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9607-036 (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 343335 B C;36 CS 12/�29196 ate Z - i r' 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). ( ) 1, 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. '(VI have and will maintain workers' compensation insurance, as required by S,ebbon 3700 of the Labor Code, for the performance of the work for which this permit is Msri►r My Vers' compensation insurance carr ieyrr ollic2.ryj 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' ,eompensation laws of California, and agree that if I should become subje tro the workers' compensation provisions of Section 3700 of the Labor Co06, 1 shall forthwith comply with those provisions. Date:;�- i. "� �e'� Applicant- Warning: pplicant Warning: Failure to secure Workers' O mo pensation 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 constru ion, and hereby authorize representatives of this City to enter upon thea ve-mentioned property for inspection purposes. rte. fi f $+gnature (Owner/Agent) �'%j -- ✓.' to 7-��- w�'�DI�w PERMIT PERMIT# CONTROL# BUILDING PERMIT ' 9607-036 3698 DATE VALUATION LOT TRACT 7/1 V9,15 . 5,320.00 JOB SITE APN ADDRESS 5"40 AVlT;N[[),tA WU!"[: JKFZ 774481-008 OWNER CONTRACTOR/DESIGNER/ENGINEER GEORGE L R B..'!:`!`i"5' BRYANT .. mi. Con 1'12.UC'i'!©N 554640 AVENI4.7A RAMHU2, 54310 AVE.f41DA 1 A:RE7 LA Q.61 vrA CA 92.253 LA QL[[N'1'A. C.A. 92253 (61915644447. CELft 2051 USE OF PERMIT PATIO COVIs14:13 PKI1110 COV L" 1Vi` fi4"'7" POR.G.!•1iPAS10 ;r WFIAIA"@ ED CWT Oir i'.t)latSl'Ri3tr' ION i5,3Z'€3.f)4i ff IPIRA'[„1'1' FEC .ti'[JrMNIARY PLAN CHECK FR till-il(i0-439-3.! t3 $52,65 Cri.W1R11t:"'1'9ON FEE 101-000418-000 $8 1. S"I'C)idCt Mo'C lCrN 1-1 16 -'M31D 1014100-241-(100 S.51 _ Crfl LO SUR-lU AL CON5"1'1t.t7C[ ONt :AND PLAN CHECK $134.153 LESS PRE -PAID FEES _$0.00 "1'<')'['AL PERMIT [`EMS DUC NOW 5134.18 RECEIPT DATE BY ,'. DATE FINALED INSPECTOR INSPECTION RECORD Ir OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings (o Ducts Slab Grade Return Air Steel Combustion Air Roof Deck p' fo Exhaust Fans O.K to Wrap F.A.U. Framing,1 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 /3 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 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) COMMENT'S: -MOM r RAFTER SIZE AND SPACING 11 ' SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE. (SEE ROOFING NOTE ON REVERSE) � X b_@_30 _ L• l li x � "SNIP �P W� �D � 0 i 'PRCH ' h11v. - ... CONTINUOUS LEDGER HEADER SIZE QF L 0 T AND It: STRAPS ( ( W xN7ULS -1-%)L�+ (4) 16d . OR BOLT b 16 10 M fix RAFTER SPAN: U POST SPACING* 1 ll O.H. O.H. OVERALL LENGTH: I D D d OVERALL LENGTH, O lb 0�IIU MIN. 4'x4' POSTS rp REAR SETBACK. ' SIDE SETBACK FINISH GRADE 2000 P.S.1 CONCRETE ----04 1 FINISH GRADE / 6- MIN. 12'x12' FOOTING I 1 L_J I L_J If BELOW GRADE L.J PROVIDE 1' CLEARANCE BETWEEN POST AND CONCRETE OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING, FASCIA VIA ONE 1/4'x 5 LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL U -STRAP OR ANGLE . NON -CORROSIVE PLATE „�pE C� 3/ir x S LAG SCREWS INTO STUDS AT 1fr O.C.' CONTINUOUS LEDGER O NAILS ORR BOLTd �V ,1 ................ .. ` U -STRAP OR ANGLE 6BOLTd MILS �• JOIST KHMER OR SOLID BLOCKING. NAIL RAFTER TO BLOCKING •. ANCHOR BOLT(EMBED PROVIDE 1' CLEARANCE T MIN. INTO CONCRETE) BETWEEN. POST AND CONCRETE RAFE DEPARTMENT 19GICO-ING DQMWOROTALIASE ONLY TYPICAL PATIO COVER ERMIT NUMBER PTSD FOR •CON',17 v I DATE OF APPLICATION R ISSUE DAT U? JCoT TO INS14Lff J `"� NAME Iv NAL INSPECTION DATE ADDRESS I- 1 o M I G Z CIAL CONDITIONS ONO ALL CITY, ZIP E DATE / H.O.A. APPROVAL SIGNATURE. DATE Q' Q' 2- v v Ni RAFTER SPAN TABLE GRADING RULES C7 p� PS 20-70 Sc.) (FEET & INCHES) ppJ�� p -0p4-3 �T ti �o� �o� ov o 2x4 16' O.C. 2a" 10'-6' W-6' 7'-3" 8'-9' a, 0, 6, 7, 2x6 I 16" O.C. 24" " 32" ' 1 '— 12'.-� .. 1 '— 10'— '- ............ l..1. !.-.... 8'— .....� 4�.-...... '— A A I14' 2x8 16" O.C. 24" 32" .1..0'.-( 1.7'.-Q' ...1. �- ...1..§'.-T 1 '— ' 14'— ' 1 '— ' 1 '- .1j' -.0....1.1.'.-..'........N .A......:.N/..A. NOTE: 32' O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE PATIO COVERS ONLY. LATTICE ROOF BUILT—UP ROOF HEADERS HEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 SIZE SPAN SIZE SPAN 4x4 ........................'.-Qom.... 4x4 ....................__4-Qa..:. 46 '— 46 48 1 1 ' 48 $' 4x 10 14' &*.*'4x ,-0 10 10' 402 17'-0' 4x12 12'-0 6x8 14'-0" 6x8 12'-0" 6x 10 ......................1..7...'..-... 6x 10 J.4'. -Q..... ALL CONSTRUCTION SHAH CONFORM TO THE PROVISIONS OF THE 1994 UNIFORM BUILDING CODE. SUPPLEMENTAL NOTES: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH. J