0006-115 (PAT)LICENSED CONTRACTORDECLARATION
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
67$2.5f C•61 D03 10%+1/2t
Date 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 «'SATE FUIHID Policy No. 04-5_99-00Cy1749
r
(This section need.not be completed if the permit valuation is for $100.00 or less)
( ),II 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, 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
Whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees'fo,-& 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) Date
BUILDING PERMIT PERMIT# ,
DATE VALUATION LOT 0"415 TRACT
97, 81M
JOB SITE APN
ADDRESS v_= Pompm co-tw
OWNER CONTRACTOR / DESIGNER / EN (NEER
GE01tM, ORR. ATLAS A:WNRgG CONVAIR Y
78.581 P0_?4P :I CO'tJ T - 754 W1"112AIMS .ROAD
L.A. Q3.:ilei'1`A CA 92253 PALM M?RMS CA 92261.
C" .§0)327-8466 MIX 1825
USE OF PERMIT
PAMO
570 S.F..ALtJMAVVO01) PATHS COVER SCI30.262111?
PORCEUI',r' VO
5'913.00 3F
Irzinu- IMP COLS OF CONSTRUCTION
PERWr FEE 9UMIN;f,'I<'tY
PLAN CHECK FEE 101.000.439-318 $54.35
CONSIRUCTIM PEE 101.000.416-000 W.00
ST -P,0140 MOTION VER - RF.SIO 101-000-241-000 $.76
SIM -TOTAL CONSMUCTJOR AND MAN CIMO
LESS . '` PAM
Tor -cu. PER'fVt3, 11I�-li'S RITE NOW
RECEIPT I DATE I BY I DATE FINALED I INSPECTOR
'71581,00
$164.11
0.00
$46 4J 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
0. K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wali 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 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
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fodures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
TL4S
SERVING THE
WNING COACHELLA VALLEY
SINCE 1972
and SCREEN �e O� LIC. NO. 678256
78
511 PoInpE r CT j
STS �T
L.l,� QvINTA
5QLA `SIS J�-
�CoO
22
I(
NITA
effy GIF I NOW
BUILDING & SAFETY DEPT
APPROVED
•
FOR CONSTRUCTION
DATE h BY
754 Williams Road / Palm Springs / California 92264 (760) 327-8466 Fax: (760) 327-8467
.i , .,C.
SCHEDULE FOR ATTACHED LATTICE PATIO STRUCTURE 11O.PSF `--707AND'90`M_PH-
RAFTER MAXIMUM COLUMN SPACING AND FOOTING SIZE FOR 3"X 8" ALUM. BOX BEAM HEADER COLUMN SPACING & FTG. SIZE �LATTICE
TRIG- TYPEFT7r, 1. MIR SLOPE
PROD- INAARY RAFTER SPACING 2- 2,X 6 I/7'X .017 HEADER JX If'X . P HEADER TX 6"X 0.OJELL�ADER , JX,6'X.O.OIf_HEADERTO_ HEADER TO JX 6'X 12 GA SIL 'C' DGN ALUM. WJTER- X /SUM R
ECrIOH MOH SDEPIAIE SEF SCEOUIE FOR SIZE ALIERHATE f i Of. SUNG
1 2f O.C. COLUMN SPACING FOOTING COLUMN SPApNG FOOTING COLUMN SPACING FOOTING COLUMN SPACING FOOTING CONNECTION COLUMN SPACING FOOTING HEADER OR X X 12 C STRUCTURE
ON SLA61 N FOOI'C S17E N STAB [ N FOOT G SIZE ON SIAO * N OQI'G �7E ; ON SUB ►; N F001'C SRE REO.O (isms SRE
/. _ .:— _ — - ON SEW* N FOOTC C BEAN
'( --- -- --- ---- --- --_ _ - ._ - - - - --- -- __ — '---- — J X Jr ALUM. COLUMN 2,6 1/2, ALLAN. 90E-
410'3 S' 7•X6 12'X.02f 10'-S' 10'-S' d=21• 8'-I I' _ 6'-11' d=20' Hr -7 IO• -q•_ d-21' 12•-Y 11'-Y d=2S 8 #i 13'-6• 30'-0' d=27 ALTERNATE U X 1 O.F. PULE- A ALUM
12' 6' 2,16 12'X.079' -;' 9'-6" d=21' 8•-1' 6'-t d=17 9 -10' _9'--I_V_ d=72_ _I1'-1' 11'-15' d-74' IS 4* II' -1' 3d -O' d=Jl' WOOD POST 2 X 6 D.F. SIDE PLATE
I ' T JXIfX.OJO 6'-17 a-IIr d=22' 7'-7 7_-7 d=21' 9'-I' 9'-I'_ d_ =7.T 9i-7 10'-Y d=2f 8 ## 9'-7 J0' -O' d=3T DPI. J I/i CONC. SUB
16' 6' j_-5 8'-.f d=2J 6'-f 6'-1' d=11" 8'-J 8 _J d=2J 8'7 9' -IU d=2/' 6 ## 8'-6• 28'_g d=Jf SAFETY STAKE OR ABESCO-42J
16' 9' JXN 54IF 7'-6" T-7 d=2J T -T S'-7' d=21_ .I-8• 8'-0 — d=2J 1'-U d=ZS ANCHOR WITH CONCRETE
��LX __ 8 ## 7'-Y d=]I FOOnNy•TYP. OR FOOTING
10' JXNTX.012' 6--10' 7'-f d -2J s' Gr S' -II - d=21' 6'-1If 7'-T d=1f- 6'-10 6'-10•[L d=26'. 8 ## 1 6'-10 25' -Il d=36' RRHOUT ANCH MS. SIDE VIEW
4 '0N SLAIr ALSO INCLUDES ATTACHED COLUMN TO SAFETY STAKE OR ADESCO EARTH ANCHOR ALTERNATES. 1
OTWO COLUMNS MINIMUM REQUIRED.
V -
4rr6' DOUGLAS FIR - LARCH 12 GRADE WOOD HEADER MAY BE SUBSTITUTED FOR J t 8" ALUM. 7X Ir ALUM. BOX SCAN OR
4EADER USE COLUMN SPACING FROM Y X IS X .012 ALUM. HEADER. JX 6'X 12 CA STEEL 'C" BEAM HEADER
2'X6 1/t OR 4X8" RAFTERSOPT. ALTERNATE '(r (I8" ROOF PANEL)
SEE SCHEDULE OR SIZE ALTER "A" SHALL CONSIST OF -18
ROOF PANELS, PLACED PARALLEL TO 4oPj. ALTERNAIE ' °R *0c_
ALTERNATE 2-2'X6 1/2' STRUCTURE ATTACHED W/ 2 10 (IB ROOF PANEL" �p e �� 24,
HEADER IN PLACE OF
�` 1XTT HEADER WITH POSTSMS TO RAFTERS.
ALT "B" SHALL CONSIST OF 18" ROOF IATRCE OVERHANG -I6' OR O'HANG-6"
AND SIDEVIATEs
1 1/1 X 1/2' OR 18" FOR MIN. OHANG
--4J,- PANEL PLACED PERPENDICULAR TO
J POST STRUCTURE AND ATTACHED W/2 #10 SMS 2" X 4'
' TO BLOCKING.
\ ALTERNATE 2-2" X 6 1/2' HEADERS. LATTICE: .018 X 1 1/2 X 1. 1/2" 0 3 1/2" �\ [[��`�Q�pi r
OR 7" O.C. OR 2 X 4 l9 5 OR 8" O.C. S Ch`S�1`� pt`s �S. 8'- MAX.
USE
BY
p�� CpLU r+ I �p NOTES: COLUMN W.
�IRIBIJfARYTM UIHS UANGSf0E0TINGS W/E9rnAND 10' I. THIS STRUCTURE MAY NOT UE ENCLOSED WITH
A ora svllc[ REuoo � of RQa cF oITS 2. FORGENERALNOTES SEE DWG #35003 SIFT. I \
11 1 11 -711 Or 16 AND 2 OF 16. Ey�SA
J. FOR ALTERNATEE EAVE ATTACHMENT OF RAFTERS SIT
SEE DETAIL 'C'. OF OWG. NO. 3500) SIFT. 3 Or 16. J ib V W'b
RCQD OLU N C 1. 4. FOR SAFETY STAKE AND ABESCO ANCHOR DETAIL �k� `V ��, c��aPg
roR To D 17 PR J CnOF SEE DWG. No. 35003 SMT. I 1 OF 16. >� Po EOF
5. MAX. HEADER OVERHANG = 407. OF COLUMN� A
SPACING FOR UP TO 16' PROJECTION AND 337. OF o � 6
COLUMN SPACING FOR 17'-20' PROJECTION. OPT. 3 I/1' CON
In, THRII 6. DESIGN PER U.B.C. 1991 EDITION. ILAB- SEE NO L�d' P
, PROJECDONS 7. FOR RAFTER HANGER, HEADER TO SIDEPLATE OR 15 ON DWG,350D3, 1E1 d'fi' LAGUNA-TYPE OPEN
SPLICE LOCATIONS FOR OPEN LATRCE AWNINGS FOOTING nnCOLUMN SitATTA�CII.OSEE DWG. NO. O350N7TOIRS. 6, 7, AND 8 SiiNg 2 OF 16 1jT pO p°a LATTICE STRUCTURE
F `
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II10FALUMQY
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