13-0661 (PAT)0 film
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,•CALIFORNIA 92253: BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00000661 Owner:
Property Address: 52945 AVENIDA HERRERA LINDA WIESE
APN: 773-324-023-10 -000000-
Property Zoning: COVE RESIDENTIAL (
Application valuation: 300
Contractor:
Applicant: Architect or Engineer: Owner
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
tha- or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
a "cant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
�) 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
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 contractors) licensed
pursuant to the Contractors' State License Law.).
�✓ I I^am exempt under Sec. , BAP.C. for this reason
D.te:
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: Nom+
LOPERM 1T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/24/13
:MAY 2 3 0019E la aUINTA
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. .
1 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
G /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 C e, I shall forthwith comply with those provisions.
fa�
D�: �- r Applican�; c _
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.
1 certify that I have read thisapplicationand 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 pSgperty for inspection purposes.
Datec1 Signature (Applicant or Ag
LQVERA1TT
Application Number . . . . . 13-00000661
Permit _ . . . . . PATIO COVER 2013
Additional desc .
Permit Fee . . . ._ 95.81 Plan Check Fee
.00
Issue -Date. Valuation . .
300
Expiration Date 11/20/13
Qty Unit Charge Per
Extension
1.00 1 • 95.8100 EA MISC PATIO COVER, STD
L
95.81
------------------------------------------------------=--------------------
Special Notes and Comments
RESIDENTIAL PATIO COVER -.300 SQUARE
FEET. 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 .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
RAFTER SIZE AND SPACING
Axa x;'I &,-, 4
ROOF PITCH
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
_ �if3p11- ��7G-�----
/ �– CONTINUOUS LEDGER
r
OWNER'S NAME
t✓lIJfe5e
STREET ADDRESS
(SAME SIZE AS RAFTERS)
CITY. ST ZIP
(a Q IJ c n ."', CPr
TELEPHONE
-
H.O.A. APPROVAL
N,
v
V V V
RAFTER SPAN TABLE ` °o
GRADING RULES cl) `� S`' �' SG'
PS 20-70
(FEET & INCHES) °J,`Li
2x4
16" O.C.
24"
10'—C" i
T-6" 1
T-3"
R'-�"
8'-6" 1 8'—C3" 6'-0"
T-3"
DOUGLAS FIR
N0. 1
2x6
16" O.C.
24"
32"
15'-0"
14'-0"
10'-9"
13'-0"
12'-6" 11'-6" 8'-9"
4'-0"
10'4". 8'-6" N/A
N/A,
4x6
6'-0"
2x8
16" O.C.
24"
32"
18'-0"
17'—C
13'-6'
16'-0"
15'-6" —6" 11'-0"
10'-0"
13'-0" 11'-6" N/A
N A
402
12'-0"
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 16'70" USING
THIS STANDARD.
LATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR
N0. 1
S17;
SPA14
SIZE
SPAN
4x.4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
1 1 '-0"
4x8
8'-0"
4x10
14'-0"
400
10'-0"
402 2
1 7'-0"
402
12'-0"
I 6x8
14'-0"
6x8
12'—G"
6x10
17'-0"
600
14'-0"
r
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:.
2001 CALIFORNIA BUILDING CODE.
ROOFING NOTES:
A. BUILT—UP. ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 31/12 MAXIMUM PITCH.
C�,
I� cv
SITE REQUIREMENTS
IHTER10R LOT
smEYARD; s FEET
MINIMUM EACH SIDE
l�
FRONTYARD:
20 FEET
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LliLL v .
®cin m
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OM
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Bina
City Of Qulhta
Req'd
Bdkgng at Safety Dn+itlon
P
P.O. Box ISO4,78.495 Cale Tampico
Q
1.a.Qutnta, CA 92233 -:(760) 777-7012
Building Permit Tracking Sheet
Application' and
projcctAddtrsr
OwncesNamc:. U rid -a tJi e$e
A. P. Number
Legal Dcsaipdon�:City.
ST,"ZiP CJ t /l 9a�53
Contrai tares_ 1•- f.,�
r
Telephone: � -
Address:
ProjecA Description a -1-7 ,o C_!7 t!`er
City. ST, Zip:
—
Telephone:
State Lia # :
City Lie. k;
Ardfr., FAW., Designer.,.
Address:
.
City, ST. Zip:
Plans resubmitted:. Methsrilcal
Telephone:
Construction Type:. Occupancy:
State Llc• #:
Project typc (circle one): New Add'n Alter Repair Demo
Name of Contad Person:
f Sq: Ft :"rffb#Stories # Units:
Telephone # of Contact Person
EWmatod Value of Project;
APPLICANT, DO NOT WRITE BELOW THIS LINE J
#
Submittal
Req'd
' Ree'd
TRACMG PERMfr FEES
Plan sets
Plan Check sabmitted Item Amount
Structural Calca.
Reviewed, ready for corrections Plan Check Deposit. .
Thus: Coles.
Called Contact Person Plan Check Baianee•
Title 24 Calve.
Plans picked up construction
Flood plain plan
Plans resubmitted:. Methsrilcal
Grading plan
Z" Review, ready for corrutionsfissue Electrical
Subeoataetor List
Caped Contact Person Plumbing
Groat Dcad
Plans pttlmd up S.M-L
S.OA- Approval
plans resubmitted Grading
WHOM-
'`' Review; ready for eormcdonslissne Developer Impact Fee
Planning Approval
Called Contact Person
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 Construction Permits
Q-0-08TA 11 NOTICE TO FROPTRTY OWNER
Dear Property Owner.
An. application for a building permit has been submitted in your name listing yourself as the builder of the .property
improvements specified at
� g�S i%jel)1(!p-cr
We are providing you with an Owner -Builder Acknowledgment and- In rmation Verification Form to make you aware .of your
responsibilities and possible risk you may incur by having this permit-ismed in your name as the
Owner -Builder. We will not issue a buildlng.permit until ye 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.
OYR WS ACKN0V&E0O T AND VE LCATION OF MFOR ATI ON
DIRECTIONS. Read and initial each statenrent-betow-ie signify you understand or verb this niformadon.
X1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
buildmg 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 provide 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 ptoperty-
02. I 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-Buildee' 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.
_1k 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
_,4Y 5. 1 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 co_nsidered,an "employer".
under state and federal law.
a�Y6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, 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.
DY 7. I understand under California Contractors' State' License Law, an Owner -Builder who builds single-family residential
structures 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.
-- L8. 1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal. injuries sustained by 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 irlteraal 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 (CSLB) at I-
800-32 1 -CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
0. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the
p leqpally and financially responsible for proposed construction activity at the following address:
+.�')/J/r C° in_ . -— - I 0 . J--- - •� _`.. _ L .-,o.— �
' 11. I agree that, as the party legally and financially responsible for this proposed constriction activity, I will abide by all
app 'cable laws and requirements that govern Owner -Builders as well as employers.
l2. I agree to notify the issuer of this form immediately of any additions; deletions, or ch*nges 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,. die 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 iwcivil court It is also
important for You to. understand that if an unlicensed Contractor or employee of that individual or f rm is injured while woticing
on your property; you may be held Halle for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsiblo for ver*ing whedier or not those Contractors are properly licensed and 'the statins of their woricers'
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 issnitng dw.pe rnAt. Note: A copy of the propetV owner's diliver.'sAlbeXst; form n0tadcag'W4 or
other verification acceptable to the agency is required to be presented when the peemit is issued to verify the p vperh'
owner's signature.
Signature of property owners Date:
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 EEHALF
Excluding.the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following persons) 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 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: