0204-134 (PAT)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
p
Date~Signature of Contractor f �+, �' / _k, C.
f � '
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 a tempt under Section B&P"C. for this reason'. t
Date f f i'' f ` Signature of Owner i!"�� A
f �
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,
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 s all forthwith comply with thoe provisions ' + E F
Date: t j 1 t Applicant 1 F`" Y_\ KA,I)
Warning: Failure to secure Workers Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application. .
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
✓'Signature (Owner/Agent) J s� �f.t s� Date
PERMIT #
'BUILDING PERMIT
,,,_1
DATE � .fi i r, VALUATION "• 7 , q ..LOT v< r�+ f TRACT 1166' V Q6
JOB SITE
ADDRESS _l Tis A7 . ,
APN 7731�e��
OWNER
CONTRACTOR/ / EN INEER
Soo, 11.001noujv
Ow'hillit l36"U' iffelk
54-O.'s AMTfDJ%,CAARANZA
LAQ11U$N€A CA. 9_t253
.. G`YsL'it
USE OF PERMIT
PAM
5 2 Sid ftiTJALT L91':l?A .(0 COVIA1 I. C-rff'!3'i. A?4OA RIO.
320.00 o?
,rERMAT :QW- MMMARY
KXN% CMCKF1f4.S 101-0W,4339-318
�,o .E�� S�!'I L? Imo? �014W-4184M
.i' ''�,k�f�3''r�'�:�>).d':iB�� �:i�'f�&'�l:J; �SPiD•�•�H104� �.zif3
aNk 17 2002
QTVOF(A
WDIOTALW STOWT10N AND PLAN
- LTIM PRE-PA11).F'1c�.=�;
43.tt 41
TMAL AWRMT FRES D00, NOW
RECEIPT
DATE �!
BYE j'
DATE FINALED
INSPECTOR
1b 7/'o21
��
-7.3t-02,
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 p Z
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
eP7,
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wail Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final IL
BLOCKWAL 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
.as Piping
Gas Test
Appliances
Final
r'
Filial
Utiyty 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 SPACING ( 1
IL
ROO- PITCH
CONTINUOUS LEDGER '
(SAME SIZE AS RAFTERS)
HEADER SIZE
i
RAFTEP, SPAN:
o.. c�)
/\ J
O.H.
a
0
a
,fir Cl.�r � RVVr�IVV ���V V�C�`I
- (SEE ROOFING NOTE ON REVERSE)_
j `-'T' AND 'L' STRAPS
Gx6 x1"xl/4" WITH
( I (4) 16c NAILS O= BOLT
POS" SPACING-, -
O.H.
LfoB
OVERALL LENGTH.___
_ POST SIZE.
REAR SETBACK SIDE SE78ACK (4'x4- MIN.)
I
7 L
.
FINISH GRADE FINISH GRADE MIN1 2" x 12"� FOOTING I
2000 P.S.I CONCRETE -' I i
L_J L -J 12" BELOW GRADE L -J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA.
VIA ONE 1/a' x 5' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QIJIWA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
jnATp 4 By
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
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
I TELEPHONE
H.O.A. APPROVAL
F
lk
FATTER SP^ -N TABLE
ALL CONSTRUCTION SHALL CONFORM
GRADING RULES
PS 20-70 / �c� i vv � �� � � ,/ TO THE PROVISIONS OF THE: ,
(FEET & INCHES) iOJ�" OJ��/O i
1998 CALIFORNIA BUILDING CODE.
=OC % SUPPLEMENTAL NOTES.
I "x4
24
10'—e"
9'-6"
7'-3'
8-9"
87_6 8. _ 01.6-0"
—3
FIR NO. 1
DOUGLAS FIR
oxo
16" O.C.
24" ;;
32"
15'-0"
14'-0"
10'-9"
13'-0"
12'-0' 11'—b' 8'-9"
10'-6"
10-0" 8-6' N/A
N A
8'-0"
4x6
_
I
16" O.C.
24"
32"
18'-0"
17'-0" 13'-6"
16'-0"
15' -ti" 14'-6" i 11'-0"
13'-0°
13'-0" 11'-6" N/A
N/A
4x12
17'-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
DOUGLAS
FIR NO. 1
DOUGLAS FIR
NO. 1
j 5 i=E
I
SPAN
SIZE
SPAN
4;.4
5'-0"
4x4
4'-0"
4>:6
8'-0"
4x6
6'-0"
=1x8
1 t'-0"
4x8
8'-0"
4':;10
it' -0"
400
10'-0"
4x12
17'-0"
4x12
12'-0"
6x8
14'-0"
6x8
12'-0"
600
17'-0"
6x 10
14'-0"
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN.
Q Onf'L' DnnC'. z 1I -) hAAYthAI IAA OlTrlLj