9906-055 (PAT)LICENSED CONTRACTOR, DECLARATION'
I hsreby 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).
() Vam exempt under Section B&P.C. for this reason
Date +ci,9 Signature of Owne __;1 -
WORKER'S COMPENSATION DECLA4ATION
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).
() I certify that in the performance of the work for which this permit is issued,
y .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 shall forthwith comply with those provisions.
„Date:4 JS r Applicant _k—r
Warning: Failure. to secure Workers' ConSpefisation 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 bove-mentioned property for inspection�purposes. `
,,Signature (Owner/Agent}-�`'
(�–^--"–" ate
0
PERMIT #
BUILDING PERMIT 9906.015
DATE f� (()lj1'1l$9VALUATION $4,1149.+iit�i LOT 2S TRACT 2i�:�.� 1.
JOB SITE
ADDRESS 43-W SALERNO COURTAPN 609-4)WOIJ
OWNER CONTRACTOR / DESIGNER / ENGINEER
LARRY HOUSER. OWNER I :BUILDER
43587 SALERNO COU 1'
LA QUINTA CA 92253
t 1 -
USE OF PERMIT
PAT lU
330 S.F. LAT'FIi E PAT iii COVER
CP•1-! .
H
P 1RCHAMTIU ."_+30.00 SF
%STINIATs.,D COST Ole CONSTRU C 110AI
PEST FEE SilMNtA N
PLAN CHECK FIX, 101-0004351-318 1"' .80
P' ONSTRW-1710N FRE to) -000-418-+mss
STRO G MOTION FEE - RV—SM 101 -000 -241 -OW X03,3
SAJB-'MrA.LC0N,1;rF_1.X_,110NAND PLAN CfiErK
LESS PIS:-1'AID F S
TOTAL Pr1,RN.1'4'FEE,8 DUE NOW
i
REC IPT DATEf L- BY %t -� / DATE FINALED INSPECTOR
' , (/.'i a- i.-, I t ;, 1 J" � It //
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel V
Combustion Air
Roof Deck
Exhaust Fans
0. K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wali 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
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclo ,ire
Shower Pans
O.K for FinisDelr3laster
Sewer Lateral
Pool Cover
Sewer Connection
Encaps ation
Gas Piping
Gas Test
Appliances
' al
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)
CO TS:
/Z7
OWNER/ BUILDER, INFORMATION
Dear Property Owner:
An application for a. building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be.aware that as"Owner/Builder"_ you are the responsible party of record on.such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone'other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of,California and to have a business license
from the City or County. They, are also required by law .to put their" licensenumber on all permits for -which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate faniily, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons'are not licensed as contractors or
subcontractors, then you may be an employer:
If you are an employer, you must register with. the`State and Federal Government as -an employer•and you are subject
to several obligations including State and Federal income tax withholding, federal social ,security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation'` contributions.
There may be financial risks for you if you do not carry out these obligations, and these.risks ate especially serious with
respect' to worker's compensation insurance.
For more specific information"about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration).pFor more "specific information about your, obligations under State
Law, contact.the'Department of Benefit Payments and, the Division of Industrial Accidents.
If -the structure is intended forsale, property owners who are not•licensed contractors -are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions:
A frequent practice of unlicensed persons professing',to be contractors is to secure an ''Owner%Builder" building
permit, erroneously implying that the property owner, is providing his or her own. labovand.material .personally.
Building permits are not required to be signed by .property owners unless they are performing "their own work
personally.
Information about licensed contractors may, be obtained by contacting -the Contractors'.. State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will. not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX 0) 777-70 1
OWNE IGNATUiiE/DATE
4150-7
PROPERTY ADDRESS
Q47o6
PERMIT NUMBER(s)
RAFTER SIZE AND SPACING SPECIFI ROOFING AND SHEAiHIY6' Ot .uPE1 L TTI'E
(SES ROOFING NOTE ON REY RSE'I I r
oc
- --- :j
ROO PITCH
CONTINUOUS LEDGER ' '
(SAME SIZE AS RAFTERS)
HEADER SIZE I rl'T'-L'gSTRAPS
/flt x•$ - 6x6"xt"xl./8•' WITH
Li
(4). 16C NAILS DR BOLT I ZI
RAFTER SPAN: —___ _ (•' _ _ POST SPACING: J'
O.H. w OH"
. . u
a
t Z
I
OVERALL LENGTH: { a OVERALL LENGTH:___33
--- m
.POST SIZE: �_—-- to----- 'i J4 -r4 MIN.} ,.
REAR ,SETBACK SIDE',SETBACK
FINISH GRADE FINISH GRADEI
2000 P.S.I CONCRETE �1 I I I 1.—,MIN. 12'x12" FOOTING
L_ J a L J -12-...BLOW GRADE L_ J
` PROVIDE .l" CLEARANCE ,
-'--BETWEEN POST: AND',
lbbNCRETE
NOTE -
OPEN L4TTICE..PAT10 COVERS MAY BE ATTACHED' -TO EXISTING FASCIA"
VIA ONE 1/4" x S'"LAG SCREW THROUGH FASCIA INTO; EACH RAFTER TAIL.
Ll STRAP, OR ANGLE
w NON -CORROSIVE PLATE E
3/E" x 5- LAGSCREWWS INTO_ STUDS AT 16•• o.C: RPO
-
CONTINUOUS LEDGER 7f'
II II .
(4)- :-i 6d NAILS
l I ( OR BOLT • .
U -STRAP OR ANGLE
(4)- :',16d .NAILS
+.' OR 'BOLT
JOIST HANGER OR SOLID ',BLOCKING.
NAIL RAFTER TO. BLOCKING PROVIDE ; l" "CLEARANCEti
:BETWEEN POST AND
"CONCRETE
BUILDING DEPAK I t*N I 'APPROVAL BELOVV
CITTOIF LA QU;I;NTA
BUILDING &° SAFETY: DEPT:
APPROVED'
'
FOR CONSTRUCTION
DATE 'GQ Q �BY.
ANCHOR BOLT (EMBED
7" MIN.' INTO CONCRETE)
rel;
TYPICAL PATIO COVER
DATE OF; APPLICATION
OWNER'S, NAME �A '
STREET ADDRESS
CITY. ST', ZIP Lei v i N� l�A
TELEPHONE
H.O.A. APPROVAL
A.
t PROVIDE 1" CLEARANCE
BETWEEN•POST AND
NOTE CONCRETE
i. ...' ...._4.. ... }
OPEN LATTICE PATIO COVERS, MAY BE ATTACHED TO EXISTING,. FASCIA;
VIA ONE 1/4" x 5" LAG :SCREW THROUGHrFASCIA INTO�EACH •RAFTER :TAIL. '
U -STRAP OR ANGLE
s
3/8" x 5" LAGSCREWS INTO STUDS AT 16" D.C. NON -CORROSIVE' PLATE GR
CONTINUOUS LEDGER. I FIN,
(4)-
gill
16d NAILS
III II
-OR BOLT- ,
U: -STRAP OR 'ANGLE,
(4)- 16d NAILS
OR' BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER ,TO BLOCKING r PROVIDE '1". CLEARANCE
BETWEEN_ POST AND
- 'CONCRETE
BUILDING DEPART MENT,`AP,PROV.AL`'"BE"LOW 4
ANCHOR BOLT, (EMBED
7" `MIN.' INTO CONCRETE). ILI
-TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME 1A
We
STREET ADDRESS
Y: .J
CITY, ST ZIP {r`Y ! gTACA
e'TELEPHONE
H.O.A. APPROVAL.
RAFTER SIZE.. AND SPACING
" SPECIFY ROOFING AND SHEATHIN, OR OPEN LATTiEE —
ROOFING N07c ON REVERSE) I
oC('SEE
-----.L.__.--'----
•
—--�"�=�'_ �
• is
, ,
R00 ,PITO
•
CONTINUOUS LEDGER,
(SAME SIZE AS, RAFTERS)
HEADER_SIZE
T AND 'L' STRAPS
I
X $
6'x6"x1"xt 8 WITH
w . •
(4) 16C NAILS OR. BOLT
v
POST SPACING:—_ 1--__
AFTERSPAN ------
k
---
_
w+
u
ALL LENGTi
a
H:__
OVERALL LENGTco
POST SIZE
Lo
y`"`REAR- ETBACh'
_ SIDE-
----------
(4"x4`'` MIN:)
f •
£.
FINISH: GRE •'
2000 P.S.I CONCRETE —+i µAD
I'
- FINISH.,GRADE I
l t . MIN. 127x12" FOOTING I I
L - _J
' _ L -_J 12", BELOW GRADE L_J
k
t PROVIDE 1" CLEARANCE
BETWEEN•POST AND
NOTE CONCRETE
i. ...' ...._4.. ... }
OPEN LATTICE PATIO COVERS, MAY BE ATTACHED TO EXISTING,. FASCIA;
VIA ONE 1/4" x 5" LAG :SCREW THROUGHrFASCIA INTO�EACH •RAFTER :TAIL. '
U -STRAP OR ANGLE
s
3/8" x 5" LAGSCREWS INTO STUDS AT 16" D.C. NON -CORROSIVE' PLATE GR
CONTINUOUS LEDGER. I FIN,
(4)-
gill
16d NAILS
III II
-OR BOLT- ,
U: -STRAP OR 'ANGLE,
(4)- 16d NAILS
OR' BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER ,TO BLOCKING r PROVIDE '1". CLEARANCE
BETWEEN_ POST AND
- 'CONCRETE
BUILDING DEPART MENT,`AP,PROV.AL`'"BE"LOW 4
ANCHOR BOLT, (EMBED
7" `MIN.' INTO CONCRETE). ILI
-TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME 1A
We
STREET ADDRESS
Y: .J
CITY, ST ZIP {r`Y ! gTACA
e'TELEPHONE
H.O.A. APPROVAL.
/ Q 'oz -
RAFTER
� v � vl
RAFTER SPAN TABLE
GRADING RULES C"; c
PS 20-70 cv V
(FEET & INCHES) oo5�? o0 Ate?
c� C O
2x4
16" O.C.
24"
10'-6"
9'-6"
1 7'-3"
8'-9" 1
8'-6' 8'-0' 6'-0'
7'-3
DOUGLAS
FIR NO. 1
2x6
16" O.C.
24" "
32" "
15'-O"
14'-O"
10'-9"
13'-0"
12'-6' 11'-6" 8'-9"
10'-6"
10'-O" 8'-6" N/A
N/A
4x6
6'-0"
2x8
16" O.C.
24"
32" "
1&4'
17'.-0"
13'-6"
16'-0`
15'-6" 14'-6" 11'-0"
13'-0"
13'4' 11'-6" NIA
N A
4x.1 2
12'- 0"
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
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-O"
4x8
8'-0"
4x10
14'-'0"
4x10
10'-O"
4x 1 2
17'- 0"
4x.1 2
12'- 0"
6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
6x.10
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.
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