0309-122 (PC)LICENSED CONTRACTOR DECLARATION
I hereby affirm Ander 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
777,599 B 04n 0120
Date r a Signature of Contractor r . g /" L-' I - -�—
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 LS.UER.Ty M1jTt1Af.1r Pblicy No. WA262DO04123012TI
(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
(32ode, I shall forthwith comply with those provis ons.
/Date: Applicant,, -
s
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, indemnity
& 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.
eS
ignature (Owner/Agent) %-� >� Date e
- xBUILDING PERMIT PERMIT
�# $
DATE VALUATION LOT TRACT
JOBrSITE' I "
APN
ADDRESS 50L-50 JMMERtebON V.+1'.
OWNER
CONTRACTOR / DESIGNER / ENGINEER
n1l, BItUMEMS 1140
TOLL BRO"["r3 19C
°x3.121 FIRW WARL` TO #100
73"121 1NED WAMG #100
PAW., :DFS=T- CA f42260
PAT TA DESERT CA 92260
(760)6714.96.99 CB.'L# 3832
USE OF PERMIT
PATIO
56 S.K PATIO COVER. AT GUARDHOUSE
PORCHIPA'TTO gr
.wa'�r 1l.V%Ax`ED C.'£. ST OF CO1kb'3'1Ki.'I:tC'i'tON
744.60 .
FERMTVM SUAWARY
PLAN CHECK PFA 101.000-439-118
CONSTRUCTION ME 101-000-418-000 $21.00
3TRONO MOTIOV FF3 - COMM 100-000-241--000 3.30
r
ff.. 1WAt, C 0K&1'RUr_— W AND PLAN C EMCTT,
c.ID P. D PMIS 3s`,F°S.3"
Taw
o ►�..
Ci
'.6.''EnAL FERN .k 14, ESP D UX NOWLU
dq
CL 0,1Z
R10EIPT�
DATE
BY
DATE INALED
INSPECTOR
F)
o77
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
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
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:
7771,) � 1 ,11p I y '' !lll���"►►`
I_�
/ C v �' I
-
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 4-'0-- BY.
f
10
ApgMte�db Date Peso
0 Planning Commission
❑ ity council
Fd'Com unity D V. Dept. 3f - =0.
Initials
Case No.
Exhibit
0 With -Conditions
(fop
CLAY TILE .:MCA a 8204
NCA 0 8204
' ON TYPE 30 ROOFING FELT
ON ROOF DECK
TOP PLATE
-------- -- -_
t!1
SKIMCOAT ' v"'
PLASTER ON GEMENT
CONTINOUS PLASTER
EPS.- MOLDING
`--
PORTLAND L ND CEMENT PLASTER ON
METAL LATH ON
TYVEK ON
EXTERIOR SHEATHING
10
Elevation
scale: 114" — V-011
CLAY ROC
TILE MCA
5204
TOP PLATE
101-0011
FIN, FLOOR
0'-00"
-------------------
I -.-
r -mo QJ --ECI
(Pm q @mb
Mab
Z
A C)
///
RAFTER SIZE AND SPACING
I `T AND 'l' STRAPS
6"xg'xi"x1/$" WITH
(4)– 16d
z
1 (4) 16d NAILS OR BOLT
ROOF PRCH
PROVIDE
�Q
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
a O.M.
HEADER SIZE
8.ee
Wo
,1
OVERALL LENGTH.—
RAFTER SPAN:
•-•�r
--^
>o
'
O.M.
.'R ALL LENGTH: �q
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REVERSE)
REAR'SETBACK S1DE SETBACK (4'■4' MIN.)
I
2000 P.S.I CONCRETE I FINISH GRADE FINISH GRADE
' —moi L_J I L– J � MIN. 12":12 -FOOTING I I
12" BELOW GRADE 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
io
3/8" x 5' LAG SCREWS INTO STUDS AT 16" O.C. NON–CORROSIVE PLATE ApE
r– CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
(4)– 16d NAILS
OR BOLT
U–STRAP
I `T AND 'l' STRAPS
6"xg'xi"x1/$" WITH
(4)– 16d
z
1 (4) 16d NAILS OR BOLT
PROVIDE
POST SPACING:=��_ - --
1
a O.M.
u
a
,1
OVERALL LENGTH.—
=
•-•�r
--^
>o
'
-POST sizE: r 6, _
REAR'SETBACK S1DE SETBACK (4'■4' MIN.)
I
2000 P.S.I CONCRETE I FINISH GRADE FINISH GRADE
' —moi L_J I L– J � MIN. 12":12 -FOOTING I I
12" BELOW GRADE 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
io
3/8" x 5' LAG SCREWS INTO STUDS AT 16" O.C. NON–CORROSIVE PLATE ApE
r– CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
(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" MW. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION C9 Q9 o 3
OWNER'S NAME 72, Z Zwr1V6zs
STREET ADDRESS s•SL`
CITY. ST ZIP
U 'Ti4 &W
TELEPHONE . ��[>-9930
H.O.A. APPROVAL 1
Iv Q' v OO
RAFTER SPAN TABLE
GRADING RULES S SG' G'. 'T G' O,
PS 20-70
(FEET & INCHES) oOJ��i oOJA�? oOJ��i OP
,oma e,,v �O• �, ,oma �, v�
QQ?
2x4
16" O.C.
24"
10'-6"
9'-6"
7'-3"
8'-Q"
8'-6" -0" 6'-0"
7'-3'
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" 113'-0"
13'-0" 11'-6" N/A N/A
10'-0"
NOTES:
1. 32" RAFTER SPACING IS ALLOWABLE
FOR OPEN LATTICE PATIO COVERS 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
I DOUGL A_
FIR NO. 1
DOUGLAS FIR
NO. 1
j SITE
SPAN
SIZE
SPAN
4x4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
1 1'-0"
4x8
8'-0"
4x 1 0
14'- 0"
4x 10
10'-0"
4x`12
17'- 0"
4x 1 2
12'- 0"
6x8
14'-0"
6x8
12'-0"
600
17'-0"
600
14'-0"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:.
;ZOn! 'CALIFORNIA BUILDING CODE.
SUPPLEMENTAL- NOTES:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.