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9810-112 (PAT)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ,Chgpter-�mmencing 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 4181Q;I '18 C33 12l 1/99 11/at/e/i //;"?Signature of Contractor 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 pe ormance of the work for which this permit is issued. ( 1 1 have and will maintain workers' compensation insurance, as required by Se 'on 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. 1423,920 (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 0e, I shall forthwith comply with those provisions.; - -;, .f,�Rz,. / i� /`. )A Date: Applicant a � G r Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any. permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property ,for inspection purposes. ✓f Signature (Owner/Agent)r =, f'» �j f �°'�=• Date BUILDING PERMIT PERMITCONTROL# DATE 1011+ti%i?I VALUATION �%�$, LOT TRACT 8468 JOB SITE ADDRESS GENOA NOA i1RAWT APN OWNER CONTRACTOR / DESIGNER / ENGINEER 43-840 GENOA DR1VC P.O. BOX 1324 LA QUINTA CA, 92253 PALM 13ESURT CA 92261 (760-668.4963 rL3L# 775 , USE OF PERMIT W110 tms S_i=. SCtu ?A'1' o *;.'O7na iCIw STANDARDS) PORICHIPATIO M.00 yii ES Itii''YTED COST Oy` C O�o�`s:d NL1C`L EORr pli-MMIT PCE, .CiBSMMt IRV 'PLAId 101 -WO -430-318 S26,6 Ct`t7*t VR! tea►"o'N rl 1. YM -000-4!9,4100 %41.fM 911RON .&IOTiON ix - R.&S1t) 101 -000.241 -ON . rpt PAI OCT 14 1998 OF LA QUINTA, Alta.�rr>1�a�.� a RECEIPT IDATE 'il'O`I'AL PEietAM 11T.KW0111, NOW DATE FINALED I INSPECTOR �•tK.f $619..15 INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS ,,et Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck _ 7-—_q.T Exhaust Fans 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 _ L41 — Final Final BLOCKWALL APPROVA S 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: RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE (SEE ROOFING NOTE ON REVERSE) 41:z-8 _ ----a o G _ - _-��L�_��ll_✓�s�oF ROQF�f ITCH CONTINUOUS LEDGER (SAME SIZE AS RAFTERS) 13 HEADER SIZE 'T' AND 'L' STRAPS 6"x6"x1"xI/8" WITH. Z 1 (4) 16d NAILS OR BOLT I , RAFTER SPAN:' — POST SPACING:__- _a _ �S �. _�. •- O.H. w O.H. U OVERALL LENGTH:. a �Z I OVERALL LENGTH T /_S_ - POST SIZE co -T____ REAR SETBACK SIDE SETBACK (4"x4" MIN.) ' ' I Lj -�I FINISH GRADE FINISH GRADE I I 1 2000 P.S.I CONCRETE I MIN. 17'x12" FOOTING L_J L -J L_J 12" BELOW GRADE I PROVIDE 1" CLEARANCE BETWEEN POST AND CONCRETE NOTE: OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA VIA ONE 1/4" x S' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL. I U—STRAP OR ANGLE 3/8" x 5" LAG SCREWS INTO STUDS ATI'.16" D.C. NON -CORROSIVE PLATE GRApE CONTINUOUS LEDGER FI�jS� II II 11 III II II ' (4)— 16d NAILS OR BOLT 7�,�THANGER U—STRAP OR ANGLE (4)— 16d NAILS OR BOLT OR SOLID BLOCKING NAIL RAFTER TO BLOCKING PROVIDE 1" CLEARANCE BETWEEN AND �. ._ �__ _ • -- ----- - - - - ---- CONCRETE II III II I I III III B �" ,; ILDIN 'A %-E TPN. �PRQ .QL B� LOW III II BUILDING34 & SAFETY DEPARTMENT ANCHOR BOLT (EMBED CONDITIONALLY 7" MIN. INTO CONCRETE) ACCEPTED FOR CONS T RUC17,10IN TYPICAL PATIO COVER SUBJECT TO INSTALLATION AS PER DATE OF APPLICATION 10^ / 3_ yg . OWNER'S NAME PO �jerT CW)l1 STREET ADDRESS _3 @ 4 (J lA!✓� 0 ,=t r O AND ALL APPLICABLE CODES CITY, ST ZIP 4A eQ, q iZ U � v TA a-�J`v 3 TELEPHONE BY c H.O.A. APPROVAL Q' Q Q* RAFTER SPAN TABLE Q 7 �` �� �` '4, O • GRADING RULES C-3 c) O� PS 20-70 (FEET & INCHES) 20*0-. 0' q-- 2o' =p Qom= 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. 1 SIZE • O.C. 1 1 1 • 5'-0" 4x4 4'-0" 1 / • ©�©%� 8'-0" 4x6 6'=0" 4x8 • O.C. ' 4x8 8'-0" 400 14'-0" • �� 10'-0" 4x12 17'-0" 4x12 12'-0" 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. 1 SIZE SPAN SIZE SPAN 4x4 5'-0" 4x4 4'-0" 4x6 8'-0" 4x6 6'=0" 4x8 11'-0" 4x8 8'-0" 400 14'-0" 400 10'-0" 4x12 17'-0" 4x12 12'-0" 6x8 14'-0" 6x8 12'-0" 6x`10 17'-0" 600 14'-0" ALL CONSTRUCTION SHALL CONFORM TO THE PROVISIONS OF THE 1994 UNIFORM BUILDING CODE. SUPPLEMENTAL NOTES: ROOFING NOTES: A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN. B. ROCK ROOF: 3/12 MAXIMUM PITCH. l S X L3 P,47—/'o &&-y 6-9 W.