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0301-238 (COMB)LICENSED CONTRACTOR DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of ., F- Chapter 9 (commencing with Section 7000) of Division 3 of the Business and N W Professionals Code, and my License is in full force and effect. ' O =) ch License # Lic. Class Exp. Date r LLJ 7'�i93�s 1 417 -� 01 r' /21r LO ~ Z a et 6 � QXSignature of Contractor" O CDOrl� J U C:) OWNER -BUILDER DECLARATION LU W I hereby affirm under penalty of perjury that I am exempt from the Contractor's ~ a 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 LO N Date Signature of Owner O.� CL Q WORKER'S COMPENSATION DECLARATION p cccc I hereby affirm under penalty of perjury one of the following declarations: LO O ( ) I 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. m Q U ( ) I have and will maintain workers' compensation insurance, as required by Q C) Section 3700 of the Labor Code, for the performance of the work for which this d rn H permit is issued. My workers' compensation insurance carrier & policy no. are: 00 Z Carrier u13P`i coPolicy No. ' � rC J (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 37001 of the Labor Code, I shall forthwith comply with those provisions r"" 1"Date:/ I ea 6 i Applicant t r4 - -.. c + " ti e, -,Z_, p Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is • correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property/for, inspection purpo,,��ses. Signature (Owner/Agent) 1 •''''� 1-m^-• _ Date "" �t��_ Cy Ile r. Bl� PER PERMIT# _ _ ,,i��iNG DATE-' ..r LUAT,101�� -`�4 ' •-` LOT TRACT JOB SITE APN ADDRESS e52. -O 4 AVRPU.DA ROD[() OWNER CONTRACTOR / DESIGNER / EN (NEER ' 1,TFIDA FIWIMAMA 'WORK HORHJ3 CONSF.RF3M.031 :52.44 A�I�F�d:l1?ARDB10 51512 C DAR M_ VF, 1.. A )LTINTA CA 92233 1�C��£C NGO � AL;L1� Y CA 92,256 (160)363.1945 UI 22,$S USE OF PERMIT COta BINAT.[C.'S 20 LIP 4' 13L0CK PFR CITY ST.�.NDA,1?;t:�ft1~AS LANX R:)R FUTURF APPROVED APPLIAird1�1 250 3F I,ATTFCR PATIO COVER PER. CITY 1z )RCIUPA'i IO 2150. Do SP 4 F^'1'. WALL, 2A.K( LI~ VALUATION 6,3SS, ©0 1.0 �:Ir"lC1:fV:S/1<1� ID CC26'11 OF CL' NS11 UIL17.TC3.14 � F► V0.00 - T'RC�:C+/Tdi'$1`.TtT 911JAMA�i'�'' P1.A.A1 CHECK FRF 101-000-439-318 rlo.o5 CONST RUCTIOAI F%F, 101-000-418-000 $117.130 STRi7NO MOTION, FEE -111 MID 101-000.241-000 $1.00 SUB -TM K1, C:O>�11'1MUC 09 AIM PLA tQ1 t_".HZCX $194.05 LESS IJRE-PAM FEES $0.00 D e _ �'d�l:AL I' RAP` 3+ IMS D'8_TR NOW $1194 f1' JAN 16 2003 CITY OF LA QUINTA FINANCE DEPT. RECEIPT DATE ! 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. c FramingvG 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 Steel POOLS -SPAS 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 numbing Top Out Equipment Enclosure ohower Pans O.K. for Finish Plaster Lq.wer 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 E G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: f" � ,moi RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE t (SEE ROOFING NOTE ON REVERSE) -- c---------- -----ROOF ROOFPITCH J91 - CONTINUOUS LEDGER : CONTINUOUS (SAME SIZE AS RAFTERS)' j`. is=" HEADER 'SIZE I 'T' AND 'L' STRAPS . �o '. •+a ... '.6"s6";Y 1"x 1 /8" WITH . (4) 1 6G NAILS OR BOLT I u RAFTER SPAN: POST SPACING:--/— 2, •—� � •, O ys- GJ / OVERALL LENGTH: •OVERALLLENGTH:___ _�__ 3 I . >>I _ - POST SIZE:�C__ REAR SETBACK SIDE' -SETBACK (4'xd" MIN.) 2000 P.S.I CONCRETE -+I I FINISH GRADE FINISH' .GRADEtJ L- J MIN. 12"x12" FOOTING I I 121, BELOW GRADE L -"J ;.. PROVIDE 1" CLEARANCE BETWEEN POST AND NOTE CONCRETE OPEN LATTICE PATIO COVERS MAY BE ,ATTACHED TO EXISTING FASGA VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL. U -STRAP OR ANGLE 3/8" x 5' LAG SCREWS INTO STUDS AT .16" O.C. • NON -CORROSIVE PLATE PpE R t CONTINUOUS LEDGER � I,�IIII �IIILI�I (4)- 16d NAILS OR BOLT U. -STRAP OR ANGLE (4)- 16d NAILS JOIST HANGER OR SOLID BLOCKING OR BOLT, NAIL .RAFTER TO BLOCKING PROVIDE 1" CLEARANCEr BETWEEN POST AND CONCRETE II II II I III II II II BUILDING DEPARTMENT APPROVAL BELOW CITY OF LA QUINTA ANCHOR BOLT (EMBED BUILDING & SAFETY, DEPT. MIN. INTO CONCRETE) APPROVED T.YPICAL PAT16 COVER FOR CONSTRUCTION DATE OF APPLICATION OWNER'S -NAME s4 ,�S rvI P/1 ✓1 SATE (` 0 BY STREET ADDRESS Z g q q AU Ao Pu1 ;O CITY, ST ZIP t4. TELEPHONE 3 6 3-1 q (S H.O:A. APPROVAL QQQ j RAFTER SPAN TABLE �� �` �� GRADING RULES `�' S G' PS 20-70 (FEET & INCHES) ooJA� ooJ�� 2x4 16" O.C. 24" 10'-6" i 9'=6" 1 T-3" HEADERS 8'-r 1 8'-0" 6'-0" FIR NO. 1 DOUGLAS FIR NO. 1 2x6 16" O.C. 24" 32" 15'-0" 14'-0" 10'-9" 13'-0" 12'-6" 11'-6" 8'-9" 10'-6" 10'-0" 8'-6" N/A N/A 4x6 6'-0" 2x8 16" O.C. 24" 32" 18'-0" 17'-0" 13'-6" 16'-0" 15'-6" -6" 11'-0" 13'-0" 0 1 11'-6" N/A N/A 402 12'-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 i SITE SPAN SIZE SPAN 4x4 5'-0" 4x4 4'-0" 4x6 8'-0" 4x6 6'-0" 4x8 1 t' -O" 4x8 8'-0" ,4x 10 14'-0" 400 10'-0" 4x12 17'-0" 402 12'-0" i 6x8 14'-0" 6x8 12'-0" 6x 1 O 17'-0" 600 14'-0" ALL CONSTRUCTION SHALL CONFORM I TO THE PROVISIONS OF THE: ' 1998 CALIFORNIA BUILDING CODE. 5UF'F'LtMtN IAL NWL5: t5: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. POCK ROOF: 3/'12 MAXIMUM PITCH. ATY[lU J AJ :10 T ; I0 Jcs_30 Y?7-31A2 A D%iaE IU8