9908-222 (PAT)LICENSED CONTRACTOR DECLARATION BUILDING PERMIT PERMIT#
U) ,' I r'areby affirm under penalty of perjury that I am licensed under provisions of +�y31�a-xV
1-- CFiapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE ®$l311/J!MALUATION 16,344.00 LOT TRACT
04 W Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
O Q t1) f1�.56 C-61 D03 1.;i 31Y14Y` r JOB SITE 7"30 BAYBERRY LANEAPN _
U I / ADDRESS
Z It-
� Date
CD Signature of Contractor ` OWNER CONTRACTOR /DESIGNER /ENGINEER
oo O �, MAS 141<;3EtENO ATLAS t1:tPdAdNl Gr COMPANY
J OWNER-BUILDER DECLARATION ",81330 B.,kYSER:RY' LN ut 7.54 WILLIAMS ROAD
W w I hereby affirm under.,penalty of perjury that I am exempt from the Contractor's i,s1.QL[ENTA CA 922-53 PALM SPMG-S CA 92264
~ a g reason: License Law for the following - 7
cn
Z60).327-84616 C�3LO 1825_ ( ) 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). USE OF PERMIT 1
( ) I, as owner of the property, am exclusively contracting with licensed RKHO
contractors to construct the project (Sec. 7044, Business & Professionals
Code). 4,304 P. yi. Uw. L kv YD PATO C V.8,vC.[ ; 1JP'LO-M
C'') () I am exempt under Section B&P.C. for this reason
LID
N Date Signature of Owner
O N
Cn
WORKER'S COMPENSATION DECLARATION
CL
o 2 Z I hereby affirm under penalty of perjury one of the following declarations: P(UitC1 rP'ATFU 480 W SF
p () 1 have and will maintain a certificate of consent to self-insure for workers' '
X W L: compensation, as provided for by Section 3700 of the Labor Code, for the
Oro J Q . performance of the work for which this permit is issued.
< L) I have and will maintain workers' compensation insurance, as required by
O U Q Section 3700 of the Labor Code, for the performance of the work for which this
11 LOH permit is issued. My workers' compensation insurance carrier & policy no. are:
Cp.
Z Carrier STATE FUND Policy No. (46 :99-!if?t� 749 CS•� IRIA�I E D C051'Or, $;d)S?i�i'1"R.dil�;`•�i"3�f3.N tS,3�3.t)f1
J (This section need not be completed if the permit valuation is for $100.00 or less). PLAIN Gi4EC:'!w MET 131.ow-,13-4:3I's ;x58-50
( ) I certify that in the performance of the work for which this permit is issued, 01(4 11WT i•3 ►';. 101 104-41694" 100100
I shall not employ any person in any manner so as to become subject to the ril3icr�i�r YviC►3.[ ii2i.rr6°it<�r«f i3) IV1_3WD 241.000
workers compensation laws of California, and agree that if I should become
3 subject to the workers' compensation provisions oVection 3700 of the Labor,
C�de, h- II fort i comply with,tl4ose/provisto s.
at Applicants ' '-�.c
Warning: Failure to secure Workers' Compensation coverage i§ 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(„Z'1� et�i. i�i'6� Pd;��i`w� f; F C'j fi i . • t o
1. Each person upon whose behalf this application is made &each pRI N-` I( Y� A I C' flKS; IT 'person at ,. �. _ _
whose request and for whose benefit work is performed under or pursuant to1,`SS :I'u-PA.10 FEES Mau
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 TOTAL PERINUT BEES DUE 'N:. W S149,14
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•
theBove mentioned grope y foP inspec lop purposes.
cp✓ RECEIPT DATE By r DATE FINALED INSPECTOR
Signature (Owner/Agent) Date id I
r
INSPECTION RECORD
t 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 & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
_
Final %l� 9i (�—
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 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 Rece cies
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
ETLAS
WN/NG
COMPANY
No re rl__o
I7r�cl�2
eC 2.r
14Duse.
AUTHORIZED DEALER
FOR ALUMAX
AND ALCAN PRODUCTS
LIC. NO. 376238
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
BY
�5
3/3Z
754 Williams Road /Palm Springs Kalifornia 92264 /(619) 327-8466
ao,
SINGLE SPAN ATTACHED CANTILEVERED ALUMA-WOOD PATIO STRUCTURE
2"X 6 1/2'X 12' HANGER
ALUM. RAFTER
16" OR 24'
O.C.
2'X 6 1/2" ALUM.
ALTERNATE DECORATIVE
FASCIA TRIM
6 1J2" ROLLFORMED
HtEAADER
COVER PANEL(6" FLAT PAN
0
G+[
12"OR 18' V -PAN)
2-X 6 1/2- FASCIA
ROLLFORMED
COVERING ROLL-
HEADER
FORMED HEADER
OR ALTERNATE
Fps��
3/4"X 6 1/2" OR
oy
1 1/2-X 6 WOOD
COVER PANEL(6" FLAT PAN
0
G+[
12"OR 18' V -PAN)
�
MIN. SLOPE= 0.4" /FT
2"X 6 1/2"
ALUM. FASCIA
OR WOOD8"
W
5�+.
i i�
z
ALUM. HEADER
ALTERNATE'
O
C)
X 8' X 12 GA.
"C"
rO
EXISTING
L BEAM
STRUCTURE
m
OJECTION
LL
SIDEPLATES
3"X 3" COLUMN
X 3" POST
SEE NOTE #8
BETWEEN
NOTES: 2" X 6 1/2" ALUM. �ONCRETE SLAB
1. FOR GENERAL NOTES SEE DWG. 435003, SIDEPLATES - ONE
SHEETS 1 OF 16 AND 2 OF 16. EACH SIDE OF
2. FOR COVER PANEL INFO. SEE DRAWING COLUMN �� SAFETY STAKE OR ABESCO
#35003, SHT. 3 OF 16 DETAILS "A k, "B" ANCHOR.
& OWG. #35030 SHT. 10 OF 10. LENGTH VARIES OF COLUMNS.
3. FOR LEDGER TO WALL CONNECTIONS SEE SIDE VIEW LENGTH AND
LENGTH DEPENDS ON N
ORTHE FROLLFORMED- DWC. 135003 SHT. 4 SEE SCHEDULLE ABOVE FOR MIN•PER PANEL JOINT•
OF 16, DETAIL 'L' k SHT. NUMBER OF �10 SMS FASTENERS
3 OF 16, DETAIL 'C" FOR ALTERNATE 2^X 6 1 2 ALUM. FASCIA
AND DING. #35030 SHT. 10 OF 10. / "
FOR EXTRUDED- DWG. 135003, SHT. 7 OF 16, ATTACHED TO ROLLFORMED HEADER
DETAIL "If SHT. 7 OF 16 - TYPICAL FRONT AND SIDES.
DETAIL "V AND DWG. FOR COL MN SPACING SEE
135030 SHT. 10 OF 10. SCHEDULE THIS S
4. FOR HEADER TO COVER PANEL CONNECTION 3"X 8" BOX BEAM INSTALL COLUMNS
SEE DWG. 35003, SHT. 5 OF 16, DETAIL "0" OR 3"X 8"X 12 GA. STL. VERTICAL,
AND DWG. 35030 SHT. 10 OF 10. "C" BEAM CANTILEVER HEADER
5. FOR SIDEPLATE TO COLUMN k HEADER
CONNECTIONS SEE DWG. #35019 SHTS. 4, 5
AND 6OF6.
6. DESIGN PER U.B.C., 1991 EDITION.
7. FOR COLUMN TO HEADER k COLUMN .TO FOOTING BRACKET,
SEE DWG. 35019, SHT. 4, 5 AND 6 OF 6.
8. USE 3"X X 0.024" ALUM. COLUMN WHEN ATTACHING TO CONCRETE SLAB.
USE 3"X 3"X .040" ALUM. COLUMN WITH 3"X 8" ALUM. BOX BEAM HEADER
WHEN ATTACHING TO FOOTING.
USE 3'X 3"X 0.048" STEEL COLUMN WITH 3"X 8"X 12 GA. STEEL "C" BEAM
HEADER WHEN ATTACHING TO FOOTING SEE DWG. 35003,
SHT. 10 OF 16, DETAIL 'V V' FOR COLUMN FOOTING CONNECTION.
PROVIDE
1 1/2" DRAIN /
ALTERNATE 3"X 3" COLUMN SEE SCHEDULE FOR
WITH ALUM. 'W BRACKET CONNECTING FOOTING SIZE
COLUMN TO HEADER.
No. 13857
CIV1� ^Q
OF CAL\E���
"NEWPORT" PATIO STRUCTURE
DATE REVISIONS
r
Q�
F-- ° z
Z o O
0
G+[
1.1.1
�'-
4
�
U
:.
t=
f—
_]�x
W
5�+.
i i�
z
U-'
.,,
O
C)
0
_
U
m
�2"X 6 1/2" ALUM.
LL
ml
w
Q
0
I'110FA LU MAX A D 5iv1- of Ilumm Fakricaw Pmduds kK.
Il6SI Dallas ParkraT, Suite 370
BUILDING PRODUCTS INC. 00110:, 1.. 15240-7478
AIF ILtlU tJ. A U
NONE OR P^RrSINCLE SPAN ATTACHED ALUNA-WOOD PATIO
VANE STRUCTURE
IDA'.E: A'NIt1SHEET
S/I1/91 OR PAR 75019 1 OF 6
"�•IUNBER
QPN"'o"'r F�o��l Q•►" AEC'/p. CN., 10A•r`rsr""~,�► �p PROF ?rE, OF j��� Q. CI�gC
e ��pur� O ie• F. ( OtE3Sq,>H '�i. pt F 1 F• ww�
6036 �o g. O� BRUCE P.• JG QQ Ti
7C c G1Nf �y1 t1r 1� C OF H�
V O Q. �,t1FIC7 '1! + :. jNTE p'•.• N F
BEXE WROVNI • U• �' N O. m Z au N0. 6191 i Y: r �!
auuiuu p CHALUJIAN W • 53A9 y BRUCE D. ;62671 •_ BRUCE O. CHALLMAn�
a 4,� O� 23921 G` F oRlo w r, CHALLMAN
A. ;� qo p- -.—........ o : i
ti.b. 2 r R r v A: �� q� 55081 ' i 4 � :
n . TS/ON AL EN C�sr G`a d CIVIL ' e1EW WE���.•` d3 27, '� Ot :C/STEPF�2�� 40i RFri�rraE��c�
FRED EN sT�.. .�>�� ''•:•f/('.... ,�Tr� '7��.E11
(—COVER
'-
MAX.
PANEL
II
O'HANC
257. OF
'OL. SPACING
�2"X 6 1/2" ALUM.
SIDEPLATES
X 3" POST
BETWEEN
-
PIATES
,�j
OPT. 3 1/2" CONC.
H^
SLAB- SEE NOTE
ON DRAWING
115
35003, SHT. 2
OF 16.
I'110FA LU MAX A D 5iv1- of Ilumm Fakricaw Pmduds kK.
Il6SI Dallas ParkraT, Suite 370
BUILDING PRODUCTS INC. 00110:, 1.. 15240-7478
AIF ILtlU tJ. A U
NONE OR P^RrSINCLE SPAN ATTACHED ALUNA-WOOD PATIO
VANE STRUCTURE
IDA'.E: A'NIt1SHEET
S/I1/91 OR PAR 75019 1 OF 6
"�•IUNBER
QPN"'o"'r F�o��l Q•►" AEC'/p. CN., 10A•r`rsr""~,�► �p PROF ?rE, OF j��� Q. CI�gC
e ��pur� O ie• F. ( OtE3Sq,>H '�i. pt F 1 F• ww�
6036 �o g. O� BRUCE P.• JG QQ Ti
7C c G1Nf �y1 t1r 1� C OF H�
V O Q. �,t1FIC7 '1! + :. jNTE p'•.• N F
BEXE WROVNI • U• �' N O. m Z au N0. 6191 i Y: r �!
auuiuu p CHALUJIAN W • 53A9 y BRUCE D. ;62671 •_ BRUCE O. CHALLMAn�
a 4,� O� 23921 G` F oRlo w r, CHALLMAN
A. ;� qo p- -.—........ o : i
ti.b. 2 r R r v A: �� q� 55081 ' i 4 � :
n . TS/ON AL EN C�sr G`a d CIVIL ' e1EW WE���.•` d3 27, '� Ot :C/STEPF�2�� 40i RFri�rraE��c�
FRED EN sT�.. .�>�� ''•:•f/('.... ,�Tr� '7��.E11
SCHEDULE
FOR SINGLE SPAN ATTACHED CANTILEVERED ALUMA-WOOD PATIO STRUCTURE - 10 20 AND 30 PSF L.L. - 70 MPH WIND SPEED
iDPRP,,
111�
4� No. 6791
COVER PANEL "T'
0.017 X 3' X IY ALUMA—WOOD BOX BEAM TYPE HEADER
3' X Ir X 12 GA SR. 'C' BEAM HEADER
LIVE(INCHES)
i OiEM 0
7,P ,y9
MAX. COLUMN SPACING
MAX. COLUMN SPACING
LOAD
(PST)
PROJ—
FCRON G
CH�L����
AND FOOTING SIZES
AND FOOTING SIZES
2 1/2"X 12' 3 1/2X IT
ON STAB, WITH FOOTING ••
ON SLAB. WITH FOOTING .•
(FT.) PAN.
PNL PNL
COLUMN SPAGNG COLUMN SPACING I FOOTING SIZE
COLUMN SPACING COLUMN SPACING I FO
917"i 1�11rY1�� R'Ii ����i♦���
llin
KFWIA � i r r iliril�
6>ai lm r 1! oil !r " i!$.il�
9WArlim Off
• "ON SLAB" INCLUDES ATTACHING COLUMN TO SAFETY STAKE OR ABESCO EARTH ANCHOR. SEE
DRAWING 835003, SHT. 10 OF 16 FOR DETAILS. FOR ATTACHING TO SLAB USE
HILTI KWIK BOLTS OR EQUAL, SEE SHTS. 4, 5, AND 6 OF 6.
•• FOR FOOTING ATTACHMENT TO COLUMN SEE SCHEDULE "F' (DETAIL "UU") ON DWG. 35003,
SHEET 10 OF 16.
•y�io..s E•,. Q+" REG,,�j p. CA�
S��`•F��~4•�� �o`p BRUCE �'��o �J`�FF•11Pr�� �7�
ulY� ooKorm `- • D. m L N o. ♦F Z
pWiIAAH CFIALLAAAN
C qA0 23421 w • 8497
ss/ONALE�G c�srFgE1)ENG`aW
'_No. 13857 Y
E 31-97
cIv v
EOF CNOS
STRUCTURE LENGTH & PANEL FASTENERS PER JOINT
UNENCLOSED STRCTR. I ENCLOSED STRCTP,.
DATE REVISIONS11"1110" LUM X
U A Dirision of ,tartar TaDricded Froduch kK.
11651 Gallas Porkror, Suite 330
BUILDING PRODUCTS INC. Qollos. T.. 75210-7178
AJF ICBG ES. EVALUATION REPORT NO. 26 1 P
NONE y�a MTSINGLE SPAN ATTACHED ALUMA-WOOD PATIO
a�rESTRUCTURE
PART
35019 2 OF 6
Q.p��
t
ATEO�_
W
iDPRP,,
111�
4� No. 6791
;
BRUCE D.
p CNALLt1Atl ,z^
usd CIVIL .�'�
;6267; =
i .>d., •�... `�: A=
i OiEM 0
7,P ,y9
\T"T rOf
pa Niv
'a�_E CHA Mt
CH�L����
f_ rOF
wt+�h cF °
� • • BRUCE D.CHALLMAN�
% ss - : f Al.j
F'C/STEa� �?1"J �—F.RFc/s"ftv.F'
�SSADNALFt�G� 3%'16vns.L�
"w 1