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Y •,r 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
7%0 1025 6 4313112,(1f
.Pa e e� b -I 1�01!q 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.
( _) 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:
Cartier 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
�teC de, I shall forthwith comply with those provisions.
Applicant 0 7• J
T; PP r . , _, ...r—
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, indemnity
& 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) Z:2 L- a ';`� Date .'
BUILDING PERMIT PERMIT// .
DATE VALUATION �,y.4VId�6f1M q�r� LOT 9905-093
�� V,19 � uY1TRACT v
JOB SITE APN
ADDRESS 7&835RtB RUIN" LANE
OWNER CONTRACTOR/DESIGNER/ENGINEER
3.11. ; �M1vik3 UGH 3;UTE Fii-11DERS
22450 S GENE Ax,J i RYTR 78-875 SA1,TUA, DRIVE
PA:fA SPRiN,',7v S CA 92262 f.A, QPN,F.A CA. 92253
1760y" 4810 CRL4 3174
USE OF PERMIT
Vit; BRAL BUILD1NG
336 S.P, PATfQ GC3'1+3A, 521..1., 4` FENC ,
Ps'7h'.C3OA 110
36.00 ki
1 1,"S I;yt3i Iy# Cf?nS' ✓+,1w`tJ.1V7'Lr"tZN
PERNUIT FEE SUMMARY
111,AN CHECK FEE 11.140-439-318
(71ONSTRIT(71110tv'+IF, tf11-000-418-000 cvk0(►
S11W NG 1tilE7T.ION1u.,-RESIT) lot -000-141-000 .�..��
RECEIPT
S7,3F4-"C1)"tAT, CONI +TRIJUrION.t AND PLAN CHl CIK
LEIS PRE -PAID FEES
TWb0L P,i11;tNIff FUN INN NOW
DATE FINALED I INSPECTOR
4,4(41.80
$119N)
.$0.00
$119,34)
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
Fireolace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I I
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
COMMENTS:
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)
v �
RAFTER. SPAN TABLE �` �� 4` A�_
GRADING RULES P� T N O
PS 20-70
(FEJT & INCHES) o �� opJAl
4 O
NOTE:
32" Q.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
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
• 1
: 1
®1
�
• 1
400
10'-0"
402
17'-0"
402
12'-0"
NOTE:
32" Q.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
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0".
400
14'-0"
400
10'-0"
402
17'-0"
402
12'-0"
6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
6x10
14'-0"
ALL CONSTRUCTION SHALL 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.
RAFTER SIZE AND SPACING
21A& 01c.
/
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
-- o0---
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RAFTER SPAN:
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,OVERALL LENGTH: --- -----
a
REAR SETBACK
/
I
2000 P.S.I CONCRETE —moi I FINISH GRADE
LJ
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
Sl'd" (SEE ROCFING NOTE ON REVERSE)
T_--11 15##13-7-iq' /G6 IkUz-0
_
'T' AND 'L' STRAPS -
6"x6"x1"x'./8" WITH
(4) 16d NAILS OR BOLT
C� !
POST SPACING:__/_!
O.H. U
/ z
OVERALL LENGTH:___
POST SIZE:
SIDE SETBACK (4"x4" MIN.)
FINISH GRADE
�- MIN. 12"x12" FOOTING I I
L__J12" BELOW GRADE L
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
NOTE:
OPEN LATTICE 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 S' LAG SCREWS INTO STUDS AT 16" O.C.
,— CONTINUOUS LEDGER /
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BU'A 5T WE VT °Ply. L BE 0W
BUILDING & SAFETY DEPARTMENT
CONDITIONALLY
ACCEPTED FOR CONSTRUCTION
SuECT TO INSTALLATION AS PER
AND ALL APPLICABLE CODES
U—STRAP OR AN(
NON—CORROSIVE
(4)— 16d NAILS
OR BOLT
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
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL
APR- 9-99 FRI 3:50 PM WESTERN INSULATION
FAX NO. 16195302997 P. 6
k1
WESTERN INSULATION, INC.
4211 Latham Street, Riverside, California 92 50 1
Tel. (909) 686-8760 Fax (909) 686-8786
INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULA' 'i CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
PHASE: DESERT PRIDE
TRACT: 23995-1
LOT: 21 0.0-4., y
SITE ADDRESS: 78-835 BAYBERRY LANE, LA QUINTA, .: •.
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EXTERIOR WALLS:
(MANUFACTURER: Johns -Manville THi„",NESS: 3 5/8" R -VALUE: R-13
CEILINGS: BATTS BLOW
MANUFACTURER: Greenstone Ind. THICKNESS: 8.1" R -VALUE: R-30
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GENERAL CONTRACTOR: INCO HOMES CORP.
LICENSE NUMBER:
BY:
TITLE:
DATE:
INSULATION CONTRACTOR: WESTERN INSULATION, INC.
LICENSE NUMBER: 481278
BY:
TITLE: PRODUCTION ANAGER
DATE APRIL 8, 1999