9810-081 (PAT)ai^ .✓
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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
J l i3 t
61.2RO
Datil//)'' Signature of Contracto
OWN ER-BUILDER'DECLARATION
I hereby affirm under penalty of perjury that I aril 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 Policy No.
,T.A'3"r,"", (�>k ND 229-`�4J M4117:". 00;i 17.16
(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
Eode, I shall fort wit • comply with thosfe�provi n� ,✓'
Date: ✓r�' _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_�epresentatives of this City to enter upon
t 0' above-mentioned property for i9spection purposes.
Signature (Owner/Agent � to
BUILDINGPERMIT PERMIT#CONTROL#
DATE 10/ 9f," VALUATION 52,3901110 LOT TRACT
8434
JOB ADDRESS 7.9-1995 l'�-L�.1�1Y0�l�'RRA CIRCLE
APN
OWNER CONTRACTOR/DESIGNER/ENGINEER
79195 C.'A:I1M4.RRA CIPS 42-335 WAS1II.NC1'i'iW S;MhFr
LAQUW1A CA 92253 `PA.LNt bFisrxr CA 92211
USE OF PERMIT
PATIO
ISO S.F. PATIO? COVER
}'iti RCI1/t=P1TTO
180.00S117
ES m NIA ED COST OF CO S f RUCT :101014 2,394.00
pr!Al b'il:ff+'FIE SUMMARY
PLAN is RE.0 K, FEE :1.01-000-439-:31.9 $35..111
Cn:NSiRI,j(;i'10N1411r, 1014)(N)_418-000 $54 (it)
Si Ti2t?(`TG 1Lii� 1fJfd 1'i cs - �F'�' ,11 g sill-{'rii0- 4l-11� 4i.SQ
�$ 1
w
PAI®
OCT 0 9 1998
31TY.OF LA %.ORJ I `TALESS PRE -PAID MIS $0.00
1
a
1,01fAX REIAtM1T:i+Egan DUE Now, SM89.60
RECEIPT I DATE I BY . I DATE FINALED I INSPECTOR
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 Q - -
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
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 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
COMMENTS:
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
t
Final
Utility Notice (Perm)
110.
PL 100.16
A Patio Cover for:
Mr. & Mrs. Steiner
79-195 Canterra Circle
La Quinta, Ca. 92253
15, 1 61, 11
Existing Swimming Pool
22'6"
Area of Proposed Patio Cover
E)dsbng Single Family Residence
LACUI TA
�y 0.1-
ul- -pLA05TMENT
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it It 4 Q LY, Li. Y a e
-Y
10710NAU O
A (�ONSTI R -.111/ T10N,
1N AS PER
!N LATIN
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)DES
D �P\pp ICA LE
NTE
50.00
18.38
Canterra Circle
e �/ C- r
Line of Existina House
2x10 joists ripped 114" per foot for
Ebsbng roof direction of fall fall, 18" o.c. & installed w/ situp.
17'6' U26 & U210 joist hangers. Roof
sheathing to be 7/16' osb board,
w/ nailing at 6" & 12'. Roofing to be
3 -ply built up hot mop.
Notch out beams at both 2x12 ledger fastened to Beam to ledger connection wl
ends approx. 6,x3" 2x mat. ripped down to min. house w/ 3/8"x 5' lag bolts. simp. HUC412 joist hangers.
& install galy. sheet/ 3 112'. installed wl simp. / /
metal scuppers. U26 & U24 joist hangers, `\
i 24' O.C.
<— Fall 1
Ip
I ; Fall
- ---' ---- it -•
T4x12
D.F.resawn exposed bear s
Fall
wl simp.EPC44's for post to be
connection & simp.HUC412
4x4 posts w/ 12" EPS foam
hangers for beam to beam
connection
match existing color and finish
,
115
Patio Cover Plan View Scale: 118" =1'
Seam to beam connection w/ simp
HUC412 hangers
4" x 4" x 8' D.F. post w/ limp PCS
44 for post to beam connection
Existing 12" x12" x12" concrete
footing w/ simp CB44
4" x 12`° D.F. beams
Min. height 80"
Section detail