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10-0451 (PAT)4J, P.O. BOX 1504 r 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 4, Q" Application Number: 10-00000451 Property Address: 54220 AVENIDA HERRERA APN: 774-214-011-14 -000000- Application description: PATIO COVER - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 4256 Applicant: Architect or Engineer: It tA�.e 0 1 1 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - ' -------------------------------------------------- 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason - ID 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: LQPERMIT Owner: CAROL ODELL 54220 AVENIDA HERRERA LA QUINTA, CA 92253 Contractor: Owner .VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/26/10 ------------------ 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 I certify that, in the performance of the work for which this permit is issued, 1 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 37�TOSEZR abor Code, I !, II fo hwith comp with those ovisions. i to�FAIL : WARNE E 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. 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 oft `cSoouuunty to enter upon th above-mentioned property fo sp ion p r o Date: C L ature (Applicant or Agent): J LQPERMIT Application Number. . . . . . 10-00000451 Permit . . . PATIO COVER PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date . . . . Valuation . . . . 4256 Expiration Date . . 11/22/10 Qty Unit Charge. Per Extension BASE FEE 45.00 3.00 9:0000 THOU BLDG 2,001-25,000 27.00 -------------------------------------------------=-----7-------------------- Special Notes and Comments 320 S.F. LATTICE PATIO COVER. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 STRONG MOTION.(SMI) - RES .50 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 1.50 .00 .00 1.50 Grand Total 120.30 .00 .00 120.30 Bin # Oty of LQ Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �� `1D Project Addtess7 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: X53 Contractor: 0'4/4/,c R Telephone: Address: Project Description: / d City, ST, Zip: Telephone: State Lic. # : City Lic. #.: x 3o� Arch., Engr., Designer: Address: City., ST, Zip: p : ;� }•'>�� .:4,+:�:•. Telephone: �:. � }�.�� � ..a,�: 4�:: X. State Lic. #: �.�.v;•�w;;,�>� :e>fi;;�%3'�'��n., Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: k)�/ �� Sq. Ft.: _ # Stories: % v #Units: Telephone # of Contact Person: — •— • Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal , Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- J ''d Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees RAFTER SIZE AND SPACHlC SPEC" ROOFING AND SHEATHIt4C OR OPEN LATTrE (SEE ROOFING NOTE �tON'f %REVERSE) ROOF PITCH - CONTINU00$ LEDGER (SAM SIZE AS RAFTERS) HEADER SIZE �Cx Ili I ' I 'T' AM t' ' STRAPS _ _. RAFTER �I�6_ 2' -0 6'acat"tt/6" WITH (4) 160 NAILS OR BOLT I 0,r�.,, SPAN: — /�/ Q O.H.POST SPACING: -__ L- J � OVERALL LENGTH: a: a h�D' OVERALL LENGTH. POST. SIZE:. REiR SETBACK rLaN.) r s10E (.r L67— .o 1 2000 h P.S.1 CONCRETE ---+1 1 nw.,m GRADE FM1tSN GRADE L J �G `_ J -- MIN. IrxIr FOOT*C 1 1 I If BELOW GRADE L _ J PROVIDE 1" CLEARANCE NOTE BETWEEN POST AND' OPEN LATTICEx COVERS MAY BE ATTACHED TO ECSTMG FASp IA ONE t/' LAG CONCRETE TI %J% GN FAWN INTO EACH RAFTER TAIL. LAG SCREWS INTO STUDS AT 1 G' O.0 .r— CONTtNt10US LE GER Joisr. HANGER OR SOLID BLOCKING NAIL RAFTER TO BLOCKING BUILDING DEPARTMENT APPROVAL BELOW CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE U. -STRAP OR AN( NON -CORROSIVE (4)- 16d NAILS OR BOLT U -STRAP OR ANGLE (4)- 16d NAILS OR BOLT PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE ANCHOR BOLT (EMBED — 7" MIN. INTO CONCRETE) TYPICAL PATIO COVER DATE OF APPLICATION OwNER'S NAME STREET ADDRESS CITY. ST ZIP TELEPHONE H.O.,I APPROVAL .. RAFTER SPAN TABLE C? �� C? �� � �� app GRADING .RULES PS 20-70 (FEET do INCHES) �p ry LJ cn c, [1 2x4 16" O.C. 24" 10'-6" 1 7'-3 i DOUG!AS FIR NO. 1 DOUG FI R. LAS NO. R 1 SIZE SPAN SIZE SPAN 2x6 16' O.C. 32" 15'- " 14'- 10'-g" 13'-0 4x8 11'-O" 10'-0. 8'-6" N/A N/A 14'-0' 4x10 2x8 16' O.C. 24"- 32" '-0". " 13'_6" 16'-0' t-17'— -6" 1 13'-0" 13! -Cr 111 - N A 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 iHEADERS HEADERS i DOUG!AS FIR NO. 1 DOUG FI R. LAS NO. R 1 SIZE SPAN SIZE SPAN 4x.4 t 5•_0• 4x4 4x6 8'-C" 4z6 6'-0" 4x8 11'-O" 4x8 4x10?' " 14'-0' 4x10 4x12 °r 1 17'-0' 4x12 12'-0" 6x8";" 1'4'-0" 6x8 1?' -0" 6x1.0 17'=0' 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: 3,112' MAXIMUM PITCH. ■ a ■ � 8s ei P: - I - I JI__ s k�. ,_F_OR _ -BML-®TI �•�_�4,w. a=:� DATJE iI`i 8�FEj pq CQ_ U�BB�gI- �- RUI I DN I !� f • �� I � 1 AAA'''/// . 67, 1X.2 ✓I .h 'P -il+ J 3X,1 , �- �_ axa�l9��i'cc- rf LF ✓ I _ 1 .. o�i• -Y It z �IOo�TiN�S w X112 jD ,-p ,cF� � --,�: , !) - 11 '- , I - - • r T4444"�� P.O. BOX 1504 Ido Xm SaibuSm noisaaridlai rswn nistdo ifuT, LA QUINTA, CALIFORNt'A¢9 7AA- 6Oro4 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICA� mh bAftoo Xem 1 basurka r orfs I (760) 777-7012 n roods noir WM1ai WWM tot •jog su is LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 0-N goiblirrd 7sWu8-twwO n,, PROPERTY O `" _L R'SP'A'CKAGE Disclosures & Forms fo.r Owner -Builders Applying for Constroction Pelrmits IMPORT 1lYT! NOTICE TO PROFERTY OWNER Dear Property Owner. An. application for a building permit has been submitted m yo name listing yo self the builder of the property improvements specified at �j 9��53 We are .Providing you with an Owner -Builder Acknowledgment and Information -Verification Form to 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 11,04 issuea building.permit until yowhave read, initialed your understands 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 ACKN�?WLEIDGMENT AND TER-MCATION OF INFORMATION DfItECTf NS: Read and inritial eaekstatement below to signify. you understand or verify this information. 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" uilding 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 property. �I understand building permits are not required be i eq to signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility - 1 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 urn. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on V.5'1 and contracts. understand if 1 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" uun, der tate and federal law. W 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 unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial 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 four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. . I understand er er ' ' seU property for w1lich this permit is issued, I may be held Gable for any financial orb su t s that result from any latent construction defects in the workmanship o�ra'ls.' _ . I understand 1 may obtain more information regarding my obligations as an "employer" from the Internal 1�0mnue Service, the United States Smq R" Admit $�I�&i4�ol * Department of Benefit Payments, and the California Division of Industrial Accidents. understand I may comet the Wornia Contractors' State License Board (CSLB) at I - 800'321-CSLB (2752) or www.cslb.ca.gov for more information abouflicensed contractors. (?M All, 10. I 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 rexpo ierr�� �o ro construction activity at the following address: r �...._ ........ - - Q<. agree that, as the party legally and financially responsible for this proposed construction activity, .1 will abide by all 1icaelsws and requirements that govern Owner-Builders'as well m employers. 12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changos to any of the information 1 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 lieense, 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 vmrlang on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Cor►tr*etors, you will be responsible for verifying whether, or not those Contractors are properly licensed and the status of their wo*ers' 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. de—permit. Note: A cagy of tiro pnvperty owner's driver's.tiCertsct farm notarr� or other verification acceptable to: the agency is required to be presented when the permit is issued to verify the property owner's signature. 1 Signature of property ownerf�� �- �� 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 ROPERTY 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:o?ot !�) Name of authorized Agent: t)1jp %S%P 4%i eS��r\ / 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 personalty 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 requer to be presented when the permit is issued to verify the property owner's signature.. Property Owner's Signature- Date: ,!5—