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0006-358 (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 Profe3sionals,Code, and my License'Is'in full force and effect. License # Lic. Class Exp*Date 5793911a1 ry,+`.�'lW31/2( Date Signature of Contractor Y V / OWNER -BUILDER DECL/AR'ATION 1 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 OTATF FUND Policy No. 22947 0912195 (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 3700 of the Labor Code,<I ortfwith comply with those,provi )ons' Date r� .K Applicant I'// / �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 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 inspectionipurposes. Signature (Owner/Agent) ✓/ Dat�� BUILDING PERMIT PERMIT# tr DATE i�''VALUATION LOT 000 6-356 TRACT to Z JOB SIYE ADDRESS ( 78-M TANA APN - - OWNER CONTRACTOR/DESIGNER/EN (NEER AL W.0 CAAIDLESS MOLNAR C0M9MUk=X & RFMOIaFLING 78.995 VIA VWrA1dA 77027 CAUK R1I3.DR LAQU aTA CA 92253 PAUADESFRT CA 92211 ("160)345-95654 C # 2213 USE OF PERMIT VA.tnO LATTICE PATIO COVER. 200 SQ FT POR,C6'8/Y-ATIO 4!' t' i EsIwffm con Cir (.".o1,4'u�.1'13i7G•JZ' om ayGp Y.ViI PLAN CHT4,CK FEE 101.000.439.31.8 $35.10 CONSTRUCTIO'a4f FEE 101-000-41€3-000 $54.00 —4 STR.ONO M071011 16% REBID 101.000.241.000 &so � `# SUB-T(YrAl. C014211TR11'C7301' AWD PLAN Ca=—TS. $89.60 LESS PRE -PAM FM $0.00 'i O'rAl'. PE10W:` F. -.ES x>'i E NOW x.60 RECEIPT DATE BY DATE FINALED INSPECTOR 13 � CC 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 8 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: Gratit:D :':Cb trac 'Worker. I ME 11MM ....... ........ ..... .... . ....... ............................... .... . . .... ............ 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O%N'Mers �, Name}/7/— A.T..Ni Number. er: Address: Legal�Ciry,ST Description: Zi 4LL _* 1,2 Contractor:phone:•77 XOg 77-dw - I Tele Z! Address: Pridiject.Description : Ciry.ST. Zip: -Telephone: . .................... .............. .. ........ ...................... ..... . . ...... .............. . ......... v. - . /_ '0 'r':I' Cty StateLi. ;z Ci ch.. Diu,. Designer: Address: Cin'. ST. Zip: �Tele' p hone: ... ...... . ..... ......... . . .. . .............. ............... . ................. 0 nftmction T�pe: - Occtipancy: State Lic. Project type New, �Acicl'n Alter (6irclie one): -Repair Demo' Name of Contact Person: )7 Ft Stofies: # Units' Telephone of Contact Person: V ­r Estimated Value of Project: . ...... . . ... ..... . . .. . . :`>:<: . .... .............. .................... 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Titi i 24 ,Cal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... ... . ...... xxxx: . . . . . . . . .x W ........... . . . * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . %..... . %. . . . . . . . . . . . ......... ... . . . . . . . . . .. P ..<:::>::::::<.:::<::>:.omstftt 0611'.6 19000W-kid"U P ...... . . . . . . . . . . . . . . . . . . . . . . ... .......... .. . . . . Gratit:D :':Cb trac 'Worker. I ME 11MM ....... ........ ..... .... . ....... ............................... .... . . .... ............ 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U . cel OVERALL LENGTH: ry aOVERALL LENGTH:__ .� v /-6" �' - to IIf r POST SIZE:__ in ' REAR SBACK •SIDE SETBACK (4'x4" MIN.) ETa FINISH GRADE FINISH GRADEI I 2000 P.S.I CONCRETE 1 I MIN. 12"x1Y FOOTING 7_ J I L_ J_ . _1 Y BELOW GRADE L J r PROVIDE 1" CLEARANCE" 'BETWEEN POST .AND CONCRETE NOTE r OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA VIA ONE 1/4" x S' LAG SCREW THROUGH FASCIA INTO EACH RAFTER TAIL. U—STRAP OR ANGLE,' :� P NON—CORROSIVE PLATE E ` J. 3/8" x _5" LAG SCREWS INTO STUDS AT 16" D.C. .�-� RPO Y" J. CONTINUOUS LEDGER A's . (4)— 1 6d NAILS OR BOLT V U—STRAP OR ANGLE (4)— 16d NAILS OR BOLT JOIST HANGER OR SOLID BLOCKING NAIL RAFTER TO BLOCKING PROVIDE 1" CLEARANCE. " BETWEEN POST AND CONCRETE BUILDING DEPARTMENT APPROVAL BELOW 3 ANCHOR BOLT (EMBED 7 MIN. INTO CONCRETE) r. CITY OF LA QUINTA c & SAFETY DEPT. TYPICAL. PATIO COVER' BUILDING T �.S • APPROVED ,OVED DATE OF APPLICATION OWNER'S 'NAME J ;' FOR C©NSTRUCTI N STREET ADDRESSZIA' y� �y _ OAIE �� Pr CITY, ST ZIP 0I _+ _ TELEPHONE Z / H:O.A. APPROVAL RAFTER SPAN TABLE Az Az ALL'CONSTRUCTION SHALL CONFORMTO THE PR'VISIONS' OF T HEPS 20-70 ci QD Ci<) 4z) 1998 CALIFORNIA BUILDING -CODE. ' � ` `rcl?/ rr�—,/. SUPPLEMENTAL 'NOTES: k . ' NOTES:' , � . '. � — ' ^ J | 1, 32^RAFTER SPACING |SALLOWABLE ' R 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 14EADERS HEADERS DOUGLAS FIR NO. 1 DOUGLAS FIR NO. 1 'SIZE SPAN SIZE SPAN . ' . .' ROOFING NOTES: - . - A. BU|LT—UP, ROLLED ROOF: SLOPE.TO DRAN. ~BROCK ROOF: '3/12 MAXIMUM PITCH. ' FATTmIUCIA190 7). . ' . . . ' .� a _ Y •• t . _ r _ r ,I _, _ i" v'Y a: ' -- _ :el , r•k Y: -.'I`. ' s„ • - , . r. _ I e r'. ,•" 1 � .; s t•. t t -. 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