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11-0223 (PAT)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000223 Property Address: 78575 AVENIDA ULTIMO APN: 770-091-006-8 -000000- Application description: PATIO COVER - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 958 T4&t-4 40" Applicant: Architect or Engineer: Gict>�t1i�K � . BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 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 A i Date: &*J�/o01wAW 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: BUTVIDAS MICHAEL S 78575 AVENIDA ULTIMO LA QUINTA, CA 92253 Contractor: Owner --------------------------- VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/10/11 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 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 Cod Ishall f thw' com ith those provisions. Date:W f Z0 Applica 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 constructi�,dze representatives fhis county to enter upon the above-mentioned pro rty for insp o DDatet �� ignature (Applicant or Age Application Number . . . . . 11-00000223 Permit . . . PATIO COVER PERMIT Additional desc . . 72 SF LATTICE PATIO COVER Permit Fee . . . . 23.00 Plan Check Fee 14.95 Issue Date . . . . Valuation . . . . 878 Expiration Date . . 9/06/11 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 ---------------------------------------------------------------------------- Special Notes and Comments 72 S.F. WOOD LATTICE PATIO COVER, CITY STANDARD. 2010 CODES. ----------------------------------------------- Other Fees . . . . . ----------------= . . . . BLDG STDS ADMIN.(SB1473) ------------ 1.00 STRONG MOTION (SMI) - RES .50 Fee summary Charged ------------ -- --- ---------- ---------- Paid Credited ---------- ---------- Due Permit Fee Total 23.00 .00 .00 23.00 Plan Check Total 14.95 .00 .00 14.95 Other Fee Total 1.50 .00 .00 1.50 Grand Total 39.45 .00 .00 39.45 LQPERAIIT # La City of Quint'a 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: %83 7S Aeewo Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: ontractor:Telephone: ea % � �.S ¢/� 9.'��6 s :>»?>>:< ::;;::;:;•>s:;:;:::.>::;;r<z Address: Project Description: City, ST, Zip: Telephone: hone• State Lic. # : City Lic. #.: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: >:'•:<:»:•'•.:> <:>::>:::•;:.>:•;:: ;>:;:::::;;. '•{'.`!'.s>%<:s#"`'<:::>::>s::::<•<.:::<>:>?:< •`....:.... :>::>':::::>::»»>: <'::<<:>: <::>:> :<.. Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: ///�k� �v�Nie�tj Sq. Ft.: # Stories: # Units: Telephone # of Contad Person: LD %J 44 9 -,747 Estimated Value of Project: .�/.5�; pp APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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 2°" Review, ready for corrections/sue �(%' Electrical Subcontactor List Called Contact Person /� Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees YOUNG ENGINEERING SERVICES 77804 Wildcat Dr., Palm Desert, Ca. 92211 (7(0) 360-5770 (760) 360-5719 October 21, 2002 Tom Hartung Building Official City of La Quinta Re: Butvidas Residence- 78-575 Ultivio . La Quinta, CA Dear Tom, We have performed structural observation with regards to the framing for the above referenced project and find it to be in general conformance with the approved structural plans. This structural observation does not relieve the City in any way from performing their standard structural inspections nor is it in lieu of any cods: required special inspections. The structural observation performed should not be construed as 3 detailed structural inspection but as a structural observation for general conformance as per CBC 170.,220. If you have any questions please call. Z0 30Vd 3S 9NId33NI!)N3 JNn0A V 6TL909609L 9b:9t Z00Z/ZZ/01 YOUNG ENGINEERING SERVICES 77804 Wildcat Dr., Palm Desert, Ca. 92211 (763) 360-5770 (760) 360-5719 October 18, 2002 Tom Hartung Building Official City of La Quinta Re: Butvidas Residence- 75-575 Ultimo La Uinta, CA Dear Tom, We have performed structural observation with regards to the framing for the above referenced project and find it to be in general conformance with the approved structural plans. This structural observation does not relieve the City in any way from performing their standard structural' inspections nor is it in lieu of any code required special inspections. The structural observation performed should not be construed as ;c detailed structural inspection but as a structural observation for general conformance as per CBC 1702,220. If you have any questions please call. S cer ly, l9 J f Yo g S. ; It i r 1' f ,i � e t 1 ' Z0 39dd 3S 9NIN33NI!)N3-9Nn0A SIL509E09L LE:80 Z00Z/ZZ/0Z 78-495 CALLE TAMPICO LA QUINTA, CA 92253 (760) 777-7075 APPLICATION JUL 0 9 2002 PUBS ^�I� FLOOD PLAIN DEVELOPMENT PERMIT BUILDING SITE LOCATION FLOOD ZONE "Ao" - DEPTH 1 , COMMUNITY- PANEL NUMBER. 769-061-006 060709 0005 B Map Revised: 8/19/1991 APPLICANT INFORMATION SECTION APPLICANT NAME Mike and Barbara Butvidas APPLICANT 82-137 Sierra Ave. ADDRESS Indio, California 92201 (MAILING ADDRESS, NOT THE BUILDING SITE) DAYTIME TELEPHONE NO. 760.347.0121 or 760.413.8438 INSTRUCTIONS 1. A Flood Plain Development Permit is required by LOW Section 8.11.040(A). The Applicant should complete the Applicant Information portion of this application and submit it to the. Engineering Department along with the required documentation noted hereon at the same time the Precise Grading Plan is submitted to the Building and Safety Department for plan checking. 2. Documentation required for STEP 1 OF 2 APPROVAL prior to receiving clearance for Building Permit issuance • Copy of the proposed Precise Grading Plan for review and approval containing all information required by the checklist shown on the back of this application. 3. Documentation required for STEP 2 OF 2 APPROVAL prior to receiving Flood Plain Development Permit approval. Note, this approval occurs after forms for the lowest habitable floor are set and before the Building & Safety Department authorizes foundation construction. • Submit a completed FEMA "Elevation Certificate" form to the Engineering Department. • Submit 95% relative density soils compaction certification to the Engineering. Department. STEP 1 OF 2 APPROVAL STEP 2 OF 2 APPROVAL The Precise Grading Plan submitted for this application has been All requirements have been satisfied. This Flood Plain reviewed and found to contain all data required to satisfy the Development Permit is approved. requirements of LQMC 8.11 The proposed dwelling is eligible to receive a building permit upon satisfying all other Building & Safety Department requirements. 8 f2.SoL-- q-17-4 Z_ AUTHORIZED SIGNATURE DATE AUTHORIZE15 SIGNATURE DATE La Quinta Engineering Department La Quinta Engineering D artment x Wases Victor Monz Assistant Engineer I v.,0rag— Z FILE: Upon Step 2 approval, original goes in "Flood Plain Development Permit" file; copy goes to Applicant F090 REV -2 .B Zo84- 7/00 CHECKLIST FOR . PRECISE GRADING PLANS IN "AO" FLOOD ZONE 1. Prepare Precise Grading Plan in accordance with Checklist. for Precise Plans and the following additional items. 2. All elevations shall employ the NGVD-29 convention. 3., Show -.and label elevation of "Highest.Adjacent Grade" next to the building footprint. This refers to the highest existing natural grade next to the proposed building prior to constructing the elevated the building pad. 4. Show and label the "Highest Existing Elevation on Lot" 5. Show and label the "Lowest Habitable Finished Floor Elevation". Note,this elevation shall be at least ONE FOOT higher than the "Highest Adjacent Grade" elevation. . 6. The following grading note shall appear on the plan: All fill material placed under the structure shall be compacted to ninety-five percent (95%) relative density. F080A 10/88 r P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING & •SAFETY DEPARTMENT. PROPERTY OWNER'S PACKAGE .(160).777 -7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IWMTANTI NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted m your name listing yourself as the builder of the property impmvesnents specified at 7%S75 keen; da Ullimo We are providing you with an Owner -Builder Acknowledgment and information Verification Form to make you aw8W of your respo sibilkies and possible risk you may incur by having this permit issued in your nam as the Owner -Budder. We u46 " ittsne a building permit until you Gave read, initialed your Understanding of eack provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot exec*c this notice unless you, the property owner, obtain the prior approval of the permitting authority. OVA'S ACIQV WLEQOAKEptT AND VERIFiCAMIS OF _,T -N DIRECITONS. Read and initial each statement below to signify you understand or verify this information - )0 1. 1 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 pen*ualty. 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 ply. 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 myhh5urance coverage for injuries to workers on my property. j2. 1 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. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protec myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of m own. - 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total va of my construction is at least five hundred dollars ($500), including labor and materials, l may be considered an "employ under state and federal law. 6. I understand if I am considered an "employee' under statie and federal law, I must register with the state and fed government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployr compensation for each "employee." 1 also understand my faihue to abide by these laws may subject me to serious final risk- A90 isk A90 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family resid4 , structures cannot legally build them with the intent to offer them • for sale, unless- all work is performed by lin subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is perfc under contract with a licensed general building Contractor. ,'A- 8. 1 d as an Owner -Builder if l sell the property for which this permit is issued, I may be held liable for any financial or Persan`al wi ormi sustained by any subsequent owner(s) that result from any latent construction defects i �2 workmanship'nrmatexiais- ,09- I understand I may obtain more information regarding my obligations as an "employee' from the b*mud Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and-tbe California Division of Industrial Accidents. I also understand 1 may contact the California Contractors' State License Bond (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. )WI 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the Party regal and financially responsible for proposed construction activity at the following address: .� 11. ( 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. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the infittmatian I have 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, dw Coomwtors' State License Board may be unable to moist 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 t n&ntaad that if an anlieeosed Coatrsctor a employee of that individual or firm is injured while wonting on your Property; you may be Add liable for damages. If you obtain a permit as Owner -Builder and .yah to hire Corpractors, YOU wdl be ro9poasrbk for veritj ing whglier or not those Co tractors are properly licensed sad the status of thm workers' comption insurance oovena, Before a building permit can be issued, dais form must be completed and signed by the property owner and returned to the agency responsible for isstitq tilts permit. Note. A copy of the p vperty *wows s dmw's lowass, form ne"F 26'aft, or other veriTwation acceptable to the eganey is. requhad to be presented when the perwrit is iffaM to verify At prop" owner's signature. _ 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 BERaF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, l 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 rojectScope of Construction Projector 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. �- Uhl Property Owner's Signature: Date: •; . 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PROVED FOR NSTRUCTION DATE BY 7.0' ll-Z,Zaj 0 7A-575 AlcW �4 ULTIAle "AN ADEQUATELY S!ZEf' DEBRIS CONTAINER IS REQUIRED 0. T " ! L DIURING ALL PHASES OF CON`- AND MUST BE -p,,GT.cn A� a. -� U rc.ILURE TO DO SO -!!kVE THE CONTAINER -- L'NSE OF THE OWNER/ I NAC I OR. Construction is NOT PERN)'ITTED CONSTRUCTION HO LTS on the tol;owing Code Holidays: October 1st - April 30 New Year's Day Monday - Friday: 7:00 a.m. to 5:30 p.m. Saturday: 8:00 Dr. Maftin Luther King Jr. Day a.m. to 5:00 Sunday: None p'm' President's -Day Government Code Holidays: None Memorial Day' Independence Day May 1st - September 30th Monday - Friday: 6:00 Labor Day `r _ a.m. to 7:00 p.M Saturday: 8:00 a.m• to 5:00 pm Sunda Y• s S Veterans Day; None Government Code Holidays: Thanksgiving Day i None Christmas Day`' • isnQllax Ob 63711031435 lU011�3dS&j A1010N 3b y 08 �Od 311S apt 03A0dddb3la j 0398H33 S"�d Qf3 30 333 IUOIl03dSNi 3aliA4 V RAFTER SIZE AnD SPApm OWPWR'S NAME STREET ADDRESS SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE L TEUPNOHE �`9-,JW 64 n A APPOnw- (SEE RO"Z; NOTE ON REVERSE) -• -------------------- / ROOF P1TC14 's = i SIZE AS PAFTM HEADER SIZE E 'r TWD v STRAPS I j -- ---� WITHI ( )1i1�OR�HS RAFTER SPAM: S- Om POST SPACING. 2 / K:-- O_Il OMERALI �J* REAR 7 $a: SEIBALtic SOE SETBACK (-'tC MIN.) i000 P -S.1 CONCRCfE I GRADE F1NTs11 1---j I UK lrslY' FOOTMIC I I —� tr ecww GRADE —� �s'^Alcovrr'PROVIDE 1- CLEARANCE mm- e-- '&Wk . i-o1+s oaa BETWEEN POST AM MW tATTTCE PATIO H1 CONCRETE W ONE 114' r S' LAG M11Y ATTApIED Tp ETC1Si111G FASM fl1R000M FASCIA INTO EACH RAFTER TAIL 3/B' - S' LAG SCRFIrs urn „r.�.. rvwVYLK OR Sme BLOCKM NAIL RAFTER TO 6LACKTNO BUILDING DEPARTMENT APPROVAL BELOW Cl OF LD4- BUILDING & S APPRL FOR CONST 1 = DATE J i0 L L U -STRAP OR ANGLE L NON -CORROSIVE PLATE sl Gel (4)-. 16d NAILS OR BOLT U -STRAW OR ANGLE — (4)- 16d NAILS OR BOLT PROVIDE 1' CLEARANCE BETWEEN POST AND CONCRETE ANCHOR BOLT (EMBED — T MIN. INTO CONCRETE) I TYPICAL PATIO COVER GATE OF AFPLICA voN OWPWR'S NAME STREET ADDRESS CITY. ST Zip L TEUPNOHE �`9-,JW 64 n A APPOnw- A p o QQ' Q - RAFTER SPAN TABLE .����Q �� �,�� �A< 0300 GRADING RULES PS 20-70 V V >v V (FEET & INCHES) OJ,\� 0Jc�, OJ�c,, '0116'O.C. 4x4 4'_ .......ice 4z6 6'-0 -_ 4x8 1'- - 4X8 4x10 144* -0 400 4x12 4x12 6XG 6x8 14'-0" 6x8 6x 10 17'-0 6x 10 14'-0 MIA t'7JJI 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 HEADERSHEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE SPAN f SIZE SPAN 4r.4 5'-0' 4x4 4'_ 4x6 8'-0o 4z6 6'-0 -_ 4x8 1'- - 4X8 4x10 144* -0 400 4x12 4x12 6XG 6x8 14'-0" 6x8 6x 10 17'-0 6x 10 14'-0 ALL CONSTRUCTION SHALL CONFORM . TO THE PROVISIONS OF THE i SUPPLEMENTAL NOTES: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH. 1