PAT (9904-138)LICENSED CONTRACTOR DECLARATION
U .I hereby affirm under penalty of perjury that I am licensed under provisions of
I— Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
04LLj '' Pro%ssionals Code, and my License is in full force and effect.
=) ch License? Lic. Class Exp. Date
CY to
LLJ
499370 C-27 10/31/00
oZ r- ate LI !q ' Signature of Contractor
(DO
J U C OWNER -BUILDER DECLARATION
WWW r- I hereby affirm under penalty of perjury that I am exempt from the Contractor's
to License Law for the following reason:
Z_ ( ) 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).
co () I am exempt under Section , B&P.C. for this reason
LID
N Date Signature of Owner
0 N
0)
d< WORKER'S COMPENSATION DECLARATION
p 2 Z I hereby affirm under penalty of perjury one of the following declarations:
U-) O () 1 have and will maintain a certificate of consent to self -insure for workers'
X W compensation, as provided for by Section 3700 of the Labor Code, for the
O J Q performance of the work for which this permit is issued.
C0 Q I have and will maintain workers' compensation insurance, as required by
CC U Q Section 3700 of the Labor Code, for the performance of the work for which this
CC
v Z permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
cb O ft"t R iOR NATIONA % TG I`.3.i` v3-�'
g (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
3 subj5pt'ro the workers' compensation provisions of Section 3700 of the Labor
C de, I shall forthwith comply with those provisions.
�te: �N
- ,,f . rl Applicant �/ , ' 7
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work i's not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
• correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned propertyy for inspection purposes.
�3ignature (Owner/Agent) /� -',lx, ' ,t _A Date 1-f e
PERMIT#
BUILDING PERMIT
94)(14_ 13$
DATE VALUATION $3,192.00LOT TRACT
ADDRESS .'rf2-U�i'0 AVE VT��t�. t� END07,N JOB SITE
APN 773-23.E-602
OWNER
CONTRACTOR/DESIGNER/ENGINEER
PANIM-LA E i IGNI?dINO-Eft
BEILLF I A: 41,X114DSfi APING
K0.10 A.VEN IDA &10*13Q%.r1,.
NR315 OLD DALE ROAD
LA OUIN IA t'A 9225:3
'miwn NINE PALMS t'A 14:'77
(7601' Q-1 F ,11) C: IiLtt 1630
USE OF PERMIT
PA I tO
?Au S.F WOOD I.A'171- `I3 PATIO COVER, Rf.Ec�i I ILAL GOR POR i AN,F
tit'Ad: P UN'I'AIN
II�,xTV%IATrD Czar (ire C'UI" ST IC1l! �r10N
31192.00
PERMIT EES: S13MMARY
KAN CHECK Flip 101 -OW -439-318 1?tt.y 4
(70tVC7Ntir,'"t'tt1N F F 101-M)-4I94W V13 cM
0XI.C-TRICAI. FIX 101 OW420.000 S21 AN
31111ONG MOTION FEF - REsu) 101 -CM -241-000
Si I9 1rYTAL MIvSMU 1C)ION AND PT,AN �ttt7t');
+�►�q .IS
LESS PRE -PAID PPF
°C Ott
10YAL PERM1'1' i~ E ;S 11111W. P40W
512.5.45
RECEIPT ,r
DATE
V_
B1G
DATE FINALED
INSPECTOR
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
POOLS - SPAS
BLOCKWALL APPROVALS
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
COMMENTS:
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)
t y
Q Q Q
RAFTER SPAN TABLE �` z
GRADING RULES �� �- &) S G? O�
PS 2.0-70
(FEET & INCHES) opJ��i OJ�� opJ�� UP
'per 'v -per ,� 'v
2x4
16"• O.C.
24' "
10'-6"
9'-6"
7'-3"
8'-9"
8'-6" 8'-0" 6'-0"
7'-3"
FIR NO. 1
DOUGLAS FIR
2x6
16" O.C.
24" "
32" "
15'-d'
14'-0"
10'-9"
13'-0"
12'-6" 11'-6" 8'-9"
10'-6"
10'-6' 1 8'-6" N/A
N/A
8'-0"
4x6
2x8
16" O.C.'
24" "
32" "
18'-0"
17'-0"
8'-0"
16'-0"
F13'-6"
15'-6" 14'-6" '-0"
13'-0"
13'-0" 11'-6"N A
N/A
17'-0"
402
z
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"
402
12'-0"
6x8
14'-0"
6x8 -
12'-0"
6x10
1.7'-0"
600
.14'-0"
c;
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE 1994
UNIFORM. BUILDING CODE.
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.
1
v
ERAFTER SIZE AND SPACING
DF±2--- -_?-:� -6-6 c 6o u0,6
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE —
RAFTER SPAN:
I - u
OVERALL LENGTH:
ROOF PI CH
--N�A-- -
o.++.1 W
a.O
a
CL
' � k
REAR SETBACK
2000 P.S.I CONCRETE I FINISH GRADE
L_J
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
\—'T' AND 'L' STRAPS
6"x6"xl"xl/8" WITH
(4) 16d NAILS OR BOLT
POST SPACING:_ J 1Q'' m)
O.H.
l lr
' OVERALL LENGTH:___][
_5 POST SIZE:
SIDE SETBACK (4'x4' MIN.)
I
FINISH GRADE 1 MIN. 12707' FOOTING I I
L _ J 12" BELOW GRADE L _ J
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x S' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPRQY-Al -6.A
QUIN
BUILDING & ,�A�IETY DEPARTMENT
;=t -JR C.D4STRUCTION,
SU ,.TEC T TO "STALLATION AS PER
j,N0 ALL APPLICAKE CODES
U—STRAP OR AN(
NON—CORROSIVE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE —�
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
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TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL