0206-075 (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.
License4,9004
# LLicq. Cll7a's�sy Exp. Date
^T'i�.0 r
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, Business & 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.
61� 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 & policy no. are:
Carrier c.4i,&T1v "D Policy No. W�003940
(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 sh uld become
subject to the workers' compensation provisions Of S_e6tis 3700 f the Labor
Code, I shall forthwith comply wi h t Q provisio ' ) r
Date: t ., ea. Applicant /
--Warning: Failure to secure Workers' Compea ation 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 af:
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 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 St `te laws relating to the building ;
construction, and hereby authorize represent a"ves o this City to enter upon
the above-mentioned property for Ins ection ' oses
Signature (Owner/Agent) Date�✓'t f~�%
} n
BUILDING PERMIT PERMIT
DWffE VALUATION i LOT TRACT
'
s
JOB SITE
ADDRESS •i'{'. 5 ,�I,VKH1�B'�i.ORRE�3F�T'X�n
APN q ..
OWNER @g'
CONTRACTOR / DESIGNER / ENGINjEfEgR
AZT *1 13.�'�ZBiN" PONS!
�q
C1131��IV. q �, Ol<i`�2 [MCa'110M +'�'CuMPAIN "+i
54•�t:35A�EMAMMMO�1 . .
s;8.229EAi1'LRt ID
adA QUNTA , C.A. 92253
O °M;R.& CITY Cir,. 9 234
(760)32A-7645 -7645 MR. 1446
USE OF PERMIT
PA` -70
110 S.F. WOOD LATTICE PAMO COVER, PEIZ APPROVED PL.A:NS
1
(
PORC141PATIO 12DA ::F
7a6R.bD'.{6•►, ED C0_ 6 OF C ONTe3A.K4.M1JCd,&011
PLAN CHECK K My 101 *bw-43 -'318 $29,05
CONSTRUCTION FEE 101-000-419.1 00 $3'1.C.6
S`1RONO A?lOTI014T MLS .'R 01.D 101-000-241-000
{
a110, - 'OTAI. _OO1 S2i,1���:tIC', R AND i�l:.�&W CO'rll?CK
$61.15
Fa,E4k'AsIU PIM)
!J
$0,00
AL PIMA -57 MKS DUT NOW
SSA.
JUN 10 2002
CKYORAQpf ra
FINANCEDEPf.
RECEIPT
DATE
BY ))
DATE FINALED
INSPECTOR
INSPECTION RECORD
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
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
t Shower Pans
O.K. for Finish Plaster
Sewer 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:
CGU _e
1 NAILS
OR
OR BOLT
U -STRAP OR ANGLE —
(4)— 16d NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING ,
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
BUILDING DEPARTMENT APPROVAL BELOW
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION A �1 I
OWNER'S NAME ArT o
STREET ADDRESS jVg35 Q�q" pa (,EV O/�
CITY, ST ZIP 16- Q k) 1 I`+a q oqi
TELEPHONE (7&0 722-
0/5-5--5-
H.O.A.
/SSH.O.A. APPROVAL
RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
�- � • /+ f (SEE ROOFING NOTE ON REVERSE)
-------- l� n
ROOF PITCH
T(SAME
TINUOUS LEDGER
SIZE AS RAFTERS)
HEADER SIZE T' AND 'L' STRAPS
I I
I� 6"x6,x1"zt/8" WITH w
--� --- f f f (� z I (4) 16d NAILS OR BOLT
�
O I_'PFJ J
D— 0
RAFTER SPAN: — POST SPACING:_
U
2
O
OVERALL LENGTH: a OVERALL LENGTH:
--- ----
a110
, f�POST SIZE: ���
`�
I
__ o
REAR SETBACK SIDE SETBACK (4'x4' MIN.)
/
I
2000 P.S.I CONCRETE —moi \ I FINISH GRADE FINISH GRADE 1'
h . I �— MIN. 12"x12" FOOTING
L_ J L__j 12" BELOW GRADE L__J
i
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTE.
CONCRETE
OPEN LATTICE PATIO COVERS'MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x S' LAG SCREW THROUGH FASCIA INTO EACH' RAFTER TAIL.
'
U—STRAP OR ANGLE
+
io
3/8" x 5" LAG CREWS INTO STUDS AT 16" O.C.7
NON -CORROSIVE PLATE RPpE
'
lV
CONTINUOUS LEDGER /
Icrl
1 NAILS
OR
OR BOLT
U -STRAP OR ANGLE —
(4)— 16d NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING ,
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
BUILDING DEPARTMENT APPROVAL BELOW
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION A �1 I
OWNER'S NAME ArT o
STREET ADDRESS jVg35 Q�q" pa (,EV O/�
CITY, ST ZIP 16- Q k) 1 I`+a q oqi
TELEPHONE (7&0 722-
0/5-5--5-
H.O.A.
/SSH.O.A. APPROVAL
RAFTER SPAN TABLE
GRADING RULES
PS 20-70 c� o ov 4z:�
(FEET & INCHES) ooJ�� ooJA�?
Q-
lz
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
SIZE
. O.C.
®1
SPAN
1 •
®1
•
1
4x6
8'-0"
4x6
6'-0"
:
• O.C.
4x8
8'-0"
4x10
14'-0"
400
10'-0"
4x12
17'-0"
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 10'-0" USING
THIS STANDARD.
LATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS
FIR NO. 1
SIZE
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"
400
10'-0"
4x12
17'-0"
402
12'-0"
6x8
14'-0"
6x8
12'-0"
6x 10
17'-0"
600
14'-0"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE
1998 CALIFORNIA BUILDING CODE.,
SUNNLt, MLN IAL NU I LJ:
U5� `f -o 13eawl CloviKe
c5le, �_ 7 vkA - 6
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.
im
31
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