9906-113 (PAT)LICENSED CONTRACTOR DECLARATION
u;,F e�eby affirm under penalty of perjury that I am licensed under provisions of
1 ,r' apferm9 (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
500475 C36021/2WOI
yDate 9' Signature of Contactor '�� r
N C._; -
OWNER-BUILDEWDECLARATION
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 rny-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
Sec ion 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.
>Ti3';i °a Tla=i? i f,39"f7-yu
(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 tfiose-prrovissiohs.
p ate: Applicant•
Warning: Failure to secure <rkersL!Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
theeaabove-mentioned property for inspection purposes.
SI'gnature (Owner/Agent)---^ �f �� Date
BUILDING PERMIT PERMIT
WJU
DATE 07101/1"VALUATION �%4,7 .00 LOT TRACT
JOB ADDRESS- !8-9550 SOri1C.'�" A WAV
APN 604451-029
OWNER
CONTRACTOR/DESIGNER/ENGINEER
SC OT11 int t 1M.1i
PF TbE CITTCA, CONSTRUC"T"ION
78950 ONESTA WAY'
68-38:5 VERANO ROAD
LA QUIN l A CA 9225-3
CA"['f'EI,DRAL Cf°I`Y CA 92234
(7Q►3M-9398 CBL#•4460
USE OF PERMIT
PA110
,O,.r. PATIO 00VOk `140T ROOF Lill ! LASTER Jr, INISii)
PO.IN ICfi9.a7710 360,00 3r,
rltft"• .
LINT' b*swia�`1.rU111ccfisr T OF 1 .I' vST,. IJC 1a,V
4} 1�r1�CY.iftl
PERMIT FEE SUMM RNI
k'1.AN CRFAX FEE I0i-WO-439-:i1$
00W-RTR T R" TTf W Ti"1?
.`si7i014G [tiiti"�"I:C}N 11- 11 - t2J;.$.(t? I0I-CiOU .11l^0110 S,SrI
�SJ
C t13- fi3"ALJ Cf�I S"t"f�Ur"I►Ui�i AI+yT1 P!,•t1 1 r.6� :G%
$119, V
LESS PRE FEES
$0.00
RECEIPT
DATE l °�,
BY/INSPECTOR �
DATE FINALED
,
�
ti�
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 L
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 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
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 SPAN TABLE ��AS ``�A�7 �� ALL CONSTRUCTION SHALL CONFORM i
GRADING RULES TO THE PROVISIONS OF THE 1994
PS 20-70
(FEET & INCHES) 00�) 6 < o0 UNIFORM .BUILDING , CODE.
L9 Q SUPPLEMENTAL NOTES: I
2x4
10' O.C.
24"
10'-6" I
9'-6" 1
7'-3'
1 8'-9"
8'-6" 8'-0" 6'—U'
7'—S 1 1
DOUGLAS
FIR NO. 1
2x6
1 IC O.C.
15'-0"
14'-0"
10'-9
13'-0"
24
— I i;-6=
10'-6"
2
1— 8'-6" N A
N/A I
4x8
11'-0"
M
' 10' U.C.
24"
32" "
18'-0"
17'-0"
13'-6'
10'—O"
115'-6" 14'-6" 11'-0"
13'-0"
13'-0" 11'-6' N .4
N/A
I
1 6x8
14'-0"
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
SI_E
I
SPAN
SPAN
4x4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
4x 10
14'— 0"
4x'10
10'—O"
4x.1 2
' 7'-0"
I
1 6x8
14'-0"
6x8
12'-0"
i 6x 10
I
17'-0"
6x.10
14'-0"
0
c� c/ LG v
TJ
ti LA CC—
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF: SLOPE TO. DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.
I ,
t
If It `4clA
I � f
I=.
r. RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE) /
D � 2 - ' x G @ I In. c . y"' PLrw avD�rf'�t �s JQ 'Fi
� A
IROOF PITCH -
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE -
-4 j2
RAFTER SPAN:
OVERALL LENGTH:
Li
2'O" J
0. H. w
0-
0
c
a
�'T' AND 'L' STRAPS
6"x6"x1"xt/8• WITH
(4) 16c NAILS OR BOLT
&
D el
POS".SPACING:__l9�
__ A'
O.H.
OVERALL LENGTH:__3_6_____
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
i
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 7 2 RQ BY_&5_
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
-Rj
ANCHOR BOLT (EMBED
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION 6-17- I %
OWNER'S NAME SCJ;7 'J/Aewi
STREET ADDRESS
CITY, ST ZIP / v a, ' '-
TELEPHONE C 36 0- 7 F O
H.O.A. APPROVAL
• ,,
q
_/_,_'
_4_
IO O
POST SIZE.
(4 x4" MIN.)
REAR SETBACK
SIDE SETBACK
I
FINISH GRADE
2000 P.S.I CONCRETE I
L_ J
FINISH GRADE
I I L� MIN. 12'x12" FOOTING I I
L_ J 12" BELOW GRADE L- J
PROVIDE i" CLEARANCE
BETWEEN POST AND
CONCRETE
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
i
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 7 2 RQ BY_&5_
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
-Rj
ANCHOR BOLT (EMBED
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION 6-17- I %
OWNER'S NAME SCJ;7 'J/Aewi
STREET ADDRESS
CITY, ST ZIP / v a, ' '-
TELEPHONE C 36 0- 7 F O
H.O.A. APPROVAL