0204-060 (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:
(?) 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).
O I am exempt under Section , B&P.0„for this, reason
F
Date �' ' t +�`? Signature of Owner ,..,1.
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: Applicant
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 thie,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. '
Y 1
Signature (Owner/Agent) wa �•l" �” �`g' Date t a
. .14�'y'jt,Y•!R�
BUILDING PERMIT PERMIT# -
'
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DATE,��_ VALUATION $079.20 LOT TRACT
JOB SITE �' _
ADDRESS�u'�AMi ARUB .Q
APN_
OWNER��00k
CONTRACTOR / DESIGNER / EN (NEER
r/�y�y�,T
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54.900,�+'fJ:4 U3ARUT310
LA QUIlse"M CA 92253
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USE OF PERMIT
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214 SY, i; ATIA PP TAO Cd VKIZ
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PL MI [° a Wk, TIA9 101 -000-439-31 &
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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:
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 4
BLOCKWALL P ROVALS
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
Final
Utility Notice (Perm)
COMMENTS:
Val
4z
RAFTER SPAN TABLE. �\�� /�\��/�\��
C-) c') C-) c') /ALL- CONSTRUCTION SHALL- CONFORM
-GRADING RULES TO THE PROVISIONS OF THE:
PS 20-70
-
(FEET & INCHES) < Q cn c)
-'5 Z) C-)
/�- 7Qj
g
1998 CALIFORNIA BUILDING CODE..
SUPPLEMENTAL NOTES:
_x4 16" O.C. 10'—F" 9'-6" Or 7'-3" 8'-9" co ewe-
-C—
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
q'- "'
-0 6'-0.
7 -3
S17.E
SPAN
2x6
16"
24"
32"
O.C.-
15'-0"
14--0"
10'-93"
13-0"
12'-6" 1l'-6" 8'.-9"
10'-6"
10'-0" 8' -ti' N/A
N/A
ll' -O"
4x8
x
24"
32"
O.C.17'-0"
400
11- 61,
16'- 0"
15' -ti'. 14'-6". 11'-0"
13'-0"
13'-0" 11'-6" N/A
N/A
6x8;
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. I
S17.E
SPAN
'SIZE
SPAN
4x4
5'-0"
4x4
4'-0"
A I
�xo
8'-0"
4x6
6'-0"
4x8
ll' -O"
4x8
81-0"
4x 10
4'-0"
1 4'-0"
400
10'=0"
4x12
17'- 0"
4x•1-2
-1
6x8
14'-0"
6x8;
12'- 0"
600
17'-0"
6x10
14'-0"
RAFAER SIZE AND SPACING
--------------
ROOF PITCH
- _ FL.4 T
SPECIFY ROOFING AND SHEATHING OR OPE44, LATTICE
(SEE ROOFING NOTE ON REVERSE)
/
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
u
u u
d
I TxA'ND 'LSTRAPS
6" 6.1 WITH
I (4) 16C NAILS OR BOLT
POST SPACING:_-_ 3
{I
i Z
HEADE15 !
RAFTER SPAN:__� �C_ IQ P
/
----
2
r _
OVERALL LENGTH: �
OVERALL LENGTH:-----/
O.H.
a
u
-
POST SIZE:_�J__
(4 x4" MIN.)
7_ __O�'C/_ _
REAR SETBACK SIDE SETBACK
FINISH GRADE FINISH GR
2000 P.S.I CON RETE I ADE
-!or-I^) L _ J I I �— MIN. 12L x 12" FOOTING I I
L _ J 12" BELOW GRADE L _ J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
klf)Tr.147-14
CONCRETE -�
OPEN E PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
3/8" x 5" LAG SCREWS INTO STUDS AT .10' O.C.
CONTINUOUS. LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
31mir
U -STRAP OR AN(
NON -CORROSIVE
(4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE
1 NAILS
OR
OR BOLT
N
ROVIDE- 1" CLEARANC
CONCRETE / II
�Z Li 1 �
D����3�.2
ANCHOR BOLT (EMBED
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION 0-2,
OWNER'S NAME
STREET ADDRESS 5 (f cl pD ilk 0r- pa- rlu,4 9z)
CITY. ST ZIP r o
TELEPHONE -7'%
H.O.A. APPROVAL