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9907-162 (PAT)C14 U) W O � M Cy 'W C:) Z co F- J CID W UJ a - U) Z co LO N ON U_ °) Z Lo FZ 0 LU LL 0 J J mQU i1 rnFa- 19t Z_ co::) r` 0 J 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 Date Signature of Contractor IR 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 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 Section 3700 of the Labor Code j, ! 1al fo lfith comply wilt o-s`e provisions +c_r� ` Date: �' /` � ADDlicant �M �"°�°r 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 1`80 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. Sig ature (Owner/Agent('/ +�1 Date— PERMIT # BUILDING PERMIT DATE 07aI�f VALUATION S2,f148.21i LOT TRACT JOB SITE APN ADDRESS 79-723 CON10 COURT. OWNER CONTRACTOR/DESIGNER/ENGINEER car i•1• r. » ,i (1; r: +r. �FS•�! f AA.. �I Il �!{� 1 l�•!�+ S A'xrrvtlNlCi rY?MPA*!c• F���r(!A A'A'A l� �,. t !1 F 7663.723 1,1-r11 O COURT 734 VN,Uk&,1S ROAD LA tYr1. INI-A CA 92253 PALM SPRINOS C:A 922a4 f7f+A»27.SiJi►h t'.T;i.# TR2� USE OF PERMIT 1'e�'!'itr► I P.x LA 1-fICE Pt44k)-i:OVMA WB02421 P rj�rE��yrl rT� 35400 IF C'03T Of CONY T 1:trt"110N, 22.04310 rC.R F1 Jr'F%SUMAMRt• FLAN Ci fFCK .Fri-, $35A() tIONS111TO TVIVO N h't;% i () i .[if }• l ti-t1l)il t *A 4-41 `CRt7NC NICYV1014 R—-1�k:S117 101 Oi�O � i1 000 S.SU f f`Ft:iYrTR(, t `0N 1,%T'Rf fr*T10N AND PT -AN 01IPCIC sli!? 0 LES• .' PRI.41AID FEES !"D.001 U 1'.1.1, i'k;Ir MIT FC14-M OUF NOW U9.60 RECEIPT DATE BY DATE FINALED INSPECTOR a` 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 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 Pibg. 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 FlAureis Main"Service' ` ` Sub Panels Exterior Receptacles G. F.1. Smoke Detectors. Temp: Use of- Power Final, Lit ility.Notice (Perm) - Bin #City of La Quinta Building a Safety Division P.O. Box 1504 Permit # 78-495 Calle Tampico La Quinta, CA 92253 Building Permit Application and Tracking Sheet Project Address: �� / r Owner's Name: SC S A. P. Number: Address: 6 (;; ' Legal Description: 3 DItf Ciry,ST. Zip: Q Contractor:r !2-S AUJh- Address: .J r/ / ` Ile Project Description: 7 7x -- City.ST. Zip: l Telephone&d2 State Lic. = : a3 Cite Lic.;;: Arch.. En_r.. Desi—aner: Address: City. ST. Zip: Telephone: Construction Type: Occupancy: State Lic. _: X. Project type (circle one): New Add•n Alter Repair Demo Nance of Contact Person: Sq. Ft.: # Stories: # Units: Telephone = of Contact Person: Estimated Value of Project: APPLICANT DO.NOT iNiIUTE B£LUVIf THLS• LINE k Submittal Req'd >. Itec'd ;:. ... ; ' TBACHIIVG :; .. .:.. .......... 11'ERMTT.IES ..... Plan Sets YIaa;Checksuhm►tted .: Item Atnoaat:` Structural talcs" Reviewed,.readr for coireciioas •.; : ' Plan Check Deposit Truss Caks Ca,11ed Contact Persoa PIaaCbeck:Bslaace " Titre 29 Calcs: Plass::picked.up, . :: : Construettos ' Grant Deed Ylaaessrsubraitted Mecliatncal School Fees „ . Rtv+twed� rtadg;o tssue .: Eleeieit�l ,.:::.. Subcontactor. List :• :, Calkd CoitactYersoa :. :- Piumiting ' Contractorinlri Date:ef permllassae " < :': S M I- Cis- Business Lie.'Grzdiag Workers' Inirssfrnefare.:: »#>[> :>`K ........... . Planning Approval tY LY P Pub. � ks. A PRr. ....... H.O.A. Approval Fire Mar. An .. H. Dept Approval . Ag. Approval •: Dsu:gfiinal,lospectioq;: , ToEal.Pennit fees.... : :•. TLAS WN/NG COMPANY Scott£S--lie, FJInf %8 7.23 COM D Ct, u; h1"g C A-9aa53 "beilg V;Stg . Sireet I AUTHORIZED DEALER FOR ALUMAX AND ALCAN PRODUCTS LIC. NO_W6M. %� 754 Williams Road/Palm Springs /California 92264/(619) 327-8466 Sirtim 1 F Fl1R ATTACtIFFI 1 AFTICF PAII(1 r1imlrllIRF - 10 I'SF - 70 AND 90 011 _ ►[Or- tlmm ICrolt �0n1-- • RAFTER TER Pim sPIrMt • 21� O.C.O MAXIMUM COLUMII 1- Yx 1 tIrt .oir CUEUVN SDS 011 SUR • R oOCG I0' -'r 10'r _ 1-r r -r r -r T -r P -Ir r -f SPACING IUOOI f001NC 91E d-rf a-ir d-tt d -7r d -u AND FOOTING rT rY .OST IIEAOLR COIUVN q'A(1tIC N "I R D -O Gk—d'-'7 _— __-1Ir iii1 6' -If r -r e' -f r_( c -r s' -r s -r s -it 3,-T SIZE FON 3"X B- rt rY 0016 IIC1f[R _._ .. — f00IIHC Ca UVII SrKItIC J OM SIAa 1 M I OOfC 10-r _ 1.0'-1' r-ia a' -1T a' -t a,-1' T-�— 'e.-T� dd•21' �'-IT T -r ALUM. () /001V1C 911 d-11' eiY d -2t87 d -7f i-1� DOX (IF -WI_ IIF rT a -T OOIf IICNYR �) — — - COIUVN SPA 111C f0001+C OM SIAa f N SOUI'G 9rF Ir=rIT-r d -)r ii` -i 1i -s_ d_if_ 9'-r 10'-Y d 1•_IT a -7f i -r HT1 e= -?f -e`iv e'=i?!I 6-2111'e IIINIIR 10 SVIPUIL Ca00 CHOIR R10D (SVS a (1 e il_ -at1 caulm srAmc r ncvic rT rx 11 CA SR. 'C DWl - COIUVN SrACII#G FOOIVC DII SIM 1 M wO l 971 IJ'-If )v -T d -7r1 iif w=T d-Jd•IY 1'-rr-r a• -IF 7e -e a -3f i' -r I -c =i�- is -fr ear _ s' Y -m 1 YY07r 1 rn I Yco7f a 11 .e r i i-- Ir r r1tv.O/T Ir li ar ON 51b ALSO IICIUDES ATUICIIED COLUMN 10 SUETY STAKE OR ADESCO EAR111 ANCIIDR ALIERNAIES. xTOO COLUMNS WaVW REQUIRED. f V - tr 0OUQ.A3 FIR - LARCH fl GRADE WOOD RUDER MAY BE SUBSTITUTED FOR r t 8' ALUM. rx r I1 GA STE[7 't' BEM TRADER 4EADER USE COLWWN SPAWG FROM r 1 Ir 1 042 ALUU. II[ADER. J'X IALUu. Boz BUW OR OPT. ALTIMIAIE 'IF (18' ROOF PA rXB 1/f OR Jxr RAFTERS d ALTER'A• SHALL CONSIST OF lir SEE LU FDR SIRE ROOF PANELS, PLACED PARAT LEL TOl oP uTTANnrE 'A' ALTERNATE 2-2'X6 I/r SIRUCIURE ATTACHED W/2 110 (18 ROOF PA N EL) 410111 N PLACE OF rza IEA M MDI POST SMS 1O RAFTERS. LATTICE IT/ERIWiC 16' FOR AND SIDVLATES ALT 'Fr SHALL CONSIST OF ttr ROOF T I r x Tr on IB' FOR �`.,I PAUEL PLACED PER VIDICUEAR 10 / r x r Post STRUCIURE AND AIIACI ILD W/2 #10 SMS 14) TO ©LOCKING. \ ALlumE 2-r X 6 I/r HEADERS. 1A1110E: 018 X 1 I/2 X I 1/1 0 3 1�1- OR 7 O.C. OR 1 X 4 0 G' Olt 8. O.C. N UV NAPIER -- HE SCITILU ICA 911 T t II Atoll. 1 CQUNH ulElnurz 41 Y 4 of. WOOD PUSI. DPI. 3 1/1* CONC. SElO SNTTY SURE OR wlsco _.�I 11110IpR MDI COrICRirz i FDOIING ISP. OR FOOIv,G 11111110111 N+CIORS. NOTES: 11/9' AND 10' 1. 11115 STRUCTURE MAY NOT BE FUCLOSED WIRt OPEN LA1110E. ONS 2. IOR GEIIEIIAL 11011:5 SEE DWG 135003 Slit. I _ OF 16 AND 1 OF 16. ]. FOR ALIERNAIE EAVE ATTACHMENT OF RAFTERS SEC DETAIL 'C' OF DWG. 110. J5003 Slit. J OF 16. 9 1 l 4. FOR SAIEIY STAKE MID AOESCO ANCIIOR DLiNL fit r6L 1 PR )'t11p SEC DWG. 140. 35005 SI(1. I 1 OF 16. 5. MAX. HEADER OVERIWIC = 40% OF COI.U1Nt SPACING FOR UP TD 16' PRDJfCRON At to 33% OF COLUMN SPACING FOR 17'-70' PTIOJCCIION. OPT, J 1/r Cori IO 1} RU 12' PRDlF[IIOHc I 6. DESIGN PER U.O.C. 1991 EDIROti. LAR- SEE No 'T 7. FOR RATTER IWICCR, IILAOER TO SIDEPLAIE OR IS Orl OWC. COLUMN COHII., RAFTER 10 IIFIDER k COLUMN TO It. 1 OF 16 SPACE LOCATIONS FOR OPEN LAFiICE AMIUIICS foontic OR SLAB A11ACil. SEE DWG. 110. J5017, 5105. 6, 7, ARID 8 OF 8. Q�o`ROl[SS/L 4NDnTE - Too. 13857 I Exp 31 7 I_31-111"__ Lu., iEADER Ext rI F1 f7 c C BEAM r U1/f AI W. SIDE- E- N.ITMIATE I I 1 Df. SIDE PLATE SIDE VIEW r c19, 09 � 24' MAX. O'HAUG- C NIH. owwc i S COLUMN HI. LACUNA—TYPE OPEN LATTICE STRUCTURE RCvIS10115 11"'IFALUMAX BUILDING PRODUCTS INC. 1 ier d am Wuhl Ii k 11131 Dallas /ort.aa�� Me 110 0.•e.• 1.. 11110-14 11 AA K.B.O. ES, [VALUATION REPORT No. 26 Jt CIVI\ �.� CuuE - 10. 20. a 30 Psr job SIRVC H it MRO 9'il „ 0! CAI>I S-31-/1 f.� oia 33017 1 W 1 NEC, D. CJC,Ie n1 ESSrp ty1[ftTfy,, '� ,*tEa ►C S, 13•C�LI[[ l ��� a' ERIiCE *i Jf' t t5 - 'if 6o.U• t u o o btu Y•T� 4•� � E! � .titw1[ �,;..._ � .T.• \, ♦ . ?,: 47 � rnorr • D. " Id o, ♦ 1. V. b 1/91 i �� : ,- �. •. !. U7» ; . m �: � x .1 C3AILAAAW . 31071 r 811UCE rD. �' '� ;6267: D W ` LICE CIIALLMA/� 23921 `? ♦ o" a V DLAI 111A11 [55081 (—% i !�.... �'I'E/plf AL <<I�� �',rT, �rr.�t d ctYll .�� •�+.,fTW yl f�: 1,ri� \�ti��`,oS�/ U �fC/S 14P��+' 'o, �rr;,�,t° �� I