0204-237 (PAT)LICENSED CONTRACTOR DECLARATION
I herebv affirm under penalty of oeriury 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
97(r/4 MCI 1113
Date "'� '� 'ASignature of Contractork?
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 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 NS�iAai!''4 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, 11,sl1all forthwith comply with those p R,vi—
,Date: n l&pplicant ""a s►--
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 oLthis City to enter upon
the above-mentioned property for i We_Gti n pur oses.
/Signature (Owner/Agent) .+ Date _'?I,
BUILDING PERMIT PERMIT#
DATE �n VALUATION LOT ff TRACT Fy rh�k
27
JOB SITE APN
ADDRESS i•�l']J �,� � 1 X44 -916
OWNER CONTRACTOR/DESIGNER/ENGINEER
SAM BRAMAN XUAW) Ck�1'�Y+M CKYNKFIR.f;TMON
45-471 i8'EJNBROCY :1<,:ANS '72516 DEAV13RTAILS'' X104,i'
1-4. Q .WfA CA 922S3, PAIM DROWr CA 92$60
(760416AW553 CIBC
USE OF PERMIT
.%4 Sf' I.A`I"; I r0 PA3 0 MVM PER. MY STAMMU).
!POMWAW
§"M W
PL Aiq 0'19L(lp.&'7]M Y,til �."M.90biP'W.YY�"'7RL9 e�.i . 7W
rXINMRmpow'-M
S"TR;C'7N0 MO'i"34i%d YU R1 101-O 3 2141.001114 $.67
k
R 3 0 2002
FINCEDEPT
-'sum, 'rAmmNA errurnoNAtl
2�,yy::P���7�rt��vVrpp (ivA�'y�;4��.1��gy
.S,.S�l: �'1' �tD��v'YTta.�.tu 3; &7•A�i� W{f.GFi?
IX)TALMAIM . plyelf Dur, NOW 0149.17
RECEIPT DATE BY I DgTE F}tJAL jn _2INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
— 2 —
Ducts
Slab Grade
Return Air
Steel
,? _ Z S
Combustion Air
Roof Deck
Exhaust Fans
0. K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
RAFTER SIZE AND SPACING 3x6 (--' ?y L7
c YQ9w_
NOTE:
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x S' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
QED 14 333 91,01mmm.- A
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE) /
aP_5K_ r_R,
• I I II • I
'T' AND 'L' STRAPS
6'x6'xi"xl/$" WITH
(4) 16C NAILS OR BOLT I Z
/3- a
POST SPACING:_l _ a
i W
0, H, --- I U
L OVERALL LENGTH:__)
�_____ POST SIZE:
SIDE SETBACK (4'x4' MIN.)
FINISH GRADE
I MIN. 17' x 17' FOOTING I
L _ J 12' BELOW GRADE L _ J
_T
PROVIDE 1 CLEARANCE
BETWEEN POST AND
r^nni1^orTr,
I
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION '
I
DAM
lo c�Z BY
U -STRAP OR AN
NON -CORROSIVE
(4)- 16d NAILS
OR BOLT
GLE
i0
PLATE RPpE
G N
II II
II II !II II
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 rah 0��+
STREET ADDRESS SIVX__ ('
CITY, ST ZIP J
v oZS
TELEPHONE
H.O.A. APPROVAL
/
ROOF PITCH
1
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER, SIZE
RAFTER SPAN:
_J
Q
OVERALL LENGTH; l �___
O
• a
REAR SETBACK
2000 P.S.I CONCRETE
I FINISH GRADE
L
J
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
QED 14 333 91,01mmm.- A
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE) /
aP_5K_ r_R,
• I I II • I
'T' AND 'L' STRAPS
6'x6'xi"xl/$" WITH
(4) 16C NAILS OR BOLT I Z
/3- a
POST SPACING:_l _ a
i W
0, H, --- I U
L OVERALL LENGTH:__)
�_____ POST SIZE:
SIDE SETBACK (4'x4' MIN.)
FINISH GRADE
I MIN. 17' x 17' FOOTING I
L _ J 12' BELOW GRADE L _ J
_T
PROVIDE 1 CLEARANCE
BETWEEN POST AND
r^nni1^orTr,
I
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION '
I
DAM
lo c�Z BY
U -STRAP OR AN
NON -CORROSIVE
(4)- 16d NAILS
OR BOLT
GLE
i0
PLATE RPpE
G N
II II
II II !II II
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 rah 0��+
STREET ADDRESS SIVX__ ('
CITY, ST ZIP J
v oZS
TELEPHONE
H.O.A. APPROVAL
Q `. C.
RAFTER SPAN TABLE^A<
GRADING RULES
PS ^0-70
(FEET & INCHES) 00�� OQOJ�� CQ /
C/
I ">.4
16"
O.C.
10'-6"
9'-6"
T-3"8'-9"
DOUGLAS
8'-6" 1 8'-0" 6'-0"
I
SIZE
SPAN
SIZE
2x6
16"
24"
32"
O.C:
15'-0"
14'-0"
10'-9"
13'-0"
12-6" 11-6" 8'-9"
10'-6"
10'-0" 8'-e' N/A
A
4x8
8'-0"
r
•
16'
?4"
32"
.O.C.
"
18'-0"
1 T-0" 13-6"
16'-
14' ' °
1
13'-0" 11'-6" 1 N/A
N A
6x8
1'?' -0"
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
I
r
DOUGLAS
FIR NO. 1
I
SIZE
SPAN
SIZE
SPAN
4x4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
4x 10
1 4'-0"
4x 10
10'-0"
4x 12
17'- 0"
4x 1 2
1
6x8
14'-0"
6x8
1'?' -0"
L 6x 10
17'-0"
6x 10
1
ALL;, CONSTRUCTION SHALL CONFORM
TO' THE PROVISIONS OF THE:
1998 CALIFORNIA BUILDING CODE.
JUrrLLMLN IAL* NU I.LJ:
r
A #E.MVECTION FEE OF $30
WILL BE CHARGED IF THE APPROVED
PLANS AND JOB CARD ARE NOT ON
IHE SITE FOR A SCHEDULED
MSPECTION.
jo t s!
ROOFING NOTES:
A. BUILT-UP. ROLLED ROOF: SLOPE TO DRAIN.
B. POCK ROOF: 3/12 MAXIMUM PITCH.
"Tg30 Y €-39A8,9 a!4l0JRj8
:4VoRq A
t1C?IT: