0306-171 (PAT)LICENSED CONTRACTOR DECLARATION
N I hereby affirm under penalty of perjury that I am licensed under provisions of
H- Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
04 co Professionals Code, and my License is in full force and effect.
O =) M License # Lic. Class Exp. Date
CY Lf) rs C3
LLJ 31
Z r-_ Date ;` - f7 Signature of Contractor
J 1.— '` OWNER -BUILDER DECLARATION/CD
Ha I hereby affirm under penalty of perjury that I am exempt from the Contractor's
U) License Law for the following reason:
Z_ ( ) 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).
( ) 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
co () I am exempt under Section B&P.C. for this reason
LO
N Date Signature of Owner
Q C\I
0)
Q WORKER'S COMPENSATION DECLARATION
CL
p 2 Z I hereby affirm under penalty of perjury one of the following declarations:
Lo O () . I have and will maintain a certificate of consent to self -insure for workers'
X W LL compensation, as provided for by Section 3700 of the Labor Code, for the
m� Q performance of the work for which this permit is issued.
Q U ('a t) I have and will maintain workers' compensation insurance, as required by
Q U Q Section 3700 of the Labor Code, for the performance of the work for which this
4 permit is Issued. My workers' compensation insurance carrier & policy no. are:
Z Carrier +°i'! TE 1'1t 41 Policy No. ?,"si►'✓€i3°
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J
(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. / r
rro'XAPPlicant( �.f J )!'Ie /' i'..F':s /_.d.- '.� t
' f '"'L" -
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.e
(� � ��xl`'rl s
— Signature (Owner & '�n . .•R...* .+
BUILDING .PERMIT
DATE &12A:a VALUATION ll�lq J r e 4i.. LOT
JOB SITE n.t,n* Q. }t4L., .sTs. w?'V_F",
ADDRESS
PERMIT #
TRACT.
APN „
OWNER
�t ' Iiy CONTRACTOR
y/�DESIGNER / ENGINEER
y
4•1.�:1.i.�i �AI�.A.`•L�Oi. ro1"",..� - i.�et...Iw.L':,lC.l�`.iQ�3��%: idS L/L ,t t;✓.:V
vy52�(3`f3m<.�ir.���2.��:7ii+?�L- t, +, r�^+t��V,PF^.�r3.:P���TAY,.�3f1d.�t"r +�.�y,ny.
d..& 1��..J.?.�.V : 't, 'U, Jn'�;�t 33 i%1VY..;&*1 lMt ,'C�d'�hri4'fA�S CIA .Yd'd 76
USE OF PERMIT
F0RC'',V?Ax`10
C".+r7�+�S'3`�i`�3�:':Gt3A �ce.i5 's..�a.•C�?(:)-�;1�..CJf�� "i:�E.GtF
STRONG NOTcf-~T' ITFUZ, - RESID 131 ^c -01,144 a. -oro)
JUN i 22,103
CITY OF LA (loiliTA
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w + F;,`.i` T t i!f► T7 'k£f.%' IfW" `9 q+»w!kra e`�'� 15' V1, 14.16
RECEIPT DATE BY DME FINA ED INSPECT
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
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
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
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
OX 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 Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
RAFTER SIZE AND SPACING
Ll,k -_�so.�
ROOF PITCH
Q
.. �UOUS LEDGER
+ -(SAME SIZE AS RAFTERS)
HEADER SIZE
�! • v� .
SPECIFY ROOFING AND SHEATHING OR. OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
7
_0_e E� 1}T LCl E- 19 it
I T AND 'L' STRAPS —
6'■�■/'■1/8' WITH
-- - = I (t) 16d NAILS OR BOLT u
RAFTER SPAN: ' �! POST SPACING: -1
O.N. v
OVERALL LENGTH: d . ...._.. , OVERALL IENGTM .[a
POST SIZE: 6 X�
REAR SETBACK SIDE SETBACK (4 ■�' MIN.)
FINISH
2000 P.S.I CONCRETE GRADE FINISH GRADE
. —�I I - - -
L _ J I JI
1 6- MIN. 12':1 Z' FOOTING I. 1
12". BELOW GRADE L --J
- PROVIDE 1' CLEARANCE
BETWEEN POST AND
NOTE. CONCRETE'
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA a —�
VIA ONE 1/4' x' 5" LAG SCREW THROUGH FASCIA INTO EACH" -RAFTER TAIL
U -STRAP OR ANGLE
3/8' x 5' LAG SCREWS INTO STUDS AT 16-o.c' NON=CORROSIVE -PLATE PPE
CONTINUOUS. LEDGER ISS
.,
JOIST HANGER OR SOLID BLOCKING
�
NAIL' RAFTER TO • BLOCKING �_
BUILDING DEPARTMENT APPROVAL BELOW
1
CIN OF LA QUINTA
BUILDING &'-SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE ��[� •0�3 gy.�
(4)— 16d NAILS
OR BOLT
U—STRAP OR ANGLE
(4)— 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED —
T MIN. INTO CONCRETE)
TYPICAL PATIO COVER.
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
C
CITY, ST ZIP
TELEPHONE
H.O.A.- APPROVAL J�/
1
RAFTER SPAN TABLE
GRADING RULES
'PS. 20-70
(FEET & INCHES) pOJ�Gi OOJ�� p0��A, VP
Q
2x4
16" O.C.
24'
10'-6"
4"
1 T-3"
'-9"
- -0" 1 6'-0"
T-3"
NJ
SPAN
2x6
16" O.C.
24'
32'
DO
RAFTER SPAN TABLE
GRADING RULES
'PS. 20-70
(FEET & INCHES) pOJ�Gi OOJ�� p0��A, VP
Q
2x4
16" O.C.
24'
10'-6"
4"
1 T-3"
'-9"
- -0" 1 6'-0"
T-3"
I SI77
i
SPAN
2x6
16" O.C.
24'
32'
15' -Cr
14'-0"
10'-9"
1
12'-67 11'-6' 1 8'-9"
10'-6"
1'-0" '-6" N/A
N/A
4x8
11'-0"
2x8
16' O.'C.
24' _
32"
1 '-0"
17'-0'
13'-6"
16'-0"
15'-6" 14'-6" 11'-0"
13'-0"
13'-0" 11.'-6" 1 N/A
N/A
6x8
14'-0"
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVENS 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
1 DOUGLAS FIR NO. 1
DOUGLAS FIR NO. t
I SI77
i
SPAN
SIZE
SPAN
i
4x.4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
400
14'-0"
400
10'-0"
4x12
17'-0"
402
12'-0"
6x8
14'-0"
6x8
12'-0"
600
17'-0"
WO
14'-0"
i
ALL CONSTRUCTION SHALL CONFOF
TO THE PROVISIONS OF THE
1998 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
n
a..�
g F,g 0695 G X'? S' P148 q 1
LA -r icc: ,9 x" - <9'' 5Ph4�-IN6
Gq G -ra (� cAn^ C ' ` y .
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.