09-1241 (PAT)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:09-00001241 Owner:
Property Address: 5-25-2.5`AVENIDA VALLEJO ALBERS WILLIAM
APN: 773-292-012-1 - -000000- 49855 RANCHO SAN FELIPfi,
• Application description: PATIO COVER - RESIDENTIAL LA QUINTA, ' CA 92253 10
Property Zoning: COVE RESIDENTIAL (760) 771-9954
Application valuation: 5453
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
' Date: 12/04/09
r
Contractor: C4
Applicant: Architect or Engineer: ALBERS CONSTRUCTIO C NC. �-
78060 CALLE ESTADO SUITWTllrr,-4t4Q!i!/
r LA QUINTA, CA 92253 4{} k1rA
(760)771-9954
Lic. No.: 769229
D
' LICENSED CONTRACTOR'S DECLARATION -
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed ue provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) of Division 3 of the Business an P
fessionals od , and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class:
Lic 769229.
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
yy
L U
-
issued.
Date: `-C-ontractor:
_ 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
• OWNER -BUILDER DECLARATION
insurance carrier and policy number are: r
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 0004885-2009
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
_
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or sheislicensed pursuant to the provisions of the Contractor's State
and agree that, if I s�Ioe
come sub ct to the workers' compensation provisions -of Section
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.
f the Labor CI
3700 of,
hall f h ith omply with those provisions.
any applicant for a p6rmit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
=Date:0y-11pplicant:
(_) 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
WARNING: FAILURE TO SECURE WORKERS' COMP NSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the. work himself or herself through his or her own employees, provided that the _
DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN -
- improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,
. one year of completion, the owner -builder will have the burden of proving that he or she did not build or
I .
improve for the purpose of sale.). -
APPLICANT ACKNOWLEDGEMENT •. ,
(_ 1 I, as owner of the property, arim exclusively contracting with licensed contractors to construct the project (Sec. -
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
- 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. .
' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) 1 am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
Date: 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 ISec. 3097,Civ. C.). _
Lender's Name:
Lender's Address:
LQPEPNIIT
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 const,c ion, and hereby authorize representatives
of this count t enter upon the above-mentioned pro ert for inspe t n purposes.
Da� 7/ µ " F(^SignatureaApplicant-or_Agentl:
• Application Number . . . 09-00001241
• Permit . . PATIO COVER
PERMIT
Additional desc
Permit.Fee 81.00
Plan Check
Fee
52.65 -
Issue Date . .
Valuation
5453
Expiration Date 6/02/10
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
-------
-
----------
MOVE TRELLIS (PATIO COVER) POSTS
OVER -TO
COMPLY WITH CODE -COMPLIANCE CASE
09=868.TOTAL OF 410 SQ. FT CITY
STANDARDS & APPROVED PLANS PER K.K.
------------------------
-----------------------------------------------------------------
OtherFees . . . . . . . BLDG STDS ADMIN (SB1473)
-- ------Other
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
' CQPERA11T - •
,
v
•�
f
__6
RAFTER SIZE -AND spAc*4(;
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
SPECIFY ROOFING mo SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
13LIwLLN POST -AND
OPEN LATTICE PATIO CONCRETE
VIA ONE 1/4- COVERS MAY BE ATTACHED TO EXISTING FASCIA
LAG SCREW THRWG, FASCIA INTO EACH RAFTER TAIL
U—STRAP OR AN(
3/8' LAG SCREWS INTO STUDS AT 6- NON—CORROSIVE
CONTINUOUS LEDGER
JOIST MANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY Or± L,� -
F
FOR Co.Nsl Rlut;"i'ilS4
DATE/-
(4)— 16d NAILS
OR BOLT
(4)- 16d NAILS
OR BOLT
PROVIDE 1" 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
H.O.A. APPROVAL
AND 'L' STRAPS
Li
WITH
(4) 164
HAILS OR DOLT
RAFTER �spm
O'C•
a:
STSPACFNII
OVERALL LENGTH -
L
I
i
OVERALL LENGTH
RALL' Lf
REAR SETBkC
$K
LI
ST
pos'
POST SIZE:
(4 x 'N
0
SIDE SETBACK
2000 P.$.1 CONCRETE T_
I FINISH GRADE -
FR41SH GRAOE
I I--W.N. lrxl2- FOOTING
I I
17' BELOW CRAZE
L__j
PROVIDE I"
CLEARANCE
13LIwLLN POST -AND
OPEN LATTICE PATIO CONCRETE
VIA ONE 1/4- COVERS MAY BE ATTACHED TO EXISTING FASCIA
LAG SCREW THRWG, FASCIA INTO EACH RAFTER TAIL
U—STRAP OR AN(
3/8' LAG SCREWS INTO STUDS AT 6- NON—CORROSIVE
CONTINUOUS LEDGER
JOIST MANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY Or± L,� -
F
FOR Co.Nsl Rlut;"i'ilS4
DATE/-
(4)— 16d NAILS
OR BOLT
(4)- 16d NAILS
OR BOLT
PROVIDE 1" 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
H.O.A. APPROVAL
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
'La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �- i,
l.�
Project Address: S ZS 2S A LA A::--5 U
Owner's Name:�1,� uwt C ���
A. P. Number: 2 Cj 2 V (2
Address: Nclt kS S R-A-c,k Sctn
Legal Description:
City, ST, Zip: V, r }�� C q 1 LS 3
ConVactorTelephone:1
1 c l uY�+.Z �Wc�1 �ir�+ Cp
h;
p$�::y5<F:
Address: v ry e
Project Description:
City, ST, Zip. LCL QIJt w'h 1 GAC Pius
G wz,-6
Telephone: %(dU 1'1 1 Ct q S �
n„;�:ti:: 1.: r:; :;.•:s>;2::}•r bk.}.wM: }•. �:rr
?0 � Ore;RL-to "A - P
State Lie. # :. (o °I 1-2 Cl
City Lie. #:
1 Com- (p p� GVykQ c.VA-M�-� '
Arch., Engr., Designer.
b267
Address:
City., ST, Zip:
iO4' �,,...:...,yti. :: tit's., •.. yr}•4;
Telephone: •,,. .
State Lie. #: rtreyr1 �,+s.)µ�ri2rt:
Name of Contact Person:
.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter , Repair Demo
Sq. Ft.: L ,k o
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES
Pian Sets
Plan Check submitted
Item Amount
Structural Cale&
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2.4 Review, ready for correctionstiissue
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 correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.1.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees