9803-147 (PAT)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
1NIBpter 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
297 R 4130899
Date 4 Signature Of Contractor •t ` ° ' ".-'w-,,%
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 Policy No.
(This sectionnnneelii 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 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 property for inspection purposes.
Signature (Owner/Agent) C -3IliNom' Dater `
i y
.I"
BUILDINGPERMIT PERMIT #, CONTROL#
DATE VALUATION LOT 9803447 TRACT 8G91
91
VV
le 01
JOB SITE
A PN
ADDRESS
t R N ri
OWNER
CONTRACTOR/DESIGNER/ENGINEER
RICHARD PETRI
SJLVER UDGE. HOMES
7M 10 SUNBROOK LN
57357 AVIATION DR,
LA QUINTA. CA 92253
YUCCA VALLEY CA 92284
( 760)365-:014 CBL -4 4926
USE OF PERMIT
PATIO
LATTICE PATIO COVER lot SCy7 FT
PORC WPATIO ' 144.00 SF
USTIMA`tED COST OF CONSTRUCfiON
PE%MIT FEE Sl MAIARY
PIAN CIMCK"M- 101-000-439-318 529. 5
CON"STRUCTIONFEE 101-000-418-000 $45.00
S'i`t20m MOTION FM - RESID .101.000=241-000 5.50
SUB -TOTAL CONSTRUCTION ANDPLAN CHECK
$74.75
LESS PRE-PAm mms
$0.00
a
t
• TOTAL FEnlIT FEES DUE NOW
$74.75
RECEIPT
D*E,.
BY�/
C
DAT FI LE
INSPECTOR
INSPECTION RECORD
01 OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
. BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings T1
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
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
c
Final
Utility Notice (Perm)
4z,
RAFTER SPAN TABLE
C-) 'co cl), ALL CONSTRUCTION SHALL, CONFORM
GRADING RULES T - 'T
PS 20-70
TO THE PROVISIONS OF. THE' -n1994
FEET'& INCHES)' A�? 0�? 0 UNIFORM BUILDING CODE.
ry d�
O SUPPLEMENTAL NOTES:.
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. I
SIZE
SPAN
SIZE
SPAN
4x4
5'- 0"
4x4,
4'-0
4x6
8'=0"
4x6
6'-0"
4x8
16", D.C.
24"
4x8
8'-0"
4x10
14'-0"
'4x10
101-0"
,4x1 2
17'- 0"
4x12
12'-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. I
SIZE
SPAN
SIZE
SPAN
4x4
5'- 0"
4x4,
4'-0
4x6
8'=0"
4x6
6'-0"
4x8
1,-0"
4x8
8'-0"
4x10
14'-0"
'4x10
101-0"
,4x1 2
17'- 0"
4x12
12'-0"
6 x 8
121-0"
10
600
14'-0"
ROOFING NOTES:
A' BUILT-UP, 'ROLLED ROOF: SLOPE TO DRAIN.
B. 'ROCK ROOF: 3/12 MAXIMUM PITCH.
RAFTER SIZE .AND SPACING
-23
ROOF PITCH r!^��
-i�r'sil74
Y.
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEA R SIZE
-�d- - z
RAFTER SPAN:
O.H. a
0
OVERALL LENGTH:a�
REAR SETBACK SIDE SETBACK
2000 P.S.I CONCRETE -�+ :FINISH GRADE FINISH GRADE
L J
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.
BUILDING DEPARTMENT APPROVAL BELOW
SPECIFY ROOFING AND SHEATHING OR OPEN 'LATTICE
(SEE ROOFING NOTE ON REVERSE)
-- `���----------- /
I I MIN. 12" x 12" FOOTING I I
L _ J 12" BELOW GRADE L _ J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
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
OWNER'S NAME
STREET ADDRESS `7Kb SWW
CITY, ST ZIP PataYZ
TELEPHONE
H.O.A. APPROVAL
\--'T' ANO 'L' STRAPS
6"x6"xt"x1/8" WITH
W
' (4) 16d NAILS OR/BOLT
I z
+'
mC
POST SPACING: C/
O.H.
J
U
l
'2
OVERALL LENGTH:__
POST SIZE: _
(4"x4" MIN.)
I I MIN. 12" x 12" FOOTING I I
L _ J 12" BELOW GRADE L _ J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
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
OWNER'S NAME
STREET ADDRESS `7Kb SWW
CITY, ST ZIP PataYZ
TELEPHONE
H.O.A. APPROVAL