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PAT (0205-218)51060 Mango 0205-218 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 anc Professionals Code, and my License is in full force and effect. License # Lic. Class 11' Exp. Date 48511.4 r , t 01/31/20 "'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. !`X 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 IMa"=t/sOMMAiVMOIC Policy No. MA130,103- D)1 (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_. .'Date: `' :Applicant 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 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 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspectioh purposes. fir"" r d ,%1 ,,,,.,.•,,,._...- - ,,U T - .-Signature (Owner/Agent) ! Date BUILDING PERMITS PERMIT## DATE `tVALUATION LOT TRACT JOB SITE ADDRESS , APN ` OWNER CONTRACTOR / DESIGNER / EN (NEER Iy%W 7. cCORh ICK PAGLIA & A15199 MA'4'FS DEA 1410 1Ml.11 YAQLd`AMA CA. 9r.53 WA MM' CA 9 118 9- (U00)541,8 € 1,41 2674 k USE OF PERMIT 5531 'S'17 PAUO DOM. 1?0 Ch'i`ll" 51VANi.?iiW. ,Y,'A34.74 NSiJ6f]l' brAEi !'R.jTf; MAX0W-01 FJ7, IS .$664.15 fvf al 7S"ji Iry 3pT `fr S' pp:I yvt i'y y yy 1401-€+1 -4,1`. l-Qom?►+: Ir $99.00 M LESS MR -PAS FREN MOO I,rr . 1, , ! •j' j 9'43''6 AY, YRRAglc'f~' ;VAMR 0119 NOW st" CITY OF LAQUIRTA EINANCEDEP7 5 RECEIPT DATE>r % &Y r DAT INALED INSPECTOPf e.f '' y ti INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROV S 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: NQTE: OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL RAFTER SIZE AND SPACING X C _Ln - ROOF PITCH CONTINUOUS LEDGER (SAME SIZE AS RAFTERS) HEADER SIZE — qX la SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE (SEE ROOFING NOTE ON REVERSE) -- tA / -------- T AND 'l' STRIPS — 6'x6'x1"xl/8" WITH --- —---- { = I (4) 160 NNLS OR BOLT J v IFTER SPAN: .O.H. d / POST SPACING:_.) / ILL LENGTH: / 0 a I' OVERALL. LENGTH s -- _( POST SIZE: to REAR SETBACK I 510E SETBACK (<"YA" MIN.) 2000 P.S.1 CONCRETE I FINISH GRADE FINISH GRADE L_J — MIN. 12-x12 FOOTING I I L I -J 12' BELOW GRADE L - J PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE - U -STRAP OR ANI 3/8' x 5" LAG SCREWS INTO STUDS AT 16" O.C.7 NON -CORROSIVE r— CONTINUOUS LEDGER 0/ JOIST HANGER OR SOLID BLOCKING NAIL RAFTER TO BLOCKING BUILDING DEPARTMENT APPROVAL BELOW CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DA (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 5.-,22 OWNER'S NAME STREET ADDRESS ; I G G MA 0I;U CITY. ST ZIP LA TELEPHONE G ls $ H.O.A. APPROVAL QQQ N/ RAFTER SPAN TABLE AZ GRADING RULES co, C-) Scl c) PS 03 PS 20-70 v (FEET & INCHES) pJAt? pJ pJA O OGi O V Q ,oma ti ,oma , ,oma r\1 v 2x4 16" O.C. 24" - 10'-6" 1 9'-6" T-3" 8'-9" 8'-6" -0" 6'-0" T-3' DOUGLAS FIR NO. 1 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 4x6 6'-0" 2x8 16" O.C. 24" " 32" " 18'-0" 17'-0" 13'-6" 16'-0" 15'-6" 14'-6" 11'-0" 113'-0" 13'-0" 11'-6" N/A N A 10'-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 I DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE t SPAN SIZE SPAN i 4x.4 5'-0" 4x4 4'—n" 4x6 8'=0" 4x6 6'-0" 4x8 111-0" 4x8 8'-0" 4x 10 14'-0" 4x10 10'-0" 4x12 17'-0" 4x12 12'-0" 6x8 14'-0" 6x8 12'-G" 6x`10 1 17'-0" 6x'10 14' - ALL CONSTRUCTION SHALL CONFORK TO THE PROVISIONS OF THE:. 1998 CALIFORNIA BUILDING CODE. SUPPLEMENTAL NOTES: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH. ATI ,UDAj ao\,*:- A-_--11 AV I 1A.t'11T 1• 'hZ' r. •.- .