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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 amex mpt nder Section , B&P.C. for this reason
Date. 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).
(VrI 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 3700 of the Labor
Cooe, I shal o with comply with those provisions.
eater Z Applicant
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 statehat the'above information is
correct. I agree to comply with all City, and State laws11 relati� g to the building
construction, and hereby authorize repres In atives of this City to enter upon
the above-mentioned prop jrty for inspectio .,purposes.
V
0§'6n tura (Owner/Agent) -��'`" i ce' Date
`�•
BUILDING PERMIT PERMIT#
DATE VALUATION LOT TRACT
JOB SITE
APN
ADDRESS
•-
OWNER
CONTRACTOR/DESIGNER/EN INEER
LOU Kii sIrfl.i- 0w
OWRM •- BUILDER
.455 -66.5 C:Y631D'EAROOK
USE OF PERMIT
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6 A.00 St?
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WYOFLAQUIRA
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J[' j."MA7i..5rirFES pTVddAAV.xAR
MAIN N i13ACK YET, 301 i,000-439-31 u SW,20
rkTW�i�+,%NICY"'ION..1ASK- MID, 01=000.241-000Fig
SM- dnTIAL CON-111MUC'TJON AA7k3 PUAN CHECK
'179.08
LESS PRE -PAW FEES
$0.00
°°ikYTAsL -P:M3P r PTIES DUN. NOW
$1179.08
RECEIPT
DATEBY
i
GATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE '
I INSPECTOR
OPERATION
I DATE I
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
OX 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:
RAFTER SIZE AND SPACWG
ROOF PITCH
L�
CONTINUOUS
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E
r!t/%%'�''i�
O.M.
OVERALL LENGTH:
REAR SETBACK
2000 P.S.1 CONCRETE —M1 1 FINISH GRADE
L_J
yLurT rcWrJm4 ^n> Z-MLAININ(i UH OPEN LATTIC: I
(SEE ROOFING NOTE ON REVERSE)
i
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING, FASCIA
VIA ONE 1IC , S LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
JOIST MANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BEELOW
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`T AND 'L' STRAPS
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POST SPACING I' 74 X
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OVERALL LENGTH__
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POST SIZE a! z v_ • ~A `�
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SIDE SETBACK
1
FINISH GRADE
Lam— WIN. 12' a 12' FOOTING I I
L_ J. 12' BELOW GRADE L_ J
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OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING, FASCIA
VIA ONE 1IC , S LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
JOIST MANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BEELOW
C13 rn rr-- 70
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U -STRAP OR ANGLE -
NON -CORROSIVE PLATE
(4)- 16d NAILS
OR BOLT
• _ ■
PROVIDE 1' CLEARANCE
BETWEEN POST AND
CONCRETE
6
U -STRAP OR ANOLE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NA1.1E
STREET ADDRESS
CITY. ST ZIP
TELEPHONE
H.OJL APPROVAL
Q. q. Q.
v v v
RAFTER SPAN TABLEA 4 000
GRADING RULES 6 toS i X03
PS 20-70 c� * c� �' ,T'* �
(FEET & INCHES) QOJ�`'' oOJ�`'' Q0 4) vP
1
2x4
16' O.C.10'-6'
24
I
9'-6" 17'-3" °.-G'
8'-6" -0" 1 6'-0" 1 7'-
2x6
16, O.C.
247"
32- "
15'-0" 1 14'-0' 1 10'-9" 11-0-
12'- 6' 11'-6" 1 8'-9' 10'-6"
10'-0" 1 8'-6" 1 N/A I N/A
SPAN
2x8
16" O.C.
24- -
32' -
18'-0" 1 17'-0" 113'-E" 116'-0"
15'-6" 1 14'-6' 11'-0" 13'-0'
13'-0" 11'-67 N/A I N/A
i � I
NOTES:
1. 32- RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
2. FOR SOLID PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED TO 10'-0" USING
THIS STANDARD.
!A� BICE
ROOF
BUILT -UF ROOF-
OOFHEADERS
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR N-0 1
I S;7E
SPAN
SPAN
4x.4
- ='6'.
4x4
4x6
°'-C')
4x6
4x8
4x8
8'-0"
4x10
14'-0"
4x10
10'-0"
4x12
17'-0"
4x12
6x8
14_0"
6x8
6x10
17'-0')
600
�'-
I
ALL CONSTRUCTION SHALL CONF(
TO THE PROVISIONS OF THE:
1998 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
_Rr,'0;7'1 N' C Nf)77S:
A. BUIL—UP• ROLLED ROOF. SLOPE TO DRAIN.
B. ROCK ROOF.- 31/1.2 MAXIMUM PITCH.
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CITY OF LA QUANTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
DATE BY
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. CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
Ii
DATE BY
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--CITYOF LA QUIN ' TA
BUILDING & SAFETY DER
APPROVED
FOR CONSTRUCTION'
DATE Ly---
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-,ITY OF LA QUINTA
JILDING & SAFETY DEPT.
,APPROVED
FOR CONSTRUCTION
DATE BY--
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-,ITY OF LA QUINTA
JILDING & SAFETY DEPT.
,APPROVED
FOR CONSTRUCTION
DATE BY--