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12128 (PAT)Building Address 53-490 Rubio Owner Carlos Chavez Mailing Address Same City Zip Tel. La 4uiatap CA 92253 Contractor O'1i17F2e'r Address Zip I Tel.' State Lica I City & Classif. Lic. # Arch., Engr., Designer Address Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City (Zip (State f Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit sub ects the applicant to a civil penalty of not more than five hundred dollars ($500). 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason "Date WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company 'w...O Copy is filed with the city. ❑ Certified copy is hereby furnished. Y CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation or fess.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become s-u,.bj�ect'to the Workers' Compensation Laws 4DateOwner / Y ++ "�_ %•gid a NOTICE TO APPLICANT: if, alter making this Certiftcate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST A.P. Number --No. 12128 _OCC: GRP.- Legal Description Project Description Patio Cover Sq. Ft. 168 No. �. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ stimated Valuation $2t234.40 PERMIT AMOUNT 4 Plan Chk. Dep. Plan Chk. Bal. 35.10 Const. 1 54.00 Mech. Electrical Plumbing S.M.I. .30 Grading Driveway Enc. Infrastructure . TOTAL S9.40 REMARKS t7fei�4L)� 4.n 4—;' fse Aa ..SfE_h2 t fQ- 1i;AS' I ' lUt L 1- " _ bY.40 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES. IST FL. SQ. FT. @ $ UNITS SLAB GRADE i r BONDING HEATING (ROUGH) 2ND FL. SQ. FT. @ FORMS YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEQUIP. DRAINAGE PIPING CAR P. I SQ. FT. TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN. SO. FT. @ FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used Ls property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB GAR. FIREWALL SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.7'.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOFAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. It V GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING l �j �/) FINAL INSP. ROOFING S/��fl/3L6 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION�—�,Ci3 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 31 W CL Q Z O F- J Z 0 F- U W 2 U) See Roofing Note Below Rafter Size 6 Spacing Spetitr Roofina 6 Shsothine or epeo Lattice fir 11 Roof ntcA - continuous Ledger h Q (� ■eller" 8 ---_ Size 1 ! Rafter Spec -_��: (J _ 14A 42 REAR. PL.51DE Nia. t"s{" Poste LJ 0 a.s.i. Cnr=ete I :J CM;In. 12":12" 3/8 lag screws into stwb at 16" o.e. ooting 12" Below. Grade Z— Continuous Ledger Joist ager or Solid llocklmg-1 J Nail Iter to blocking J t YrS aN - 16 d sells or bolt _J kayw Ct2. . TO IIWG Imbed Anchors 7" in come. - ME 46• 4• �. Sys eyes was• M SP ps 20-7Qj � � IN Fhs• �hs'• �hb' �� O` 2x4 16' o.c. 11-2 10-6 "T• and Angle Straps 6-3 6-4 8"zs"zl-xllC Ultb Z 8-8 6-5 4-16 d moils or bolt i 2x5 12" c.c. 17-10 17-5 13-0 13-7 post • spacing_1_ w W 11-912-1 Overall length 9- 9-7 7-1 7-62x919-10 REAR. PL.51DE Nia. t"s{" Poste LJ 0 a.s.i. Cnr=ete I :J CM;In. 12":12" 3/8 lag screws into stwb at 16" o.e. ooting 12" Below. Grade Z— Continuous Ledger Joist ager or Solid llocklmg-1 J Nail Iter to blocking J t YrS aN - 16 d sells or bolt _J kayw Ct2. . TO IIWG Imbed Anchors 7" in come. - ME 46• 4• �. Sys eyes was• M SP ps 20-7Qj � � IN Fhs• �hs'• �hb' �� O` 2x4 16' o.c. 11-2 10-6 7-11 6-3 6-4 24' ' 9-0 8-8 6-5 6-9 5-2 2x5 12" c.c. 17-10 17-5 13-0 13-7 10-0 I1-3 11-912-1 9- 9-7 7-1 7-62x919-10 "11 10-10 15-6 11-6 16-3 12-1 12-8 9-4 13-0 I0-0 10-2 7-0 T4ht 4-4a 0amt F0250.14 3 (Rt2i87) L=1 U -strap or Angle Ron-corrosl,e.• Plate. Crate T. HEADEFS Leaders . douglalt fir No. F size span 51x& 5QAW W . .51 P4x14...,.. .17'...20'.�U'... 18' -600 t4' Fcafinq Note a• rood shakes 4/12 pitch (3/12 min. pitch with 300 felt underlay) Class A b. rood, caPOsition shingles 4/12 pitch 13/12 min. pitch with 150 felt undue lay)• Class A C. built up mlled roof slope to drain. d. Ruck roof 3/12 maxi.:nn pitch.