9706-111 (PAT)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
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
x
Date b -)A1-7 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 Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less)
.(4 I certify that in the performance of the work for which this permit is issued,
6
I shall not employ any person in any manner so as to become subject to the
iworkers' compensation laws of California, and agree that if.1 should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions '
Date: f %'��•'�Applicant �`/fi+� •-f �9
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.
�d
Signature (Owner/Agent)(°` f i � 'r ! c e t � f�G Date"/ f j ;
BUILDING PERMIT PERMIT# CONTROL#
S17(it�4.1:' 1. 5374 .
DATE '//• VALUATION - LOT TRACT
�J 20 ..3®
ADDRESS . 78-:561D VIA SC➢lai,A A
APN , 646-29A• O14
OWNER
CONTRACTOR/DESIGNER/ENGINEER
1i E:V(v :i11: I t O.RG-11 & iT 1.83:1° 0K.,
OWNt.R.I 81ALl)R,
'18560 VIA SONATA
ATA
LA. QUI NTA CA 92253
01.3:1.4
USE OF PERMIT
1►Afl `ltJ
303&F.�., 0 i710E 19,A i10, (,'Cl � iC
s
i
305.00 SF
3 M TIoONS -TION ��s�+��
1•ffid 119 ►i h E+ 1 .0I't"1M.ARY
r ..„
J_%AN CAHEXX i RE 101-000-4.39-.318 �sAfr ltfi
`s:iONQ IMO`I' ON VIM). - V S11a 101-t}t)t,�24• 000
f�
e—
Z
SU13-'1A>1TALlONSirR114T1019AND €•'L—A-1s1.11"I K
.: $119.30 =
011C. NOW
19.30
st
RECEIPT
DATE
BY/
DATE FINALED
INSPECTOR
+M0
4M
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
&141 1
POOLS - SPAS
BLOCKWALL APPROV LS
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
COMMENTS:
-
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground 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)
AVAIL PROP MGMT 619+5680324 P. 01.
•
k
11 ..I I :. _
PARC LA 4CINTA.HOMEOWNERS ASSOCIATION
`k..
IAVAIL PROPERTY MANAGEMENT
P.O. pox 1032
PALM DESERT, CA 92261
(760) 568-2717
r c is quirt
. June 20, 1997
City of La Quinta SENT BY FAX ONLY
Building & Safety
Attn: Greg
RE;_ Ken Shok ."
y
78-560 Via Sonata
La Quinta
Mr ,& Mrs Shok have requested permission to install a patio cover
in their yard. The'Architectural Committee has'reviewed their
request and approve the construction as presented:
It is understood that they must have all necessary permits from
. . the city and"that construction debris will be cleaned .from the
street each night by the contractor.
If"you have any questions, please contact this office. It is
my understanding that Mrs. Shok should be in"your office by' 4:30
this date to obtain permits.
sincerely.
l
CAm Anderson
Project Manager
RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE
r
r (SEE ROOFING NOTE ON REVERSE)
ZX
ROOF PITCH r
JF lnA-- -
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS)
HEADER SIZE 1"I,'L' STRAPS I 1
6"x6"x1"x1/V' WITH
—AZ(------' (4) 16d NAILS OR BOLT I ` z
RAFTER SPAN: _ 6 POST SPACING:Lq W
61_
U ,
CL
1 r ry 0 , '. Z
.OVERALL LENGTH: L5 �hl a OVERALL LENGTH:_�D I + I3 10 ry
POST SIZE.
.,
REAR SETBACK SIDE SETBACK (4"x4" MIN.)
2000 P.S.I CONCRETE I FINISH GRADE FINISH GRADE I �_ MIN. 17'x12" FOOTING I I
L_ J
`
L- J 12' BELOW GRADE L__J
3D5 s, ' i OTAL_
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.
U—STRAP OR ANGLE
iD
3/8" x 5" LAG SCREWS INTO STUDS AT 16" O.C.
NON -CORROSIVE PLATE
RApE
CONTINUOUS LEDGER
II II
II
�� III II.
(4)— 16d NAILS
OR BOLT
U—STRAP OR ANGLE
(4)— 16d NAILS
OR BOLT
JOIST HANGER CR SOLID BLOCKING
a
NAIL RAFTER TO BLOCKING
PROVIDE 1" CLEARANCE
BETWE EN
ANDCONC
ETEPOST'
II
II
II III ILII
l��_n►Nr DEPARTMENT APPROVAL BELOW
I
CITY OF LAIN TA`
ANCHOR BOLT (EMBED ;.
BUILDING & SAFETY DEPARTMENT
7" MIN. ' INTO CONCRETE)
TYPICAL PATIO COVER
CONDITIONALLY
DATE OF APPUCATION
(Wq�
ACCEPTED FOR CONSTRUCTION t
SUBJECT TO INSTALLATION AS PER
OWNER'S NAME
Q
STREET ADDRESS
CITY, ST ZIP
L 0 1 f.SL1 Ci -1 q 2-Z53
► �s
v
AND ALL APPLICABLE CODES
TEL
C�l(fiC 5(G -'2595
^
aQ BY.
H.O.A. APPROVAL
R
RAFTER SPAN TABLE Azcj Q
GRADING RULES A -Z
co C-) C�) C-) ALL CONSTRUCTION SHALL CONFORM
PS 20-70
T
, -�, I,,- TO THE PROVISIONS OF. THE 1994
(FEET & INCHES) A!� K.� 4�
k 0 k oQ. UNIFORM BUILDING 'CODE...
lrlvv
2x4
16" O.C:
X
10'-6"
9'-6"
7'-3"
8'-9"
8'-6" 8'-0" 6'-0"
7'-3"
-DOUGLAS FIR NO. 1
SIZE
2 x 6
16" O.C.
24" "
32" "
I
15'-0"
14'-0'
10'=9"
13'-0"
12'-6" 11'-6" 8'79"
10'-6"
10'-0" 1 8'-6" N/A
N/A
I
4x8
'2x8
16' O.C.
2,C-
32"
18'-0"
1
13'-6"
16'-0"
-14 T 6 11 -
13'-0"
EC,
P13' 6 11'::-6" N /A
N/A
-12'-0"
6X8
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'
. �a�
4x6
61.-0,
4x8
11'-0"
4x8
81-0"
4x10_
14'-_0"
.4.x 10
101-0"
4x12
17 _O"
4x12
-12'-0"
6X8
14'-0"
6x8
12'-0"
6x 10'
17'-0"
600
14'-0"
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCk-