09-1172 (PAT)t I IIIIII I I I III VIII IIII 14
IE 4
P.O. BOX 1504
Building 78-685 ALDEN - CIRCLE78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner k:.
ERIC NEILSEN
ILDING: TYPE CONST
No. 11906
OCC: GRP.
mailing
Address SAME A.P. Number
City Zip Tel.
LA QUINTA 92'25.3 Legal Description
Contractor Project Description PATIO COVER
PATRICK J. BUM
Address
40-687 SCHAPER PACE
City Zip Tel.'
PALM DESERT 92260 772-3989
State Lic. City cy:
& Classif. BI --542953 Lic. # 3337/2569 Sq. Ft. No. No. Dw.
Arch., Engr., Size 192 Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm 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 tgOi fuJl� rc and
effec SIGNATURE N ✓ _..r✓'DATE
/ O.WNER-BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or' county which requires a
permit to construct, alter, improve, demolish, or repair any structure, Iprior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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). _
❑ I, as owner of the property, or my employees with wages as their sole compensation, will jr
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and'
Professions Code: The Contractor's License Law does'not apply to an owner of property who,
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. .7044, Business and Professions Code: The Contractor's License Law
does not apply to an,owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) r
0 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
i
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. .Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
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
aws of California.,
- Date S Owner r•�.. -.-""
NOTICE'4
T' APPLICANT: If, after making this'Certificate oft�zemption you should become
subject torthe Workers' Compensation provisions of thea.Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
r
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 the above-
mentioned property for inspection purposes.
Signature of applicant —Date—
Mailing
aleMailing Address
City, State, Zip
Estlmatea valuation $2,553.60
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$35.10
Const.
54.50
Mech.
Electrical
Plumbing
S.M.I.
.30
Grading
Driveway Enc.
Infrastructure
TOTAL $ a V• 4u
REMARKS
l y�`�r x•�H�H 1 �l lif�it�...�..-re: �7.�Y r.�
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
ROUGH PLUMB.
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
.:.STORAGE TANK
FORMS
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
I
ROCK STORAGE
DRAINAGE PIPING
CAR P. SQ. FT. ®
METER LOOP
DRINKING FOUNTAIN
WALL SQ. FT. ®
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
URINAL
SQ. FT.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
LUMBER GR.
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
.:.STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
-plus-x$_=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
�
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LA 'OD
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wi7lf
Pi?o�asc-�✓ � •vcrr,�r� F�•v rtio�2/c � /�i�-Tr o !o vl-�L
SCALE: �/ T� APPROVED BY: DRAWN BY
DATE: �� Ix'13, REVISED
IPA . ERtc ii/lE4SFiV.
74 _
-DRAW.ING.NU.MBER
CITY OF LA QUI"'TA
BUILDING & SAIFETY DEPARTMENT
CONDiTiONALLY
ACCE.PTcD F -OR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER
AND ALL APPLICABLE CODES
DATE �`� 3
tafter Size l tear...
�3/3"s3" leg screws Into studs at 16" D.C.
y--Cootinuous Ledger
Nail Rafter to Blocking
ALL CC"q-Td=m 4 - 16 d sells or bolt ca -7
al M "IrVp- 7v
W-- Lwnlw`S BUXIDIM Imbed Anchors 7" In eoac.
CME
1Q►M R SRRN mkSIX
Qrad:Lng FWne
P5 20-70
(feet i inches)/
2x4
16' o.c.
11-210-8
7-li
6-3
6-4
24•
9-0
8-8
6-5
6-9
5-2
2x5
12" o.c.
17-10
17-5
13-0
13-7
10.0
16•
16-3
'15-1
11-3
11-9
B-8
24•
13-3
12-4
9-2
1
9-7
7-1
32'
10-10
9-11
7-6
7-6
S-6
M
2x8
16•.o_r.11=5_19-10
14-10
15-6
11-0
i
'
17-6
16-3
1
12-8
9-4
IO::
10-2
7-0
32-
3-0
TvT 4 4a OumS ,
F0250-14 3.(RI2ie7) O6,
y
See Woofing Note Below
SPeCify Woofing 6 ihesthins or Cpen Lattice .
----/ --aa--
O-strsn or
Aoofiag Note
a. Mood shakes 4/12 pitch (3/12 min. pitch with 301
felt unle--I v) class A
b. Mood, corposition: S'�-igles 4/12 pitch (3/12 min.
pitch with 150 felt u'A- lay) . class A
C. BLilt up rolled roof slope to drain.
d. Nock roof 3/12 max:�n pitch.
7YPIM PVTO LOGlFR
/Vxcasm
�' ��� �iffl9✓ ci�.Li%