0209-073 (PAT)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licenses undeiVrovisions 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
421915 B 111���'� ,✓i ,1 t
Date " 7 ' c5 ,Signature of Contractor C�,✓as,- �`
OWNER -BUILDER DECL•/RATION
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).
( ) 1, 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
Secfion 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 -STATE FLT'.gD Policy No. 161se 4
(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: <' R /-�P_'. •• �'�-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,!A
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 s.
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�'6ncellation.
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-thls?City to enter upon
the above-mentioned property for igs4ction,purp6 es.
Signature'(Owner/Agent) -i'-•
:' !� Date"ii•''
BUILDING PERMIT PERMIT#
DATE 0. )12 d= VALUATION M9,044.00 LOT 50 TRACT
JOB SITE APN
ADDRESS 4 l LTMOM AV�,d`aNME 60c '0 77,MW)
IOWNER
M MARK SKOSI 011
44,-661 TMPQI�ZW
Y& e i3wms CA 92253
USE OF PERMIT
PAW
&$0 SIP 1,A: TIC:Ip PATIO COVER PPR CITY S
kr+ti+t..M1)PA110
CONTRACTOR / DESIGNER / ENGINEER
ss Ir. C�Cg5r�+3� f�p'l�t y+T�C,`�Y101$
'syy77w�j>�'�y 5' 0 i:lly,L r�pd OP . -
4�3.4
MOD Ka+'
PLAN CHECK FrX 101.000-439«318 M05
COI`lS'I'.RUCTIOIN FEE 101-000.418-M $11109
STR.OKO:19O1`ION IM. YUMID 101-000.241-000 C0
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LESS PRE -PAD. FFM
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SEP
CnyoF 4U/NTq
�NANre __ L
CA 92214 6
CMLO 1484
RECEIPT DATE- .; B (: ' "� I ATE FINALE ' > INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
— _ d
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
!O - .O
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
RAFTERSIZEAND SPACING?
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER ,SIZE 7
- 1 �0 -
\FTER SPAN:
O.H.
2
}J
cr
z
a O.H.
0
cr
I
1
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE I
(SEER NG NOTE ON REVERSE)
t
t
'T' AND L STRAPS
6'x6'x1".x /$' WITH
(4) 16tl LS OR BOLT
e
a OVERALL LENG H: ,
---J� POST IZE: _
REAR SETBACK SIDE SETBACK '(4'x4" MIN.)
I
2000 P.S.I CONCRETE --.1 I FINISH GRADE FINISH GRADE
L_ _J I L --J' MIN. 1 "x 12" FOOTING I I
12' BE OW GRADE L _ J
PROVIDE 1" CLEARANCE
NOTE•
BETWEEN POST AND
CONCRETE
VIA ONE LATTICE
r/4 PATIO LAG COVERS CREW THROUGH FASDCIA TO
iNTO EXISTING
EACH RAFTIER TAIL.
U -STRAP OR ANGLE
3/8' x 5' LAG SCREWS INTO STUDS AT 16" O.C. NON -CORROSIVE PLA E E
�R%CONTINUOUS LEDGER
II
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE%cx—gY
i
(4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARAN E
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED
7 MIN. INTO CONCRETE)
-----------
TYPICAL PATIO COVER '
DATE OF APPLICATION
OWNER'S NAME KQSJf �L
STREET ADDRESS y- 661 / l /� 5 r
CITY. ST ZIP /9
TELEPHONE �/ y� t7/ 01
H.O.A. APPROVAL D /
1 +RAFTER SPAN - TABLE �` �� co G' �` �� �n- O
GRADING RULES S �' ,SQG' L'
O�
.RS 20-70.
(FEET & INCHES) o0JA�? O10 A`? �0Ate? OQ
�� �0 �� �O h�, 2O Q(v�
, 4 c� O
2x4 ."
16" O:C.
-24
10'-6"
9'-6"
T-3"
, 8'-9"
8'-6" 8'-0" 6'-0"
7'-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" 1 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" 1='-6" 11'-0"
13'-0"
13'-0" 11'-6" N/A
N/A
4x 1 2
12'— 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
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"
4x 1 2
17'— 0"
4x 1 2
12'— 0"
6x8
14'-0"
6x8
12'-0"
6x 10
17'-0"
600
14'-0"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE
1998. CALIFORNIA BUILDING CODE.
JUF'I'LtMtN IAL NU I tJ:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.
ON
O■