BLDG (0111-022)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. bless Exp. Date
Date _ Signature of Contractor ( �,
OWNER -BUILDER DECL'ARAJON�) v
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.
)/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 ;OT TE FUND Policy No. 1;,n9 M101
(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 lji 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 hall4orrtiwit comply wit thos�.provjsions.
Date: a Applicant
Warning: Failure to secure Workers' Compensation ceQverage is unlawful and
shall subject an employer to criminal penalties and civillfines 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. 4,
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 swith 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.
ti `a.
Signature (Owner/Agent) Date�
BUILDING PERMIT PERMIT#
-
DATE t ;� j� % VALUATIONS l LOT TRACT
JOB SITE
ADDRESS 5;%-7.11r A V.FffWA NAVARRO
APN
OWNER
CONTRACTOR/DESIGNER/EN INEER
D XVM R KL ,%a:4R
PACUIC"MUM CONS"3M.CTC;"i't.014 .
1,-535hATJ01DA_B Md[7 /NS
171901`11MMONT
1A QUD A CA 9225 y
8 ocirWISIDE OA 92054
(760)9UP?-4)0C,9 Mutt 1955
USE OF PERMIT
GE34P SAL 133:UDWO
7 I� F. O C2ARDEN WALL - CITY" STANDARD
6 lei,. 'WALL LL 7.00 y,tt
MD ATS CKM Qtr C+;3 ISTRUMON
17 5.110
kFAMYE WE SUMMARY
CUN61TRUCTION FEE 101.000.4,1;-000 34�,�i4i
�1
NOV 05 2001
CffVQ U0RTA
• f. 6
BOB--it!°.i'_s1`:•,14 GC)XISMRUC'T'iOXA.'+dDPJ;.,.hn C'MYt,,v5C
'1' n.'Ale ft.Wfff 1417.8 DUE NOW
$1.5;00
RECEIPT
DATE % l
BY
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
BLOCKWALL APPROVALS
POOLS - SPAS
steel
Set Backs
Footings
Bond Beam
�%�2� ( r�
Electric Bond
Main Drain
Approval to Cover
Equipment Location
Underground Electric
Final ?>//SlQ ?/ f
PLUMBING APPROVALS
Underground Plbg. Test
Gas Piping
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.1.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
NOTF CONCRETE —�
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1.14" x S" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL,
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C.
� /r— CONTINUOUS (EDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCT(
IDA BY
I
U -STRAP OR AN(
NON -CORROSIVE
(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 ' 0
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL ✓ J
io
;R% N
SPECIFY ROOFIN; AND SH ATHIN�. OR OoEN l4" CE —
RAFTER SIZE AND SPACING
3 XG
Zy ac
(SEE ROOFIN NOi� ON
Rh'ERSE`
----------
--
-
, ill/ c�
--
R007 PITCH
I
CONTINUOUS LEDGER.
(SAME SIZE AS RAFTERS)
L
l;
HEADERSIZE
.
;
` T AND 'L' STRAIT
6'x6'.1"x1/g" WITH
I I
(4) 16C NAILS;' BOL'
I vl
CFTER SPAN: --
----
--
PO$� SPACING
Q
0. H.
0
_J
/
u
I
ILL LENGTH:
a
OVERALL 6
�
LENGTH _3
kI6
:::
POST SIZE
REAR SETBACK
SIDE SETBACK
(4-.4- MIN.)
OI
I
2000 P.S.I CONCRETE —+
I FINISH GRADE
FINISH GRADE
L__J
I �' -- MIN. 12" x t 2" FOOTING
L J
I I
I
- 12" BELOW GRADE
L - J
/
PROVIDE
1" CLEARANCE
BETWEEN
POST AND
NOTF CONCRETE —�
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1.14" x S" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL,
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C.
� /r— CONTINUOUS (EDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCT(
IDA BY
I
U -STRAP OR AN(
NON -CORROSIVE
(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 ' 0
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL ✓ J
io
;R% N
FA'TER SPAN TABLE \` / �� / O� %
naDirv,}; Ru_�� _.. ,� c `''/% r, `'�/.: v ;` ALL CONSTRUCTION SHALL CONS 0Rr
q---�--•- �o�� /�� TO THE PROVISIONS OF THE:
e 5
�_
(FEET INCHES)p O
o� o`1998 CALIFORNIA BUILDING CODE.
� ' 9J, e. ! �." + .L.✓ rai�J a � .. �/Y �0i1� � � /1� 0�`1
C
/ SUPPLEMENTAL NOTES.
2 x 6 16" OC. 15-0" t4'-0" 10— 13-0'6'q..12_6 11 g,4" 0"1 ' 8'3' 0— a" N/A N
I
I I
O.C. 18'-0" 117'-0" 113'- 16'-0"
32"15'-b' 14'-o i 11'-0" 1 -0"
3
i 1r -� 111'-6" N/A N/A.
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.
.r LATTICE 'ROOF • I BUILT—UP ROOF N
HEADERS HEADERS
DOUGLAS FIR NO. 1 DOUGLAS FIR N0. 1
E
SPAN
4
5'-0"
�x6
8' -0..
i 4x8
11'-0"
4x 10
1 4'_0"
4: i_
17'— 0"
6x8
14'-0"
6x•10
1 7'-p"
SIZE SPAN I ROOFING NOTES:
4x4
4._0"
4x6
6'-0"
4x8
8'—G'
4x 10
10'-0"
4x 1 2
l ?'—p"
6x8 12'-
6x10 14'-
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN.
E. POCK ROOF: 3/12 MAY,IMUM PITCH.