BLDG (9711-005)54225 Avenida Madero
9711-005
LICE'YSED 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
a ` 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.
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 • Policy No. .
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V 11 12111 U472GO
(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 Section 3700 of the Labor
Code, I shall forthwith comply with those provisions. l
Dater r Y j pplicant
Warning: Failure to secure Workers' Compensation 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 Safe
Pp Y 9 tY
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 at1 .
whose request and for whose benefit work is performed under or pursuant t
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.._
Signature (Owner/Agent)` - _ --- Date -` 24
c PERMIT# CONTROL#
BUILDING PERMIT
471I:A4115 X236
DATE i 3.!! y97 VALUATION LOT TRACT
ADDRESS JOB SITE
APN
OWNER
CONTRACTOR /pDESrIGNE/R1
{ENGINEER
3'.0WX 3&9
P.O. W—) X 89
LA Ql.{(NIA CA 9725-{
(.t1 Q:AN'I°A. CA 912+3
(7601564-4604 604 0,801, 4 7 afi I
USE OF PERMIT
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LESS 119 PAID FEES S
VIWO
NOV 0 3 1997 ij 0TAll l'Fdl "11..'li' I F,F DUY, INCAV
1$54.145
Y
RECEIPT;:
DATE
BY
DATE FINALED
INSPECTOR
$
G `1
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
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:
Q Q Q
RAFTER SPAN TABLE ` 0O
GRADING RULES Q O
PS 20-70
(FEET & INCHES) OOJAr? OOJA )
IV
0, 20
NOTE:
32" O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE
PATIO COVERS ONLY.
LATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR
NO. 1
SIZE
SPAN
SIZE
SPAN
4x4
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"
4x12
12' -OT
6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
6x10
14'-0"
i
1
)illi tt' /jr_Af&i o"
we
IN
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE 1994 L
UNIFORM BUILDING CODE.
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.
4
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j
- RAFTER SIZE AND SPACING
ROOF PITCH
- Fla4-
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
y)o Z _ R_
Z
AFTER SPAN:
------- 0. H. w
a
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE 47 ROOFING OTE ON REVERSE) 1-1
e
------ -- ---- ----- /
0. H.
'T'AND 'L' STRAPS —
6"x6"x1"xl/8" WITH
(4) 16d NAILS OR BOLT
POST SPACING: I L
1
L LENGTH: a OVERALL LENGTH: --- Ll_____
V 11
POST SIZE: ZXIL _L IU S
REAR SETBACK SIDE SETBACK (4"x4" MIN.) 91"k D /
I 'tel
:FINISH GRADE FINISH GRADE
2000 P.S.I CONCRETE —moi I I I- MIN. 12'x12" ING I I
L_ J L_ J 12" BELOW GRADE L_ J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE --
NOT
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
U—STRAP OR AN
NON—CORROSIVE
(4)— 16d NAILS
OR BOLT
z
i
ao
I
;LE
i0
PLATE GRPpE '
N
sr{
F
11 II II III II
U—STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
BU L D I N G%_VIEP ARlkWl N 1L-IKP tea' N L" NE LO W.
BUILDING & SAFETY DEP
CONDITIONALLY ANCHOR BOLT (EMBED
7" MIN. INTO CONCRETE)
ACCEPTED FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER TYPICAL, -PATIO COVER
DATE OF APPLICATION V 13
a
OWNER'S NAME
AND ALL APPLICABLE CODES STREET ADDRESS
CITY. 'ST ZIP Z4
2 BY_zz — TELEPHONE (Oo S'
---TH.O.A. APPROVAL '