PAT (0305-169)51400 Avenida Martinez
0305-169
tX LICENSED CONTRACTOR, DECLARATION.. ti
U) i41l.hereby' affirm under Penalty of perjury that I am license] under provisions of:
l`_ Chapter 6. (commencing with Section 7000) of Division Y 6f the Business and
C14 W
U) Professionals. Code, and my Lic ense is in full force and effect.
C) .Iicens# Lic. Class e"` 60. Dat6
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LLJ
C:)
Z r- Date Signature of ContraContractor0 P-
(10
OWNER -BUILDER DECLARATION
W W 1' I hereby affirm undef!penalty of perjury that I am exempt from the Contractor's'I— a- i t . ,
License Law for the following reason:
Z 1, as owner ofitn6 property, o I r my employees with -pages as their sole ole
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c6mp6nsation, will'ab"'ibe work, and the structure' is not,inlnded or offered for
sale '(Sec':'7'044, 'Business & Professionals Code).
i.,I, as owner of the'property, am exclusively contracting with licensed
contractors to construct the project (Sep: 7044, Business & Professionals
CY) der Se B&P.C. for this reaspril
Co
ul I a exempt un
C\I
,,00Kte Signature of Owner Z _A
0 C\J
EL WORKER'S COMPENSATION , DECLARATION
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I hereb , affirm under` perjury LO Cr penalty of y one of the following declarations:
0 have and will maintain a certificate of consent;,to self -insure for workers'
.. .. .1. "1nsf
X W Y= compeation, as l3f vided for by Section 3700 of''the Labor Code, for the
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< oPlorrriance of the work for,Which this permit is issued.
M < ),.'I'have and, Will ma6fai'nworkers' Compensation insurance, as required by
Q 0 < Section.3700 of the. Labbr'ICocC4,r,, for tl e$erformance'of the work for which this
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0) F_m lSerm"ii. is issued.WYWO rkers' compensation insurance carrier & policy no. Are:
'IT 9 CA rrier', i. " Policy No,,
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< (Thissectionneed not be completed if the permit vialdation is for '$1 00.00 or less).
)1'6ertify that in'tH"*e'p efforniance of the work for Which this permit is issued,'
I shall-,,n.dt employ any person in any manner so as to become subject to the
workers', compensation laws of California, And, agree that if I
--'
s ?uld be -come
subject to the workers' compensationvisions of S6Ctio37066f, theLabor
"
Co:6,Ishall Grhwith comply with those pr6visiobs,
X
coverage Warnin6: Failure to secureWorkers' Compensation _ eradei; uniavful and
shall-sUbject an employer to,driminal penalties and civil fines up to $100,000, in
addition .to the cost of comp'E nsation, damages as providedfor inSection. 3706
of the Labor Code, interest and attorney's fees.,
,
IMPORTANT Application is hereby made to the Director of Building and§Afety
for aY . permit subject to the conditions and re'sirictions s"e"t",",forth on his
application. t
I
1. Each person, upon whose behalf this applicatiori is made & each pe"rson at
whose request and for'whose benefit work is performed under,or pursuant to.
any,,permit issued as -a resulfaf this applicaibn adreessio shall, indemnify
& IJ4'616,harmleSs tFie City.0 1a bq`intai;, iis ?,bff' i'ce rs 4 age_nts` . n& employees.',%-,
i 4y `erfotnit-issued-a,.s application becomes null and void if
work is 'commenced within 40,clay's,iroin date of issuance of such
permit,'or cessation
of_w'ork for 180 days will subject permit to cancellation.
t
I certify that I have read this application and state that the a6bve information is
• correct. I agree to comply with all City, and State laws relatihd to the building
construction, and hereby authorize representatives of t is City to enter upon
10
;.the above-mentioned property-f6ir ins ection porpoSes.
p
Date
Si6naii]re (Owiri'6..
q, Z
n Soar PERMIT'#'
BW DING PERMIT RMITv-
DATE VALUATION V LOT: TRACT
JOB SITELr'
ADDRI.SS
APN
OWNER
CONTRACTOR DESIGNER ENGINEER
V -
1"A Q11 922-13
USE OF PERMIT
PATIO
VA
POPd#P'A"TJ'6 A 19210 SF.
W5,ni*ATX On•orlvo 10M
M 9 DMIARY
FILAIN CHECK F&E.
-CONSTRUCTIOIR FRZ 10t )'(10-419 000.
STRONG MOTION FEE.: RMID;", 101-,000-241-000
-n"
Lr_0
`1'9, -2003
:MAY.
CITY OF LA QUINTA_
FlkANCt oEPT.,
'C( iTAVD PLA$i:( iMC K,
SUB-MTAL )KST.TWC7 0
PA =f"&,LT- PPJY)
TOTANL Plaki XWS IPUX BOW
MAO
RECEIPT
DATE/
BY'
DAIE-FNALED
INSEgOTDR
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.
Griffis
Fireplace T.O.
Fans & Controls
Party Wali 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 Pibg. 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 I
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: ;
S tJ-e l C_ .✓, ,,,Q G ,
RAFTER SIZE AND SPACING
aAY"KZY
n ROOF PITCH
CONTINUOUS LEDGER ---
(SAME SIZE AS RAFTERS)
HEADER SIZE —
1FTER SPAN: _
2
s
a
0
a
O.H.
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
--COPE" _ (_A TT_Zc E_
T AND 'L' STRAPS
6 c x1"ct/8" WITH
(4) 16d NAILS OR BOLT
I
i -- , uvtHALL LENc
— — .20 Hyl,•
POST 512E:
REAR SETB4CK SIDE SETBACK (4 ■C MIN.)
/ I
2000 P.S.I' CONCRETE — I 1 FINISH GRADE FINISH GRADE
L_ J I L— J— MIN. I Z" c 12' FOOTING I I
12' BELOW GRADE . L - J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTE CONCRETE
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
Y
3/8' x 5' LAG SCREWS INTO STUDS AT 10" O.C.7 NON -CORROSIVE
r— CONTINUOUS LEDGER /
(4)- 16d NAILS
OR BOLT
I `\ 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
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPROVED
FOR CONSTRU
DA s/ BY
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
•Rjf'
TYPICAL PATIO COVER
DATE OF APPLICATION 5—
-AO
0
OWNERS NAME rtA Uftco" 4N
STREET ADDRESS 51_ 400 AL&N;QLci,, Mg ,t
CITY, ST ZIP L* Coq 9 Z Z 53
TELEPHONE Oj S7 H- S Z 8 Z
H.O.A. APPROVAL
RAFTER SPAN
OVIE Ps 2U-70%
(FEET & INCHES)
LOS C01 i U/n,
Vbrx ex1.
Q' Q' Q'
v v v OO
C) C ~ i so
O i14z) co ri `z
I
O.0
10'.-'67 ;19 =67
7'-3"
8'-9"
DOUG! AS FIR NO. 1
DOUGLAS
FIR NO. \ 1
I S17; -
SPAN
SIZE.
SPAN
t
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
6'-0"
4x8
2x8
16" O.C.
24"
32"
18'-0"
17'-0"
13'-6"
1 16'-0"
15'-6" 14'-6" 11'-0"
13'-0"
13'-0" 11'-6" N/A IN
A
12'-0"
6x8
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
DOUG! AS FIR NO. 1
DOUGLAS
FIR NO. \ 1
I S17; -
SPAN
SIZE.
SPAN
t
4x.4
5'-0"
4x4
4'-n"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
4x 10
14'-0"
4x 1 O
10'-0"
4x12
17'-0"
4x12
12'-0"
6x8
14'-0"
6x8
12'-0"
6x 10
17'-0"
6x10
14'-Q"
ALL CONSTRUCTION SHALL CONFORty
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.
r,
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be.aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County., They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of variuus trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer,and you are subject
to several obligations including State and Federal income_ tax withholding, federal social _security taxes,, worker's___
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may. be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under Stare
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or. subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814. -
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
F (760)777-7
,s 2v -o3
WNER'S SIGN E ATE
PROPERTY ADDRESS
PERMIT NUMBER(s)
a