0306-428 (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
610554 B C365 1/2(
Date 0?!' Signature of Contracto ,4 1! • L q 4` �
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.
( i) 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 EXEMPT 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 300 of the Labor
Code, I shall forthwith comply withthose provisions. ,/ i
/ ,Date: � -2'r ?5 "Applicant �• /, V ✓ t1L�^--
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.
rZ
Signature (Owner/Agent) ! Ct---.,Date.v7��f✓'1
,BUI.LGSING ePERMIT PERMIT#
DATE VALUATION -LOT �t<1�3 42':8 TRACT
06/20 i�J.�Qi.
JOB SITEyr�> APN
ADDRESS 531 _Ow i�.VENDDA IZAAMWZ
OWNER CONTRACTOR / DESIGNER / EN &NEER
JUS: it�J R+.rQcrJ s R Y 3 C0XTMUCn'0X &D3W%7 ;LR.V10E
53.060A7lkN10ARAM RIE $2154'TAI3'fa1J)C ZAVE,
:t.AQUDTiA CA V2253 RTD10 CA 92201
(760)-342.91.75 MLS 5839
USE OF PERMIT
420 3, P. PATIO COVER AND Sf. ILD UP ROOF
PORC WPATIO
420,00 Sig
gT��iS131*4X-t: 3 COn' Off` CON9MUC'Y10,11
S J.7.i'iJCt+b.i.s..L' lL.Ra f7 tJ�l.Y.�,Rr .
PIAN CHECK FEE 101-000-439-318 $51.05
CONSTRUCTION PEN.' 101-040-418-000 ' $81.00
STROM MOTION FEE- RESID 101-000.241.000 S.Sb
Is Q
I JL1N 2 5 2003-
51586.00
1? P - CI-l:amI $134.2.1
IMM PREPAID MS $0.00
'TOTAL P t1+ffI`PKE'S 1?1LTE ,t�'{)W ;11.34.11
RECEIPT I DATE f -, BY , f f I DATE FINALED I 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 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
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
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
CCa ,`1
J
�((
lot
RAFTER SIZE AND SPACING
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
SPECIFY ROOFINv AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
5/1"',_T_« It i
HEADER SIZE
T' AND t' STRAPS
6':6*xl"::1/8" WITH
I
z
I (4) 16c NAILS OR BOLT
>FTEP SPAN:
b—
T
POST SFACING 8'Q
O.H.
a
O.H.
-- --
.�
\LL LENGTH: l O
0
a
OVERALL LENCTH.xi -<6
-_
POST SIZE: yX4_ i
R
REAR SETBACK
SIDE SETBACK
(4'x4_MIN.)
2000 P.S.I CONCRETE —1
I FINISH GRADE
FINISH G
4_7
L_J.
_J6. - MIN. V-02" FOOTING I I
1p 1T' BLOW GRADE L -J
NOTE:
EN
IO COVERS MAY
VIAEONE LATTICE /4' PA 5' LAG SCREW THROUGH ATTACHED FASCIA INTO EXISTING
EACH RAFTER TAIL.
LAG SCREWS INTO STUDS AT 16" O.C.
CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED,
FOR CONSTRUCTION
DA o gY
U -STRAP OR ANGLE —
NON -CORROSIVE PLATTE
(4)- 16d NAILS
OR BOLT
PROVIDE ,1" CLEARANCE
BETWEEN`POST AND
CONCRETE —�
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED -
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNERS NAME
STREET ADDRESS -T�
.1
CITY, ST .ZIP
TELEPHONE &d "* 1
H.O.A. APPROVAL ly�w
RAFTER SPAN TABLE �` �� �` �� �` �7 OJ
GRADING RULES ' G' Ste' ' QZ_ `'' /Os
PS 20-70 CV Ca G".6'
(FEET & INCHES)ry
2x4
16" O.C.
24"
10'-6"
HEADERS
HEADERS
8'-6" 1 8'-_" 6'-0" I
' -3" I
I
S!
2x6
16';: O.C.
24" "
32" "
15'-0"
14'-0"
10'-9"
13'-0"
12'-6" 11'-6" 8'-9" 110'-6-
4x6
10'-0" 8'-6" N/A 1
N A
6'-0"
4x8
2x8
16" O.C.
24"
32"
18'-0"
1 T-0"
13'-6"
16'-0"
15'-6" -6" 11'-0"
402 2
13'=0" i 11'-6" N/A
Nia
12'- 0"
i
! 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
I DOUGLAS FIR NO. 1
I DOUGLAS
FIR NO. 1
S!
SPAN
SIZE
SPAN
4x4
3'-G"
4x4
4'-0"
4x6
8'-C"
4x6
6'-0"
4x8
1 ? '-0"
4x8
8'-0"
4x10
14'=0"
400
10'=0"
402 2
1 7'-0"
4x12
12'- 0"
i
! 6x8
14'-0"
6x8
12'-C'
6x 10
17'-0"
600
14'—r"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:.
2001 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
0
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3./1-2 MAXIMUM PITCH.
ATMID AJ "10 YTI.
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f MUFUM403 SO �