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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Ce@ (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 .....,,Expp. Date to
Dates' �' �'=j 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 wage's 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 fo rwhich this permit is issued.
( ) I have and will maintain workers' compensation insurance, as required by ,
Section 3700 of:•tRe 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).
( ) 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!SectiBn 3700 of the Labor
Code, I shall forthwith comply with those provisions
Date:.'l 2r ell' Applicant
Warning: Failure to secure Wor' rs' 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 or 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 igrees 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 cf such
permit, or cessation of work for 180 dad 3 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),/'�2' '' '! �r e Date'-*,,'
BUILDING PERMIT PERMIT#
DATE VALUATION LOT,tp1,05.3.1 y . TRACT
JOB SITE
APN
ADDRESS
IV
OWNER
CONTRACTOR/DESIGNER/ENGINEER
L
'fir{r'`TORANDERSM
SIEVE DODSON 0MR17i`RUMOR WC,
54-635 MIX NTWODA3
1301 11. t:C3Q11"AlTRY C•€:E7D DR M 5AMB F4
LA <?vmrp. CK 92.253
PALM CA 92260
(160)M..6-4-032 MIX. 1044
USE OF PERMIT
1900,0 AADIGI{. KPA
PGC3USAA, AJ. A ;,r aMAI2,RIWS' SHALL BY, DI PLACZA9" TXW9 0F
R&I''k:, U ILII. NSPE'CTf.ON. POOL XQUIPMKk5T 9HCt,03UPE Ad0T
1�dCl.,LDi3It.�D
I? Pool, XP014u, OR 911P. X400.00 L21
J. STMAIM- C OS.i OF C10MI?Ftb7s MOB
2A,4W40 .
.,
yt,'.q.6,�1Tt. y"7�i��`,,++perr{{��.I�a1?'..a��'��`..
ri py���•�,� q ;t f� WIN K S�p�
101000-42W-1418
d"AJ!'%N en�F,fll.'b,^1'}. PYR `f At.71 "000-42 -141 ` �16T..�.. Dti
f OVIS`1'RUC11'l.ONi PF-ro 101_000-+118.000 $255.160
MECHANICAL FEE •••. MU 101 -MID -421-000 $,/4.00
37yBtrgT`'RIgRC��4t. FEE P001, -r0*00-ac $45.08
114191
yygryyyl 7210-pEJ5L�t40
j-
QC17,014 ANT? PIAN CIO.CK
IT11. so
PERMIT FECS DUT, NOW
A
G FINANCE DEIPT
a
RECEIPT
DATE y i
BYy{
DATk7NAL
INSPECTOR
f I
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 & Controls
Party Wail Insulation
Condensate Lines
Party Wail Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Set Backs
Steel
Electric Bond
_
Footings
Main Drain
G G
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
_
�_-
ST
Final
Gas Piping
PLUMBING APPROVALS
Gas Test ,y»�/-o/
S%
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Sewer Connection
Pool Cover
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
Final
Utility Notice (Perm)
.� JAMES G. MCINTOSH
ARCHITECT
December 18, 1996
City of La Quinta Building Dept.
RE: Structural Evaluation
54-635 Avineda Bermudas
La Quinta, CA
Upon request of Chip Geter, I have made a visual inspection of a patio
structure as part of a residential construction project at the above mentioned
address. In my professional opinion this structure has been designed and
constructed in such a manner that it meets building code requirements for
vertical stability.
The only concern that I have is the beam connection at the corner of the
garage. I have included with this letter a sketched detail of a connection that I
would like to see implemented to ensure that the beam will not pull out of
the existing hanger during the occurance of an earthquake.
James G. Mcintosh R.A.
77391 Cheyenne Drive, Indian Wells Village, California 92211
r M7
em F � w
i�m —.aim
J5&1-(OS5 AY(Nea&. ?meML)PAdp
C*&b
AV'����JC�„�aS
RAFTER SIZE AND SPACING
SPECIFY ROOFING M40 SHEATHING OR OPEN LATTICE
�..
. uu
(SEE ROOFING NOTE ON REVERSE)
_LLQ
ROOF PITCH
. • •
CONTINUOUS LEDGER
H SIZE
'T' AN 'L' STRAPS
I 6rxcxT'x.1//E'WITH I
- ---
W (4) 16a NAps OR BOLT
RAFTER SPAN: Sltu�t-
POST VACN0 Sl�u st• to
O.N.
O.M. „
`
OVERALL r
OVERALL LENGTH:
LFNGTM•
si T �{'to'•
WN. r'x4' POM l
REAR SETBACK
SIDE SETBACK
'
FINISH GRADE
2000 P.S.I CONCRETE —
FINISH GRADE
1� T
L-
` �.
IGRADE
PROVOS 1' CLEARANCE
C POST NO
OPEN LATTICE PATIO COVERS MAY BE ATTACHED TO EXISTING FASCIA
VIA ONE 1 /,C x r. LAC SCREW THROUGH FASCIA INTO EACH RAFTER TAIL
U -STRAP OR ANGLE
NON-CORROSK PLATE
3/S' x S LAG SCREWS INTO STU06 AT,16' O.C.
CONTINUOUS LEDGER
( � NAN.s
OR BOL?d
v j
U -STRAP OR ANGLE
_._._..
�`•� ��.�
IM
16d L!
BOLT
JOIST IIAN ER OR SOLD BLACKING
NAIL RAFTER TO BLOCKMG
ANCHOREM BOLT PROVIDE I*
(OONCtiETE)
INTO PROVIDE POSTCLEARANCE
CONCRETE
BUILDING DEPARTMENT USE ONLY
TYPICAL PATIO COVER
PERMIT NUMBER
DATE OF APPLICATION
PERMIT ISSUE DATE
OIMNoR'S NAME
FINAL INSPECTM DATE
STREET ADORE53
SPECML CONOMONS
CITY. ST Zr
TELEPHONE
N.OA APPROVAL SIGNATURE, DATE
RAFTER SPAN TABLE
GRADING RULES
PS 20 -70Q -
(FEET & INCHES) 00�,`�i OpJ��i OpJ��i VP
ti �o` �, �o` ti v
2x4
16.
O.C.
10'-6" 9'-6" 7'-3• 8'-9'
HEADERS
2x6
16"
2r
3Y
O.C.
1 '-4'-13'-Cf
IZI-er
. ..... .. . ........
, '- '-
. ....... .. .......
A
4x4 .....................:.. '-Q"..
2x8
16.
32'
O.C.
"
1'.-Q" 17'-4... ... '.... ... ..1.�'.�..
Al....... .A..
NOTE:
It 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 .....................:.. '-Q"..
4x4
:.._...._....-.__4.-Q"
4x6 '-
4x6
48 11 I -Cr
48
-
4x10 14'-
4x10
'
4x12 '7'-
402.
'
6x8 14'-0"
6x8
12'-0"
6x`10 ......................1..'..-...
6x 10......._....__....1.4:..
-QT.
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.
Client Name
Client Address
Client Phone
EARTH SYSTEMS CONSULTANTS S.C.
BUENA ENGINEERS DIV.
7"11 B Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-1588
DATE Q
TEST LOCATION
LOT
NO.
JOB NO.
FIELD TESTING
PROJECT
4.i�uv
MOISTURE
CONTENT
%
LOCATION / ,(
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu. ft.
CONTRACTOR
ER
noewex-
WEATHER
TEMP. o at
at
AM
PM
PRESENT AT SITE
:
10 -Co
TEST
NUMBER
TEST LOCATION
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
IbsJCu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
IbsJcu. ft.
OPTIMUM
MOISTURE
CONTENT
%
Cil
I?If
:
10 -Co
I
t
01
REMARKS:
CLIENT REPRESENTATIVE SIGNATURE
RT
TECHNICIANS SIGNATURE 00.4229
'tom s 1 Y�� rJv�►�p�l=��l c�.Vt- �'G. �,�