13328 (PAT)i - Q
P.O. BOX 1504 No. 13328
Building 78-105 CALLE ESTADO
Address 78-815 Danita Dry LA QUINTA, CALIFORNIA 92253
Owner
Stephen Barr an
BUILDING: TYPE CONST.
OCC. GRP.
Mailing
Address SME
A.P. Number
CityZip
Tel.
r..0-�
�
Legal Description
Project Description
Patio Cover
Contractor
OWNER BUILDER
Address
City
Zip
Tela
State Lic.
City
& Classif.
Lic. #
Sq. Ft.
No. No. Dw.
Size 456
Stories Units
Arch., Engr.,
Designer
New X Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ 1, 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
Estimated Valuation
$6,065.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose or sale.)
Electrical
Plumbing
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
;"A, f; �
S. M. 1.
6 1
Grading
Driveway Enc.
Date Owner � !A'— ' -^ -' r '�"
i ri i
Infrastructure
' - v
WORKERS' COMPENSATION DECLARATION
Ihereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
3149.11
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This isa building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant -Date-
Mailing
ateMailing Address
City, State, Zip
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
-.Side Street Setback from Center Line
Side Setback from Proper Line
FINAL DA
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ: FT. ® $
UNITS
'
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. p
FORMS
SEWER OR SEPTIC TANK
I
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. p
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT i I
DRAINAGE PIPING
CAR P. ( SO. FT. ®
I
WALL � SQ. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
j
_$
URINAL
SQ. FT.
FINAL INSP.
FRAMING �j%Y
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN # EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE 1 DRYER
FIRE ZONE ROOFING 1
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM I B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
{
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
1.
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE I PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 12
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL I
GAS (FINAL) _.
TEMP. POLE
GROUT i I
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM 1 1
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR. l {
FINAL INSP.
FRAMING �j%Y
FINAL INSP.
ROOFING I
REMARKS:
VENTILATION I ;
FIRE ZONE ROOFING 1
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND P
FINISH GRADING
FINAL INSPECTION
CERT. OCC. ;
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
F-2
Rafter Sire 6 Spacing
I/
Roof Pitch 0
�CaotlDuouv ltdger
sealer�---
Sire
R4after Spa
qe.a �� far 94 A V
See Boofiag Note Below
tpetily Roofina 6 Sheathine at Igen Lattice
_jQ&j4 _�----
f --1 /
"!" tad Angle Straps
6"tS"sl"We With —I
4-16 d sells orbait
6AIIA Poet spacing_
Overall lecgth/%
F I L 1!Val. J
Ulm. 4"s4" pats
RFJ1R, P L 51 DE
LI
2000 c.s.i. Ccromte J .J
"
r�
PeGI--
Kia. 12":12"
Footint 12
screws into •tufa at 16" e.e. Below Grade
Continuous Ledger nth
Ang 11
Joist pe er or Solid Blocking —I
tis iter to Blocking
ALL C17 q --,e= ' 6 - 16 d sella or bolt
IDE tlKlFW" Wn lobed Anchors 7" in hoe
Cone I�i7
C7 V t' �.
cl� Ci
WIN
P5 :0
-- ., 1 'i INS
,q 'b
ARE
n ® CD
V Foos. .
0.c. 1-2 10-6 7-11 6-3 6-1
-0 8-6 6-5 6-9 5-2
m
r— C. . 7-10 17-5 3-0 13-7 10-0
16 -3 15-1 11-3 11-9 t-8
20 -3 12-1 9-2 9-7 7-1
L 30n -10 9-11 7-0 7-6 S -B
N-5 -5 19-10 11-10 15-6 11-6
u � -0 - 12-1 12-8
M 32-H/-5 13-0 30-0 10-2 7-0
L
C-1
Fi* 4(V 04trcu
F0250-14 3 (R12167) I&
lkmfirlq Bete
a. Mood shakes 4/12 pitch (3/12 min. pitch with 301
felt underlay) Class A
b. Mood. cv:positior: s.=icles 1/12 pitch (3/12 min -
pitch with 151 felt u lnyl. class A
c. Bcilt up rolled roof slope to drain.
d. Rflck roof 3/12 itan_mn pitch.
ZYPICAL PNTrQ aWLR
78-f�l� �t•ic19 �—�
4s, 42 -