0206-048 (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
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:
(1.111, 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`am exemp, under, Section B&P.C. for this ,'reason t
Signature of Owner%I Aq
WORKER'S COMPENSATION DECLARATION
1 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 isrissued. My workers' compensation insurance carrier & policy no. are:
Cartier Policy No.
rhhis section need not be completed if the permit valuation is for $100.00 or less).
?'-)7 kcertify 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
subject to the workers' compensation provisions of Sectio 3700 of the Labor `r
Code, I shall forthwith comply withAhose prdisions�
Date: 4 � l V'�APPlicant ".��_ �si,A - ✓ / , r a
.k.
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 above-mentioned pro61214.t
for inspection purposes.
Signature (Owner/Agea :dl' r/, #w llL Date "! '
BUILDING PERMIT PERMIT#
DATE VALUATION LOT TRACT
JOB SITE/ �
ADDRESS WWAVEM,(-0s JUAREZ
APN
— ••
OWNER.,
CONTRACTOR / DESIGNER / ENGINEER
54.820 ANT-.1+FTDASUAREZ
l.A t^ u.a`i��2% CA 92M
USE OF PERMIT
PATSO
,LATTICE PATIO rOVER 34"•0' X 25`•0° ('350 SA)
PORC'EWATIO 330.00 SF
MATE'i� �'0�� OF E.�I?�i�'ERUC,r[ON
Y' �.,�� �^y YX5'
�[,'.i7�9.�1AP. e. �.V .Inic+aJ.ERCB,�r'l,;c�A
PLAN CHUCK VEX 101-000-439-318 g91<.it11
C014STRIJCTICIN VE -M 101,000-418400 MOO
SoTIR0110 MOTION FEE - MW �301-000-241400 V"
pH 1 U 7002
z`:
CI-- OF LAQUIWA
FINANCEDEP'�
SUR -TOTAL C ONS U� 01q ANDI
.. A;�*�i cin
���22'I
q�
� �JS�.ili d."�.C.� C"a•`id6.� .G`.ir��.a+➢
��, W l•'
101ALPERWHVIFEESME NOW
J
RECEIPT
DATE
BY
DATE FI A D
INSPECTOR
- G3
,r c,, (, -
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 _ 03
Insulation
Compressor
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:
RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE —
(SEE ROOFING NOTE ON REVERSE)
2x8 A., ae
--------------
ROOF
_- ----ROOF P H
Y-- ---
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x S' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C.
CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QU I NTA
BUILDING & SAFETY DEPT.
APPROVED.
FOR CONSTRUCTION
0 w /(, ID2 6Y
U -STRAP OR AN(
NON—CORROSIVE
(4)— 16d NAILS
OR BOLT
U—STRAP OR ANGLE —
(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 ('�' / (P / 6 -z-
OWNER'S
OWNER'S NAME tMt�' 2A5�
STREET ADDRESS
CITY, ST ZIP OUl �J
TELEPHONE % 1 3S
H.O.A. APPROVAL "
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
T' AND 'L' STRAPS
6"x6"x1"x1/8" WITH
-` --�
z
I (4) 16d NAILS OR BOLT
j Z
Q I r.
RAFTER SPAN: _______�
POST SPACING:_G2_
�S
w
O.H.
J
v
-
t - tt11
^� —�
a
01
it
Z
OVERALL LENGTH: S
a
OVERALL LENGTH:_?s
eo
—old (
POST SIZE J
in
REAR SETBACK
SIDE SETBACKHJ
(4"x4" MIN.)
/
I
2000 P.S.I CONCRETE
FINISH GRADE
I
FINISH GRADE
I I.— MIN. 17'x17' FOOTING I I
L_J
I
L—J 12" BELOW GRADE L—J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x S' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C.
CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QU I NTA
BUILDING & SAFETY DEPT.
APPROVED.
FOR CONSTRUCTION
0 w /(, ID2 6Y
U -STRAP OR AN(
NON—CORROSIVE
(4)— 16d NAILS
OR BOLT
U—STRAP OR ANGLE —
(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 ('�' / (P / 6 -z-
OWNER'S
OWNER'S NAME tMt�' 2A5�
STREET ADDRESS
CITY, ST ZIP OUl �J
TELEPHONE % 1 3S
H.O.A. APPROVAL "
Q Q Q
RAFTER SPAN TABLE
GRADING RULES ALL CONSTRUCTION SHALL CONFORM
Ps 20-70 os� os� ova �`� TO THE PROVISIONS OF THE::
(FEET & INCHES) oJ�`� 0 /':'' OJ��'' Q
Q :'� o �`� a o �� 1998 CALIFORNIA BUILDING CODE.
�4 SUPPLEMENTAL NOTES:
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.
LATTICE
ROOF
BUILT—UP
ROOF
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR
NO. 1
247
®i
SIZE
SPAN
®i
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
24
11'-0"
4x8
8'-0"
4x10
14'-0"
4x 10
10'-0"
4x12
17'-0"
4x12
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.
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'-0"
4x8
8'-0"
4x10
14'-0"
4x 10
10'-0"
4x12
17'-0"
4x12
12'-0"
6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
600
14'-0"
ok
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.
f
V`l"� 0UlT2V0Q peyt
Project: Patio Cover, Lattice Roof style
Owner:. Ambrose Lindsay
t
Address: 54820 Avenida Juarez, La Quinta
General Description:
A rectangular shade structure, 14' X 25' plus 18"overhangs on East and South sides, supported
on the North and West sides by a ledger attached to the existing house framing and on the South
side by three 4" X 4" posts, 8' 4" O.C. Overall height, grade to top of structure, 14 feet.
Specific Schedules:
Ledger Schedule: 4vo 2" x 8" ledger boards, No. 2 Doug Fir, one 14' and the other 25'. Both
continuous.
Rafter Schedule: 13 rafters, 2" x 8" No. 2 Doug. Fir, set at 24" O. C. each spanning 14 feet.
Header Schedule: Three 4" x 8"sections Doug Fir, each 8' 4" in length.
3
Posts: three posts, 4"x 4" Doug Fir each approximately 13' 2" in length.
Covering to be a shade cloth providing 90% shade. To be secured to the structure frame on the top
with staples and 1./2" x 2" strips nailed on top of the cloth and rafters.
HARDWARE SCHEDULES
Joist Hangers: Double Shear Joist Hangers, Simpson Strong Tie, Model LUS28
Face Mount Hanger to be used where Header A meets the West Ledger:
Simpson Strong Tie, face mount hanger, model HUC410.
x
Post Caps: two Simpson Strong Tie post caps, model PC44-16
End Post Cap: one Simpson Strong Tie end post cap, model EPC 46-16
Post Bases: three Simpson Strong Tie Adjustable Post Bases, model ABU44
Anchor Bolts: three Simpson Strong Tie holdown anchor bolts 5/8" x 17", model SSTB 16-R, plus
nuts and washers, to secure post bases to pier—footing units.
f
Rebar: Twelve 2' sections of 3/8" rebar, 4 to a pier—footing unit.
Lag Screws: 3/8" x 5" lag screws plus washers to secure ledgers to house.
'/4" x 3 lag screws to secure headers to post caps and posts
Bolts: two %z" bolts, plus washers and nuts, to secure each post base to post.
Nails: 16d galvanized to secure joist hangers
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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/ 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 lawto put their license number 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 family, 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 are 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). For 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 for sale, 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 labor and 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
ZF • (7 77-70 1
O ER'S G_NA TURE/DATE
PROPERTY ADDRESS
0
PERMIT NUMBER(s)