9606-142 (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
. 4741':, C27 8 1113'50196
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
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 lisU. 8i %AV76rkers' 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: 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)
Date
PERMT# °°NTR°`#
BUILDING PERMIT3579 ���-j�? 3 5 7 9
DATE VALUATION;*�.�� �� LOT TRACT
r
ADDRESS 78-850 LA PALINIA JOB SITE
APN
OWNER
CONTRACTOR / DESIGNER / ENGINEER
CORPAN
1yARKWC'00 cNnpT' isf:S
79-850
7%0 r COUNTRY RY CL,03 DR 63
I_.A. QUIVI"A.
LA. QUUI\n'A CA 92253
(619)-U-5-:4323 Cal.# CV18 ,
USE OF PERMIT
220 SQ FT .L A1" lfi.C'1:,TA T.10
U=11VI iTF13) COST OF C ON!S" .fRUC'Q`IONN
2,926.00
PERMIT T' YCK SiAINIARY,
PLAIT CHECK 170. 1C)1-000 1 9 318 $35.10
MNSTRUC" U0.14 F I Q i -gOil <�3� 8 �?Of3 $54.00
1'GhiG ivTOT:i ON FESSs -1W- SID 101-000-24-000 &.50
SUB -TOTAL. CONSTRUCTIGIVAM) PLAN Cf f ECK
$39.60
LESS PRB;.t?E1Ei.3FEES
$0.00
r�rAL PRMIT.P 1; i 0UUNOW
$99,60
gy 7996
RECEIPT _-1-1—DAT
'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
St'*
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 Wail Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final W 1 v
BLOCKWALL PROVALS
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
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduft
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)
''M
RAFTER SIZE AN SP INC I I(
l -PF -b O
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
_x __ _
DPW- -LAUlc
t ROOF PITCH -
. . • . .
CONTINUOUS LEDGER
HEADER SIIZ
I T AND 'L' STRAPS
6*xl'xi*X1/1'1' WITH W
(4) 16d NAILS OR BOLT
.' r ►► ( Il
L D
I it I
►III
I f o
RAFTER SPAN:
I O POST SPACING q
�. O.H.
O.H.
OVERALL LENGTH:
OVERALL LENGTH-
-F
MIN
MIN. Cx1 POSTS ;o
REAR SETBACK
+• 1
SIDE SETBACK
2000 P.S.I CONCRETE —�I IFlNISH GRADE
FINISH GRADE 6— MIN. 1Yx1Y FOOTING
L -J (
L -J I f BELOW GRADE L -J
•
PROVIDE 1' CLEARANCE
BETWEEN POST AND
CONCRETE
VIA ONE LATTICEOPEN 1 xAS LAG SCREW THROUGH Y BE FASCIA INTO EACH ED TO EXISTING FASCIA
RAFTER TAIL
U -STRAP OR ANGLE
NON-CORROSNE PLATE
3/6' x S' LAG SCREWS INTO STUDS AT 16' O.C.
CONTINUOUS LEDGER
(4)- 164 NAILS
ORR BOLT
U -STRAP OR ANGLE
...............
164 NAILS
BOLT
.. �
..
JOIST HANGER OR SOLID BLOCKING.
A
NAIL RAFTER TO BLOCKING Erb
V F �A Q r `_ ■ r w 1�
1 f�
ANCHOR BOLT (ENM PROVIDE 1' CLEARANCE
T MIN. INTO CONCRETE) BETWEEN POST AND
CONCRETE
��
& SAFE
G DEAWTWNTOSEUIDU
TYPICAL PATIO COVER
R NUMBERt �`L�T
DA APPLICATION
PIAMIT ISSUE DATE S I
OWNERS NAME
FINk INSPECTION DATE
ba^ Pkµ, A.
SPE ONS
LQ
8
TELEPHONE
p �,TE
H.O k. APPROVAL SN+ IATURE. DATE
RAFTER SPAN TABLE �` 4 �` � 000
GRADING RULEScl cl) C
PS 20-70
(FEET & INCHES) opJ��i opJ��i vP
:k?�o` tic,
2x4'
.
16"
24"
O.C.
"
10'-6' W -C 7'-3' 8'-9"
$' $. �, 7.
............... .......... ................... ...............
2x6
16'
24"
O.C.
ua320
14'-
10'-/
NAA
1 '-
48 1.l'.-....
48 ::.$:_O
2x8
16"
24"
. 32"
O.C.
".
.1$'.-Q"..
`
..7..:.-5 ' ...1.
14'- '-
'-6�....1fcr.
'- 13'-_?
1N
1.::.... 11'- , .A.. N/A.
NOTE:
32' O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE
PAHO COVERS ONLY.
LATTICE ROOF
BUILT-UP ROOF
HEADERS
HEADERS
DOUGLAS FIR NO. 1
DOUGLAS FIR NO. 1
SIZE SPAN
SIZE SPAN
44'-Q"
44 _.._
46 '- i
46
48 1.l'.-....
48 ::.$:_O
4x 10 14' -
. .
4x 10
412 17'-
4x12
6x8 14'-0"
6x8
6X10 ..................... .1...7..'.-..._
6x 10............._......1.4'.-S?.
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE 1994
UNIFORM BUILDING CODE. .
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.