0104-289 (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
OW NER-BUILDER .DECLARATION
I hereby•affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
po( I, as owner of the property, or my employees with wages as their sole
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).
O I am exempt under Section B&RC. for -this reason
Date Signature of Owner
KER'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 , hall 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 : 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.
Slgnatu re'(Ownar/Agent)
BUILDING PERMIT PERMIT#
DATE J VALUATION LOT TRACT
+ n
JOB SITE
APN
ADDRESS
45-523 :0AZRIBROM CSP.?(%E
�4di�44i- 43>ifi
OWNER
CONTRACTOR / DESIGNER IEN (NEER
BRIAN &CATHY C`AWOUN
OWER :krURIWA
45.5751 EER11ROOK C'�OMY,
9222,53
USE OF PERMIT
LATTIC;1:' PA't' 0 C°UVER.,,CITY ST.A'NDARD.
Klit("H/PATIO 192.00
C05'r 012 C.'€?7Vi1"! RITC713 14
h��f 2EMAACM.
;rYKARMT . F",,
PLAN cHWK 1103 -MO -439-318 $35.10
C01d ti'i RUCTION FEE 101-000-41RAW $54.66
ART I'M PiFPLIO P+'LACSS: RHOR 701-•000.255.000
A
APR 2 6 2001
CITY OF LA OUINTA
IFINANCE DEPT
SUR -TO AL,Ot:�7JSTR.T.I'C;TIXTMyyiJIFP_
PIAXCK
$89.1 11
l. Y.913 PRY -TI.( U)1i•E.Yn
$0.00
RECEIPT
DATE
BY"
DATE FINALED
INSPECTOR
V gal
INSPEGTI��N RECnRD
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
Q.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
_
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Patty Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
B=6na0
B1.®CFS'YVALL APPROVALS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Pibg. Test
Fbnal I
Gas Piping
PO L �fli B01t G APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
0 K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
TS:
Fiscal
Utility Notice (Gas)
ELECTRICAL RICAL 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)
n
RAFTER SIZE AND SPACING
oc-
ROOF /PITCH
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE -7
()EE ROOFING NOTE N REV SEl /
i
NOTE
OPEN LATTICE PATIO COVERSMAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.,
U --STRAP OR ANGLE K/I
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C./7 NON -CORROSIVE
r— CONTINUOUS LEDGER /
(4)— 16d NAILS
OR BOLT
U—STRAP OR ANGLE —
(4)— 1.6d NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
.BUILDING DEPARTMENT APPROVAL BELOW IIII 11111
.ITY OF LA 0UINTA ANCHOR BOLT (EMBED
�
7" MIN. INTO CONCRETE)
_BUILDING & SAFETY DEPT.
!iAPF-ROVED TYPICAL PATIO COVER
I! FOR CONSTRUCTION DATE of APPLICATION
{ OWNER'S NAME
-DATE BY STREET ADDRESS
CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL
}— CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
I
HEADER SIZE
I� Y�a
I 'T' AND 'L' STRAPS
6"x6"x1"x1/8" WITH
-JJ
(4) l6d NAILS OR BOLT
Z
�
L--
I
a
RAFTER SPAN: V_-Sa-_
�
.L
POST SPACING: --I -__-
w
O.H.
w
O.H.
u
a
ool
/
OVERALL LENGTH:a
OYERAL4 LENGTH:--- -_ - -
POST SIZE: ? -Y2_
m
co
REAR SETBACK
SIDE, SETBACK
(47x4 AdIN:),m
I
2000 P.S.1 CONCRETE --ted
u FINISH GRADE
I
FINISH. GRADE
I Lf— 1
MIN. 12""x12" FOOTING
L_ J
I
L --J 12' BELOW GRADE L_ J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
NOTE
OPEN LATTICE PATIO COVERSMAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.,
U --STRAP OR ANGLE K/I
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C./7 NON -CORROSIVE
r— CONTINUOUS LEDGER /
(4)— 16d NAILS
OR BOLT
U—STRAP OR ANGLE —
(4)— 1.6d NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
.BUILDING DEPARTMENT APPROVAL BELOW IIII 11111
.ITY OF LA 0UINTA ANCHOR BOLT (EMBED
�
7" MIN. INTO CONCRETE)
_BUILDING & SAFETY DEPT.
!iAPF-ROVED TYPICAL PATIO COVER
I! FOR CONSTRUCTION DATE of APPLICATION
{ OWNER'S NAME
-DATE BY STREET ADDRESS
CITY, ST ZIP
TELEPHONE
H.O.A. APPROVAL
RAFTER SPAN TABLE �` �� �` �� 4` � 00
GRADING RULES SG' sG'
PS 20-70 � �
(FEET & INCHES) pOJA� pd A? ppJ�� OQ
2x4
16" O.C.
2,C "
10'-6"
T -C
T-3'°
8'-9"
8'-6" 8'-0" 6'-0"
T-3"
FIR NO. 1
SIZE
2x6
16" O.C.
24" "
32"
15'. 0"
14'-0"
10'-9"-
13'-0"
12'-6" 1 V-6" 8'-T
10'-6-
10'-D" 1 8'-6" N/A
I N/A
6'-0"'
4x8
2x8,,,
16" O.C.
24" "
32" "
18'-0"
IT -CC
13'-6"
16'-0"
15'-6" 14'-6" 11'-0"
13'-0"
13'-0" 11 `-6" N/A
N/A
12'-0'
6x8
ALL CONSTRUCTION SHALL CONFORM
TO THE' PROVISIONS OF- THE:..
1998 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
NOTES: i
C
32" RAFTER SPACING IS ALLOABLE
FOR OPEN LATTICE PATIO CO ERS ONLY.
2. FOR SOLID PATIO COVERS (NO LATTICE)
RAFTER-SPAN-IS--LP.41TED 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
4x4
5:-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"'
4x8
11'-0"
4x8
8'-0"
4x10
14'=0"
400
10'-0'
4x12
17'-0"
4x 12
12'-0'
6x8
14'-0"
6x'8
12'-0"
600
17'-0"
600
14'-0"
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF -SLOPE TO RAIN.
B. ROCK ROOF: 3/1.2 MAXIMUM PITCH.
RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(;EE ROOFING NOTE pN REV SE)
----------- (o -
--- h� _&+ -s --- -- /
ROOF PITH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE I T' AND 'L' STRAPS
di/o y1v 6*x6"x7"x1/8" WITH
NOTE:
OPEN LATTICE PATIO, COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" •x. 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
U -STRAP 'OR AN(
NON -CORROSIVE
(4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE —
(4)- 1.6d. NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCIi_OR; BOLT (EMBED
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
t
`r H.O.A. APPROVAL -
s
�J;1
y�
RAFTER SPAN: 1 ___
w
/SII
___
(4) 16d NAILS OR BOLT
POST' 5PACING:__l
•
1�I t
OVERALL LENGTH: /dam
�/'
OVERALL LENGTH:__ d---_
' O.H. w O.H:
o
a
POST SIZE:
q
L' 11 ` _l, �i1,
(4"x4" MIN:)
REAR SETBACK SIDE SETBACK
/
I
FINISH GRADE FINISH GRADE
2000 P.S.I CONCRETE —�1 I I I I.— MIN. 12-02" FOOTING I I
L _,J L__J 12' BELOW GRADE L__J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTE:
OPEN LATTICE PATIO, COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" •x. 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
U -STRAP 'OR AN(
NON -CORROSIVE
(4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE —
(4)- 1.6d. NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCIi_OR; BOLT (EMBED
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME
STREET ADDRESS
CITY, ST ZIP
TELEPHONE
t
`r H.O.A. APPROVAL -
s