0205-216 (PAT)LICENSED CONTRACTOR 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 # Lic. Class Exp. Date
Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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, pusiness & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code). '
( ) I am exempt under. Section , B&P.C. for this reason
Date Signature of Owner
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
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 & policy no. are:.
Carrier �i ,"ri' �i � Policy No. �0-0023540
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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 Sectign 3700^of the Labor
Code, I shall forthwith comply:lit ase provisions. kJ "r
Date— a M Applicant , �-
Warning: Failure to secure Workers' Cc pensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at f
whose request and for whose benefit work is performed under or pursuant to '
any permit issued as a result of this applicaton agrees to, & shall, indemnify '
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is riot commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection puI pos s.
".�^- i
Signature (Owner/Agent) w, 41 Date6�
_ BUILDING PERMIT PERMIT#
DATE ,{ VALUATION . LOT TRACT
JOB SITE APN
ADDRESS
OWNER CONTRACTOR/DESIGNER/EN (NEER'
54-434 AVEN)1•,DA C)BREGON 03-229 EARWALOA 3
lrA qUi itf A., 4i.;A 92253 �":�I VR.+4L CMA `31' CA 92134
(760)%324-7645 C Bi# 1446 -
USE
446 -
USE OF PERMIT
gyA
1.76 fa`k' WOM I...Nr'I,`bCi 1 170 COVER.
AMPNITO
17115.00 5`.Ii'
V'IMM ATIET) COIN, av c -O IMUCTa:$A:d4'
CONW1101XVIANON Tu $54.(*
97[')2OAi61A4 OM) gYJM•.,ParbJD 1101.600-241 tS0
tt
am. rAL co)!q smuC;"i:)oNmLi PLmq cz ''°cC .0)
CITY OF LA QUINTA
FINANCE DEPT
RECEIPT DATEh p I B ;.�' D9TE FIN�ALED INSPECTOR
e �r , h (/O
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final `02� eS
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
$ewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
RAFTER SIZE AND SPACING 11
A*oOFW-2 At(
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
_pQeu _Ca-4tc_e---
I `T AND 'L' STRAPS
6"xirxl"tit/8" WITH
(4) 16d NAILS OR BOLT /
POST SPACING:_��..0
O.M.—
IF
.M. / �/ OVERALL LENGTH !_ _
POST SIZE:
SIDE SETBACK (4'%C MIN.)
FINISH GRADE
MIN. 17x12" FOOTING I I
12' BELOW GRADE L _ J
PROVIDE 1' CLEARANCE
BETWEEN POST AND
NOTE CONCRETE —�
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1./4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
3/8' x 5' LAG SCREWS INTO STUDS AT 16" O.C.
/-- CONTINUOUS LEDGER /
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE S/ZZ (c)Z
U—STRAP OR ANI
NON—CORROSIVE
(4)- 16d NAILS
OR BOLT
U—STRAP OR ANGLE
(4)— 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN, POST AND
CONCRETE
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION J5-2— D
OWNER'S NAME irT +C$arrbra i3o�
STREET ADDRESS I l 3 S va b/`e
CITY. ST ZIP / h ca �)tq , cot IA
TELEPHONE If-7601IT77_q SSS
H.OA APPROVAL
I
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
iQ X HEADER SIZE
64
RAFTER SPAN: LO'- O
>
OVERALL LENGTH: (7– Li
a
0
a
REAR SETBACK
/
I
2000 P.S.I CONCRETE —+i
I FINISH GRADE
L_J
I
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
_pQeu _Ca-4tc_e---
I `T AND 'L' STRAPS
6"xirxl"tit/8" WITH
(4) 16d NAILS OR BOLT /
POST SPACING:_��..0
O.M.—
IF
.M. / �/ OVERALL LENGTH !_ _
POST SIZE:
SIDE SETBACK (4'%C MIN.)
FINISH GRADE
MIN. 17x12" FOOTING I I
12' 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
3/8' x 5' LAG SCREWS INTO STUDS AT 16" O.C.
/-- CONTINUOUS LEDGER /
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE S/ZZ (c)Z
U—STRAP OR ANI
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 J5-2— D
OWNER'S NAME irT +C$arrbra i3o�
STREET ADDRESS I l 3 S va b/`e
CITY. ST ZIP / h ca �)tq , cot IA
TELEPHONE If-7601IT77_q SSS
H.OA APPROVAL
I
RAFTER SPAN TABLE"zz- �< A O
GRADING RULES Scl)C.) co G' c c O�
PS 20-70
(FEET & INCHES) OOJ��i OOJ�� OOJ�� OP Q
2x4
16" O.C.
.24"
10'-6"
1 9'-6"
Q
Q
Q
DOUGLAS
v
v
v
.16" O.C.
24" "
32" "
15'-0"
14'-0"
10'-9"'
13'-0"
RAFTER SPAN TABLE"zz- �< A O
GRADING RULES Scl)C.) co G' c c O�
PS 20-70
(FEET & INCHES) OOJ��i OOJ�� OOJ�� OP Q
2x4
16" O.C.
.24"
10'-6"
1 9'-6"
1 T-3"
8'-9"
8'-6" 8'-0" 6'-0"
DOUGLAS
FIR NO. 1
j S177
2x6
.16" O.C.
24" "
32" "
15'-0"
14'-0"
10'-9"'
13'-0"
12'-6" 11'-6" 8'-9"
10'-6"
10'-0" 8'-6" 1 N/A
N/A
6'-0"
4x8
2x8
16" O.C.
24"
32"
18'-0"
11 T-0"
13'-6" 16'-0"
15'-6" 14'-6" t 1'-0" 1 13'-0"
13'-0" 11'-6" N/A I N/A
402 2
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
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS
FIR NO. 1
j S177
SPAN
SIZE
SPAN
4x.4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
4x10
14'— 0"
4x 10
10'-0"
402 2
17'-0"
402 2
12'-0"
6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
600
14'-0"
ALL CONSTRUCTION SHALL CONFORK
TO THE PROVISIONS OF THE:
1998 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL jNOTES:
s
ROOC'ING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.