9803-052 (BLCK)U)
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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 97(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 r
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
(7j- 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.
(This section need not be completed if the permit valuation is for $100.00 or less).
(v) 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
Cgde, I shall forthwith comply with those provisions.
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 t
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) ) • -�'" '� J� � Date -- A
BUILDING PERMIT PERMIT; CONTROL#
i�f4l,t.lii2
DATE / VALUATION ,��,tt;� LOT TRACT 6944
JOB SITE
ADDRESS ' 79-210 Ct�N ERRA CIRCLE
APN
OWNER
CONTRACTOR/DESIGNER/ENGINEER
72 10 CANTEIUkA Citi
LA QUINTA CA 92253
USE OF PERMIT
V311ILDING
5% S.I'. OvEN LATi'ICE PAM i'OVi±R
f*,—,R Evpxnrf
F+..N ',I1I?':) C�,"�' 1' (3i� C;t?,"VS't (�1)C;1 iC)gl
7.660Aft
PERINUi FEE [1lLtttIAM'
PLAN CHLeX FEE Itlf-ttt?i)-•13��-vitt 5ir#.35
t'Mt�)NTTRT�J�:"�'pION F T,.F. 10 l -1J1�f(�X)�-d i RdK}f) $99't(YN4t
( r
..� l ZOINIG IVfO 1014 f M- 7 - (USIO 1V-V�IV- `41-40) S./ /
(U
SC1Ti-'t`;�f � L [,t�N:"[i2.11G'i'ICJN AND PIAN C-IfECK
LESS PRE -PAID FEPS
$0.00 .
'!'t' 1'Al, PERMIT EFMS OVE'lVC1W
5264.!2
RECEIPT A .r y
DATE 1� f�
BY j J
DATE FINALED
INSPECTOR
Y r r v ! J
INSPECTION RECORD
16 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 p
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 . Tio pyc- I Z-60
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:
•
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
s
t
Final
Utility Notice (Perm)
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OPEN LATTICE PATIOCOVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x S" LAG SCREW THROUGH FASCIA INTO EACH. RAFTER TAIL.I
ry
8 ■ 5" LAG SCREWS INTO STUDS AT 16" O.C.
1 Z�;`� CONTINUOUS LEDGER
[�lsT HANGER R• SOLID BLOCKING
NAIL RAFTER TO BLOCKING =
IBUILDW lDTPUF-MLg 18P1 BELO
BUILDING & SAFETY DEPARTMEN, T
ACCEPTED PCS- CC"tf ;... ,M
SUBJECT TO I,e'n : ;,3
-----------------
AND ALL APPLICABLE CODES
�oq8' BY
qFf 1 Lc
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
LISTRAP OR ANGLE
--rv-
NON—CORROSIVE PLATE`
(4)7- 16d NAILS
OR BOLT
Zr:::5- T_PP OR AN<E"�
(4)- 16d NAILS
OR BOLT
PROVIDE' 1" CLEARANCE
BETWEEN POST AND
CONCRETE
— iL
ANCHOR BOLT (EMBED
7'i MIN.. INTO CONCRETE)L�
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME 2 SN+`
STREET ADDRESS -1 I O A
-CITY, ST ZIP LA 1
Ai—/�
TELEPHONE
H.O.A. APPROVAL
RAFTER SIZE 0 SPACI G
NG ORO NN LATTICE
(SEE ROOFING NOTE ON REAR$ j'"�" •.
Ay
e
4r, pcd ROOF PITCH,,
-03 pL 11
APPRo +�•
(SAME SIZE AS RAFTERS)
C
HEADER SIZE
0 7�-`
'AND 'L' .STRAPS
7'
��
6'x6"xt"x1/8" WITH
_-` _-
w
(4) 16d NAILS OR BOLT
RAFTER SPAN: _ _&r __ _
POST SPACING:___L
O.H.
W
O:H. LqJ� ' �Q. it Vfwj
OVERALL LENGTH: � '2
a
OVERALL LENGTH:—IYA--
/O f
/-
POS SIZE: �12--_
it�
>�
A
_�
"Y
REAR SETBACK I
SIDE SETBACK
MIN.)
y
FINISH GRADE'
2000 P.S.I CONCRETE --�1 1
FINISH GRADE
I MIN. 12`02" FOOTING I I
L__J
I
L_ J A 12" BELOW GRADE L_ J
OPEN LATTICE PATIOCOVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1/4" x S" LAG SCREW THROUGH FASCIA INTO EACH. RAFTER TAIL.I
ry
8 ■ 5" LAG SCREWS INTO STUDS AT 16" O.C.
1 Z�;`� CONTINUOUS LEDGER
[�lsT HANGER R• SOLID BLOCKING
NAIL RAFTER TO BLOCKING =
IBUILDW lDTPUF-MLg 18P1 BELO
BUILDING & SAFETY DEPARTMEN, T
ACCEPTED PCS- CC"tf ;... ,M
SUBJECT TO I,e'n : ;,3
-----------------
AND ALL APPLICABLE CODES
�oq8' BY
qFf 1 Lc
PROVIDE 1" CLEARANCE
BETWEEN POST AND
CONCRETE
LISTRAP OR ANGLE
--rv-
NON—CORROSIVE PLATE`
(4)7- 16d NAILS
OR BOLT
Zr:::5- T_PP OR AN<E"�
(4)- 16d NAILS
OR BOLT
PROVIDE' 1" CLEARANCE
BETWEEN POST AND
CONCRETE
— iL
ANCHOR BOLT (EMBED
7'i MIN.. INTO CONCRETE)L�
TYPICAL PATIO COVER
DATE OF APPLICATION
OWNER'S NAME 2 SN+`
STREET ADDRESS -1 I O A
-CITY, ST ZIP LA 1
Ai—/�
TELEPHONE
H.O.A. APPROVAL
I I I .,/ 'Q. 'Q. q .
v v v
RAFTER SPAN TABLE A pp
GRADING RULES C-)
� Q� co Q C O�
PS 20-70 c� pv p&
(FEET & INCHES) opJ�� OpJ�� OpJ4? pP Q
,per ti gyp\ .'per ry C�
NOTE:
32" O.C. SPANS ARE ALLOWABLE FOR OPEN LATTICE
PATIO COVERS ONLY."
LATTICE
--,- -
1
-
HEADERS
-a
im
FIR NO. 1
DOUGLAS
FIR NO. 1
SIZE
SPAN
.
mom'
FT?
w>��,
:"m
4x4
:
•
2 47
8'-0"
4x6
6'-0"
4x8
����
4x8
8'-0"
4x 10
14'-0"
400
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
8'-0"
4x6
6'-0"
4x8
11'-0"
4x8
8'-0"
4x 10
14'-0"
400
10'-0"
x12
171-0"
402
12'-0"
6x8
4'-0"
6X8
12'-0"
6x"10
17'-0"
600
14'-0"
ALL CONSTRUCTION SHALL CONFORM
TO THE PROVISIONS OF THE 1994
:,UNIFORM BUILDING CODE.
SUPPLEMENTAL NOTES:
ROOFING NOTES:
A. BUILT-UP, ROLLED ROOF: SLOPE TO DRAIN.
B.. ROCK ROOF: 3/12 MAXIMUM PITCH.
Notice:
Document Cannot Be Duplicated
Date 3/13/96
No. 14241
Desert Sands Unified School District
82-879 Highway 111
Indio, CA 92201
619-775-3500
CERTIFICATE OF COMPLIANCE
Owner Name Roger Snellenberger & Associates
No. 79210
City La Quinta
Tract # 23913
Street Canterra Ct.
Lot # 25
Xype of Development . Single Family Residence
Comments
By
APN # 604-263-006
Jurisdiction La Quinta
Permit #
Log #
Zip 92253 Study Area 223
Square Footage 2015
No. of Units 1
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports,
covered patios/walkways, residential additions under 500 square feet, detached accessory structures or
replacement mobilehomes. It has been determined the above-named owner is exempt from paying
school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 2,015 or $ 3,465.80
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued. -
Fees Paid By Roger Snellenberger & Associates `Telepf,, ne '777-7766
Name on the check
Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Pauline Pearson Payment Received $3,465.80
Signature ��, A ; .Qo
Check No. 11437
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting