BPAT2015-0010LICENSED 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 Professions Code,
and my License is in full force and effect.
Licen eClClas : _ License No.: /�/%
Date ,Z7 1 < ContFi�ctorol� wtt4.4y:
y
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.).
( ) 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: 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.).
i
Lender's Name:
Lender's Address: a,
(760)771-1234
Llc. No.:
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, 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 3700 of the Labor Code, I shall forthwith
com y with those provisions.
Dae: 3 7 �S Applican
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 Building Official 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 of this city to enter upon the above-
mentioned
bove•
mentioneddjv prr�op rty for inspection purposes.
1T
Date: .)-7 Signature (Applicant or A n a4&. -w
1 y
Q. i
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/26/2015
Application Number: BPAT2015-0010
Owner:rCOMMUNIIWY
Property Address: 55235 INVERNESS
PGA RESIDEAPN:
775131018
54320 SOUTApplication
Description: PGA WEST RESIDENTIAL INC PATIO VOVER
LA QUINTA,gQUINTA
Property Zoning:
Application Valuation: $10,920.00
Applicant:
Contractor:
PGA RESIDENTIA ASSOCIATION
PGA RESIDENTIA ASSOCIATION
54320 SOUTHERN HILLS
54320 SOUTHERN HILLS
LA QUINTA, CA 92253
LA QUINTA, CA 92253
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 Professions Code,
and my License is in full force and effect.
Licen eClClas : _ License No.: /�/%
Date ,Z7 1 < ContFi�ctorol� wtt4.4y:
y
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.).
( ) 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: 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.).
i
Lender's Name:
Lender's Address: a,
(760)771-1234
Llc. No.:
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, 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 3700 of the Labor Code, I shall forthwith
com y with those provisions.
Dae: 3 7 �S Applican
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 Building Official 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 of this city to enter upon the above-
mentioned
bove•
mentioneddjv prr�op rty for inspection purposes.
1T
Date: .)-7 Signature (Applicant or A n a4&. -w
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
PAID BY METHOD
RECEIPT # CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID .
PAID DATE
PATIO COVER, STD, OPEN
101-0000-42404
0
$97.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT:
PAID
PAID DATE
PATIO COVER, STD, OPEN PC
101-0000-42600
0
$95.72
$0.00
PAID BY
METHOD
- RECEIPT #
CHECK #
CLTD BY
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$1.42
$0.00
PAID BY','
METHOD
RECEIPT #
'CHECK #
CLTD BY
Total Paid forSTRONG MOTIONINSTRUMENTATION SMI $1.42 $0.00
TOTALS:0•
Description: PGA WEST RESIDENTIAL INC PATIO VOVER
Type: PATIO COVER Subtype: Status: APPROVED
Applied: 2/26/2015 PJU
Approved: 3/26/2015 JJO
Parcel No: 775133018 Site Address: 55235 INVERNESS LA QUINTA,CA 92253
Subdivision: TR 20717-2 SEE ASSR MB 769 PGS 3134 Block: Lot: 10
Issued:
3536
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,920.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No.'Stories: 0 No. Unites: 0
Details: ONE ALUMUNIUM PATIO COVER 14'X 52'2013 CALIFORNIA BUILDING CODES. THIS PERMIT DOES NOT INCLUDE HELIOCOL SOLAR
PANELS
Printed: Thursday, March 26, 2015 5:43:05 PM 1 of 3 Ci? srsTEMS
ADDITIONAL
•• • •
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
RETURNED TO PHILIP TO BUILD THE PERMIT, GET PLANNING
NOTE
PHILIP JUAREZ
3/13/2015
DEPT APPROVAL AND CONTACT APPLICANT
PLAN CHECK
COMPLETE/READY FOR PICK
PHILIP JUAREZ
3/26/2015
3/26/2015
CALLED STEVE 760 397-3520
UP
PLAN CHECK SUBMITTAL
CHEKED WITH AJ HE SAID TO GIVE TO JIM JOHNSON FOR
PHILIP JUAREZ
2/25/2015
2/25/2015
REVIEW.
RECEIVED
• •
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT PGA RESIDENTIA ASSOCIATION
54320 SOUTHERN HILLS
LA QUINTA
CA
92253 (760)771-1234
CONTRACTOR PGA RESIDENTIA ASSOCIATION
54320 SOUTHERN HILLS
LA QUINTA
CA
92253 (760)771-1234
Printed: Thursday, March 26, 2015 5:43:05 PM 1 of 3 Ci? srsTEMS
CONTACTS
NAME TYPE NAME ADDRESS1. CITY STATE ZIP PHONE FAX EMAIL
OWNER PGA RESIDENTIA ASSOCIATION 154320 SOUTHERN HILLS LA QUINTA CA 92253 (760)771-1234
INSPECTIONS
iEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"
PARENT PROJECTS
Printed: Thursday, March 26, 2015 5:43:05 PM 2 of 3 CRWsYSTEMs
FINANCIAL
INFORMATION
CLTD
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PATIO COVER, STD,
101-0000-42404
0
$97.17
$0.00
OPEN
PATIO COVER, STD,
101-0000-42600
0
$95.72
$0.00
OPEN PC
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $192.89 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$1.42
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.42 $0.00
INSPECTIONS
iEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"
PARENT PROJECTS
Printed: Thursday, March 26, 2015 5:43:05 PM 2 of 3 CRWsYSTEMs
PLANNING IWALLYNESBI71 3/12/2015 1 3/25/2015 1 3/25/2015 I APPROVED I ASSIGNED 3/24 PER JJ
NON-STRUCTURAL JAM JOHNSON 3/12/2015 1 3/26/2015 1 3/13/2015 1 APPROVED I APPROVED
Printed: Thursday, March 26, 2015 5:43:05 PM 3 of 3 CRL% srsreMs
Bin #City
of La Quinta.
Building &r Safety Division
P.O. Box 1504, 7.8-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Peri #
Project AddressW-?): 7
Owner's Nam c:
IIY I
PC, AW
A. P. Number:
Address:
Legal Description:
City, ST, Zip: LA
t
Co ntra clot: / ✓
Tele h one:
P I2
<t
Address: I
Project Def cription:
City, ST, Zip:
U 2253
GL y U0A U'
P pp
TeI 0 e h ne• IZ
>-
r
State Lic. #:
City Lie. -.
� X
Arch., Engr., Designer:
Address:
City., ST, Zip:
.
Telephone:hone
f
:;.;s;::::>:;;<;::;;::<::::::; ,:<;;,a:.>s:e .
Constructionn TY 0 ecu an cY•
State Lic. #:
Project type (ci le one): 0e, Add'n Alter Repair Demo
Name of Contact Person: �•
Sq. Ft.:7297#
Stories:
# Units:
Telephone #,of Contact Person:70
%
Estimated VOof Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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 a
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for correction issue
Electrical
Subcontactor List
Called Contact Person•
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
Review, ready for corrcctionsrssue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr,
Date of permit issue
School Fees
Total Permit Fees
Permit Number: BPAT2015-0010
Applied: 2/26/2015 Approved:
Issued: Finaled:
Description: PGA WEST RESIDENTIAL INC PATIO VOVER
Site Address: 55235 INVERNESS
City, State Zip Code: LA QUINTA, CA 92253
Status: UNDER REVIEW Applicant: PGA RESIDENTIA ASSOCIATION
Parent Permit: Owner: PGA RESIDENTIA ASSOCIATION
Parent Project: Contractor: PGA RESIDENTIA ASSOCIATION
Details:
ONE ALUMUNIUM PATIO COVER 14'X 52'2013 CALIFORNIA BUILDING CODES.
LIST OF REVIEWS
SENT DATE
RETURNED DUE DATE
DATE
TYPE. CONTACT STATUS
REMARKS
Review Group: BLDG 1ST (1WK)
2/25/2015
3/3/2015
3/3/2015
NON-STRUCTURAL
BUILDING BUCKET
Notes:
3/12/2015
3/19/2015
PLANNING
PLANNING BUCKET
z&6s�v
Notes: R/✓nuc
PERU FOR:REVIEW'
Review Group: BLDG 2ND (1WK)
3/12/2015
3/26/2015
NON-STRUCTURAL7
BUILDING BUCKET
Notes:
Printed: Thursday, 12 March, 2015
loft
CRWSYS7'EMS
. A
55-235 Inverness
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE gy
.4
CITy 0 LA QUINTA
BUILDING SAFETY DEPT.
APP OVED
FOR COUCTION
DATE By
10
ITY
BUILDING LA QUINT
DING SAFET DEPT.
PT
APP
OVED
0 Co S RUCTION
U �r
FOR ST
ATE 13Y
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POST SPACING DETERMINED BY
TABLE ON SHEET 23 of 49
251bs./sq.ft. – 110mph wind load
2'
12'-6" 12'-6- 12'-6" 12'-6"
RAIN GUTTER ,
-- ,
3"X8" DO—UB :I::I :I :I :� l ,(,�FE,,r;IOy;,
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55235 INVERNESS INTERLOCKING PANS
(25lbs. live load, 110mph wind load)
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TYPE "C" FREESTANDING
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(Pg. 1 of 49) Durolum Products, Inc. Engineering
Packet. Drawings are prepared by.
Ben Haney
DlYpotio
soles®diypotio.com
(951) 265-3078
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CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
CORBEL CUT RAFTER " " v
TAILS ® 24" O.C. 2 FASTENERS PER FOOT
FRONT FASCIA MINIMUM (#14 SMS) PER
TABLE #2 Pg. 4 of 49
RAIN GUTTER
2.5" TALL X 14' LONG X 6"
_ WIDE INTERLOCKING PANS
3"x8" DOUBLE
DRILL 9" ACCESS HOLE HEADERS
® FOR SMS TO ATTACH 3"x3" STEEL POST
HEADER TO POST
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TOGETHER OVER SPLICE.
COSMETIC ONLY — WILL NOT
I AFFECT STRUCTURE'S RIGIDITY
OR INTEGRITY
2'
SCREW AT UPPER
RIDGE PREVENTS -
SLIDING AFTER INSTALL
CAULKING BETWEEN GUTTER/
AND SPLICE WILL PREVENT ALUMINUM SPLICE PIECE
LEAKS AT SPLICE LOCATION SLIDES INSIDE GUTTER TO
JOIN 2 PIECES TOGETHER
GUTTER SPLICE
DETAIL
SM
T
2"X6" SIDE FASCIA
4 SMS
FORM
HANGER
SECTION VIEW AT SIDE FASCIA
Drawings prepared in accordance with Durolum
Products, Inc. Engineering Packet. Drawings are
prepared by.
Ben Haney
DlYpatio
soles@diypatio.com
(951) 265-3078