9702-036 (PAT)LICENSED CONTRACTOR DECLARATION „
Chereb-, affirm under penalty of perjury that I am licens:rund/ �'-rovisions 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
��/�r
3 . e ' M1
Date" G° "—Signature of Contractor -'!'i Y7(J i�1 e
OWNER -BUILDER DECLARATION
I hereby affirm under penalty -of perjury that I am exempt from the Contractor's
License Law for the following reason:
(X 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 owllel of die property, am exCIU51Vi'ly c6fWal cting with licensed
contractors to construct the, project (Sec. 7044, Business & Professionals
Code).
I am exempt under Section B&P.C. for this reason, Z r
Date /+- /7� Signature of Owner. Ab' -1 s-•%
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of -the following declarations:
(f 1 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, I should become
s bject to the workers' compensation provisions of Section 3700 of the Labor
ode, I shall forthwith comply with those provisiohs.+
Date: '2-! 8 °'? Applicant %av�ti✓+.. %i . skrrft •r*�.�a. ,
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 370.6
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 ove-mentioned property for inspectiop purposes.
Signature (Owner/Agent) r ''.' C Date
BUILDINGw ����'� PERMIT# CONTROL#
r>i�z a,: 4 715
DATE VJ8t97 VALUATION $1%379.().() LOT TRACT
JOB SITE
ADDRESS - 704II5AXOTILLO.DRIVE
APN
OWNER
CONTRACTOR / DESIGNER / ENGINEER
C)WNIll.R
LA, QUINIA CA. 92253
•
C�I3i.f#
USE OF PERMIT
- o..ST iMAEID C\_�iiT OF CONISM 6:aUMON1
P 161Ri`1 i—q FY+;FN11 Pt 411A 14 y
14(,.AN<.;'Hficf';,f=}f E 37024)
i 0 i _000-14 1 84)(y) $10,00
S Tl �cv�i iufb i .`.iC lel .'Y.• f .' a� 'ails i.v.�. �,i�1.•y000 1.34
s'i m.`i� f�. f 4 � ? " I' er 7c" °Z ��j'T�i A ►vt 1�i,, ?� fi' 1t I�;
$179.04'
® l.X SS F,i"F-PAID F.EE.s
$0.00
!r'� ,y � • 'i't'�'�'A�, i??':�al�li�9.�'#' .A`'�.:IH:.�i �i.1lF, NC')"�'�r
81:79 Q}� ._
RECEIPTATE
BY
DATE FINALED
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.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
FF
Final
Final
BLOCKWALL APPROVA
Steel
POOLS - SPAS
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:
10
/
RAFTER SPAN TABLE
GRADING RULES C:, c _c) c') ALL CONSTRUCTION - SHALL CONFORM
PS 20-70TO THE PROVISIONS OF THE 1994
cd
(FEET & INCHES) uoJ7 s
?
jr
UNIFORM BUILDING CODE
75
0 SUPPLEMENTAL NOTES:
2x4
16" O.C.
10'-6'
9'-6'
7-3'
8'-9r I
.... a, if- —.1,MT r r'T
DOUGLAS FIR NO. 1
2e -0 .
2x6
160-0.0
SPAN
4x4
10'-T
13'-
-(f
2,C
24:.-..
015'-(f 014'-(f
46
48
..
1 I
..................... .. T
::?**
48
*4xlo—
N
N/A
2X8
t6' O.C.
.17' .... .. JAI=
4x12..
12"—Cr
6X8
14'—Cr
I
30
13-
600
32*.
...... .. .... 71T .. ... /A .. ...... A.
It.N
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
.......................
44
46
8
46
48
..
1 I
..................... .. T
::?**
48
*4xlo—
- 7
.............. ....... 0.
4x 10
lo.—OT
.4xl2—
17'—Cf
4x12..
12"—Cr
6X8
14'—Cr
6x8
12'—Cr
600
6x10..
5.
ROOFING NOTES:
A. BUILT-UP, ROLLED .R00=: SLOPE TO DRAIN.
B. ROCK' ROOF: 3/12 MAXIMUM PITCH.
RAFTER SIZE AND SPACING
SPECIFY ROOFING AND SMEATHING OR OPEN LATncE
7 1 " (SEF ROOFING NOTE ON REVERSE)
_ _/ on . , i., -.A7 i
ROOF PITCH
. . . . .
CONTINUOUS LEDGER
�+
T AND v STRAPS
lrxcx1'x1 /IrWITH I
`
(4) 1Ild NAU OR BOLT I
10,
RAFTER SPAN: Z
POST SPACING--2FT
O.M.
4 O.N.
0,3
OVERALL LENGTH:
orERAu ua+GTr+
IMV. 4'x4' POSTS ;o
REAR SETBACK
NMI
SIDE SETBACK
2000 P.S.I CONCRETE —+i nmSH GRADE
FINISH GRADE lrxi
L I
k".
J GRADE -
@mOw
PROVIDE 1' CV.4ivNCE
mlywm POST ANO
COMPETE
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCA
VIA ONE 11,11!x S LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
U -STRAP OR ANOLI's
NON -CORROSIVE PLATE
3/Ir x S LAG SCREWS INTO STUDS AT IIr O.C.
CONTkW
Iry
® F f i V d
.�
�N NAILS
�,� 1
w
91
_..
UF
-STRAP OR ANGLE
E D FOR. ', TR. ; i � I 1
NA�s
SLI TO 16dSTALLAT � ^ ' p
sad
HMIGERQQOlt SOW BLOT7KM
NAIL RA�'1R�L�
7t' ATE 1R BY
f
ANCHOR BDLT (DAMMO PROVIDE Y CLEARANCE
r Mw. INTO. =MMBETWEDI POST AND
CONCRETE
BUILDING DEPARTMENT USE ONLY
TYPICAL PATIO COVER
PERMIT NUMBER
2702 - 0L
DATE OF APPLICATION
PERMIT ISSUE DATE
OWNER'S NAW
FINK INSPECTION DATE
STREET ADDRESS
-7qr
SPECIAL CONDITIONS
CITY ST ZIP
TELEPHONE
H.OA APPROVAL SK MTURE. DATE