0311-168 (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
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:
( I, as owner of the property, or my employees with wages as their sole
C mpensation, 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 ///C I- 3 -Signature of Owner -'_T -Z- a .
I— e-
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: !e 1, R7 Applicant -�''^r - =
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 buildig
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes. ,
Signature (Owner/Agent)r"/
BUILDING=.PERMIT PERMIT# '
'�fl�-1CS8
DATE ' 4 '11/1&20C VALUATION $11,5M.40 LOT 14 TRACT 29323
JOB SITE
ADDRESS 79-869 F"AY ESPLANADE SOUTH H
APN
9-381A-fYL4
OWNER
CONTRACTOR / DESIGNER / EN (NEER
K MM. Ce08'I'.itO
O'v�1FKk BUTWER
79.869 PARKWAY1?SP'.JWADE Sour.1:T
LA QLTIirUA >: CA 9225:3
USE OF PERMIT
PA 0,
869 SF LATTICE PATIO COVER PER C1T1' STAN>Lll,1tD1001 C. BC.
P0RCHIPATIO 3ftoo SP
FXTIKAT D (XIST (Yff C0N&MZ'[TGI' 0K
HjS441AD
PERACT FIM 8 13�
PLAN CHWX FEE $87.75
'
COWSTRUCTION 1E.X 101-000-418-000 , $135.00
STRONG MOTION F,11£.1tU21D 101.00.241.000 sus
ql 1:l: (MOri AND.PLAkT
$22:3.90
LE0 PRE-P.AIDMS
$0,00
l N2W 19 20031'0 PEWff TX ES DTJE NOW
�2.23 ate
CITY OF LA QUINTA
FINANCE DEPT.
RECEIPT
DATE
. v
BY f
1.
DATE FINALED
INSPECTOR
/,/,+
.lG..—..
7•P.VCA
lV
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
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
FIQ
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosu e
Shower Pans
O.K for Finish Plaistbt
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
,rUnderground 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)
F
RAFTER SPAN TABLE
CONSTRUCTION SHALL CONFORM
GRADING RULES'
S '•
PS 20-70 = ov /�� TO THE PR'OVfSLONS OF THE
(FEET & INCHES)
2001 CALIFORNIA BUILDING CODE.
o�Q- y .c � o � c• �� ,.
SUPPLEMENTAL NOTES:
2x4
16" O.C.
BUILT-UP
ROOF
HEADERS
HEADERS
.i,
2x6
16" O.C.
S177
SPAN
SIZE
32"
4>.4�'-1
"
1U-0" 8'-6" N/A k N/A -
4' - 0..
2x8
16" O.C.
24"
32" "
18'=0" 1.1 T-0" 113'-6"
116'-0"
1S'-6" -6" 11'-0"
1 1-3'
13'-Q" I 1 1'=6" 11
N/A'
1.:4'-0"•• `
400
'.
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO. COVERS ONLY.
2. FOR SOLID PATIO COVERSANOT LATTICE)'
RAFTER SPAN..ISeLIMITED TO. 10'-0" USING
THIS STANDARD.
LATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
I DO! GL A:. FIR NO. '1
DOUGLAS FIR
NO..; 1
S177
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO. COVERS ONLY.
2. FOR SOLID PATIO COVERSANOT LATTICE)'
RAFTER SPAN..ISeLIMITED TO. 10'-0" USING
THIS STANDARD.
LATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
I DO! GL A:. FIR NO. '1
DOUGLAS FIR
NO..; 1
S177
SPAN
SIZE
SPAN
4>.4�'-1
"
I 4x.4
4' - 0..
4x6
8'-C"
4x6
,..x8 _1
l' -O"
4x8
81:-C..
4x`10
1.:4'-0"•• `
400
10'=0"
4x12
1 ?'--0"
4x 12`
1 7'-0"
6x8
1.7'-0"
6x8
l2'-0,...
6x 10
1 7'-0"
6x 10
r4'-:�'
1-3
• :i
RooF!r4G N! TES:
�. 'BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3,.,'l MAXIMUM PITCH.
t
1-3
• :i
RooF!r4G N! TES:
�. 'BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3,.,'l MAXIMUM PITCH.
RAFTER 9ZE AND SPACING
z'� o_e,
ROOF PrTCH
L la�.�"
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE —
(SEE ROOFING v REVERSE)
-------------------
L
HEADERT01
T' AND 'L' STRAPS
Y
--6':6'.WITH
I
iI
(4) 16C NAILS OR BOLTRAFTER
S, 1'9
POS' 1WO.M.OVERALL
LENGTH: : Saa
OVERALL LENGTH S� " O.t1
_—POST.SIZE
tP xu
�
ACK
SIDE SETBACK
(4*■4' MIN.) -----
t
2000 P.S.I CONCRETE --+I
I FINISH GRgpE
FINISH GRADE
L_
JI
4-- MIN. 12" a 12" FOOTING I 1
L
`2
It X I zu
I
-J 12' BELOW GRADE L_J
NOTT
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VII. ONE 1/4' . S' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
3/8 ■ 5' LAG SCREWS INTO STUDS AT 16' O.0
r CONTINUOUS LEDGER
t,
• /
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA..QUINTA _
BUILDING & SAFETY DEPT.-.
APPROVED
FOR CONSTRUCTION
DATE I -Ib -o BY *-/--d
U -STRAP OR AN
NON -CORROSIVE
(4)— 16d NAILS
OR BOLT
'-STRAP OR ANGLE
41- 16d NAILS —
R BOLT
ROVIDE 1" CLEARANCE
ETWEEN POST AND
ONCRETE
ANCHOR BOLT (EMBED
7" MIN. INTO CONCRETE)
PROVIDE 1' CLEARANCE
BETWEEN POST AND
CONCRETE
,.1
t`����
.I► W
2
3
10
I
.o
) r'VK;AL PATIO COVER
EDA OF APPLICATION , I
ER•s NAME =^r+
STREET ADDRESS 7 9T GGGr( �`SQI`j�G� s
CITY. ST ZIP
TELEPHONE
Gd Zao—�94S
H.O.A. APPROVAL I /*
OWNER / BUILDER. INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should'be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to.be signed by property ownemunless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law" to put their license number on all permits for which they
apply.
* If you plan to do your own work, with the exception of variuus trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than,your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, "and "such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the "State and:Federal Government as an employer and you are subject
to several obligations including State and Federal income tax withholding,' federal social :security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and`these risks ace especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the InternalAevenue Service (and, if
you wish, the U. S..SmallBusiness Admiristration). For -more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the:Division of Industrial Accidents.
If the structure is.intended for sale, property "owners who,are nor licensed contractors are allowed to perform their
work personally or through their own employees, withotit a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is 'to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her owm;labor.and material personally.
Building permits are not required to" be signed by property owners unless they are "performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California. 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quints, CA 92253
(760)777-7012
FAX (760 - 11
OWN 'S SIGNATURE/ DATE
PROPERTY ADDRESS
0311---169
PERMIT NUMBER(s)