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11-0401 (PAT)P.O. BOX, 1504 VOICE (760) 777-7012 78-495,CLLE TAMPICO FAX (760) 77.7-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT INSPECTIONS_ (760) 777-7153 BUILDING PERMIT Date: 4/19111- Application /19/11Application Number: ill 00000401 — Y Owner: Property Address: 51899 AVENIDA VILLA SAMUEL BARRAGAN APN: 773-182-018-6 000000-51899 AVENIDA VILLA Application description: PATIO COVER - RESIDENTIAL LA QUINTA, CA. 92253 . Property Zoning COVE RESIDENTIAL---------------------------� --- d Application valuation: 9177. - Contractor: r� 1 Applicant: Architect-or Engineer: Owner 1 11 crryOx i rl ----------------=------------ Fly`. 4td1N�,e; � QEIR% ----------------------------------------------------- .. 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: 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 ' issued. . Date: Contractor: - _ 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. insura c jar and policy number are: .I hereby affirm under penalty of.perjury than am exempt from the Contractor's State License Law for - the - Carrier Policy Number - following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I e per ork'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 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject 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 3700 of, the Labor Code, I shall forthwith comply w' a provisions. _ ' that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -. any pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: Zbq plica 11 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 - WARNING: FAI URE TO SECURE WORKERS OMPENSATIONCOVE GE 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 U ON USAND and who does the work himself or herself through his or her own employees, provided that the D6LLARS.($100,000). IN ADDITION TO THE COST OF COM AMAGES 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 - - improve for the purpose of salei - - APPLICANT. ACKNOWLEDGEMENT - 1 1 I, as owner of the property, am 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 Lode: 'The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property woo 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 ther . Contractors' State.License.Law.). - - :. _ _ _. - _ - __ ,:_ whose-benefit is performed pursuant to any permit issued as'a result of this, application,- (_) I 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 of La Quima, its officers, agents and employees for any act or omission related to the work being rr I' performed under or following issuance of this permit. Date: i'�� ner: - 2. - Any permit issued as a result of this application becomes null and void if work isnot commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDIN�AG�� - permit to cancellation. 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the ' 1 certify that 1 have read this application and state that the aboveinformation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.)• - city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this45cnty o enter upon "above Lender's Name: -mentioned property for inspection purposes. - - v - - ;.of ignature (Applicant or Agen Lender's Address:'_ ' . • .• , . !� LQPERMIT Application Number 11-00000401 Permit . . . PATIO.COVER PERMIT Additional desc . Permit Fee. •117.00 Plan. Check .Fee 76.05' Issue Date Valuation 9177 Expiration Date 10/16/11 Qty Unit Charge Per 'Extension.: BASE FEE. 45:00 8.00 9:0,000 THOU.. BLDG 2,001-25,000 72.00 -------------------------------------------------- . Special Notes and Comments 690 S.F. SOLID..WOOD PATIO COVER, INCLUDES 10'X10' LATTICE SECTION AT CORNER, CITY STANDARD. APP. BH. 2010 CODES. • --------------------------------------------- -------------- Other Fees . . . BLDG STDS.ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES .92 Fee summary.. Charged Paid Credited Due Permit Fee Total 117.00 00 .00 117.00 Plan Check Total 16.05 .00 00 76.05 Other Fee Total 1..92-- ..00 :00 1'. 92 Grand..Total 194.97 .00 .00 194.97 LQPERMIT .. .. - .. .. " c3iF FiC CITY OF LA Q��NTA ` BUILDING & SAFETY, DEPT. APPROVED FOR. ONSTRUCTION 0Lt.:BY }g! DAT oh 4f evi .. - • � .. � . Q -a AUT., _.: �'' a x8 ..� n��.�5 P 5+eei : I 5 SGrwe-�Grra ah Bin # City of La Quin.ta Building 9 Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Siieet Permit # Project Address:gt{ ;,��a.� �l Owner's Name: JP.� A: P. Number: Address: Legal Description: City, ST, Zip: nCA. LVVE53 Contractor:'WE lJ WYi� A Telephoner • •:x: rg.:. A ;;: j: Address: Address: Project Description: City, ST, Zip: s CA �0 COA/P y 0 Telephone: • . :'� z'�> llvv '�\`i}'."���p.. N��"•': ;t: :i::: City Lic. #t State Lic. # : p Woo Arch., Engr., Designer: Address: ` City., ST, Zip: Telephone:;; ��,• ��:.t�: r,>�'{• State Lic. #: <• icy n"^ y` '% .> :::€:<:..,.: �•: :.»:✓k,.c. Name of Contact.Person:Sq. Construction Type• Occn an Project a circle one New Add'n Alter Repair Demo Ptype J ) Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 3cloo' c70 APPLICANT: DO NOT WRITE BELOW THIS LINE - # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Bpdance Title 24 Cates. Plans picked up - Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontector List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:= 3' 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 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 ConEtruction Permits f11Mfar UNT1 NOTICPrRTy OWNER Dear Property Owner. An application for a building permit has been submitted in your name i yourself as the builder of the property impr�ov�emeuts sp®cified at 5�S°1� I%WY '�, VL11h t--� OW -,n c. l -AJ °IZZS We are Providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your rospessibilities and possible risk you may incur by having this permit issued in your name as tte Owns -Builder. We will Rot issue a budding permit until you -have read, initialed your tmderstrinding et each provision, signed, and returned this form to us at our official address indicated. An agent of the cwner cannot execute this notice unless You, the property owner, obtain the prior approval of the permitting authority. OZ'S ACKNOW.EIDgiENT AND YERmwATION ©E4 MIORTM DIRECUONS. Read and initial each statement below te'signify you undw3tand or very dkis information. 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, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while worsting on my property. My homeowner's insurance may not provide coverage for those injuries. 1 am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on @Y PmpertY- G32. I understand building permits are not required to be signed by property owners urAess they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. S-9 3. I understand as an "Owner -Builder" I am the responsible 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. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 55. 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. S.16_6. I understand if I am considered an "employee' under state and federal law, I must register with the state and federa government, withhold payroll taxes, provide workers' compensation disability insuratKe, and contribute to unemploymeu compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financif risk. 4�13L7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residenti structures cannot legally build them with the intent to offer them for sale, unless all work is performed by ticens< subcontractors and the number of structures does not exceed four within any calendar Year, or all of the work is perform, under contract with a licensed general building Contractor. S3 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, l may be held liable for any financial or personal. 4unes sustainedby any subsequent owner(s) that result from any latent construction .defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employee" from the IatcMal 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 (CS -'LB) at 1- 800-321-CSLB (2752) or www.cstb.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 construction activity at the following address: 1 L [ agree that, as the party legally and ftnaucially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. l2. [ 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 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 &M is injured while worsting on your Property; You may be heed liatite for damages. If you obtain a permit as Owner -Builder and wish to hire Contmaers, you will be responsme for ver&fing wiredwr or not those Contractors are pmpedy licensed and the status of dtM woAcers' 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 isTuift tlhe perms. llfote: A copy of Fhe property owner's Myer's f�eaetrvei form Win+. of other verirtcatwn acceptable to the agency is req" to be presented when the permit is sawed to verify the property owner's signature. Signature of property own Date: O 4*&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 execotion 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 abo-, 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: RAF TEaSIZE Aldp SPACING SPECIFY ROOFING ANO SHEATHING OR OPER LATTICc (SEE ROOFING NOTE ON REVERSE) ROOF PTTCN SAME SIZE RCAF RYIS ttEADER SIZE _W,ri2 1 RAFTER SPAN: I.O OVER1ILE ks.-TPro LENGTH. v . r... :, .. „,f„'�,'� • I ` T AW v STRAPS ' I W 6, we 4C.1/6- M'RN II 2 I (4) 160 NAILS OR DOLT 1 1 Pow SpAcac. /0-6 0 K Z �i8 N F S/ d e 51 o1 -d- PAST SIZE: 1EAa SETBACK . sqE (CIC IAN.) 2000 PsJ COICRM--« I �NTSH ut oc ' fTNLs1N CItApE L- j I WL 1 r l l r FOOT1Nc I ------------ I 90LOW GRADE L- - J 1tH t T110E PAIjo COOM WAf 8E ATilypiO ip pp�> , .FAs� LAG SCF” TINRpu T fASCM INTO EACH RAr1ER TAIL 3/6'' S LAG SCREMfI INTO Vnrx •r - - •�•uc.c V" SOLq BLOCKRNG NA& RAFTER Tp BLACKING DVIL_umu ULPARTMENT APPROVAL BELOW I CITY OF �A QUINTA BUILDING & SAFETY DEPT. APPROVE® =FOR CONSTRUCTION Q,�; `= 4 II9, coil BY PROMDE T" CLEARANCE 8C AM NNCCRETE�T . U -STRAP OR AaGLE NON-CORRpS1y[ PLATE _■ (4)- 16d NAILS / OR BOLT U -STRAP OR ANGLE (4)- 16d NAILS OR BOLT PROVIDE 1" CLEARANCE BETWEEN POSI AND CONCRETE I� (I ANCHOR BOLT (EMBED Y MIN. INTO CONCRETE) TYPICAL .PATIO COVER 'DATE Of APPLICA vot4 o V 1 ,Ol �O 1 / OWNER*$ NAME JeA STREET ADDRESS S%06%01 \ __._. CFTY• Si ilp � �•�+ TELEPHONE H.O w wnPanv 9v � v O RAFTER SPAN TABLE �� Z Q-' O GRADING RULES C'' `3. c) c~ �O PS 20-70 (FEET & INCHES) oJ�� OJ�`'� o'zi cv 7' 7'-3` 14' t v_n 2x4 16" O.C. 1 RAFTER SPAN IS LIMITED TO. 10'-0' USING 24- 8 2x6 16' 0;c. 1 1 HEADERS 24' — SIZ= SPAN 32"- 4r.4 �'-0" 2x8 16" O.C. 1�• 1 4x8 11'-0 24. 1 '- 4x 10 _ 10' —0 32" 4x 12 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 HEADERS HEADERS DOUGLAS FIR NO., 1 DOUGLAS FIR NO. 1 SIZ= SPAN SIZE SPAN 4r.4 �'-0" 4x4 4'-0" 4x6 4X6 6•_p 4x8 11'-0 _ 4x8 8'-0 4x 10 14'-0 4x 10 _ 10' —0 4x 12 17'-0 4x 12 6x8 14'-0" 6x8 6x10 17'—p 6x10 14 _0 ALL CONSTRUCTION SHALL CONFORM . TO THE PROVISIONS OF THE :. ROOFING NOTES: A. BUILT—UP. ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH. • i ALL CONSTRUCTION SHALL CONFORM . TO THE PROVISIONS OF THE :. ROOFING NOTES: A. BUILT—UP. ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH.