0109-207 (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' B Signature of Contractor
DECLARATION,
I hereby affirm under penalty of perjury that I_am exempt from the Contractor's
License Law for1he 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.
(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 s all forthwith comply with thos rovpons.
Dater+��' Applicant
Warning:,Fai ure to secure Workers'' Compensation coverage its 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)
BUILDING PERMIT PERMIT#
DATE VALUATION~., LOT 0104 TRACT
JOB SITE APN
ADDRESS
OWNER. CONTRACTOR / DESIGNER / EN (NEER -
MOJAVE, Bl'3.itVE S
MUM. DR.� "M CA 92260 1A QUINTA CA 92233
(766)341-5949 CRU 4360
USE OF PERMIT
XIS Sit' I AT C':ICZ PA.VO C;(NER ? ,2R C1Tr M:At4DARD
.POxa01WIM10 2.08.00 SF
N !I�:€11) N
��'�VWIT OF COA'VERUP1,110H 2,766.40
PROWl' FU.ki;9FUi> ARY
C 03ti z' I.i.)1"'d'1014 VEY, !. 101.000-418-000
STR.�:ia� O �OTT+i 141��:l�., .'.R.ESID� 1,€1-0010-24) -00.0
g
D Q �
SEP 2 4 2001
CITY OF LA QUINTA
t FINANCE Dc�PT.
LESS F -MR. -
PAP
RECEIPT DATE:,./ BY DATE FINALED .+ INSPECTOR
err*✓,'% %f / S
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs �/�
Forms 8 Footings a— 6—q
Underground Ducts
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
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
IGas
PLUMBING APPROVALS
Tet
Electrics
sFinal
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
r Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
r,
RAFTER SIZE AND SPACING ((
22
ROOF DITCH
-.CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
SPECIFY ROOF, -.NG AND SHEATHING OR OPEN LATTICE—
(SEE ROOFING NOTE ON REVERSE) /
I
A—X r
I � T ANE. STRAPS
-'L'
WITH
I (4) 16d NAILS OR BOLT
/J
I
RAFTER SPAN:
POST SPACING:
r i
0
O.M.
BALL LENGTH: '
• a
OVERALL L"NCTMy�-Z —
--
_
POST SIZE:REAR
SETBACK SETBACK
SIDE SETBACK
(4-34- MIN.)
2000 P.S.I CONCRETE
I FINISH GRADE
FINISH GRADE
Li I
L_ JI
L_ J MIN; 12" a 12' FOOTING I I
12' BELOW GRADE L _-_J
PROVIDE 'i- CLEARANCE
BETWEEN POST AND
NOTE: CONCRETE
OPEN.,LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCW
VIA ONE 1/4' a $ LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
�— •3 �8- a S� I Ar -; RFWC WTn CTA mC AT , _ n l -
( BUILDING DEPARTMLNT APPROVAL BELOW
� ffc
TTY OF �A ��UINTA
C
BUILDING & SAFETY DEFT.
APPROVED,
FOR (tON TRUCTION .
i
.Z L� BY_
DATE
U -STRAP OR AN
NON -CORROSIVE
(4)-. 16d NAILS
OR BOLT
GI_E
PLATE RPpE.
G �
�I II
II II II 11
U -STRAP OR ANGLE —
(4)- 16d NAILS-
-OR BOLT
PROVIDE 1 CLEARANCE
BETWEEN POST ANS
CONCRETE
ANCHOR BOLT (EV -BED —
7" MIN. INTO CON -RETE)
,
TYPICAL. PATIO COVER
DATE OF APPLICATION
OWNER'S NAME I r�-��i ✓ SZ ���=V L L, C_
STREET ADDRESS , L -at4 J
IJ_
CITY. ST ZIP /\
Lai C?: ",
TELEPHONE i{ .u'- 7 -.�
v v v
O
RAFTER SPAN TABLE
GRADING RULES �'�� �,�� �° ALL CONSTRUCTION SHALL CONFOR
S S Q O
PS 20-70 TO THE PROVISIONS OF THE:
(FEET & INCHES)
199.8 CALIFORNIA BUILDING CODE.
Iry
SUPPI FM;'MTAI Nd1TFG-
2x4
16" O.C.
24' -
10'-6"
9`-6"7'-3"
HEADERS.
°'-9"
8'-6" 8•_0,. 6'-0"
7'—Y
FIR NO. 1
i SI7-SPAN
2x6
16" O.C.
24*"
32 _
15'-0"
14'-0"
10'-9"
13--Q--
3'-0"24'
12'-6" 11'-6" 8'-9"
10'-6"
10'-0" 8'-6" N/A
N/A
6'-0"
4x8 '
2x8
16" O.C.
24"1
32'
18'-0"
17'-0"
13'-6" 1 16'-0"
S'-6" t d'-6" ll.—o- 1 13'-0"
13'-0" t t'—E"1 N/A I N/A
r I
NOTES:
1 32" RAFTER SPACING IS ALLOW
ABLE
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 SI7-SPAN
SI -7E
SPAN
j 4x4
5'-0..
4x4
4x6.
8'—C"
4x6
6'-0"
4x8 '
111-0"
4x8
8'-0"
4x 10
14'— 0"
4x 1 0
10--o-,
4x12
17'-0"
4x12
t 2'-0"
6x8:
14'-0"
6x8
—G"
6x 10�
17'=0"
6x 10
14•-0"
ROOFING NOTES:
A. BUILT—UP. ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROO : 3/12 MAXIMUM PITCH.
m