13003 (PAT)4 QUM&
P.O. BOX 1504 No, 13003
Building 78-105 CALLE ESTADO
Address 78--625 Forbes Circle LA QUINTA, CALIFORNIA 92253
Sichinger
BUILDING: TYPE CONST.
A.P. Number
Legal Description
Project Description
OCC: GRP.
Trellis type patio cover
I Mailing
Address Same
C1itay QuiYlta, CA
Zip92253
Tel.
Contractor
Patrick J. Buggy
Address
40-687 Schafer Place
CityZip
Palm Desert,-C
f 92260
Tel.
972-3989
State Lic.
City
& Classif. 01 642953
Lic. # 2569
Sq. Ft. 168
Size
No. No. Dw.
Stories Units
- Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profess�i_o..n-s� pCode, and my license is in full forceandeffect. J«.
_SIGNATURE / DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
Estimated Valuation
$2,234-40
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
" permit to
thconstruct, alter,.improve, demolish, or repair any structure, prior to its issuance also
requires e applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. BBI.
35.10
Const.
54.00
Mech.
g$1k
Electrical
Plumbing
O 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec. B. & P.C. for this reason
S.M.I..
A
.30 v
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
-div
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE'
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
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.
REMARKS,
y '`
^ ; ok ^"^' ' `" `'1
m ` VAJ, r Y—tEt1 A C I" " Uy 40
-
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
ZONE:—' BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)-
Side Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes. I
Issued by:
Validated by:
Date Permit
Signature of applicant Date
i Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
1 w
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT. ®
_$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 C
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
{{ Cc
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
N
�N M {�L• TOT
C���`"SATESI'4STUDS
MAXIMUM'
ALLOWABLE
805 880 100!
R
FH2.5
UPLIFT LOAD
1017 850
BUILDI 5
5
1250 850
1117511340
415
H3
460
o
ACr
360
465
l� l� a. 4 —
S
950
Lrdger
Resler
6 a.0 d
985
AND ALL APPLICABLE CODES
511
DATE
--
MODEL NOMINAL DIMENSIONS
ALLOWABLE LOADS
W2 D L HB FASTENERS UPLIFT DOWN
NO. SIZE`
W1 I
LATTICE PATIO COVER
RAFTER HEADER
FOOTINGS
Post footinpe min o112 below Breda
size S u S .n S n SIX. Rafter Post Pod Spaeino
12"— 127" Span Boa 8' 10' 12 14'
2x4 16 11'5" 8' 418 up to Inter. 1202 1404 16:18 16216
24"— 8.11 12• end 12x12 12x12 14x14 14x14
12" 19.9..
'10" 10' 4x8 up to Infer. 14x14 /6x16 18:18 16x18
2x8 16" 17 . 15• end 12x12 14x14 14x14' 16x16
24'• 15.6..
12" 25'11" upto Inter. 16x16 16x18 18x16 20x20
2x8 16" '237•• 12' 4.10 20' end 14:14 14x14 16x16 16x16
24"
20,8-
12" 33.1..
2x10 16" 31'1" tt' 4212 �
24... �•�•• Typical CBS
Installed
Sea loafing Nota Below
llaftsr S1ss L Spacing - /Petify Roofin= 8 SAsathins or epan Lattice
ZI' K $' a. c_
Min. ,12"xl2"
Footint 12"
Roof Pitch
805 880 100!
1217 565
705
1017 850
940
11070 1175 130(
1250 850
1117511340
11470 167!
o
2 x 8
Min. ,12"xl2"
Footint 12"
Roof Pitch
`Cootieuous
Lrdger
Resler
Ln
Size
"V sad Angle Straps
[-
1":S"1t1"=1/S" with
r L r
4-16 d salla or holt
Rafter Spot _
21
��%i i-
post spacing_
Overall letgttt __ L4
Rin. 4"=d"
posts
REAR. PL. s(DE
2000 v.s.i.
Lj
Min. ,12"xl2"
Footint 12"