9906-052 (PAT)U)
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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
Dat
Signature of Contract r
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 1, 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). -d
( ) 1, as owner of the property, am exclusively contracting*mith 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
perf6rmance of the work for which this permit is issued.
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 n6. ar6:
Cartier 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: - Applibant
I 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
0
addition to the cost of compensation, damages as provided for ih Section 3706
of the Labor Code, interest and attorney's fees.
# I
IMPORTANT Application is hereby madeto the Director of Building and Safety
for a permit subject to the conditions and restrictions set forthion his
application. I
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 fromdate of issuance of such
permit, or cessation of work for 180 days will supject permit to cancellation.
f
I certify that I have read this.application and state that the above information is
correct. 1�agree to comply with all/(Pty,) and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
"'the above-mentioned propertyJor inspection purposes.
I- `S19-lature (Owner/Age it) *'D'ate
PERMIT#
BUILDING PERMIT "06-4152
DATE 0610M "VALUATION !0"06.7() LOT TRACT
JOB SITE
ADDRESS 794.60 MANIE, CT
APN
I
OWNER
CONTRACTOR / DESIGNER / ENGINEER
RALREH L.,r.,'AVrrr,
rNt%(Ytv,u r3TTq rNok
,.0*0V1'ii.A%,1..t "6.01�
'79-160 DIANTE CT
SAME
LA QUINUX CA 02�3
CB!I#
USE OF PERMIT
PXTIO
LXfT ICE PANTO COVM. 1&6� x '38"
,P'(YRCWPAT10 399,00 W
EMAIM'E.01) COST Ofil CON118111RUCIVION
3 06. 0
PERNUT FEE SUIVARARY
PLAN CHFCK RE 1014)00-439-319 $52.65
XWSTRILT'77K�N FEE 101-91UN1148.1mo
RVAL) 101,OW4241-000 &53
LESS PRE -PAID FEE�S
P4
$0,00
—
JUN 0 199%1 XL K13MIT FCESOIJ ENOW
$134.18
,I -TY or- 01JIMT,
DATE
4- .4'4'�4
BY
1 -
INSPECTOR
I
INSPECTION RECORD
OPERATION
DATE
INSPECTOR .
OPERATION
DATE 7TINSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
---------- ------------
Set Backs
Underground Ducts
Forms & Footings
Ducts
-4
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
ExhaustFans
O.K to Wrap
F.A.U.
Framing Awffffff...
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 j
Final
BLOCKWALL APPROVALS
- -------- ----------------
POOLS -SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
I
Underground Pibg. 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
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 SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE —
(SEE ROOFING NOTE ON REVERSE)
--------------------
ROOF PITCr—
/ L-- CONTINUOUS LEDGER 11
(SAME SIZE AS RAFTERS)
HEADER SIZE I 'T' AND 'L' STRAPS
�L�--- 6"x6WITH
1 6d
(4) 16d NAILS OR BOL I Z
/l J t
RAFTER SPAN: _ _Q _ / 1 > __ POST SPACING:__ S/ __ w
0.H_d O.H. +
OVERALL LENGTH: _1JL_____ a I OVERALL LENGTH:__.,[______
Go
POST SIZE:
REAR SETBACK SIDE SETBACK
(4"x4" MIN.) — -- -- Go
/ I
2000 P.S.I CONCRETE —tel I FINISH GRADE FINISH GRADE 1 tr—I I
MIN. 12"x12" FOOTING
L__j L__J 12" BELOW GRADE L__J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
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.
U—STRAP OR ANGLE
i
3/E" x 5" LAG SCREWS INTO STUDS AT 16" O.C. NON—CORK SIVE PLATE RPpE\
G�
CONTINUOUS LEDGER
II II II III II II
(4)- 16de' ILS
i l OR BOLT
U -STRAP OR ANGLE
- (4)- 16d NAILS
OR BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
II II .
BUILDING DEPA-RTM- - APPROVAL_ BELOW I -
��. � it 11 II
ANCHOR BOLT (EMBED
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION
�� �• OWNER'S NAME
STREET ADDRESS
CITY. ST ZIP
b TELEPHONE
H.O.A. APPROVAL
I ° ,
Az_
'z-
rRAFTER SPAN TABLE
cl) cl) cl) c') &) c'? ALL CONSTRUCTION SHALL CONFORM
I
.GRADING -RULES
PS 20-70 TO THE PROVISIONS OF THE 1994
(FEET & INCHES) 0 0 0""UNIFORM BUILDING CODE.
O SUPPLEMENTAL NOTES:
2x4
16" O.C.
24"
1-0'-6"
9'-6"
7-3"
8--9"
8'-6" 8'-0�' 6'-0r'
7'-3"
DOUGLAS FIR
NO. I
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
8'-0"
4x6
6'-0"
2x8
16' O.C.
24" "
32" "
18'-0"
17,-0"
13,-6"
16'-0
15'-6" 14'-6" 11'-0"
13'-0"
13'-0" 11'-6`- N/A
I N/A
4x12
121-0"
I.
NOTE:
32" O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE
PATIO COVERS ONLY.
LATTICE
ROOF
BUILT-UP
* ROOF
HEADERS
HEADERS
DOUGLAS
FIR NO. 1
DOUGLAS FIR
NO. I
817F
SPAN
SIZE
SPAN
4x4
5'-0"
4x4
4'-0"
8'-0"
4x6
6'-0"
�4x6
4x8
111-0"
4x8
8'-0"
14x 10
14'-0"
400
101-0"
4x12
17'-0"
4x12
121-0"
6X8
14'-0"
6X8 'r
12'-0"
6x10
17'-0"
6x10
14'-0"
ROOFING NOTES
A7 BUILT-UP, ROLLED ROOF: -SLOPE TO DRAIN.
B. RCC;110(TF: OF Lku im TA:
BUILDINGA SAFETY DEPAAWNT
CONDITIONALLY
I I
ACCEPTED, FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER