9607-042 (PAT)N U)
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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
Date 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 xempt under Section B&P.0 for this reason
\Date'7 itC? (6 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:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
(1i) 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,
Code, I sh I1fo hwith comply wfh those provisions. t
Date: ('f CI Applicantnl,(!) V.X11—C..- 3G3 Cah �n �a:
/ 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, 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
corregt•;J a- av,,q comply with all City, and State laws relating to the building
construction, andihereby authorize representatives, of this City to enter upon
the above=mentiol_.d property,,for inspection purposes.
Signature (Owner/Agent) D to
BUILDINGPERMIT PERMIT# °°NTR°`#
DATE VALUATION LOT 9607-0423707� � � 7
JOB SITE APN
ADDRESS 78-640 BRADFORD CRL 604.2U-035
OWNER CONTRACTOR/DESIGNER/ENGINEER
D[;EL.M C & ISI.. ZANN1 SPINNEY OWNER IBUli: DER
'18640 6RADFOKUICIR
LA t;)WNTA. CA 511,2253
USE OF PERMIT
hATI a
f XrTr.QE.PA 110 A601710N 115X15'
N0k0-V0Al'10 YJ2.00 Sig
VNII da'IfUi'ED COST OF CONIS'i'RItlM'ON
P.C.KMOX FPS SUMMARY
PLAN (34R K.10t-000439-311.8 x:15,10
t:I.TrRUC1'.10NfIX. -101-000418-00 $94.00
S rOtuC, ,,011014 re -3n ..MS11) 0l.-OW4241. 000 s.50
SUB -TOTAL CONS.i'iZUCrION.AND Pi..f1N CHECK
LESS PREI-PAID FEES
JUL 19.1996
By
RECEIPT DATEBY DATE INA INSPECTOR
C L11.9
2,686.40
—60
$0.00
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts \
Forms & Footings
Ducts
Slab Grade
Return Air -
Steei
Combustion Air
Roof Deck
Exhaust Fans
Ox to Wrap
F.A.U.
Framing
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
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
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)
RAFTER SIZE AND SPACING l r
ROOF PqCM
WtXHEAT11SIZE W
1.7
tA
O.H.
i ru
OVERALL LENGTH:
!
IQ WIN
REAR SETBACK ' SLOE SI
2000 P.S.I CONCRETE --+1 1 FINISH ORADE FINISH
L_J I
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
uIII `-T AND 'L' STRAPS —
Irxlrx1'xWITM
I (4) 164 NILS OR BOLT
MIN. C x C POSTS
ANN. Irx1r FOOTING L_J
1 r BELOW GRADE
PROVIDE 1' CLEARANCE
BETWEEN POST ANO
CONCRETE
OPEN PATIO COVERS MAY BE ATTACHED TO D(IISTING VIA ONE 11%,f x r LAG SCREW THROUGH FASCIA INTO EACH FASCIA
TAIL.
U -STRAP OR ANGLE
NON -CORROSIVE PLATE
3/l!' x S LAG SCREWS INTO STUDS AT IIr O.C.
CONTINUOUS LEDGER
Od !MILS
OR 80
-
U -STRAP OR
led NLS
BOLT
LANGLE
.057HwrcER oR sOLtD eLoaclnc
NAIL RAFTER TO BLOCKING
- y--:\ i !n
ANCHOR BOLT (DEED
T IIIc. IITQ OONCRtTE)
PROVIDE 1' CLEARANCE
BETWEEN POST AND
_, e
\ r �,F "�•'�* ' '
CONCRETE
� -P r
BUILDING DEPARTMENT FUSE__ ONLY
TYPICAL PATIO COVER
PERMIT NUMBER
DATE Of APPLICATION
PERMIT ISSUE d11T�..
^r^'�^ i� ✓T.1�'+-� 1►'~' tv -
OWNERS
DERCK SPNNey
FINAL INSPECTION DATE
-�--
STAT ADDRESS
76-6`10 09MFoal
SPECIAL CONDITIONS
,L CroDtS
CITY. ST ZIP
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TELEPHNONE
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NAA APPROVAL SIG MIURE. DATE
D��''CiG W y
. A_ Ni
RAFTER. SPAN TABLEOpo
GRADING RULES 4� C7 -cl) 4;
PS 20-70
(FEET & INCHES
20
16" O.C.
2e
101-er "-Ir 7'-S' 8'-9r
&_. =_T.. I - T=r .
2x6
16' O.C.
24! m
32* 0
jT-T 14'-T 10'-T 13'-
)z-lr JT -Ir 8'-lg,-Ir
DOUGLAS FIR NO. 1
2X8
16; O.C.
24!
37'
17'
11 13'
'r. ....... MIA .. ...... N/A.
NOTE.
3f 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
........................'.-Q" ..44
46.
46
60-
48
1
48
_07
4xlO
4
4x10
OL_
40 2
17'-d'
4x12----
12,_+
6x8
14' -Cr
6x8
120
6x10
......................1.7',- T
6x10..
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.