0106-175 (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
-`" Professional's Code, and my License is in full force and effect. .-
License # Lic. Class Exp. Date
Date Lr' R f vs! Signature of Contractor
OWNER -BUILDER
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,;i
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.
.AMP T
(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 anyrmanner so as to become subject to the
workers' compensation- laws of California,,and agree that if I should become
subject to the workers' compensation rpr6provisions of Section 3700 of the Labor
Code, I :shall forthwith comply with thosevisions.
Date: f Applicant "'%' , 6N. 4'
Warning: F'2ilure-to`secGre-Wb7kers' 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 subjecfl 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 cf 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-G!I!City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned propertyifor inspectio 'purposes.
Signature-(Owner/Ageri4)� ,$1 Date �e`tlt'r fl.r2
a. r
` BUILDING PERMIT PERMT#
nATF• � WkLUATION LOT TnAOT
j'
e.
JOB SITE •
ADDRESS
APN
47-156 SUMAG ff
OWNER
CONTRACTOR / DESIGNER / EN (NEER
FIONA 1ACCAL1.109
01MAL BUTTZIN0 CO
7-45 XT:NI d" 0T-
7815" OH"WY 11 ! ME 203
LA QUINTA. S
• 'LAipfupm . ; C,- 92253
(760)361-1715 CB". 6330
USE OF PERMIT
PPMC5
'124 TSF Oft :fiAT T ICE PATIO COVFR
POI CHIP.ATI0 UP
11.'IIMA1IN D CJ(')Vr OF CO,N>3iTRUCaN
FE `"MIF FEE S'L1'�1'. d RY
PLAN CIRE1•"K FRE 101-010439-318 $5,10
C0.114IR T'%ii tG':f 00 = 101-000-418-000 $54.00
�S�Ydt► T(R +if1'iFiiN -Iii-'.. 101-000-241.000 �,rD
W'A ,r`C3 IMM,AMA", C ICK
L=3 1Y1PA.1D FEEV
$89.60
$0.00
J U N 1 8 2081 AfJU��' rW:'Du�: no
CITY OF LA OOINTA
FINANCE DEPT
RECEIPT
DATE BY
DATE FINALED
INSPECTOR
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
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 t
Gas Piping
PLUMBING APPROVALS
Gas
sTesElectric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
0. 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 Volt4ge Wiring
Fixtures '
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
_
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CITY F LA QUINi�A /
BUILDING & SAFETY DEPT.
APPROVED
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C ITY ' SLA IN
BUILDING & FETY
} AP r�0 �®
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DATE BY
196��IL'lxm
777- 9y71K '
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CI OF LA QUIN
BUILM NG & SAFETY DE T.
IPPROVED
FO CONSTRUCTION
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CI OF LA QUIN
BUILM NG & SAFETY DE T.
IPPROVED
FO CONSTRUCTION
CI OF LA QUIN
BUILM NG & SAFETY DE T.
IPPROVED
FO CONSTRUCTION
Q
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RAFTER SIZE AND SPACING'
--------------
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
—_
HEADER SIZE/`T'
AND 'L' STRAPS
6"x6*xt"xi/8" WITH
I
'
— — — — — — — — — —
z
I
(4) 16d NAILS OR BOLT'
u
RAFTER SPAN:
O.H.
w
0
a
O.H.
POST SPACING:__—_
U
_
m
,
OVERALL LENGTH:
OVERALL LENGTH`_____
POST SIZE:
(4"x4" MIN.)
REAR SETBACK SIDE SETBACK
2000 P.S.I CONCRETE —�1
L_
I FINISH GRADE FINISH GRADE
�— MIN. 12"x12" FOOTING
J I L_ J 12' BELOW GRADE
I I
L__J
PROVIDE 1"
CLEARANCE
BETWEEN
POST AND
NOTE:
CONCRETE
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL '
+
U—STRAP OR ANGLE
`cc
3/8" x 5" LAG SCREWS INTO STUDS AT 16" D.C.
NON—CORROSIVE PLATE
RPpE
i CONTINUOUS LEDGER
II
(4)— 16d NAILS
�NiSh�
��
OR BOLT
U—STRAP OR ANGLE
(4)— 16d NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
PROVIDE 1" CLEARANCE
r 1 _
BETWEEN "POST AND
CONCRETE
ANCHOR BOLT (EMBED
Ik�
BUILDING DEPARTMENT APPROVAL BELOW
7" MIN. INTO CONCRETE)
TYPICAL. PATIO
COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
H.O.A. ,APPROVAL
RAFTER SPAN TABLE � C -1)
X00
GRADING RULES Q O
PS 20-70 OSS
(FEET & INCHES) OOJ�Gi OOJ�� OOJ�� vP
�O. "IV �O. �O. ry
�O �Q7
2x4
16" O.C.
24" "
10'-6"
9'-6"
T-3"
8'-9"
8'-6" 8'-0" 6'-0"
T-3"
FIR NO. 1
DOUGLAS FIR NO. 1
2x6
16" O.C.
24" "
32" "
15'-0"
14'-0"
10'-9"
13'-0"
12'-6" 11'-6" 8'-9"
10'-6"
10'-0" 8'-6" N/A
N/A
4x6
6'-0"
2x8
16" O.C.
24"
32" "
18'-0"
17'-0"
13'-6"
16'-0"
15'-6" 14'-6" 11'-0"
13'-0-
13'-0" 11'-6" N/A
N A
402
12'-0"
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS ONLY.
I
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THEN
1998 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
2. FOR SOLID PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED TO 10'-0" USING E
THIS STANDARD.
LATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR NO. 1
SIZE
SPAN
SIZE
SPAN
4x.4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
4x10
14'-0"
4x10
10'-0"
4x12
17'-0"
402
12'-0"
6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
6x10
14'-0"
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.