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0401-025 (PAT)11, Ll - :NSED CONTRACTOR DECLARATION I hereby affirm ung \,lenalty of perjury that I am licensed under provisions of \ Cha�;er 9 (cr imen ; 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 1��'{'' '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 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 EXEMPT Policy No. (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 Section3700of the Labor Code, I shall forthwith comply with thosegprovisio_ns. f j Date:Applicant �_ .�. ` Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. Signature (Owner/Agent)4. { 7' Date PERMIT # BUILDING PERMIT.. ',L 02x `'.GATE. , VALUATION �,, y LOT TRACT JOB SITE. ADDRESS 54- 9 AVENTA ��i.sX7I01 S APN OWNER CONTRACTOR / DESIGNER / EN (NEER BOA 1117. T.01 R$ i UNS-MfiD 00P7=TY071t'X4 54.565 AVEWDA RWRW 79-1390 DYI.W.RT 1101`f Rt`' M DIMB LA. Q1UJ" A CA. 92253 LA C,?"t LWfA A. 92253 (700)66S-1700 C -1-111t WD USE OF PERMIT PATIO .t 1 31_N SF A3.AIMAV1000 PATIO CO`V R. PORCIUR� TIO 315,00 SP XUAWYD CO -SU Of, CQKY1'R.UC_1.1rf0!! :��MM MUMARY PLAN *J C:K WX 101-000.439-318 X9.318 S4�5.00 Csat3S7'ft11C.'now 7EF '101-000.418.000 MOO STROW1 MOT1014 CS17 W1ti:= 141.000-241.000 D STOR-` C ', ftfJMrIOX AMD PLAN (11 -IMF $119.30 CITY OF I �, OL' `•T �"l PK -R,; Wr 1,41%5 P VE' P0W FIR'ANC� (y>ri• RECEIPT DATE% �J BY t �. DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts FoA(ms & Footings Ducts Slab Grade Return Air gel Combustion Air RCbf 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 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 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 ')tility 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: s N M �o N 0 0 o. S a CD ICBO Evaluation Service, Inc. American Accredited the National Stanndards Institute ' 5360 WORKMAN MILL ROAD • WHITTIER, CALIFORNIA 90601-2299 A subsidiary corporation of the International Conference of Building. Officials EVALUATION REPORT ER -2621 P* Copyright © 2001 ICBO Evaluation Service, Inc. Reissued April 1, 2001 Filing Category: MISCELLANEOUS STRUCTURES (156) ATTACHED AND FREESTANDING PATIO COVERS AND COMMERCIAL ROOF STRUCTURES AMERIMAX BUILDING PRODUCTS, INC. 1140 ALL PRO DRIVE ELKHART, INDIANA 46514 1.0 SUBJECT Attached and Freestanding Patio Covers and Commercial Roof Structures. 2.0 DESCRIPTION 2.1 General: The patio covers and commercial roof structures include free- standing and attached designs. The walls must be unen- closed. Allowable loads and a summary of plans under this re- port are shown in Table 1. 2.2 Materials: 2.2.1 Aluminum: The aluminum is available in roll -formed and extruded shapes of various alloys and tempers, comply- ing with Chapter 20 of the UBC. 2.2.2 Steel: The steel is various grades of galvanized, cold - formed steel complying with ASTM A 653. 2.3 Installation: The structures are erected and framed in the manner set forth in the attached plans. 2.4 Identification: Each structure -bears a permane-it decal or identifying tag stating the allowable roof live loac, the horizontal wind load, the uplift wind load, the name of the manufacturer and the model number. 3.0 EVIDENCE SUBMITTED Plans, calculations, and reports od transverse load tests and fastener tests. 4.0 FINDINGS TABLE 1 That the Attached and Freestanding Patio Covers and Commercial Roof Structures of Amerimax Building Products, Inc., described in this report comply with the 1997 Uniform Building Coder"", subject to the following conditions: 4.1 Construction is in accordance with the attached plans, dated February 8„ 2000, and the Uniform Building Code. 4.2 The 10 psf (479 Pa) live toad patio covers are in compliance with Appendix Chapter 31, Division III, of the code. This report is subject to re-exami cation in one year. For SI: 1 psf = 47.88 Pa, I mph = 1.61 km/h. 1 Horizontal wind and wind -uplift loads developed with a basic wind speed of 70 or 90 mph, Exposures B and C, in accordance with Chapter 16, Division III, of the UBC. Patio -cover horizontal wind and wind -uplift loads developed with a 70 or 90 mph basic wind speed, in accordance with Appendix Chanter 31, Division III, of the UBC. Evaluation reports ofICBO Evaluation Service, Inc., are issued solely to provide information to Class A members ofICBO, utilizing the code upon which the report is based. Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen- dation for use of the subject report. This report is based upon independent tests or other technical data submitted by the applicant The ICBG Evaluation Service, Inc.,lechnical staff has reviewed the test results and/or other data, but does not possess test facilities to make an independent verification. There is no warranty by ICBOFvaluation Service, Inc., express or implied, as to any "Finding" or other matter in the report oras to any product covered by the report. This disclaimer includes, but h not limited to, merchantability. Page 1 of 1 DESIGN LOAD (psf) PERMITTED DRAWING NO.OF ENCLOSURE (based on horizontal wind Roof Live Horizontal NUMBER' PAGES TYPE OF STRUCTURE SUPPORT METHOD (or (Snow)] Wind Wind U Mini calculations) 97GN 2 General notes — 10,20 10.2 to 10.16 to — (20 to 60) 28.7 64113 97SC 1 2 Structural configurations Attached and freestanding — — — May not be enclosed Roof panel spans, header spans, 7'5 8 column spacing, column type, — 10, 20 (20 to 60) — to — footing size 64.1 ,13 97CD 9 Component parts and details Attached and freestanding — — . — May not be enclosed 97LT 4 Component parts and details Attached and freestanding — — — May not be enclosed For SI: 1 psf = 47.88 Pa, I mph = 1.61 km/h. 1 Horizontal wind and wind -uplift loads developed with a basic wind speed of 70 or 90 mph, Exposures B and C, in accordance with Chapter 16, Division III, of the UBC. Patio -cover horizontal wind and wind -uplift loads developed with a 70 or 90 mph basic wind speed, in accordance with Appendix Chanter 31, Division III, of the UBC. Evaluation reports ofICBO Evaluation Service, Inc., are issued solely to provide information to Class A members ofICBO, utilizing the code upon which the report is based. Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen- dation for use of the subject report. This report is based upon independent tests or other technical data submitted by the applicant The ICBG Evaluation Service, Inc.,lechnical staff has reviewed the test results and/or other data, but does not possess test facilities to make an independent verification. There is no warranty by ICBOFvaluation Service, Inc., express or implied, as to any "Finding" or other matter in the report oras to any product covered by the report. This disclaimer includes, but h not limited to, merchantability. Page 1 of 1 CITY OF LA OUINTA BUILDING & SAFv DEPT AP POR® UCTION FOR DATE B !� G A /�vev�dA �Zi vlv�o