9809-156 (RPL)F-
V U)
C
W
O =) M
r-- CiLf)
W r
o Z
0 0
~a
rn
Z
LO
N
ON
U °)
CL
Nt Z
r'aCr0
LL
0 J J
mea
U.
OU
�0�
"t Z_
Cb 5
0
g
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
1176807 C,i3 CW30/00
ate 10 — "�� 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:
( ) 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
() 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.
Se( ) I have and will maintain workers' compensation insurance, as required by
ction 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.
STA:M .r1JND
:229-143 T)Ns.T 00204M
(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
Coci�e, I shall forthwith comply with those pr islons. /
ate: - -"r Applicant * --. t �.!
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
thabove-mentioned property for inspection purposes.
,Signature (Owner/Agent) 9r • .- Date 1 A 2t f '
PERMIT # CONTROL #
BUILDING PERMITs�a�9��a,
DATE JW,1198 VALUATION .IZ'sfl i mio LOT64111"O* TRACT 8352
JOB SITEI ADDRESS 79--17.5 k�+>HL.�.Z'� 1x'14%, M
APN _
OWNER
CONTRACTOR/DESIGNER/ENGINEER
'79.175ASHLE.Y PL
80-475 MID -10 BLVD,
L AQUIN"iA, CA 42,253
!?ALM 0111SEM11 CA 92255
(70))345-5074 C'6114 1`10
USE OF PERMIT
POOL A.t'di:10K WA
%+OOi., AND SP A10NI. Y. iSJ, , V !3rki3AW2Ik:`R -NIUS i J: 04 ft ACE. -kr
PR.641 M#'1`IN.INS'PVC:710N.
F001. 7c:SDGRi SPA 12,50t;. V LS
F
ES N/. IAsIED COST OFC 4d�NSTat�.ULx'AsON
�'w
'PERMIT VER SUMMARY
.f'TrW tkHKIR. FEE HIL-OW439-31.$ $9330
COtt1S'1`1?.T,TC1111014 FP_R 1-(11-0t)(141.8-000 10" 0
N113C;t Cr IMCAt. l`I.M -- POOL 101,000-4214 000 524.00
1a.L-U "1'12.0 AL. FjlEs -- POOL 101-0120420-0130 .105.00
1?A:1_lN11t1NQ;1•FE--e 01. 101.4)(M-414nw4 527.00
3
111DYIAL G0N8S`MU(:'�l _)N AND 1°i .KM CHECK EC:K
A
$3,13 trio
LESS PRE-1-MID-FE"ES
$0.00
OCT O 1199'far A:it,
$333.610
.aaRAMU P0310S DU>ra`NOW
%..#I TY OF LA QU IN TAi
RECEIPT
DATE
BY I
DAT F ALED
INSPECTOR
Q'
I
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 Wali Insulation
Condensate Lines
Party Wali 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 z_mss Q
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
r
Final
Utility Notice (Perm)
COMMENTS: n
-Alf tMl?s C& -,17-6-A,)
-7_57' ey
7-c-. P. 15�3
% p
CITY �
BUILDING &
ACCEPTE
SUBJECT T
F LA
AFM
4DITION
:!OR CO
NSTA.11-
I
PooC' j -57Y3()
f) /-Afi " /) 'D ;a.
A
DEP HENT
iLLY
STRLCTION
CrIlON AS PER
AND ALL APPLICABLICOD
BY
OFF1 (c.
RAFTER SIZE AND SPACING
f.t
ROOF PITCH
CONTINUOUS _EDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE —
8
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
'T' AND 'L' STRAPS
6'x6' 1" 1 /R" WITH
-` X -----
w
I
I ( x x
4) Ioc NAILS On BST
III1I1I
/
I
II
11 Q
II �
RAFTER SPAN:---�----
--
POST 5PACING:_LL
a
O.H.
a
O.H.
1
9
0:/
a
_C____
I
OVERALL LENGTH: --_-
1 09
OVERALL LENGTH:
40
POST SIZE.�
_
5�.
REAR SETBACK
I
SIDE SETBACK
(4`x4` MIN.)
FINISH GRADE
2000 P.S.1 CONCRETE I i
FINISH GRADE
— I I
I LMIN. t 7 x 17 FOOTING
L_ J
I
L_ J 12` BELOW GRADE L_ J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE ---�
NOT
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
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
•Rj
ANCHOR BOLT (EMBED \ /
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION lz 21 = O
OWNER'S NAME
STREET ADDRESS Zez
CITY, ST ZIP
TELEPHONE Q
H.O.A. APPROVAL
L
1 4
^ FTER SPAN TABLE / �'�� , `�� �, 1� ' .O
,-, : s / ALL CONSTRUCTION SHALL CONFORm
GRADING RULES
TO THE PROVISIONS OF THE:) o� _70 6 -
'FEE OO
0`
1998 CALIFORNIA BUILDING CODE.
O SUPPLEMENTAL NOTES.
_A4
16" O.C.
24'
I10'-6„
4.-6,.
T-3..
8,-9..
8'-0 8'-0' 6'-0'
„- 3
FIR NO. 1
DOUGLAS FIR
j 2x6
II
'
16" O.C.
24°
32"
15'-0"
14'-0°
10'-91.
13'-0''
12'-0 11'-d' 8'-9"
10'-6°
10'-0" 8' -ti' N/A
N/A
8'-0"
4x6
I
I
I
16" 0. C.
24"
32"
18'-0"
1 T -C
13'-6"
16'-0"
15'-6" 14'-b' i 11'-0"
13'-0''
13'-0" 11'4" 1 N/A
N A
17'- 0"
4x 1 2
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
I FOR OPEN LATTICE PATIO COVERS ONLY.
I
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
I
FIR NO. 1
DOUGLAS FIR
NO. 1
i
SIZE
i
SPAN
SIZE
SPAN
1
4;x4
Y -O"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
4x10
14'-0"
4x10
10'-0"
4x 1 2
17'- 0"
4x 1 2
12'-0"
6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
6x10
14'-0"
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.