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13-1360 (PAT)f P.O. BOX 1504 i 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253_/ J BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001360 Property Address: 51480 AVENIDA VILLA APN: 773-103-006-8 -000000- Application description: PATIO COVER - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 4000 Applicant: Architect or Engineer: W411. 1 - - � 01 LICENSED CONTRACTOR'S DECLARATION 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 a 01finhtfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: caner of the property, or my employees with wages as their sole compensation, will do the work, and e 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 0,44, e year of completion, the owner -builder will have the burden of proving that he or she did not build or prove for the purpose of sale.). f h r mexclusivelyn r in with licensed contractors to construct the project Sec. owner o i e p aperty, a cot act g c P 1 1 Business and Professions Code: The Contractors' State License Law does not apply to an owner of perty who builds or improves thereon, and who contracts fortheprojects with a contractorlsl-licensed. rsuant to the Contractors' State License Law.). xempt under Sec. B.&P.C. for this reason Date: O ( 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: LQPE WMIT Owner: VASQUEZ FERNANDO I 51480 AVENIDA VILLA LA QUINTA, CA.92253 (760)564-6579 Contractor: Owner . VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153, Date: ' 10/24/13 D ®CT 2 4 2013 CITY OF LA QUINTA FINANCE DEPT. 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 carriei and policy number are: Carrier- - -----------------Policy Number Rtify 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 ` /ice/7 //�� 3700 of the Labo � ode, shall forthwith comply with those provisions. Date: V I Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES*UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 780 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, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date:_h2_M_7�J Signature C (Applicant or Agent) .i 1 _ Application Number . . . . . 13-00001360 Permit . . . PATIO COVER 2013 Additional desc Permit Fee . . . . 95.81 Plan Check Fee .00 Issue Date . . . . Valuation -' 4000 Expiration Date 4/22/14 Qty Unit Charge Per Extension 1.00 95.8100 EA MISC PATIO COVER, STD 95.81 Special Notes and Comments ------------------ PATIO COVER - 339SQ' PATIO COVER AT BACKYARD TO APPROVED PLANS [CITY STANDARD} 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . .. . . .BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid ----------------- Credited Due ---------- ---------- Permit Fee Total 95.81 -7 -------- ---------- .00 .00 95.81 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.50 .00 .00 1.50 Grand Total 97.31 .00 .00 97.31 LQPERVII1' Bin # - City of La Quinta Building &r SafetyDivision. P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S/ y go ✓ Z ,-), A L k A Owner's Name: Ef 2 A. P. Number: Address: ! 4i E D ,4 s i� r✓ �7A V Legal Description: City, ST, Zip: L/{ S 3 Contractor: elephone 760 56 Y— 6 5? y Address: Project Description: _ City, ST, Zip: Telephone: �<;��;::s!:<><»::<;;::�;:,:,,��;>:�s>:;•;" ,:;;r..:;:::;.zG'!;�:?yq:: �::;.•s�.::co :. fL o—i' Z G C I O �7 State Lic. # : City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Y" Telephone: P ;:>;:.;.::!::::.;:::w> :<s::'s:#:::::>::>:>.. 'i<':€;:::;4>sa::. ::; Construction Type: Occupancy: State Lic. # Project type (circle one): New Add, n Alter Repair Demo Name of Contact Person: Ci &,V*- rj0 2 Sq. Ft.: #Stories: #Units: Tele hone #,of Contact Person:(5,/- 0) -64 Y— (o5-717 Estimated Value of Project: D a APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd. Recd TRACKING TERMIT FEES, Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Daposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2q° Review, ready for corrections/issue 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 correctionstissue 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 CALLS 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, IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: I - ' An application -for a buildi.% permit has been bmitte our "ehg '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 this permit issued in your name as the Owner -Builder. We will not issue a building 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. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information lA�understand a frequent practice of unlicensed persons is to have the property owner obtain_ an "Owner -Builder" uig 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 working on my property. My homeowner's insurance may not proviie coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. understand building permits are not required to be signed by.property owners unless they are responsible for the onstruction and are not hiring a licensed Contractor to assume this responsibility. understand as an "Owner -Builder" I am the responsible party of record on the permit.. I understand that I may protect. m elf from potential financial risk by hiring a licensed Contractor and having the. permit filed in his or 1mr nam_ a instead of my own. A(/Understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on pe mnts and contracts. I understand if I employ or otherwise engage any persons, other than California licensed Contracbrs, 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. understand if I am considered an "employer" under state and federal law, I must register witi the state and federal government, withhold payroll taxes, provide workers', compensation disabilityinsurance, and contrihute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. Aures understand under California Contractors' State License Law, an Owner -Builder who builds single-family, residential cannot legally build them with the intent to offer them for sale, unless all work .is F=rformed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of -he work is performed under contract with a licensed general building Contractor. ,& I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any ✓ f cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue ervice, 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.cslb.ca.gov for more information about licensed contractors. am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the arty legally and financially responsible for proposed construction activity at the following address: I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all pplicable laws and requirements that govern Owner -Builders as well as employers. 0ave Iagree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I rovided 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 issuing the permit. Note: A copy of the property 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. Signature of property ownerV_�1� 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 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: Tel No Address of Authorized Agent: 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: meg' t7 QUINTA LDiNG & SAFE Y DEPT. ApPROVD LDrATF "6 2 BY 0 rA f f(Pac Lti r b �Cj(L meg' t7 QUINTA LDiNG & SAFE Y DEPT. ApPROVD LDrATF "6 2 BY 0 -if N' q � f N S � Z .� F �� 'TA EETY DEPT. ��==�n�;� , j" T^ r r R.tf7ER SIZE AND SPACM/C ` ` ROOF PITCH , CONT (SkW � S �M HEADER SIZE SPECIFY ROOFING AM SHCATNINC OR OPEN TM( (SEE RO-�+C NOTES ON REVERSE) 12 T' AMC STRAPS I —.---- ---- cacal'.1/6- WITH 1 i Si (4) 160 HAILS OR DOLT I I PAFTER SPA04: I , I g 71 _i —0sM. .. POST SpAC111G: LE O K n •O'MER�SI.L NC'f H•: � � T Q 04EPA L Q SDI, . 1 REyk SETBACK SDE SETBACK 7c MN.) r io 1 . 2000 PS.1 '--+/ I HNISH CRnDE iTp15l1 I If SEW* op ,be _ BETWEEN POSTAI E ' IOM EtTT1 g `A '1AAY'6E ARACwM.T07EXfSi'W 00k TE F. - 114 5 Vi: StRE1M 11tt1pIlpIM ASCM. ASCM INTO EACi RAFTER , TAjtl ` U–STRAP OR ANGLE w s UG Scwws MO STUD4 li I K• n r — - DVIL U-I-rqU, DLPAR'TMENT APPROVAL BELOW NON-CORROYIVE P@A7 (4.)— 16d NAILS% ., OR BOLT -, U—STRAP OR ANGLE (4)- 16d NAILS OR BOLT PROWX : 1,,,,' CLEAR:k-RCE BE_TWEEN�POST�ANq . I'CONCRETE�-- • 1 HO.R„80LAW(E-M.BE0= ANC , T MIN. INTO CONGRETE)i TYPICAL PATIO COVER DATE OF APPUCATgN OWNER'S NAME . STREET ADDRESS CRY. ST ZIP TELEPt4o"E - RAFTER,;!. SPAN TABLE GRADING RULES PS. 20-70 (FEET & INCHES)" o NOTES:. 1. 32' AAFtER SPACING IS ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. 2. FO.R SOLID. PAT10 COVERS (NOT LATTICE) RAFTER t'PAN IS LIMITED TO. 10'-0- USING THIS STANDARD.. . LATTICE ROOF.-' BUILT-UP ROOF HEADERS HEADERS DOUGLAS FIR NO. DOUGLAS FIR NO. 1 ALL CONSTRUCTION SHALL 'CONFM TO THE PROP-I`1IONS OF TH.E :. SUPPLkMENTAIL ROTES: . t SIF SP N SIZE .SPAN F N 4r.4 - 4x4 4'_p` A. BUILT-UP, ROLLED POOF: SLOPE TO DRAIN. 4x6 4x6 6'_p 4z8 1 4x8 8.-p ROCK ROOF: 3/12 MAXIMUM PITCH. 4x10 14 4x10 1 ' 4x12 17' 4x12_ 12'-0-'' 6x8 14'- 6x8 6x10- 17'- 6x10 14'-p"