9605-003 (PAT)53105 Avenida Martinez
9605-003
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 and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
Date 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:
S' I, as owner of the property, or my employees with wages as their sole
c3mpensation, 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
er —
Date t3 , jf r'l f n Signature of Owner ' rI L10
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.
( ) 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 Policy No.
(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,
*nhall 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 shalljolthwith comply with.those provisions.
Date:" 13e f/a Applicant—
Warning:
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 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
cotrect. 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) 4 / _ • Date <-1131(10
BUILDING PERMIT PERMI1605-03 CONTROLk
3242
DATE VALUATION LOT TRACT
V9 S4,65.5.00
ADDRESS 53+-1105 t%iAlit. it'ill EZ, JOB
APN 7744-"1.017
OWNER
CONTRACTOR/DESIGNER/ENGINEER
HON WADI:
OWNEItnWILDVA .
33I0; A.VLN10A AiAR'I`fNFZ
LA QCJIN rA (.'A 92251
MIN
USE OF PERMIT
LAYTICT PA110
Y .. rcc f rY1 r .t tw _*:)u A)V ail,
rVITIMXMDCOSTFC NS R cON
4,655.00
t'UildfV IT FEC NI MMAiIY
PLAN CifPr"T F147 If1I f3l}O•d {r -11K Vf,:H)
C:fMS'i'RO"I'llON FEE 1011.0)0 -"illi -ow 572,00
tJI:,I•'I'Cf..i,i1 .,C!.NS'f UC'I'FO ANDPLANCHUCK
S.I1 3.33
I.ESS PRE -PAID FSE; S
$0V)
D a 'f (YI t L PERMIT F C.1 -:S DUE NOW
Si 39.341
VA Y 1 3 1996
RECEIPT
DATE `
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD -
OPERATION
AT
DE
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:
RAFTER SIZE AND SP I ,
' )< 0 G. 012-
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE AT LEFT)
-- i
2K,OtT
ROOF PITCH
ROOF
r'coNnN.UOUS
LEDGER
1HEAD (SIZEn
OFi
T AND 'L' STRAPS
I (4) 18d NAILS OR BOLT
1
af LI
IY l2 POST SPAiCING: YL_
RAFTER SPAN:
O.H. W
O.H. U
u t o
' a
19 V►
OVERALL LENGTH.
ovERa L LENGTH:_
I p
u ) 5 0 'VIrN MIN. 4x4" POSTS in
REAR SETBACK ' SIDE SETBACK
FINISH GRADE FINISH GRADEI — I
2000 P.S.I CONCRETE MIN. 17'x12' FOOTING
L_J I L—J 17' BELOW GRADE L_J
ATW PA 5 G Ori (-
PROVIDE ,- CLEARANCE
BETWEEN POST AND
CONCRETE
S6(ZG[A- 'A- IN To t u5C- FT S
_STRAP OR ANGLE
w
Vq K 5 wk U SRW AT
PLATE
3/t3' x 5 LAG SCREWS INTO STUDS AT 1 C O.C.
NON—CORROSIVE
CONTINUOUS LEDGER
I Y
I
i 6d NAILS
R BOLT
,\
U-STRAP OR ANGLE
1A .............. .
.,
\
(4)- 16d NAILS
7.
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
I
ANCHOR BOLT (EMBED PROVIDE 1' CLEARANCE
T MIN. INTO CONCRETE) OONCKM T AND
- I.
iTY®F LA i U p
BUILDING DEPARTMENT` IJSE"r'^ONLY
TYPICAL PATIO COVER
PERMIT NUMBER
DATE OF APPLICATION
PERMIT ISSUE DATE
~r
OWNER'S NAME
ofA
FINAL INSPECTION DATE
STREET ADDRESS
3 105 • % I Z
SPECIAL CONDITIONS
CRY,
ST ZIP
TELEPHONE
H.O.A. APPROVAL SIGNATURE. DATE
513 c u
ce4ot1vx 41 4-094tro
78-495 CALLE TAMPICO. — LA OUINTA, CALIFORNIA 92253 – (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
December 19, 1997
Ron- Wade
53-105 Avenida Martinez
La Quinta, CA., 92253
RE: Patio Permit #9605-003
Dear Mr. Wade
The purpose of this letter is to inform you that your Patio Permit #9605-003, for the project
53-1.05 Avenida Martinez, has expired. In accordance with 1994 UBC section 106.4.4; no
further work may be performed until a new permit has been issued.
Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 to obtain any
information you need regarding a new permit and/or any required inspections. Should you ;
choose not to complete the project, we would then have to pursue any or all of the following
actions:
1) Abatement of theproject through the City Attorney's Office and Code Compliance Division.
2) Notice of non -conforming structure placed upon property profile.
3) Action filed with Contractor State License Board'. Optional if Owner/Builder.
Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and
for any questions you may have.
Sincerely,
Mark Harold
Buildin & Safety Manager
Daniel P. Crawford J .
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA; CALIFORNIA 92253 `
}