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0109-078 (PAT)
LICENSED CONTRACTOR DECLARATION .I hereby affirm under penalty of perjury that I am licensed under provisions of Chaoter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals. Code, arid my License is in full force and effect. License # Lic. Class Exp. Date Se V ate c`, � 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). ( ) 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. ( 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. �ik?MPT (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 law's of California,fand agree that if I,/should become subject to the workers' compensation provisions of Section 300 of the Labor Code, I shall forthwith comply with those provisions. t QateApplicant • 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 persori 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. $a9 ature (Owner/Agent) 'UDate9Y -1 i PERMIT # BUILDING=PERMIT DATE - VALUATION LOT +_ TRACT JOB SITE APN ADDRESS OWNER CONTRACTOR/DESIGNER/ENGINEER NtUZ & MR29 RICH)W RJs.filvN ATLAMPS 0044M"� �.UCT ON 51,-2 3 A' MMA R A1�.� 3 2 609 "M'N GW.6 LL IPAL (760)7706445 i CIBIP USE OF PERMIT WOOL) PATIO CUVF-R • 33b SQ FT. SEE AT7Af H17 -D PLAN. POR6'H)PA,TTO 336.00 5F ESTMI 1:IND CC1Ff OF CONIff MUCTIOB 4,418,1 p'0aw` km" siTmmazv MM CHECK FEE 101-00,0439-318 $46,90 CIONS i`RUC TION "IE 101 -000 -ills -000 d , 'V'^ -PAT 'V'^-PAT.NSMI IMON AMID %'T_., IR (4MY K $116.80 D x"Iis:) Pr1r_la ;rz" ! 3 V400 SEP 11 2001 r PERMIr ley-r's DUE KO'W CITY OF LA QUINTA FINANCE DEPT. RECEIPT DATE, BY-, DATE FINALED INSPECTOR 1i j C( I t -r° INSPECTION RECORD '.. OPERATION :DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING.. APPROVALS MECHANICAL APPROVALS Set Backs i Underground Ducts Forms & Footings I Ducts Slab Grade I Return Air Steel ? Combustion Air Roof Deck I Exhaust Fans O.K. to Wrap i F.A.U. Framing I Compressor Insulation . ( Vents Fireplace P.L. I Grills Fireplace T.O. i Fans & Controls J _ Party Wall Insulation I' Condensate Lines Party Wall Firewall } Exterior Lath i Drywall - Int. Lath i 1 { Final Final BLOCKWALL APPROVALS l POOLS -SPAS steel Set Backs Electric Bond Footings 1 Main Drain Bond Beam I Approval to Cover i Equipment Location 1 Underground Electric Underground Plbg. Test Final I Gas Piping PLUMBING,,APPROVALS - Gas Test Electric Final Waste Lines I Heater Final Water Piping i. Plumbing Final Plumbing Top Out I Equipment Enclosure Shower Pans ; O.K. for Finish Plaster Sewer Lateral I .- Pool Cover Sewer Connection J Encapsulation Gas Piping i Gas Test } ' Appliances } Final I ,Final :Utility Notice (Gas) I ELECTRICAL APPROVALS Temp. Power Pole t Underground Conduit I Rough Wiring I Low Voltage Wiring I Fixtures I .Main Service 1 Sub Panels Exterior Rede'ptaclLss 1 ` G.F.I. Smoke Detectors ] Temp. Use of Power } i .. i Final I , Utility Notice (Perm) } COMMENTS: RAFTER SIZE AND .SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE 11 (SEE ROOFING . NOTE ON. REVERSE) s Y. ROOF PITCH - CONTINUOUS LEDGER (SAME SIZE AS RAFTERS) SEE Arm WAY HEADEtR,=^^SIZE _ . T AND 'L' STRAPS —�`�+":..6�zlrx1"xl/8' WITH I _ I (4) 16d NAILS OR BOLT I cW-7 RAFTER SPAN:. POST SPACING: T -so J O.H. a OVERALL LENGTH:. OVERALL LENGTH -©s POST SIZE:__ REAR„ SETBACK • SIDVSETBACK (4"X4. MIN.) s 2000 P.S.I CONCRETE ;FINISH FlNISH GRADE FINISH GRADE, —+i _ J I MIN. 12":12' FOOTING I I 12' .BELOW GWE �� EX+ST 1 N GI PROVIDE 1' CLEARANCE BETWEEN POST AND NOTE: CONCRETE OPEN LATTICE PATIO COVERS MAY BE. ATTACHED TO EXISTING FASCIA VIA ONE 1/4' x 5" LAG SCREW THROUGH . FASC[A INTO EACH . RAFTER TAIL U -STRAP OR ANGLE <o 3/8" x 5' LAG SCREWS INTO STUDS AT 16" O.C: NON'=CORROSIV PLATE PpE CONTINUOUS LEDGER �HISt� ,• LI II :.,> IIIA II II (4)— 16d NAILS OR. BOLT. U -STRAP OR ANGLE (4)-;16d NAILS OR BOLT JOIST HANGER OR SOLID BLOCKING NAIL RAFTER TO BLOCKING A PE -ml NSRECTI ON FEE Q VIDE 1- CLEARANCE W1LL'BE CHARGED IF THE APP f P@ RETE AND I I BUILDING DEPARTMENTP TON II it II II II II ULEp I Ii INSPECTION: ANCHOR BOLT (EMBED NO C/1 IPT- ONS! MIN, INTO CONCRETE) r!=2( TY OF LA �UINTA TYPICAL PATIO COVER DIN & SAFETY DEPT. DATE OF APPLICATION OWNER'S+ NAME v�� �'1 -.: ^ IV APPRz, STREET ADDRESS R CONSTRUCTION CITY. ST ZIP. C u 0 BY TELEPHONE • Cp H O:A. APPROVAL I IV I Q Q Q v NJ v RAFTER SPAN TABLE00 GRADING RULES SG' `7 G'QL' C o� PS 20-70 cj G G" 4z' (FEET & INCHES) OOJ��i OpJA�? OpJ�Li OQ P 2x4 16" O.C. 24" 10'-6" 9'-6" T-3" 8'-9" 8'-6" 8'-0" 6'-0" 7'-3` FIR NO. 1 SIZESPAN 2x6 16" O.C. 24" " 32" " 15'-0" 14'-0" 10'-9" 1 13'-0" 12'-6" 11'-6" 8'-9" 10'-6" 10'-0" 8'-6" 1 N/A N/A 6'-0" 4x8 2x8 16" O.C. 24" " 32" " 18'-0" 11 T-0" 13'-6" 16'-0" 15'-6" 14'-6" 111'-0" 13'-0" 13'-0" 11'-6" 1 N/A N A 1 2' -07- " -6x8 6x8 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 SIZESPAN SIZE SPAN 4x.4 S'-0" 4x4 4'-0" 4x6 8'-0" 4x6 6'-0" 4x8 1 1 '-0" 4x8 8'-0" 4x10 14'-0" 4x10 10'=0" 4x12 17'-0" 402 2 1 2' -07- " -6x8 6x8 14'-0" 6x8 1 6x10 17'-0" 6x10 "14'=0'_ r ALL CONSTRUCTION SHALL CONFORK TO THE PROVISIONS OF THE: 1998 CALIFORNIA BUILDING CODE. SUPPLEMENTAL NOTES: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH. '31TOZ.111301-39 A .111,0'T0 z;I !?,f"O�T930 3 01 I /<obert o eo ,oudoviC4 • - 8I-333870 (GENERAL CONTRACTOR ATLANTIS CONSTRUCTION POST OFFICE BOX•4392 -PALM' DESERT- CALIFORNIA 92261 Office: 60-770-44591 Fax: 760-770-4489 III _ Koks C I I/ l-_ _ __ i ' I I \ I 30 CITY OF LA QUINTA p RE -INSPECTION FEE OF APPOVED BUILDING & SAFETY DEPT. WILL BE CHARGED IF THE RE NOT ED APPROVED PLANS AND JOB CARD ARE NO ON FOR CONSTRUCTION THE SITE FOR . . ED INSPECTION.DATE o BY NO EXCEPTIONS! J