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0307-360 (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 Date 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: ( j) 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 i rh1 i,.s ,"r'i 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 shall forthwith comply with those provisions. ,,Date: ,.4#.. r '1 Applicant 1;' ivt . 1- :r.zly a." 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) % %/ 7:`..r - Date '" , e: PERMIT # BUILDING. -PE RMIT f>,:0a_ j - DA''rE r VALUATION r'�TR;:p 4;<„k LOT TRACT oJOB SITE ADDRESS 534 AG AY9`fi.f'; I:Iy ( RM "R ISI, . .l: APN OWNER CONTRACTOR / DESIGNER / EN (NEER TCCt 't' E • t; a kts? :Pa C s i.. lr:. 01WW'Ut - .BUILD." .53- 2 Z 0 AV'R. CD/XU- 310 LAQUIMrfi USE OF PERMIT YR tlo Lll-.,. , t".. -,,..ti 17-_.7 t -r YIsl1 t-,; PO'i".::krsi'AT10 900.14 3F ?Y Y1. Al C"/J: YR,r% : 3 • (Ili{ i><i. r%=3 }3 �3E, 5 . C014TI UCTIM4 P-006 iI 1J 05 213 . 4 RECEIPT DATE BY J FINALED D _` INSP 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 8 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 -pond 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 t Sewer Lateral Pool Cover Sewer Connection Encapsulation a Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder.of-the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the resporisi6le party of record on such a permit. Building permits,are not required to be signed by property owners unless they areI'personally performing their own work. If your work is being performed by; someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by. law to be licensed. and bonded by the State of California and to have a business license from the City or County. They are also required, by law' to put their,license number oii.ill permits for which they apply. If you plan to do your own work,=;with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit -and protection: If you employ orotherwise engage any persons other than your immediate -,family, and the work (including materials and other costs) is $200.'00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. y ,� If you are an employer, you must register. with the State and Federal 'Government as.an employer and you are subject to several obligations including. State and Federal tncomeJax withholding; federal social security_ taxes, worker's compensation insurance, disability -insurance costs.and unemployment compensation contributions. i' There may. be financial risks for you if you do not carry out these oblaj;aeionst and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish; the U.S. Small Business Adrninstration). For more specific in about your obligations under State Law, contact the Department of Benefit Payments and the Division of Iridustrial Accidents. If the structure is intended for sale,.property.owners who are not.licensed.conttactors are allowed to perform their work personally or through their own employees, without a -licensed contractor -or subcontractor, only under limited conditions. A frequent practice of unlicensed'persons professing to be contractors is to:secuie an "Owner/Builder" building permit-, erroneously implying that the.propertyowner is providing his or'her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California -95814.. Please complete and return the enclosed owner -builder verifieation`form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification -is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 6ko NOW OWNER'S IGNATURE/DATE PROPERTY ADDRESS ' dao 7 5& PERMIT NUMBER(s) IV.., ... .. - 7 RAFTER SIZE AND. SPACING X 6ON CCNT E0.AOLV LAS Fl 0- ROOF PITCH .5 - - CONTINUOUS .LEDGER , (SAME SIZE AS RAFTERS) HEADER .SIZE „ y4 Q / RAFTER SPAN: �+ OVERALL LENGTH: l0 15 Yz' REAR SE. B 2000 LEN; CONCRETE -.i I FINISH GRADE L, J .SPECIFY ROOFING AND SHEATHING OR OPEN LATTI,:E `(SECROOFINC NOTE ON REVERSE) / _' QQDf� e S heArHn _+men LA q �j e- . y 1 `,Eos. it -r N - T.' AND •L' STRAPS 67x6'.1"YI/S­ WITH Z_- (4) 16C NAILS OR BOLT ►' POST SPACING.____ a a / OVERALL LENGTH. b/ POST SIZE: X g 1 SIDE. SETBACK` (4"Y4" MIN) ----_ I FINISH 'GRADE L- J —'MIN. 12"02 FOOTING I 1 12' BELOW GRADE L _ J I NO F: OPEN LATTICE PATIO COVERS MAY. BE ATTACHED TO EXISTING FASCIA VIA ONE 1/4" r 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL..: 3/8 ■ 5” LAG SCREWS INTO STUDS AT 16" D.C. CONTINUOUS LEDGER JOIST HANGER OR SOLID BLOCKING NAIL RAFTER TO BLOCKING BUILDING DEPARTMENT APPROVAL BELOW LDATELf—P'T OF LA QUINTq: G..& SAF ETY DEPT.. PROVED- CONSTRUCTION 8Y `v U -STRAP OR ANI NON -CORROSIVE (4)- 16d NAILS OR BOLT PROVIDE I- CLEARANCE BETWEEN POST AND CONCRETE ---� .r ��II� ,W 0i. � U -STRAP OR ANGLE (4)- 16d NAILS OR BOLT PROVIDE; 1" CLEARANCE BETWEEN POST' AND CONCRETE II II LI II II II III II II ANCHOR BOLT (EMBED 7" MIN. INTO CONCRETE) T.YPICAL PATIO COVER DATE OF APPLICATION OWNER'S NAME STREET ADDRESS j 53110 Avenida Rubio a .CITY. ST ZIP L`a-Quints,--CA 92253'"""'``'`" TELEPHONE 4� %*7l-RR57 H.O.A. APPROVAL RAFTER SPAN TABLE lco4` �� p GRADING RULES S �' Nz- `�' �ps PS 20-70 (FEET & INCHES) OpJ�Li OpJ�� ooJ�� pP CA _) c; 2x4 16" O.C. 24" 10'-6" 1 9'-6" I 7-3" °'—Q" 1 8'-6" 1 8'-3. ' 6'-0" 1 7'-3" I I S!ZE i 2x6 16" O.C. 24" 32" 15'-0" 14'-0" 10'-9" 13'-0" 12'-6" 11'4" 8'-9" 10'-6" 10'-0" 8'-6" N/A N A 6'-0" 4x8 2x8 16" 0. C. 24" 32" 18'-0" 1 17'-0" 13'-6" 16'-0" 15'-6" —6" 11'-0" 13'-0" 13'-0" 1 11'-6" 1 N/A I N/A 4x 1 2 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 I DOUGLAS FIR NO. 1 S!ZE i SPAN I SIZE SPAN 4x4 5'-0" 4x4 4'-0.' 4x6 8'-0" 4x6 6'-0" 4x8 1 1 '-0" 4x8 8'-0" 4x10 14'-0" 4x 10 10'-0" 4x 1 2 17'— 0" 4x 1 2 12'— 0" ! 6x8 14'— 0" 6x8 6x 10 17'-0" 6x 10 14'-0" ALL CONSTRUCTION SHALL CONFORM TO THE PROVISIONS OF THE:. 2001 CALIFORNIA BUILDING CODE. 5UHHLLMLNIAL NOI'L5: ROOFING NOTES: A. BUILT—UP, ROLLED ROOF.- SLOPE TO DRAIN. B. ROCK ROOF: 3/'12 MAXIMUM PITCH. • 1 p1�. i aJ ti+ i j .iv �v+d I .. 1 � + 1 , y ! 1 H r T } I , . F__� , . , ,�. _ - . _ _..:._.. .. _ > _ �. 1 . _ ._ - ♦ ,'..._.,,L_ �.r-�1•- - - _- i _ t - y.- h - .�.`..... _ .. J } +_h _ _ -- r- T • _-F«- + - N t r- - ...--F--'.'--f+-�/�--i----^T^^ - - _ •F-•�-'•t•-+w+^�'Y ,� .,. ` 1 _ LE 5 ,e t _ r I I .........�I L .'.t.1,:^ . 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