0002-143 (PAT)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
t
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
Coe• 4i
(y I am<exempt under SectionB&P.C. for.this4easo o'
a
D te/' ^ / 17LI Signature of Owner
WORKER'S COMPENSATION DECLARATION a
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,
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 1. should become
subject.to the workers' compensation provisions of'Section„300 of the Labor
Code; I shall forthwith comply with those provision'sV. j
fate: 7 - 2 . Applicant—
Warning:
�'P<
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 &e -mentioned property for inspection purses.
•
:3;-4.
ignature (Owner/Agent)"" ” '� - +'�� Date
••yr��. L -.r �. ;
PERMIT #
-BUILDING PERMIT
0029-143
DATE VALUATION ���27. LOT. TRACT
JOB SITE
ADDRESS 43-592 PALUM0 Cf
APN p r
OWNER
CONTRACTOR / DESIGNER / ENGINEER
V..L.. 91CIVA MD
�1'V/fTrk /JT N1..I17D
43-592 PAL1 RMO COlJ{2T
.LA f?r RNTA CA 9225;
f )345-01m C,BL#
USE OF PERMIT
19OS-F LATTICE PATIO WITI COST, ARBOR.
1
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�tt��,Te��a.Tu�`;'���a1�sS�aJ��iv:���i°
/(�� ry((��f� �j(� ry `7 ,y
.T.Ir AN (..�raUX.7»"}3.1 .101-000-439-`s1O $3S.!0
r vNSTRUr,fTON rRE, 101-000-4,194M aga n;i
SUB-i'MY , SONZTlJr1ON AN9PLAN CHECK
$89.10
LESS PRE -RAID . EE
$0.00
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
.r
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.
Fans & 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
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:
Q . Z. �' Q
RAFTER SPAN. TABLE �� �� �� ��' ALL CONSTRUCTION =SHALL 'CONFOR.M i
GRADING RULES . Q� �' O
Ps 20-70' �s� �` , �`�' TO THE PROVISIONS OF THE:
1
(FEET & INCHES) -
S
poJ� jvQ 1998 CALIFORNIA BUILDING CODE.'
,p S�
G SUPPLEMENTAL; NL, t�:
2x4 ',
16'
.24"
O.C.
"
10'-6"
9'-6"
7'-5'
8'-9"
8'-6". 8'-0" 6'-0"
7'-3"
1 SIZE
SPAN
2x6..
16"
24`'
32"
O.C.
, "
15'-0"
14'-0"
10'-9"
13'-0"
12'-6" 1 11'-6" 8'-9" 1
10'-6"
10'-0" j 8'-6" N/A I
N/A
Y1"1- =0"
4x8
2x8
16'
24"
32"
-O.C.
".
18'-0"
17'- QL
'13'-6"
16'-0"
15'-6" a'-6" -1=-0"
13'-0"
13'-0"-6' N/A
N A
6x8
12'-0".. ,
NOTE.
32" O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE
PATIO COVERS ONLY.
i
LATTICE ROOF
BUILT-UP
ROOF
FIfA•Dc-R-S�"'
HEADERS
i IDOUGLAS �� A=LAS
FIR N0. 1
DOUGLAS
FIR NO. 1
1 SIZE
SPAN
SIZE
SPAN
4x4
:;'=0"
4x4,
4'-0"
4x6-_
8' -Q=.>.,
-4x6
6'-0"
4x8
Y1"1- =0"
4x8
8'-G'
a)
14'-0"
400
10'-0"
`4x10
4x12
17'-0"
4x12
12'-0"
I
I 6x8
14'-0"
6x8
12'-0".. ,
6x 10
17'-0"
6x 10
-14--'--' 0"
I
ROOFING NOTES:
A. BUILT-UP, ROLLED
ROOF-.
SLOPE
TO DRAIN.
B. ROCK ROOF: 3/12
MAXIMUM' PITCH.,
a)
T
C
o
-n
�
W
-n
0
O
0 o
Z
Al RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
s� (SEE ROOFING NOTE ON REVERSE)
2x C3 C�
ROOF PITCH
--------
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE I 'T' AND 'L' STRAPS
6"x6"xt"xl/8" WITH W
/---•��—/'w�., \ z I (4) 16.". NAILS OR BOLT I 2
RAFTER SPAN: ____ 30 _ 0 —_ POST SPACING: ---- _--
0 H
—O.H. w O.H.
a.U
OVERALL LENGTH: _ (L OVERALL LENGTH: —______
C ; r co
I
------ POST SIZE: ------ to
REAR SETBACK' SIDE SETBACK (4'x4" MIN.)
/ I
FINISH GRADE FINISH GRADE
2000 P.S.I CONCRETE MIN. 12"x12" FOOTING I I
L__J L__J 12" BELOW GRADE L__J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTECONCRETE
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
U—STRAP OR ANGLE
io
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C. NON—CORROSIVE PLATE GRPpE
(V
CONTINUOUS LEDGER II �I�j511
��_ II II III II
(4)— 16d NAILS
OR BOLT
U—ST RAP OR ANGLE
\ (4)— 16d NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER T t BLOCKING- _ — r
• � PROVIDE t" CLEARANCE
BETWEEN ANDCONC
11
BUILDING DEPA.RTM'ENT APPROVAL BELOW II II III III II II.
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