0402-073 (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
Date Signature of Contractor
OWNER -BUILDER DECLARATION 4
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 u �egtr Section B&P:C. for. this reason
Dater '"� 'U-4 Signature of Owner �` li w dam,, ' /U V
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
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).
l 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' compensationprovisionsof Section 3700 of the Labor
Code„I•sha I forthwith comply with those provisions.
Date: 6` '(Applicant l,_.IJIUA
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorise representatives of this City to enter upon
the above-mentioned pro� y for inspection purposes.
Signature (Owner/Agent)'(_A 0Date��
BUILDING PERMIT PERMITN
04,02, -OTA
DATE VALUATION LOT TRACT
'z '�JLI3 f1C ,�"s",$;?9A0 4 >J60, V1�75
JOB SITE APN
ADDRESS S. 5 AVF s.it 7J3 -y.73.
OWNER CONTRACTOR/DESIGNER/EN (NEER
51.525 AVI N1+C A tt.RERA
s A. Q1MUA CA 92253
USE OF PERMIT
.3aA'D10
TWOPATIO COVERS PER CITY STANDARL3.:SIT E YARL7 L.AT`FICE PATIO
COVER -162 Sly. REAR MD SQUO PATIO COVZR-56 3F. 2001 COC.
4•.
PORi`S- MATIO 21.8,00 SF
E11371 `I.T.T.F D COSIF OF c0st"Mi7MON ZMA0
1 F1*dV1.rFP,,F S"L7$tlrMARY
PI.&N CHECK MEY 101-000-139.316 535.30
C014STMIC`!'IMI kms: 101-000-418--000 $M.00
STRONG MOT10N FE - RESID 01-000.241.000 L -SO
rF
09 2004
CITY OF LA QUINTA
FINANCE DEPT
f.
;lt B- TOTAL C.'ONS'TRUCTIM Arai?PI?.t-`.;!til' CHECK $89.E0
LESS FRL"t`:-J?AIl. FFM3 $0101
s
XrfAL PERMIT FAIESDUR NOW
III
RECEIPT DATE_ f - it f y BY DAT FINALED INSPECT
t eC ( �
f
EZRA,.: ;6;
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
O.K. 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
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:
RAFTER SIZE AND SPACING
—�^�`--`L-----
_C' c
ROOF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER~ SIZE.,
AFTER SPAN-__
I W
2
a
a
c
O
C
C
l'
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE --
lad
(SEE ROOFING NO-ir. ON REVERSE)
't' AND 'L' STRAPS --
6"t6•x7"tl /E WITH
(!) 16C NAILS OR BOLT
QI
L LENGTH 19
POST SIZE.
W&W SETBACK ISM SETBACK (4'44' MIN.)
FINISH GRADE FINISH GRADE MIN. 12 x 12 FOOTING
1
2000 P.S.I CONCRETE ---�+ 1 1 6-- F
L -J L_J 17 BELOW GRADE L -J
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
T3/8' . 5 LAG SCREWS INTO STUDS AT 16" O.C.
r— CONTINUOUS LEDGER /
I JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
U -STRAP OR ANGLE —
NON -CORROSIVE PLATE
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE .
BETWEEN POST AND
CONCRETE
U—STRAP OR ANGLE —
(4)— 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
8ETWEEN POST AND
CONCRETE
RPpE _
ANCHOR BOLT (EMBED
A RE -INSPECTION FEE 6F JOINTO CONCRETE)
WILL BE CHARGED IF THE
PLANS AND JOB CAR', ARE NOT ON TYPICAL PATIO COVER
THE SITE FOR AS( HWOEUPPLICATION
INSPECTION`
NO EXCEPTIONS OWNER'S NAME
STREET ADDRESS
CITY. ST ZIP I/1
TELEPHONE 1 L�
H.O.A. APPROVAL
RAFTER SPAN TABLE
GRADING RULES
PS 20-70
(FEET & INCHES) ooJ oo� oc) 4? GQ P
Qz
Gi cO,
2x4
16'
i24"
HEADERSHEADERS
I_.. UO �r.LE=_.FIR_ nC?._ 1.
8'—E" i 8'—,.,, 6'—C 1
T-3.. i
SPAN
SIZE SPAN
2x6
16" O.C.
24" r
32" ".
4x 4 _0..
E'-0"
113'-0"
l!'-0.1
12'-6". ;11'-6" 8'-9"
10'-6"
10'-0"-8--o 1 N A I
N/A
- 402
17'-0"
2x8
L32"
' 10" O.C.
24"
"
18'-0"
17'-0"
13'-6" 116'-0"
17'-0"
15'-6" -6" 111'-0"
1-'-0"
13'-0" 1 ?'-b" N/A
N%A
I I
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. Q111
_T LATTICE ROOF BUILT -UF ROOF
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:
200/ CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
P.00-1NG N(ITES:
A. BUI! T -UP, ROLLED ROOF: SLOPE TO DRAIN.
B. °OCh: ROOF; 3."1 MAXIMUM PITCH.
HEADERSHEADERS
I_.. UO �r.LE=_.FIR_ nC?._ 1.
DOLi`LAS -FUR -NUJ. - 1-..
X17=
i
SPAN
SIZE SPAN
4x-1
4x6
51-C"
i;' -0"`4x6
4x 4 _0..
E'-0"
IX -8
l!'-0.1
48
.x-
1.4'-0"
4x 1,0 10'-0"
- 402
17'-0"
4x12 12'-0"
6x8
14'-0"
6x8 1
6x 10
17'-0"
6x 10 I'd
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:
200/ CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
P.00-1NG N(ITES:
A. BUI! T -UP, ROLLED ROOF: SLOPE TO DRAIN.
B. °OCh: ROOF; 3."1 MAXIMUM PITCH.
RAFTER SIZE AND SPACING
---L `-— — — — — — —
ROOF PRG+
�'---
2-3 -----
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
MEADE& SIZE
`
AFTEP SPAN. '✓ `r
O.H.
/ - REAR SETS
/
2000 P.S.I CONCRETE j FINISH GRADE
L -J
SPECIFY ROOFING AND SMEATNtN;, OR OPEN LATTICE -
(SEE ROOFING NOTE ON REVERSE)
`T' AND 'L' STRAPS
6`=6*a1`t1/$ WITH
W (t) 16c NAILS OR BOLT
J alt I
POST SPACING---�Ot
a O.H.
0
ix
C. OVERALL LENGTH -- �_---
ij
POST SIZE.?�Y_
SIDE SETBACK (a`:t` MIN.)
1 FINISH GRADE 47
MIN. 12-x12 FOOTING I I
L - J 12` BELOW GRADE
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING, FASCIA
VIA ONE 1/4' It 5` LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
311 : S' LAG. SCREWS INTO STUDS Af'1�" O.C.
FCONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING
I BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE 2-6 --q �( Bl'
U—STRAP OR AN(
NON—CORROSIVE
(4)— 16d NAILS
OR BOLT
_z
1
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE —�
U—STRAP OR ANGLE
(4).- 16d NAILS
OR BOLT +
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED �_ I
A RE4I PECTION EE'GFN$3r@TO CONCRETE)
WU BE CHARGED IF T E APPROVED
PLANS AND JOB CARE RE NOT ON(YPICAL PATIO COVE
TIDE SITE FOR A OA OF A LICATION Oi
INVECTION
NO E{CEFTIO q ?"NER'S. NAME )
STREET ADDRESS e r
CITY. ST ZIP
TELEPHONE
H.O.A. APPROVAL
RAFTER SPAN TABLE �`\A�
GRADING RULES co
PS 20-70 vs
(FEET & INCHES)
O�O
h ,o. �o� o�
z
2x4
io OAC.
24"
10'-c"
9'-0'
"-3
�•_v• i
8'-c' i 8'-,1 6'-0"
10'-0"
7
14`-0"
2x6
16 O.C.
24"
32" "
1S'-0"
14'-0"
10'-9"
13'-0".
12'-6" 11 =6" 8'-9"
10'-6"
10'-0" 1 8'-6" 1 N/A 1
N/A
2x8
'' 16" O.C.
24"
32"
18'-0"
1T-0"
13'-6"
16-0"
15'-6" -6" 1 1 t'-0"
13'-0"
13'-0" 111'-6" 1 N/A 1
N/A
I I
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.
I LA—MICE ICE ROOF I BUILT-UP ROOF
! HEADERS HEADERS
DOUr:L AS. FIR NO. 1 DOUGLAS FIR N0. 1
5!7=
SPAN
i 4> y
6'-0"
4x6
8'-C►
-8
10'-0"
i 4x10
14`-0"
`4x12
17'-0"
i 6x8
14'-0"
6x10
117 j
SIZE SPAN
4x4
4'-0"
4x6
6'-0"
4x8
8'-0"
4x10
10'-0"
4x12
12'-0"
6x8
6x10
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:
200/ CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
POOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK: ROOF: 3%t_ MAXIMUM' PITCH.
f
CITY. OF LA QUnoNTA
BUILDING & SAFETY DEPT. - -
APPROVED
I
FOR CONSTRUCTIO
DATE 2-6- oy By
A RE4NSPECnONTM OF
WILL BE CHARGED IF THE A RO'
PLANS AND JOB CARE, AR NOT
THE SITE fOR A - SC EDIJI
E
INSPECTION
NO EXCEMONSI
44
,-+ 1�1
1p cl
/ VeKrel�.-