0212-105 (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
b HIC V3 U04
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, 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 exempt under 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).
( ) 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
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions_'
Date: 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:afforney'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 1 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 property for inspection purposes.
Signature (Owner/Agent) ' _ Date' 51'
BUILDING PERMIT PERMIT#
DATE .yj VALUATION LOT TRACT
F4 U1.0
JOB SITE APN
ADDRESS
OWNER CONTRACTOR/DESIGNER/EN (NEER
'6013, 1,10MDAUr. ##2600 1,900 ORO LANE
TOS ANp11=8 CIA 0071 I ACN'X d,; «43:%.."'5AD31S. CA,. 90r? 2
(310,)23(62.1323 C`•I ulf,
USE gORRFppPEee xRR�M�•IIT
F�` TIO
302 S.F.I A TTICv PATIO C OV EIS PFX , PY1_R, :1' ZeD P1.41043
1'OId M1IP.A,T.IO
r5rJJMATtrD CoSf 011, Co
Promi`.omm"i'vlliltuit�
PLAN CHECK FM 103-000-439-318
c 0 3:i1`1ZYJC''C)t F7 Y�1 1 did-Q%3ii•�R� I -f.`(70 � '3,00
STRONC5MOTIUN FEE .. RFL -11D 101.3 FJ(1t"-741-000 S.50
ftEC1002
CITY OF LA QUINTA
FINANCE DEPT.
LESS R6 -RAW MW
'I' 'AAL YEIM11,1+'IsFT9:1» NOW
RECEIPT I �DATE_ + ��Ir -�?� BY ,! � I DATE _I/ r � I INSPE\P.R,
1016.60
$119.140
$0,00
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
— Z
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
r .— j
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final"—
POOLS - SPAS
BLOCKWALL
APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
I
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
COMMENTS:
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)
NOTE:
TIR
LAG SCROV ATTACHED TO EXISTING FASCI
VIA'ONE 1/4" x 5 EW THROUGH A ER TAIL.
3/8' x 5" LAG SCREWS INTO STUDS AT 16' D.C.
r-- CONTINUOUS LEDGER /
moi/ a� 7x
JOIST HANGER R SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
.CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA ► 0L 9y___la_
C)Tf I
PROVIDE 1" CLEARANCE
S BETWEEN POST AND
CONCRETE
U -STRAP ANGLE
ID
NON -CORROSIVE PLATE GRPOEN
I% ..115 ill
(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
OWNER'S NAME
STREET ADDRESS
CITY. ST ZIP LAJ t Jta.A CA q2
TELEPHONE
H.O.A. APPROVAL
j'`�_34
RAFTER SIZE AND SPACING
SPECIFY ROOFING AND SHEATHING ORtLArnCE
Y f- ��rl
(SEE ROOFING NOTEONREV
v
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
T' AND 'L' STRAPS
I
1� 1-
6'x6r.1".1/8" WITH
P
/
W
z
I (4) 16C NAILS OR BOLT
1 �
RAFTER SPAN; ___-___
POST SPACING:
O.H.
a
�0.
OVERALL LENGTH: /
a
`�•
OVERALL LENGTH: `_q__%_
�
n
��
POST SIZE:1Z__
1p
REAR SETBACK
SIDE SETBACK
(4'x4' MIN.)
/
I
2000 P.S.I CONCRETE ---I I ISH GRADE
b
FINISH GRADE
I
I-- MIN. 12"02" FOOTING I
I
L_ J
I
L _ J 12" BELOW GRADE L _ J
NOTE:
TIR
LAG SCROV ATTACHED TO EXISTING FASCI
VIA'ONE 1/4" x 5 EW THROUGH A ER TAIL.
3/8' x 5" LAG SCREWS INTO STUDS AT 16' D.C.
r-- CONTINUOUS LEDGER /
moi/ a� 7x
JOIST HANGER R SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
.CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA ► 0L 9y___la_
C)Tf I
PROVIDE 1" CLEARANCE
S BETWEEN POST AND
CONCRETE
U -STRAP ANGLE
ID
NON -CORROSIVE PLATE GRPOEN
I% ..115 ill
(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
OWNER'S NAME
STREET ADDRESS
CITY. ST ZIP LAJ t Jta.A CA q2
TELEPHONE
H.O.A. APPROVAL
lil
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Y
wdo mi
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R� N a
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F
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15.3 tic
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUQTION
DUNA LA QUINTA HOMEOWNERS ASSOCIATION
December 13, 2002
Richard Davis
601 South Figueroa #2600
Los Ange!es, CA 90017
Re: Architectural Application — 78-153 Calle Norte
Dear Mr. and Mrs. Davis:
Enclosed is your approved architectural application for the extension of your
patio. Your application has been approved as submitted.
Please keep this letter for your records, in the event you are ever questioned
about this work.
Sincey,
Christina Vdrio
Association Manager
DUNA LA QUINTA HOMEOWNERS ASSOCIATION
C/o: ALBERT ASSOCIATION MANAGEMENT
P.O. BOX 12920
PALM DESERT, CA 92255