9805-136 (PAT)L •4'.
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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
025 H 3i3I1i}()
1 i
Date / .?,e,7kSignature of Contractor I
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 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 Policy No.
isXi.'t BIT
(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
sul�ect to the workers' compensation provisions of Section 3700 of the Labor
C,9de, I shall forthwith comply with those provisions.
date: ? 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.
PERMIT # CONTROL #
BUILDING PERMIT 9805-136
DATEwr/2t�jt}g� VALUATION $3,830.4�� LOT TRACT 7814 1
JOB SITE
ADDRESS 79Q.15 A3111XV ��I,k1i _'F, APN 604-061-003y `�
-OWNER CONTRACTOR / DESIGNER / ENGINEER
79235 ASI -11X)" P#, 78-875 SANUA DRIVE
LA.QUINt'A CA, 92125:{ LA,QUIM-A (-'A �>Z251
USE OF PERMIT
PATfO
KYRklll tITIA.7'iO
I #-
2813.11.9) ri
r
not MINOR
MAY 2 9 1908
�iT ®F LA OUP
t'.N3'#h! 110) :1311* 140
S .kW_T FRA,;t►;ilttiMARY
F4.AN CHEY-X Fhr., i(>I-i)ttts..134-31X !100.9s
t"t"itN!VIVtR r1r)wi44 1f11.(K1i3 11;i•tl(1(? XrAOff
in+•n l Vr a,i 1'ta; - f\,fl: )� 4, i' t_ r-
. 'JI -t)CCi i {fflU
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 off icers;,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
7'bove-mentioned property for inspection purposes.
/ �,,.-,lRECEIPT
rSignature (Owner/Agent) � - �'>"✓ --' --)Date
I'M A1, T'#rRi tIT F R F_% 1)11 F, NMV 1 $014.45
DATE I BY
INSPECTOR
INSPECTION RECORD
�l OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final —
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas) '
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
l
c
Final
Utility Notice (Perm)
COMMENTS:
RAFTER SIZE AN SPACI
(O,lii
SPECIFY ROOFING ANO SHEATHING OR OPEN LATTICE
(SEE ROOF NG NOTE ON REVERSE) 7
Rod PITCH-�-
..
f,.
CONTINUOUS LEDGER
IM
AND 'L' STRAPS e'x1Yx1'x1//IrWITH
- --- �.+
(4) 16 WAS OR BOLT I
/
0 Z
r r 6 0
RAFTER SPAN:
POST SPACING•
O.M.
d W
O M.
OVERALL LENGTH: I Z
OVERALL LENGTH•
WN. 4rx4' P06TS ;o
REAR SE76ACK '
SIDE SETBACK
2000 P.S.1 CONCRETE — L_ FINISH GRADE
FINISH GRADE
t�� F00
I
WN. GRADE
PROVIDE 1' CLEARANCE
C POST ANO
x r LAG SCREW THROUGH FASCIA INTO EACH PATIO COVERS MAY K ATrACHED TO MOVING FRAFTER TAIL ASCIA
VIA ONE oPEN LATTICE
U-STRAP OR ANGLE
NON-CORROSIVE PLATE
3/I!' x T LAG SCREWS IMO STUDS AT 1 O' O.C.
CONTMOUS LEDGER
(4 - 1 ed NAILS .
b1E BOLT
U-STRAP OR MALICE
_.._..
(4 tOe mu
81f O T.
JOIST MANGER OR SOLID BLOCKNG
NAIL RAFTER TO BLOCKING
( CIE CE
ANCHOR SOLT$tPOST
AND
BUILDING DEPARTMENT USE ONLY
TYPICAL PATIO COVER
PERYR NUUBERRQ
Jr'
DATE OF APPUGTION
`� Z
PERYR ISSUE DATE
owpon NAIK
`rO N
r4NL INSPECTION DATE
STREET ADDRESS
-767 - 23
SPECIAL CONOnIONS
CTTY, ST ZIP
,
ir/°"� a11 0 % "1
TELEPHONE
1& 0 -?-&55
H.OJI APPROVAL SIOAWnn DATE
Q'Q' Q'
v v v
RAFTER SPAN TABLE00
GRADING RULES Scl C
PS 20-70
(FEET & INCHES) V�
ti �o� �, �o� ti o
2x4
.16.
O.C.
1
'—Ir.
7'—
8'—Sr
DOUGLAS FIR NO. 1
24•
•
��.r . '-.. ..T=...
2x6
-16"
O.C.
1
'— `
46 '-
1
111—
48'_
410
114,—f
400 10'
402
2x8
16.
O.C.
.1.1.7'.-T
I):.- ...1..x'.-9'..
600
.2e
6x 1
1 '—
1 '—
1 '—
'-
3r
1.'-.....11'- ........_N .A.. .
NOTE:
3r 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
44
44 ........._.... _ __�w-4•
46
'— `
46 '-
48
111—
48'_
410
14'
400 10'
402
7'—
402 12'-0
6x8
14'—
6x8 12'—(f
600
6x 1
ALL CONSTRUC11ON 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.