— j• _`
6x8
6x10
'�._ "
1- 0
14*- -
0. BUILT-UP. ROLLED ROOF. SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.