0307-183 (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
664238 B kL[C G.'r:/UM
s
Date' r r - Ignature of Contractor` t� .
�` ,�
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 STAIR 1-3ND Policy No. 43492I0
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certifythat 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, andagree at if I should become
subject to the workers' compensation provisions of -Section 3700 of the Labor
Code ��cant_
ply with those' provisions
,Date: � /f�
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 tthaat the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and -hereby authorize repreee tat+ves of this City to enter upon
the'above-mentioned property for
riiinnspeecc ' iG 06 S. � -�
Signature (Owner/Agent) .�/ i .%� Dat;?' '1r
BUILDING PERMIT „ PERMIIT#
rE VALUATION •. LOT 607-183 TRACT
07/14/200
JOB SITE
ADDRESS h33'Sng mm0 ..�w D ,,
APN
OWNER
CONTRACTOR/DESIGNER/EN (NEER
fa 5�d`1A1R1� CEN�C3RCiE btl3 j�
MWAR C1EORGRE, WISI, .
53.6885 M.31WROWER DX
53685 Mti.1TstMtSVMW M
U Q%MTA CA, 92253
LA QtJD A CA
32253
f,76P)771-1I80 CBBL0
'xR91
USE OF PERMIT
PAn0 {
TWO LATTICE PAt.7':fOjtitBYERS PIv'R CITY S9'.ftl+li7.s RD.2001 r3C.
Pt.7RL':t114?ATIO 486800 OF
E1165M. MA.1Ik} COST 011e MRSI:[:UMIONT
6463213
]PYRNiK.'1; :6` IC ATMINRY
PLAN CHECK FEE -08.50
CONSTRi)CTION !VFF m-600-418-000 $40:OD
STRONG MOT1014 F - I1ESID 101-000.241-000
SM-7W1'IL COMSsF>;.UC1'1014 !? P Ll 1, PC"'1''
$149.15
now
Jf�L ' 1 g '2003
CITY Or' I.A QUtF1 A C8 DA=P ?ITA '
RECEIPT
DAT JfF� )
=BY y
A E FINALED .
INSPECTOR
`tid I
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Fomes & 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
Uti14 Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Vnderground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
i
"° I to
RAFTER SIZE AND SPACING
ROOF PITCH
`�
CONTINUOUS.LEDGER
(SAME SIZE AS RAFTERS)
HEADER I SIZE
W
3-0
\FTER SPAN: r
SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
(SEE ROOFING NOTE ON REV RSE)
T AND 'L' STRAPS —
6'x�xt'xt/8" WITH
(4) 16d NAILS OR �QOLT
O.M. a .
O.H
9x %G^ i—
•L "LENGTH: I L a OVERALL LENGTHS IA- SIZE: _
REAR SETBACK SIDE SETBACK (4'x4' MIN.)
2000 P.S.I CONCRETE ;FINISH GRADE FINISH GRADE
I._ MIN. 12• x 12" FOOTING I I
--+1 I
L—J l L_J 12' BELOW GRADE L—J
PROVIDE 1' CLEARANCE
BETWEEN POST AND
CONCRETE —�
bol
I
e
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' x 5'LAC SCREWS INTO STUDS AT" 16' D.C.
CONTINUOUS LEDGER /
JOIST HANGER OR SOLID BLOCKING,
NAIL RAFTER TO BLOCKING
BUILDING DEPARTMENT APPROVAL BELOW
i
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
LDA
FORZNSTRWTI0N
,,
iy_L,
.
U—STRAP OR AN(
NON—CORROSIVE
(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)
lo,;
TYPICAL PATIO COVER
DATE OF APPLICATION 7 ' � O_3
OWNER'S NAME
L
STREET ADDRESS
CITY.. ST ZIP
TELEPHONE � /(
M.O.A. APPROVAL /l///4
.
1
RAFTER SPAN TABLE AZ
.GRADING RULES �C-) cl S G' v c'? 003
PS 20-70 $ v v
(FEET & INCHES) 0 AA? 0 AA? OJA�? Q Q?
ry V
2x4
16" O.C.
24"
10'-6"
1 9'-6"
i T-3"
8'-9"
8'-6" —0" 1 6'-0"
7'-' 3-
-2x6
DOUGLAS FIR NO. 1
SI7�
2x6
16" O.C.
24"
32" "
15'-0"
14'-0"
1 10'-9"
13'-0"
12'-6" 11'-6" 8'-9"
10'-6"
10'-0" 8'-6" 1 N/A
N/A
6'-0"
4x8
2x8
16" O.C.
24" "
32' "
18'-0
IT -0"
13'-6"
16-0"
15'-6" 14'-6" 11'-0"
13'-0"
13'-0" 11'-6" N/A
N/A
12'-0"
6x8
NOT�2R
1ER SPACING IS ALLOWABLE
LATTICE PATIO COVERS ONLY.
2. FOR SOLID PATIO COVERS (NOT LATTICE)
RAFTER SPAN IS LIMITED TO 10'-0" USING
THIS STANDARD.
LATTICE ROOF
BUILT—UP
ROOF
HEADERS
HEADERS
DOUGLAS, FIR NO. 1
DOUGLAS FIR NO. 1
SI7�
SPAN
SIZE
SPAN
4x.4
5'—
4x4
4'-0"
4x6
4x6
6'-0"
4x8
1-7--0"
4x8
8'-0"
4x10
14'-0"
400
10'-0"
4x12
17'-0"
402
12'-0"
6x8
14'-0"
6x8
12'—G"
6x10
17'-0"
6x10
14'—Q)"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE
,20-o f. CALIFORNIA BUILDING CODE.
Z)UrrLLMLN.I AL NUI Lam:
ROOFING NOTES:
A. BUILT—UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.
rill
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