9606-055 (PAT)LICENSED CONTRACTOR DECLARATION
U) ghereby affirm under penalty of perjury that I am licensed under provisions of
F- b C`awzer 9 (commencing with Section 7000) of Division 3 of the Business and
CV UJ Professionals Code, and my License is in full force and effect.
O :D C,) License # Lic. Class Exp. Date
N W ?7WSS 8 2!7RN7
T
Z P,Date ! /..Signature of Contractor-
0
ontractor O rl�
(0 — 0)
OWNER -BUILDER DECLARATION
co
W W I hereby affirm under penalty of perjury that I am exempt from the Contractor's
rA License Law for the following reason:
Z_ ( ) 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).
co() I am exempt under Section B&P.C. for this reason
N Date Signature of Owner
ON
Q WORKER'S COMPENSATION DECLARATION
CL
o< Cc I hereby affirm under penalty of perjury one of the following declarations:
LO
H O ( ) I have and will maintain a certificate of consent to self -insure for workers'
X Lu LL compensation, as provided for by Section 3700 of the Labor Code, for the
m� Q performance of the work for which this permit is issued.
Q C) ( ) I have and will maintain workers' compensation insurance, as required by
O U Q Section 3700 of the Labor Code, for the performance of the work for which this
Il rn F- permit is issued. My workers' compensation insurance carrier & policy no. are:
? Z Carrier Policy No.
w_5
CY
Q (This section need not be completed if the permit valuation is for $100.00 or less).
t ( ) 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
3 subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions. �7
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 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 propertyfor inspection purposes.
SinnaturP !Owner/Anentl �! /J,i I ,/i A_ew Date
BUILDINGPERMIT PERMITk °°NTR°`"
4�tla-ups 3496DATE
VALUATION S2.234 40 LOT TRACT
JOB SITE
ADDRE S Srr-33.1 t1�'�!'.NIDA Ei��K'1HiJ,1IJt ON
APN 773-275-013
OWNER
CONTRACTOR/DESIGNER/ENGINEER
AXI! ILIR CAft DUC.1,
RAt" O C ONS'I'RUC[ION
52333 AVFN1DA i3HR111iJ1,)AK
13-285 CAUt'1JS DR.
LA 01,11NC,A t: -'A 9a1 53
DF:8HkT NO`r SPR1NG; CA 922,14
USE OF PERMIT
j'A'j'1tl
gift SQ. VF. PATIO
f"f.�t«.at/t'#�41U tAt3.fW 1N
1,X111NIATED CUSTOF MNS T RI1t ION
E*Ei{i11IT FEE Nlfl INIA11V
2.234.40
P1.AN(:1IRC*K Irish ti}1-UU1?-4i°) „;1R $35. KI
#�1�5'1Tttft I'1i�itlI'fT- 111-000-1118-0m 551.0
E� 6 C.t1Jii 141t"f I'i�alti I iilS - ItI:.i11? _101 -MO -24114= $30
SUB-TC`>'1AL CONSM1 IC ON AND PLAN CrMCK
LESS 11RC PAID 1`.ELS
$0,00
'1111'!r'ASC.1t .ftRi!"!' MKS NOW
D.
:tilltJ.t�il
I ,
J U iV 1 1Z)ZJ U
RECEIPT
DATE
BY
D T I LE
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.
t=ans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
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 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
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:
RAFTER SIZE AND SPACINGII
Z Z X �li O G
7
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)7
•
k
ROOF�PiTC}I� � I . 1
...
CONTINUOUS LEDGER
H�wE� SIZ.F
yT -1__114
T AND IV STRAPS
WITH I W
W
l D II 2 I�I I
(5) 161 NAILS
I (4) 16d LS I
RAFTER SPAN: _
POST
O.H.
[ �" o
0
OVERALL LENGTH:
U
C �! OVERALL LES{.
/o mw MIN. 4 x4 POSTS �O
` REAR SETBACK
SIDE SETBACK
FINISH GRADE
2000 P.S.I. CONCRETE —•I I
FINISH GRADE 4«— MIN. If x11 f FOOTING (y I
L_J (
L_J If BELOW GRADE L_J
PROVIDE I" CLEARANCE
BETWEEN POST AND
SIE:
CONCRETE
BE ATTACHED TO DUSTING
VIA ONE OPEN LAT11, x S' REWPATIO COVERSYTHROUGH FASCIA INTO EACH FASCIATHROUGHTAIL
U-STRAP OR ANGLE
NON-CORROSIVE PLATE „�pE
C�
3/ir z 5' LAG SCREWS INTO STUDS AT IIY7BO1
CONTINUOUS LEDGER
'
(4)- 6d NAILSLT
U-STRAP OR MIGLE
...............
�•�, ��� �.�
N0as
OFf BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
ANCHOR BOLT (EMBED PROW I' CLEARANCE
T MIN. INTO CONCRETE) BETWEEN POST AND
CONCRETE
c'�� RT Rj"T
Iv v
v v- P"
A
C IbR�1RTMENTikUSE .ONLY
TYPICAL PATIO COVER
MR NUMBER
-r_:ISTREEI
APPLICATION
- h ', r
R ISSUE DA&� "l
_ i 's �� _ *' LLF"
NAME
Fl INSPECTION OATS
Y ys
— 333 U M
��
T ZIP
rl;ypyPal�
E
i
H.OA. APPROVAL SIGNATURE. DATE
RAFTER SPAN TABLE �` �` � �` <o°o
GRADING RULES
PS 20-70
(FEET & INCHES) poJy� poJ�� pOJ��i �Q-
ti o
2x4
16w
O.C.
10'-6'
9'-6'
7'-.'
8'-
SIZE SPAN
2e
rpr
pr
1
2x6
16'
O.C.
15'-(f
14'-
10'-g*
13'-T
4x 10 14' 0
w
24
r
12'-T
1.1'.-.......8�-......�4�.-......
12'-0
32'
'
.............
1 '- '-
N/A
A
.....................1.4'.-Q.
2x8
16'
O.C.
1.7'-Q"...�.
'-
24'
'
.191.-9'..
1 '-
14'-
..1.�'.-G'..
1 1-T1
'-
1. '.....11..'...�........
N/A ..
....... N/..A.
32' '
NOTE:
St 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
44
44
4 -
4x6 '-
46
6'-'r...
48 ll'-Cr
4x8
0.'-0
4x 10 14' 0
'400
10' 0°
412 17'=0'
402
12'-0
6x8 14'-0'
6x8
12'-0'
6x 10 .....................1�.-.
6x`10
.....................1.4'.-Q.
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE 1994
UNIFORM BUILDING CODE. .
SUPPLEMENTAL NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.