0008-306 (PAT)LICENSED CONTRACTOR DECLARATION
,I hereby unriler 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
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
(rte)' 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 ft .dl 't htb- Signature of Owner i'.
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).
( ), 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 3.700 of the Labor
Code, I shall forthwith comply with those provisions:.,
Date: Applicant'
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 3.706
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.
Signature (Owner/Agent): "� *•--4�r,✓ ia�� r , Date . vn =r�
BUILDING PERMIT PERMIT 71
DATE VALUATION LOT TRACT
JOB SITE
APN
ADDRESS 7Z SMS WAA•WI001A.
d
OWNER
CONTRACTOR/DESIGNER/EN &NEER
7€-555 WAIAELODIA,
LAQt. DVfA. CA 92253
i C�31 .
USE OF PERMIT
PATIO
344 S.Y. 1.�.rTICE PATIO COVER. a PER. CITY STANDARD 01,9L.Y
POitMIPATIO 344.00 Sc
•
v
Fmmalw Cosa Ox" cozis'TfBu'anon
4,575.20
t; PER W r FEE SUMMARY
PLKN CHECK YEE 101.000-439.318
CONSTRUCTION FEE 101-000-418-000 57400
3TRO10 MOTION FRE RESID 101.000.241.000 �,Sa
• 4
SUB-TOTA1i.,. CMTSTRUMIOX AND PI. PS C1tXCK
$110.30,
ISM PRE -PAM M to
$0.00
TMAL rERMAT M8 DUE NOWT
RECEIPT
DATE t
BY
DATE FINALED
INSPECTOR
M
INSPECTION RECORD
OPERATION
e
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 I I
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:
" P ' - .- tip, � ' ' H. _ - Y . rr� ' , �. .,. , t:.: R . �� •� .
'. ,y r.. _ .• ,. - i may. -•�.. r V .Y� •�. � ' `r ' ,yr . T.r ♦.� - . ��'
OF - 78-495 CALLE TAMPICO'- LA QUINTA,-CALIFORNIA 92253
• TELEPHONE (760) 777-7012 _ -FAX (760) 777-7011l . .
` F
OWNER/ BUILDER =INFORMATION14
'
Dear Property Owner:
` An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.'
For your protection you should be aware that as "Owner/Builder"•you are the responsible party of record on such a
permit. Building permits are not requiredto be signed by property owners unless they are personally performing their
own'work. If your work is being performed.by someone otherthan .yourselfyouu may protect yourself from `possible. �•
liability if that person applies for the proper permit in his or,
her name.'- +• '
Contractors are required by law to be licensed and bonded by the Stare of California and io have a business license
' from the City or County. They are also required by,jaw to put their license number on• all permits for which they.
apply.
If you plan to.do your own work, with'the ex'c'eption'of various trades that you plan to subcontract, you should be '
aware of the following information for your benefit and protection =
If you employ or, otherwise engage-any persons other than jour immediate family,' and the.work (including materials
and other 'costs)'' is $200.00 or more for the entire project, aitd , such persons are not licensed as contractors or'
subcontractors, then you may be empl•oyefr.r.
If you are an employer, you must register with the State and Federal Government as an employer and you are subject
to several obligations including . State, and Federal income tax withholding, federal social security- taxes;, worker's '
;.: compensation insurance, disability insurance costs and unemployment compensation contributions. '
There may be financial risks for you if you do riot carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more'specific information about your obligations under. Federal Law; contact the Internal Revenue Service (and, if
r you wish, the U.S. Small Business Adm'instration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or, through their own employees; without a licensed contractor or subcontractor, only under limited
conditions.,'_,,, I • '
l -• `y
A•frequent practice of. unlicensed persons professing to be contractors is 'to secure,an "Owner/Builder'' building
permit, erroneously implying that the property owner is providing his;or her own labor ind material personally.
,Buildingpermits+are not required to be signed_ by property` owners _unless. they are performing 'their own"work
.; personally. '.4 r , `; , ;x; �• ' - e Y.'
Information about licensed contractors may be obtained by contacting the Contractors',State' License Board in your'•
community or atj 1020 N_Stieet, Sacramento California 95814.
Please complete and return the enclosed owner-builder verification form so that we can'confirm that you are aware of
these matters. Tl a building permit will not be issued until the verification is returned.
Very truly yours, �s Y
r til �: F i•�i M t
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
' 78-495 Calle Tampico'F ,.
La Quinta, CA 92253 • .' i �,'K"
(760) 777-7012 -YI {
760) 777;7
WhIER'S SIGNATURE/D ! { i.• .. -
Al
PROPERTYADDRESS'- _ ems.`°- °'��• ,
- ..s• r.Fi ,,r,. �. 71. .. . -
PERMIT NUMBER(s) _ - s • - t ` *"; ; .
. I
RAFTER SIZE AND SPACING SPECIFY ROOFING ANC SHEATH!ivG 0 O
(SEE ROOFING NOT= ON UVERSE';
--------------------
r(SAME//
PITCHUOUS LEDGER,SIZE AS RAFTERS) LI u u u U
HEADER \ I
/ y jE I `'T' AND 'L' STRAPS /
6"x6'xl"xi/6" WITH
Z I (4) 16c NAILS OR BOLT j I
RAFTER SPAN:` __ . • POST SPACING:_7______' w I
---31
a0.H w 0. H. U_
9 a t,/ •/y,
,OVERALL LENGTH: / a OVERALL LENGTH: 2
----------
_
ro
--— ----- POST SIZE:
---------- ------ �
REAR SETBACK SIDE SETBACK (4'x4" MIN.)
2000 P S.I CONCRETE -moi I FINISH GRADE FINISH GRADE
L_ J I I ! MIN. 12"02" 12" FOOTING I I
L _ J 12" BELOW GRADE L - J
PROVIDE 1" CLEARANCE
BETWEEN POST AND
NOTE: CONCRETE
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x 5" LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL.
3/8" x 5" LAG SCREWS INTO STUDS AT 16' O.C.
�- CONTINUOUS LEDGER
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER 'TO BLOCKING -
U -STRAP OR AN
NON -CORROSIVE
(4)-. 16d NAILS
OR `BOLT
GLE
PLATE rRPpE
II II
II I�l III II
U -STRAP OR ANGLE
(4)- 16d NAILS
OR BOLT
PROVIDE(1' CLEARANCE
BETWEEN `POST AND
'CONCRETE
BUILDING DEPARTMENT APPROVAL BELOW
- II III f
ANCHOR BOLT (EMBED
7" MIN. INTO CONCRETE)
CITY OF LA QUINTATYPICAL PATIO COVER
BUILDING & SAFETY DEPT• DATE OF APPLICATION
APPROVED OWNER'S NAME
FOR CONSTRUCTION STREET ADDRESS
CITY, ST ZIP
DATE By TELEPHONE
H.O.A. APPROVAL
i
RAFTER, SPAN TABLE /LSC A�7
GRADING RULES / ��� `' '
O
PS _'0-70
(FEET & INCHES)00� O�� (J�
o' OAF
2x4
16" O.C.
24"
10'-6' 1
9'-6"
7-3"
8'-9"
8'-h 8'-0" 6'-0"
7'-3"
DOUGLAS
FIR NO. 1
2x6
16" O.C.
24"
32"
15'-0"
14'-0"
10'-9"
13'-0"
12'-6" 11'-6" 8'-9"
10'-6"
10'-0" 8' -ti' N/A
N/A
4x6
6'-0"
2x8
16" O.C.
24"
32" "
18'-0"
17'-0"
13'-6"
16'-0"
1 15'-6" 14'-6" 11'-0'
13'-0"
13'-0" 11'-6" N/A
N/A
4x12
12'-0"
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. .
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
i l'-0"
4x8
8'-0"
4x`10
14'- 0"
4x 10
10'-0"
4x12
17'-0"
4x12
12'-0"
6x8
14'-0"
6x8
12'-0"
6x 10
17'-0"
6x 10
14'-0"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE:
1998 CALIFORNIA BUILDING CODE.
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. POCK ROOF: 3/12 MAXIMUM PITCH.