09-0244 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000244
Property Address: 53080 AVENIDA HERRERA
APN: 774-054-028- - -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 8565
Tdy 4 4v Q"
Applicant: l Architect Ior Egng�eer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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
any a scant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( I 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
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.).
(_ 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.&P.C. for this reason
Date: 'J 4 1 a 1 v 1 Owne
CONST. TION 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:
LQPERN11T
Owner:
MUNSEY RYAN
53080 AVENIDA HERRERA
LA QUINTA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/18/09
Contractor: D d
Owner
MAR 181009
CIS yOF CA ouut,
--------------- - - -
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 carrier and policy number are:
Carrier Policy Number - - - - - - - - - - - - - - -
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 1 should become subject to the workers' compensation provisions of Section
37000 of th abo_rlrM I shalQort with comply with those provisions.
Date: 1 A%pplicant:
WARNING: F ILURE 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
within180 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 rela' ing construction, and hereby authorize representatives
of this county to enter upon the above -men tio d pro e r inspebtio p ose .
Dater Signature (Applicant or A
Application Number 09-00000244
Permit . . . . .
PATIO COVER PERMIT
Additional desc . .
Permit Fee . . . .
108.00 Plan Check
Fee
70.20
Issue Date
Valuation
. . .
. 8565
Expiration Date
9/14/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
7.00 9.0000
THOU BLDG 2,001-25,000
63.00
---------------------------------------------------- -----------------------
Special Notes and Comments
644 SQUARE FEET PATIO
COVER PER CITY
STANDARDS AND -APPROVED
PLANS PER AJ
------------------------7---------------------------------------------------
Other Fees . .
. . . . BLDG STDS ADMIN .(SB1473)
1.00
STRONG MOTION (SMI)
- RES
.85
Fee summary Charged
----------------- ----------
Paid Credited
---------- ---------- --
Due
-------
Permit'Fee Total
108.00 .00
.00
108.00
Plan Check Total
70.20 .00
.00
70.20
Other Fee Total
1.85 .00
.00
1.85.
Grand Total
180.05 .00
.00
180.05
LQPEIN11T
m
2-d,
RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
r � r� (SEE ROO�FIN�NOTE � ERSE) -
,.
LA
ROOF I PfTCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
*T*'AND •L' STRAPS
I 6'X6,xi"x1/B WITH I, W
---- -- = I (4) 164 NAILS OR BOLT 1 Z
a IV
RAFTER SPAN: _ POST
SPACING:----�- .
O.H. ��., O.H. u
�./ o i
OVERALL LENGTH: �� a
OVERALL LENGTH:,
to
_ 1 POST SIZE:
REAR SETBACK SIDE SETBACK (4'x4' MIN.)
� E
FINISH GRADE FINISH GRADE
2000 PS.1 CONCRETE* ' MIN. 1 T x 12' FOOTING 1 1
L -J L--112 .BELOW GRADE L -J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTE. CONCRETE
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4 x 5• LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
U—STRAP OR ANGLE
5 LAG SCREWS INTO STUDS AT 1G' O.C. f NON -CORROSIVE PLATE CONTINUOUS LEDGER /
(4)- .16d NAILS
I OR BOLT.
U—STRAP OR ANGLE
(4)— 16d NAILS
OR BOLT
j-- JOIST' HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING PROVIDE l" CLEARANCE '
BETWEEN POST AND
CONCRETE
BUILDING.- DEPARTMENT APPROVAL -BELOW.
ANCHOR BOLT (EMBED
7•• MIN. INTO CONCRETE)
I TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
i2 a
(f Y t S -P
STREET AppRESS
/ 7 1
CITY. ST ZIP
,a
TELEPHONE
H.O.A. APPROVAL
i■
i
i
Q' Q' 2'
RAFTER SPAN TABLE `�000
c,.c co 1 c')�� ALL CONSTRUCTION SHALL CONFORM
GRADING RULES.
PS 20-70 v S� �� ��� �o TO THE PROVISIONS OF THE E.
v
2 -
(FEET. & INCHES) of l) oJAC.) o"5) Q I
2,001 CALIFORNIA BUILDING CODE.
^° tiro �cv� I.
Pi c O , SUPPLEMENTAL NOTES:
2x4
16" O.C.
24"
10--C]
9'4" 1
7!- .3"
R' -Q_" I
8'-6" 1 8' -Cl" 6'-0"
7'-3"
FIR NO. 1
DOUGLAS FIR
2x6
16 O.C.
32"
15-Cr
5--
14'-0
10'-T
13'-0"011-6"
8'-T
10'-6
8'-6 N A
N A
8'-0"
4x6
2x8.
16" 'O.C.
18'-0"
17-C
13'-6"
16'4"
5.-- -6ir-0
1'-6" "
130"
-24"
. 11'-6" N A
1C31' 3'N/A
N A
17'-0"
4x12
NOTES:
1. 32" RAFTER SPACING -IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID PATIO COVERS (NOT LATTICE)
RAFTER SPAN 1S LIMITED TO 10'-0" USING
THIS STANDARD.
LATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR
NO. I
SIZE
SPAN
SIZE
SPAN
4x.4
Y-0"
4x4
4x6
8'-0"
4x6
6'-0-
4x8'
11'-0"
4x8
8'-0"
4x10
14'-0"
4x1.0
10'-0"
4x12
17'-0"
4x12
12'-0"
16xx8
14'-0"
'6x8`�
1?'• -0"
16x10
17,-Y'
`6z 0
14'-0"
ROOFING NOTES:
A. BUILT-UP. ROLLED ROOF: SLOPE TO..DRAIN,
.B. ROCK. ROOF: 31>.12 MAXIMUM' PITCH.
. . 1:
MAP. -16-09 09:30 AM
1
I
PHYLLIS MUNSEY
6504948441
P.03
P.O. BOX 1.504 —_ -
LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMFNT i
78-495 GALLE TAMPICO (760) 717-7012
LA QUINTA, ,CALIFORNIA 92253 FAX (760) 777-7011
PROPERTY OWNER'S PACKAGE
Disclosures & Forms for Owner -Builders Applying for Construction Permits
1WQRTAA7'? NQJlCE 1'O PROPERTY OWNER
Dear Property Owner:
An application for a buildin t h been s mate In' your name biting 'ourself s the builder of the property
improvements specified at -��f"
We are providing you with an Owner -Builder Acknowledgmetitand Information Verification Fonn to make you aware of your
responsibilities and possible risk you may incur by having this pgrmit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each proAsion,
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.
QMMVS ACKNOWL,EDGMENI' AND VIRIFICATION OF ORMATION
DIRECTIONS: Read and initial each`statemeni below to signify.you understand or verify tkis infomtation.
�1. I understand a frequent practice of unlicensed persops is to have the property owner obtain an "Owner -Builder" '
building permit that erroneously implies that the property owner is providing his or her o%'M labor and material personally. L 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
irtiuries. 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.
V 2. 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 assum ,this responsibility.
_V3. 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
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts. -
5. l understand if I employ or otherwise engage any pers'ris; other than California licensed Contractors, and the total valu�
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.
%/6. 1 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 unemployrrtetlt
compensation for each "employee." I.: also understand.my failure to abide by these laws may subject me to serious financial
risk.
V7. 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 Cour within any calendar year, or all of the work is perforniiii
tinder contract with a licensed general building Contractor.
MAR -16-09 09:29 AM PHYLLIS MUNSEY 6504948441 P.02
Y 8. 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 owncr(s) that result from any latent construction defects in the
workmanship or materials,
Z9.1 understand I may obtain more information regarding my obligations as an "employer" from the Internal revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the Califomia
Division of Industrial Accidents. I also understand l may contact the California Contractors' State License Board (CSLB) at I-
800.321-CSLB (2752) or www.eslb.ca.gov for more information about licensed contractots.
1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
patty ll and fi antis V reapo tble for proposed , constntion a�c)c�r�y a� e following address:
agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable 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 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 way 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 Conttactar.or-employee of that individual or firm is injured while working
on your property, you may be held liablo 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 pernilt 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 propertyuwne T_ _ Date: Q •_t�
Note: The fol/gwing Authorizatiori.Form is required to he completed by the property owner only when designating !,
an agent of the property owner to apply fora con.tlr action permit for the Otvner-Builder.
AUTHORIZATION OF AGENT TO ACI' 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): __ ).�►Q �>y��.r __ _
Project Location or Address: a
Name of Authorized Agent: _ �V��S _ Tel No
Address of Authori2ed Agent:
0..
s
I declare -under penalty of perjury that I am the property-oumet for the address listed above and I personally filled out the above'
information and certify its accurac . Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency- ' quire .L-beerewhen the permit is issued to verify the property owner's signature.
Property Otimer's Signatu late:
t � -
' J
. i
Bin #
Submittal
Plan Sets
City of La Quetta
Building a Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # L�P.O.
Project Address:
Owner's Name:
A. P. Number:
Address: f'-1-2 V—
Legal Description:
City, ST, Zip: r
Contractor: UW V -ft— bll-v r
iel'L- Telephoner0 —
Address:
Project Description:
City, ST, Zip:
{O `t J T,
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type:06Occupancy: S
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req`d-
Rev'd- . TRACKING. PERMIT FEES
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2id 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 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