0309-115 (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
1.
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
664-238 s423p
Date Signature of,Contractor
/ �.�„_......,.�•--'may �.�•�,y'� `i
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
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 STATE" FUND Policy No. t�k�i�.1gP
(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-agrdi_t6i if I should become
Ap
subject to the workers' compensation.provisions of, -Section 3700 of the Labor
Code, I shall forthwith comply with those prov_isions.r'
Warning: Failure to,`secure Workers' Compensation -coverage is unlawful and
shall subject an err ployerr to criminal penalties.a d civil fines up to $100,000, in
addition to the cosi F-C-06pensation, 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•thatthe bove information is
correct. I agree to comply with all City, -and State laws relating to the building
construction, and hereby authorize jrep esd tatives of this City to enter upon
the above-mentioned property for_inspecJ&on•purposes.
Signature (OwnedAgen�/%y/-►%� Date
PERMIT*
- BUILDING PERMIT
y -
Iw&-11.5 TRACT
DATE VALUATION ,3�LOT
o9lutw0C tux)
JOB SITE
APN
ADDRESS M-445 AVESMA JUM IZA.
OWNER
CONTRACTOR / DESIGNER / EN &NEER
JAMEE SAVT
MWARD QEC)RC'E Wt -OR
53445.A\rRN1D.A11 d
53a L"W_, 3.1C)'%VU R,
LAQ1:,T1N'1:A `' CA ,922.51
t.,AQITRI'fA CA 92253
`
(t (POP71. -1180 CTRL# 2851
USE OF PERMIT
PATIO
1$0 IY BUILT UP rar TTO COVF : PCk CITY STAN MRD
PORC;HRATIO 130.00 O
RS'.%IV"3�b°F D COST 011' CCNYERUC°IM
2,„394M
PLAN CHECK FU 301-000�39m2118 X35.10
("C44snuJC'ii om nF 101-000-419.000 $Sd.f10
STRONG IN16TION ISLE- fUr'.SID 101.000.241.000 ' S.50
SEP.10 2003 lj
CITY OF LA C!:34�3'tA
F1�1At4 CrFT.
iUrB-TOTAL CONTIRD ON AND MAN C.M.0
AT "' ins PPs-AAM 17.> s
7
50100
'.I~QTAL MOM FENS XPE NOW
$89.60
RECEIPT
DATE
BY`w
DATE FINALE
INSPECT //
�/(
INSPECTION RECORD
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
Bonb 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:
�,�,—� � .�� pass �,���s
C /-` % 0y �LK�
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RAFTt R SPAN TABLE �� co O
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GRADING RULES"J.S 00
OS 207-70
(FEET & INCHES)
2x4
to"..o
24"
_ �..
8.,_, ..
I�
6' -0.•
-o.. I
7. _ 3" 1
I
2x6
16" O.C.
15'-0"
14'-0"
10'-9"
13'-0"
SIZE
24" "
12'-6"
11'-6"
8'-9"
10'-6"
4x6
32" "
10-0"
8'-6"
N/A
N/A
2x8
16" O.C.
18'-0"
17'-0"
13'-6"
16'-0"
12'- 0"
24"
15'-6" i ' - =6"
11'-0"
13'-0"
6x10
32" "
13'-0"
1 11'-6"
N/A
N/A
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.
L ATTICE
ROOF
BUILT-UP
ROOF
HEADERS
HEADERS
DSUC. LAS
FIR N. 1
DOUGLAS FIR
NO. 1
i
SPAN
SIZE
SPAN
1.,4x4
Wt
5'-0"
8'-0"
4x
4'-0"
4x6
6'-0"
.4x8
8'-0"
4x8 1 1 '-0"
400
14'-0"
4x10
10'-0"
402
17'-0"
402
12'- 0"
i
I 6x8
14'-0"
6x8
12'-C'
6x10
17'-0"
6x10
14'-io'
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:.
2001 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUIL-UP ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3%12 MAXIMUM PITCH.
RAFTER SIZE AND SPACING
R( fF PITCH
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE
AFTEP SPAN: ----
_
O.H.
2000 P.S.I CONCRETE --+1 - ;FINISH GRADE
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_ POST SIZE.----
SIDE SETBACK (4'x4" MIN.)
FINISH GRADE
1 L--- MIN. 12"x12' FOOTING I 1
L_J 12' BELOW GRADE L -J
SPECIFY ROOFING AND SHEATHIN;, OR OPEN LATTICE
(SEE ROOFlNG NOTE ON RfVARSE) In
1 ti -'T' AND 'L' STRAPS
6*x6*x1"%I/6" WITH
h I (4) 16C NAILS OR BOLT
Z POST SPACING
O.H.
OVERALL LENGTH
r`
T
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4' x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
BUILDING DEPARTMENT APPROVAL BELOW
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE -91 02>1 Eff
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE —�,
U -STRAP OR AN
NON -CORROSIVE
�gll• o
Wo;
(4)- 16d NAILS
OR BOLT
U -STRAP OR ANGLE —
(4)- 16d NAILS
OR BOLT
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
ANCHOR BOLT (EMBED —
7" MIN. INTO CONCRETE)
TYPICAL PATIO COVER
DATE OF APPLICATION �.
OWNER'S NAME w/ S
STREET ADDRESS 'r ys
151
CITY. ST ZIP 1-4
TELEPHONE
H.O.A. APPROVAL