9905-310 (PAT)T LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
C4ipter 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
54481 a B / - J 00/3112()11
tae ' '� t Signature of Contractor
9
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).
( ) 1, 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 . Policy No.
gUJII.:LY.LL're.
(This section need not be completed if the permit valuation is for $100,00 or less).
( )r 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 t the workers' compensation provisions of Section 3700 of the Labor
Code I shall forthwith comply with those -pr visions.
Date: Applicant
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.
Future (Owner/Agent)-'l"/��� Dated`
r�T
BUILDING PERMIT PERMIT# R
y+lQ#5..31f.!
DATE 0C%f2.,5/t.99VALUATION $2,793.(W LOT TRACT
JOB SITE 79-940 VIA N'1rN ANA APN
ADDRESS
OWNER ^��y� y CONTRACTOR / DESIGNER /ENGINEER
��'yy1gg RCH AIM
78940 VIA. V N TANA. 73091 € OUNTR;Y CLUB DR SrE A,
LAWN'TA CA 92253 PA[a1c DE'S1s1' r CA 92260
(7+0)135-9,= Ck3.t.,# 5784
USE OF PERMIT
RAI -10
310 S.F. LM11"T1:CE PATIO C>OVeiR
1rO.lCt+.f,MPA..l.,10
2,1000 'ar
i
PERMIT FCC IWI'MIARV
PLAN i tIFECK;r UE 105.10
s;'QN:M`'R1,Trf Of1! !`+? 10 1-f3f _4001-4 1! 8-1)[09 $scoo
3:lY`t�ING-1Sh1JTIONT.; TUISID J01»000-241.000
,r
e •7� JL7^ �,: E�,:1lw {,�1,,.1� .`til �r't.. A.6`+.lw
ANDPLAN CHECK
1,ESS P1' y --€',t ID 17EFS
`1'29i.ij'tlL011,301 T FEES )WE NOW
RECEIPT I DATE I BY / I DATE FINALED l INSPECTOR
2,79100
'w�h9,69
$0.00
$89.60
INSPECTION RECORD
♦ OPERATION
DATE
INSPECTOR
OPERATION
DATE
I 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 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
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:
C61 a
/ / ✓� )
b <
6/
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)
' RAFTER SIZE AND SPACING SPECIFY ROOFING AND SHEATHING OR OPEN LATTICE '
(SEE ROGFIN„ NOTE ON REVERSE) I
i
i / ROOF PITCH I f
I " • i ji I
1 ,
CONTINUOUS LEDGER
(SAME SIZE AS RAFTERS) _� 1
HEADERSIZE\='T' AND 'L' STRAPS
�2 — w I (4) 1 c NAIL'• WITH I i,.i�
w (s) 16c NAILS OF. 60LT � `–'I
RAFTER SPAN: �_—_--_ - _ POST SPACING:_�_� __ w
_ J
0. H. w 0. H., U
o
OVERALL LENGTH: _–� — .(�__ " /
_ �' o OVERALL LENGTH:__
/ ro
/ y /
POST SIZE: _f1 X 1�✓ io
REAR SETBACK SIDE SETBACK (4"x4" MIN.)
FINISH GRADE FINISH GRADE
2000-P.S.I CONCRETE I I I� MIN. 12"02" FOOTING I I
L._ J + L _ J12" BELOW GRADE L – J
PROVIDE 1" `CLEARANCE
t z 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
3/8" x 5" LAG SCREWS INTO STUDS" AT 16" D.C. NON–CORROSIVE PLATE GRPpE
CV
/ CONTINUOUS LEDGER • '� II TIS II
� _ II II III II
(4)'– 1'6d NAILS
/ I j OR BOLT
U –STRAP -OR ANGLE
' (4)– • 1 6d NAILS
i "OR- BOLT
JOIST HANGER OR SOLID BLOCKING
NAIL RAFTER TO BLOCKING PROVIDE 1"' CLEARANCE
BETWEEN "
CONCRETE AND II
• �� II IIID
BUILDING DEPARTMENT qPFj�VAL. B LOW it SII III II
f
z Vit-
lNG & SA ET a DEPAR T ��EN 9i NCM N. INTOTCONCRED61LDTE)
CONDITIONALLY
TYPICAL PATIO COVER
ACCEPTED FOFi
/p�� p DATE OF APPLICATION
�!y F�r"'l' %.:.• s•F4A i Lr .o4 �iS'Y i �, 9 ) 1—:_ 2 ]
OWNER'S NAME Dcsea LA
STREET ADDRESS - 940 V1 A VE I 'TAV46
Gin, ST ZIP uta;a CA,51163
TELEPHONE
L 4� H.O.A. APPROVAL
r 52 1 Q
P,AFTER SPAN TABLE c~ , � !`� ,ALL CONSTRUCTION SHALL CONFORM ;
GRADING RULES v �. %'�� -' TO THE. PROVISIONS OF THE 1994
PS 20-70
(FEET & INCHES)ooJA, 'oJ'�? o� UNIFORM BUILDING CODE.
'o\ 'o/
_A�7
_�� / _�Oe SUPPLEMENTAL NOTES:
2x4
16" O.C.
24., „
10'-6" I
9'-6"
7'-3"
8'-9"
8,_6„ 8'_0., 6'-0"
77_ J.
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'-6" N/A
I N/A
4x6
6'-0"
2x8
116' O.C.
24"
32" "
18'-0"
17'-0"
13'-6"
16'-c
15'-6" 14'-6' 11'-0"
13'-0"
13'-0" 11'-6" N A
N A
4x12
12'- 0"
NOTE.
32" O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE
PATIO COVERS ONLY.
LATTICE
ROOF
BUILT-UP
ROOF
I
HEADERS I
�
HEADERS
DOUGLAS, FIR
1\10. 1
DOUGLAS
FIR NO. 1
Sl-' P -
I
SPAN
I SIZE
SPAN
4x4
5'-0"
4x4
4'-0"
4x6
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
400
14'-0"
4010
10'-0"
4x 1 2
' 7'-0"
4x12
12'- 0"
I 6x8
14'-0"
6x8
12'-0"
6x10
17'-0"
6x10
14'-0"
ROOFING NOTES:
A. BUILT-UP, POLLED ROOF: SLOPE TO DRAIN.
B. ROCK ROOF: 3/12 MAXIMUM PITCH.