09-0770 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-000-oA770
Property Address: 79805 PARKWAY ESPLANADE S
APN: 609-600.-018 - -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4522
Applicant: f
Architect.or Engineer:
A41 -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
JEFF GLUCH
79805 PARKWAY
LA QUINTA, CA
ESPLANADE SOUTH
92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
----------------------------------
Contractor:
Owner
1
t,
c►�y .16 �
Date: 7/15/09
Data: 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
perrnitto 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 applicanOtir.apermit-subjects-the applicant to a civil penalty of,not more ,than five hundred dollars ($500).:
1'u 1 I, as owner of the:property or myemployees 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 doesnot 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 orinfprovement is sold within
one year of completion, the owner -builder will have ttie burden of proving that he or she did not build or
improve'for.the purposeof sale.).
1 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.). .
( ) I am exempt under, Sec. , B.&PP.C. for this reason
aateJ -7 S Owner: e reJ V f"' C
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:
LQPERM[T
issued.
have and will maintain workers' compensation insurance, asrequired'oy 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
700 of the Labor Code, I shall fortnwit compl with those provisions.
=�'/s �9 J
Date: pplican_ t��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND CIVIL,FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 isperformedunder 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, a d her by authorize representatives
of this c n, , enter upon the above-mentioned property for ' ti rpo
`Date-�� B7 Signature-(Appl�ican[:or-Agen
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under. penalty of perjury that I am licensed. under, provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: -
I
Section 7000) of Division 3 of the Business and Professionals,Code, 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: _ ___ �_ License No.:
.• for by:Section 3700 of the Labor Code, for the performance of the work for which this permit.is
Data: 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
perrnitto 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 applicanOtir.apermit-subjects-the applicant to a civil penalty of,not more ,than five hundred dollars ($500).:
1'u 1 I, as owner of the:property or myemployees 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 doesnot 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 orinfprovement is sold within
one year of completion, the owner -builder will have ttie burden of proving that he or she did not build or
improve'for.the purposeof sale.).
1 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.). .
( ) I am exempt under, Sec. , B.&PP.C. for this reason
aateJ -7 S Owner: e reJ V f"' C
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:
LQPERM[T
issued.
have and will maintain workers' compensation insurance, asrequired'oy 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
700 of the Labor Code, I shall fortnwit compl with those provisions.
=�'/s �9 J
Date: pplican_ t��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND CIVIL,FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 isperformedunder 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, a d her by authorize representatives
of this c n, , enter upon the above-mentioned property for ' ti rpo
`Date-�� B7 Signature-(Appl�ican[:or-Agen
Application Number . . . . . 09-00000770
Permit . . . PATIO COVER
PERMIT
Additional desc . .
Permit Fee . . . . 72.00
Plan Check
Fee
46.80
Issue Date . . . .
Valuation
. . .
. 4522
Expiration Date . . 1/11/10
Qty Unit Charge Per
Extension
BASE
FEE
45.00
3.00 9.0000 THOU .BLDG
2,001-25,000
27.00
----------------------------=-----------------------------------------------
Special Notes and Comments
340 SF. WOOD LATTICE PATIO COVER.
(20'X171), CITY STANDARD
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 72.00
.00
.00
72.00
Plan Check Total 46.80
.00
.00
46.80
Other Fee Total 1.00
.00
.00
1.00
Grand Total 119.80
.00
.00
119.80
LQPERAIIT
748loS- MAIL --w E�s�
it
A re -o"
" lavldsca")
C 3�K- a
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FORONSTRUCTION
DAT l "; `Y 4 1 BY
—jj�
arc
V)-
.
A
0
�J
rJ
�
c
v
• ;
s Z.
2
}
1.0
A
• ;
s Z.
2
}
Q.
111
q ,
�
t
CITY OF LA QUINTA
BUILDING &.SAFETY DEPT:
A.��VE �
FbR'C. N5, RU = 7 d
3
I2A�T�i=---_=
z
RAFTER SIZE 'MIO SPAGNG 'SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE .
X SEE ROOFI ( NC NOTE ON REVERSE)
---_----- C..
--------------------
OOF"PITCH
NTINVOUS LEDGER .
(SAME SIZE AS RAFTERS)
HEADER SIZE
T AND 'l' STRAPS
6'x6''rl xI18 WITH W
° Z 1 .(4) 16d. NAILS OR BOLT i V
RAFTER SPAN: 6to
POST SPACING:;
O.H. �. J
OVERALL LENGTH: so-
a OVERALL LENGTH._k
10
POST SIZE: 1p x- r I
REAR SETBACK SIDE SETBACK (4 x47. -MIN.) %0
..`I
2000 P:S.I CONCRETE ----+ I I FlNISH GRADE FINISH GRnpE
MIN. 1 T x 12' , FOOTING I
BELOW. GRADE L" _ J .
I
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTE. CONCRETE
OPEN LATTICE PATIO COVERS MAY 8E 'ATTACHEO TO EXISTING FASCIA
VIA ONE 1/4' x S" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
3/8 x 5 LAG SCREWS WTO STUDS AT " 15' O.C.
CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER T0. BLOCKING
U=STRAP _OR AN(
NON—CORROSIVE
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING &:SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
ANCHOR 80LT (EMBED —
7". MIN. INTO -CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME.
STREET ADDRESS
CITY. ST ZIP
TELEPHONE
wn�
(4)- 16d.
NAILS
OR BOLT
U -STRAP
OR. ANGLE —
(4). 'A 6d
NAILS
OR BOLT
PROVIDE.
t" CLEARANCE
BETWEEN
POST AND
CONCRETE
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING &:SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
ANCHOR 80LT (EMBED —
7". MIN. INTO -CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME.
STREET ADDRESS
CITY. ST ZIP
TELEPHONE
wn�
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LAT-TICE.-PAT-10--C
PVERSONLY.
2. FOR SOLID PATIO COVERSS-(NOT LATTICE)
RAFTER. SPAN IS LIMITED TO 1.0'-0" USING
THIS STANDARD.
LATTICE ROOFBUILT-UPROOF
iHEADERS HEADERS
I DOUGLASR FI '
NO 1
DOUGLAS FIR N0. 1
1
u
SIZESPAN.
RJOFING NOTES
RAFTER SPAN TABLE', 4.: . ..°O�
.
�Q
GRADING RULES. ` c . � c � ..
PS 20-70
ALL CONSTRUCRON SHALL CONFORM
�S vu
(FEET. & INCHES)
0 THE": PROVISIONS OF THE.-
ti. :
001: CALIFORNIA 81,11-LDING CODE. ? .
4x 12 17'.=0"
10 1p, _O„
4x 12 - 12' =0"
SUPPLEMENTAL NOTES:
2x4 10" O.C.
,.
6x8
6'-0" T-3"
lo 14'-0"
2x6 16" O.C.
x8. 16" O.C.
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LAT-TICE.-PAT-10--C
PVERSONLY.
2. FOR SOLID PATIO COVERSS-(NOT LATTICE)
RAFTER. SPAN IS LIMITED TO 1.0'-0" USING
THIS STANDARD.
LATTICE ROOFBUILT-UPROOF
iHEADERS HEADERS
I DOUGLASR FI '
NO 1
DOUGLAS FIR N0. 1
SIZE SPAN
SIZESPAN.
RJOFING NOTES
4x4
4x6 8'-O"
4x4 4'-O"
A.. BUILT-UP; ROLLED ROOF: SLOPE TO DRAIN.
4x8 1 1'-p"
4x 10 14'—p..
4x6' 6'-0"
4x
6*_ -ROCK ROOF: -3/ 1'2 MAXIMUM PITCH.
4x 12 17'.=0"
10 1p, _O„
4x 12 - 12' =0"
16
,.
6x8
lo 14'-0"
P.O. Box .1504 ,
LA-QU1NTA' CALIFORNIA''92247.=1504
78-495 CALdE" TAMPIc6
LA QUINTA, CALIFORNIA 92253
- � PROP.ERTY�-OWNER'.;
R r
BUILDING & SAFETY DEPARTMENT
(760).777-70.12
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for.:Construction Permits
.,fMPORTANT! NOTICE.TO PROPERTY OWNER
Dear Property Owner.
.An. application-for—a building -permit• hmbeenp submitted in y r name isti4ry"Ese'lf as the builder of the ,property
,.improvements specified at
We are providing you with an Owner• Buildei'Acknowledgriment: d Information Verification:.Formao 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`budding.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.
DIRECTIONS. Read and iniiial'each. statement below i& signify you understand
141
1understand_ a.frequent practice of unlicensed persons is to,ihave .the .propeobtain an "Owner -Builder'
permit that erroneously implies that,the property owner is -providing his or }ter,`: 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 employees while wonting on my property. My homeowner's insurance may nvt provide coverage for those
injuries. I am willfully.acting as.an Owner -Builder and am'aware of the limits of my in 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
struction and arenot 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.1 may protect
If from potential fiiancial 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
its and contracts.
JoI understand if 1 employ or otherwise engage any persons', other than California' licensed Contractors, and the total value
y construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employee'
under state and federal law.
C61 understand if Iam considered an "employer ' under state and federal law, I must register with the state. and federal
oent, withhold payroll takes, 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.
4I understand under California Contractors' State License Law, an Owner -Builder who. builds single-family residential
ures 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.
d8. I understand as an Owner -Builder if I sell the property for which this pertnit is issued, I may be .held liable for any I
ial or personal. injuries sustained by any subsequent owner(s) that- result from any latent construction defects in the
workmanship or materials.
9. 1 understand I may obtain more information regarding my obligations as an "employee" from the, Internal Revenue
e ice, 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.
010-
I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
legally and frnanc�';ally responsible . fyr proPpsed onstruetion a tivity t the following address:
'�'�_r�l�J�_. �._r�i�.i. ��'7 7 S�?
v
I agree that, as the party legally and financially responsible for this proposed_ construction activity,.I will abide by all
p icable 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 1
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 issulttg; the:permit. Note: A copy of the property owner's driver.'s.ticense; 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: 0
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 understandis my personal responsibility, i .hereby authorize
- he following person(s) to act as, my agents) to apply for, sign, and fele 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 notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the propertyowner's signature..
Property Owner's Signature: Date:
Bin #
City of L4,: aint
Building &r Safety Division.
P.O. Box 1504,7.8-495 Calle Tampico
La Quinta, CA 92253 - (760). 777-70.12
Buiiding`Permit.A , Iication.and Tracking Sheet
'Permit #
Oq
je ct Address: .�.p
Prroojei 8o s. a� wc+
:Own�h�G
er-s�ame: ✓� j
A. P. Number: X12 L 5 3
�—' : 7�>.S�G S-G;e-411 �� S G
Address:
Legal Description:
fit l�,'CS; T;Zip: Lv� a�r
3
_rcr: �,
�+�
Telephone: l ' !�1 iM�: f/
Address:
ProjecGDescription: q;�j O ' CoY2
City, ST, Zip:"
.
ZO 'x /7 aC441 7�
Telephone:
';s:s €.. ':<v: `: ':w,l n`y::;M:tti•
State Lic. # :
City Lie. #:
�rQ 11/1.. h c to eP' ` /
Arch., Engr, Designer:.
Address:
City., ST, Zip:
Tele hone:
State Lie. #:tha�s. ` :: ^^{:A.. <y;>f. }::
A.:.W�
Name of Contact Person:
;.construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft:; #Stories: - #Units:
Telephone # of Contact Person:
EstiinatedrValu�ject:
APPLICANT: DO..NOT WRITE-BELOW.THIS LINE .
#
Submittal
Plan Sets:
Req'd
Rec'd
TRACKING
Plan Check submitted
- ' PERMIT FEES
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
I.Constri
Flood plain plan
PlansTesubriiitted'
Mechanical
Grading plan
2°d Review, ready for.corrections/issue
Electrical .
Subcontactor List
Called Contact PcFson
Plumbing
Grant Deed
. Plans picked up.
SM.L
H.O.A. Approval
"Plans resubmitted
Grading
INHOUSE:-
''" Review,.ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit.issue
School Fees
r
TotalPermit Fees