0729 (ROOF) 1984 IIIIIIIIIIIIIIIIIIIIIIIII 03 PERMIof La Ouinta T APPLICATION • -- �—� 7 V al_4 ual
'City
)E Department of Building and Safety
This.permit becomes void it work not commenced within*180 days from date of issuance:OR;if work has been suspended or abandoned for a period of 180 days.
CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE:This section need not be completed if
'LICENSED CONTRACTORS DECLARATION: 1•hereby'affirm that I am.licensed under provisions of Chapter 9 the permit is for one hundred($100)o,less.[certify that in the performance of the work for which.this permit is
(commencing with Section 7000)of Division 3 o1 the Business`and Professions Code,and my license is in full force issued:1 shall not employ any person in any mannersoasto become subject to the Workers'CompensationLaws of
and elfect. California.
License Class �LicN•umber �IL-i, - Date Applicant
Date ;_72— Ra 6- .N�mbContractor yl .NOTICE TO APPLICANT:If.after making this Certificate of Exemption,you should become subject to the Workers'
' Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall
OWNER-BUILDER DECLARATION:•I hereby alfirm'that I am exempt irom'the Contractor's License Law.tor the
be deemed revoked'
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,prior to its issuance,also requires the applicant for DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ..
such permit to file a signed statement that heis•Iicensedpursuant tothe provisionsofthe Contractor's License Law 0-1 hereby certify that n6exbavation five(5)or more feet in depth into which a person is required to descend,will be.
(Chapter 9(commencing-with.section 7000)of Division 3 of the Business and Professions Code)or that heisexempt - made in connection with work authorized by this permit,and that no building structure,scaffolding•falsework;or
therefrom and the basis for the alleged exemption.Any violation of Section 7031,5 by any applicant for a permit . rdemblition or-dismantling thereof,will be more than thirty-six(36)feet high'(Chap 3.2,Grp Z,Art 2.Sec 341,Title 8.
subjects the applicant to a civil penalty of not more than five hundred dollars($500.): *5'C4A.C.j '
O 1,as owner of the property ormy.employees with wages as their sole compensation,will do the work,and the ❑As owner-builder,I will not employ anyone to do work which would require a'permit from the Division of
structure is.not intended or offered for sale(Seo.7044,Business and Professions Code:The Contractor's License Industrial Safety,as noted above,unless such person has a permit to do such work from that division.
Law does not apply to an owner of property who builds,or improves thereon,and who does such work himself of a . .
through'his own employees,provided that such improvementsare not intended or offered for sale.It.however,the O Division of Industrial Safety Permit No..
building or improvemni is sold within one year of completion,the owner-builder Will have the burden of proving that Date- Applicant.
he did not build or improve for the purpose of sale.). �ir0„ •. CONSTRUCTION LENDING AGENCY:I hereby affirm that there is a construction lending agency for the performance '
x,❑I,as owner of the property am exculsively contracting with licensed contractors to Construct the project(Sec:. of the work for which this permit is issued(Sec.3097,Civ.C.).
7044.Business and Professions Code:The Contractor's License Law does not apply to an owner of property who tender's Name
builps or improves thereon;and who contracts for such projects with a contractor(s)licensed pursuant to the
Contractor's License Law.). Lender's Address
• 0 1 am exempt under Sec. B.&P.C.(Attached Certificate). - I certifythat I have read this application and state that the above information is correct.l agree to comply with all '•
Dater Owner city and county ordinances and state laws relating to building construction,and hereby authorize representatives a
of this county to enter upon the above-mentioned property for inspection purposes. '
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self.insure,or a
certificate of Workers'Compensation Insurance;*or acecerrtti�fiied co thereof(Sec.'3800.'Lab.C.). ' Signature of Applicant or Agent ' Date
Policy No. Company�7 1 A � ru _A7 .
CERTIFICATE OF COMPLIANCE AND AUTHORIZATIONOF ENTRY:I certify I have read this application and state that
O Certified copy is hereby furnished. the information given:is correct.I agree to comply with all state laws and county ordinances relating to buidling
❑Certified copy is filed with the City Building Inspectionion Department.or City-- w Department., construction,and authorize a'representative of the City of La Ouinta Department of Building and Safety to enter
upon the property for which I have applied for this permit for the purpose of making inspections.
Date Applicant^ � � �+^
Signature of Applicant or Agent Date
Print Applicant/Agent Name
APPLICANT NAME(L.F.MI) APPL/PRMT D TE
ADDRESS t,p
CITY/COMMUNITY/STATE/ZIP -
F< L"IU 0A1 �l .C/,3�7 it 7 z2 /.t%s 7, T•/l .,5
JOB SITE AOORESS/SPACE '
/--w'"
CITY/COMMUNITY/STATE/ZIP
BOK PAG PRC C TWN' RNG
TRACT LOT MOD Sel -
. TRACT NAME ' / `�•/���� �CJ' ✓�/o ,.y
' OWNER NAME(L,F.MI), � ��"�� /�r_^��_��• / � _
CONTRACTOR-FIRM NAME -•
ADDRESS s _
CITY/COMMUNITY/STATE/ZIP - -
PHONE N LICNC N
ARC/ENG FIRM NAME 2 204MAI 4
r
ADDRESS -
City of La
CITY/COMMUNITY/STATE/ZIP -
•
PHONE* �^ LICNC N Lr' -- — _
USE OF PERMIT
BL ZON FSB SSB SSB' RSB OFC
ZONE ORD N LOT SZ END SIDE TOTAL • '� 'T•'
FEE •7 e..
BLDG.DEPT. VALUATION
NO. OPERATION DATE INSPECTOR NO. OPERATION DATE IQISPECTQR
BUILDING APPROVALS MECHANICAL APPROVALS
1 Set Back 33 Ventilation System
2 Ftgs& Frms 34 Plenums.&Ducts
2A Slab Grade 35 Furnace Compart.
3 Steel 36 Inlets&Outlets
4 Grout Blocks 37 Combustion Air
5 Bond Beams 38 Compressor
6 . Roof Deck 39 Appl.Clearance
7 Framing40 Fire-Damper
8 Vents 41 Smoke.Detection Device
9 Garage Fire Wall 42 Commercial Hood
10 Fireplace- P.L. ❑ 43 Final
10A Fireplace T.O. ❑ NOADDITIONAL IN
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick V R
Value.
7A Walls(Batts)
12B Ceiling(Batts)
12C Ceiling(Blown)
14 Final
PLUMBING APPROVALS-
15 Ground Plumb
16 Water Piping'
17 Rough Plumb
18, Vents
_19 19 Sewage Disposal.
20 Sewer
21 Water Heater'
22 Water Softener
23 Water Service
24 Gas Test
25' Final SEWAGE SYSTEM SIZE& LOCATION
Tank Pit L. Line
ELECTRIC APPROVALS REAR OF PROPERTY LINE
26 Power Pole
:27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire p/L P/L
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
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2xa STANDARD OR STUD GRAPE MEN-FIR FOR WEB MEMBERS SPACED 210.0° O.C.
! 4.0112 PITCH 4/3 CONFIGURATION
LL•DL ON ROOF = 30.0 P3F
OL ON CEILING a 10.0 P3F •
TOTAL DE31GN LOAD s 40.0 P3F • i
OFF PANEL POINT SPLICE (TZ) • S P3F CEILING REDUCTION TAKEN*
2x6 R4.OX4.5,744 TO 36' 8• AXIAL 3TRES3 ONLY �-
� ' LOAD DURATION INCREASE • 1:2S
PEAK JOINT DETAIL A• B■
i
1 216 84.0X6.0,746 36' 8. 2.0 0.0, 4 2X4 R2.414.5,1`2.5/4 TO 32' S• MAXIMUM TRU33 MEMBER FORCES •REACTION■ 1260
2x6 R4.0X4.5,T54 30' 0. 2.0 2.0, a
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OOUG•FIR SPRUCE•PINE•fIR
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T2.S/8 TO 35' 7” 72.5/8 TO 33' '0• ui a ....,..
T2.S/6 i0 26'110 72.5/6 TO 251 09
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82.194.5.12.5/4 TO 30''4•AbMt
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WEBL,EMBERS 2.,STANDAnDORSIUDGRArANELI-FW. 02 HEM-FIR OR AS NOTED ON OESKiN WW,—to-prpr .~s.
214 STANDARD OR STUD GRADE HEM-FIR FOR WEB MEMBERS SPACED 24.00 O.C.
4.0112 PITCH 4/3 CONFIGURATION
LL*DL ON ROOF S 30.0 PSF
OL ON CEILING • 10.0 PSF •
TOTAL DESIGN LOAD S 40.0 PSF • i
{ OFF PANEL POINT SPLICE (Tj) S PSF CEILING REDUCTION TAKEN#
2x6 R4.OX4.5/T44 TO 361 8• ATIAL STRESS ONLY �•
LOAD DURATION INCREASE • 1:25
} ' PEAK JOINT DETAIL A• 8• i
2X6 P4.016.0,T46 361 8. 2.0 .O, 0 2X0 112.4X4.3.72.3/4 TO 321 S• MAXIMUM TRUSS MEMBER FORCES REACTIONS 1260
2X6 R4.014.5,754 30' 0. 2.0 •O, 8
T 1 •2918 8 1 2768 W 1 -566 W 2 760
•' ! - 2x4 R4.014•15,1`44 321 S• 2.0 .0, 4 PANEL POINT SPLICE (TJV T 2 2522 6 2 1851
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R4.OX4.5,144 TO 241 00 112.4X4.3 TO 23' 14 P2.417.9 TO 271 6• 0.1°;,11.• . .
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DOUG.FIR SPRUCE-PINE-FIR
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T2.5/6 TO 26!17' 72.S/6 TO 251 6•
' .OFF PANEL '•P.OIMY SPU CE (82) T2.5/4 TO 78' 3• 12.5/4 TO 17' 0•
R2.4%6.O,T2,•J/6 TO 36! 8•
A2.4iII.S.12.5/.4 To 30' 0•
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