0008-398 (PAT)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 '-ode, and my License is in full force and effect.
License # Lic. Class Exp. Date
49v�
C=E1 10!31/2(
Date nature of Contrac ori �otd Z�
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
perform a of the work for which this permit is issued.
(L)o4-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 STATE FUND Policy No. 0460 -UNIT 05x749.99
(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 wor rs' compensation --,provisions of Section 3700 of the Labor
Code, I-sh f forth ith comply with those r visions.
Date: yApplicant k ✓
C
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;forins ection pur oses.
Signature (Owner/Agen(3& Dated
.f
BUILDING PERMIT PERMIT#
DATE VALUATION LOT f,TRACT
JOB SITE APN `
ADDRESS 44-M C:AUX &AMA..I3ARVARA
OWNER CONTRACTOR / DESIGNER / EN (NEER -
44-755 C'AI.LESANTE &OX— ARA 754 WM..SMAS110AD
LA QU:tN'I'A CA 92233 PALM SPRMS Cts 92264: „
(76120)327-8466 01DU i 825
USE OF PERMIT
PAM
375 SAF L ATTICS PATIO COVER. PER ICSO 00631
PORMPATIO
375.00 SF
MUM= COST 01+' CONSIRUCT,ION 4,987-550
PERMT FEE RUAfS1bi61RY
PLAN CHECK FRE 101.000.439-3 ► 8 $40.80
COr STRUCTIO'N ME 101-W6 418-000 $ no
STRONG MOTION FEE - MID 101-0001241.000 $150
SUB -TOTAL CONSIgt•I.7CFION AND PLAN C231WK $119.30
1.283 PRE -PAM nX.3 $0,00
T.'(aTAL Pr—f&. I' FEEN DUE NOW $i 19._V1
RECEIPT I DATE I BY I DATE FINALED I INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Fom.s & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
OX 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 _ ?
BLOCKWALL APPROVALS
Final
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
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)
COMMENTS:
T�4S C/O 1. fooLs 32S z�ar
SERVING THE
^ JQ� COACHELLA VALLEY
,i S`T LAR aW�-A SINCE 1972
and 'SCR EN Qj2AI NO.678256
SMI 2tsA
007
T
7 �
?AD i?OSED 315 ' I
!-AwmwooO LA
. CoL�2 �r5�t�(• . L
STS -T
---- EXISTIN Lo
IBES I oCNCf-
i
CITY OF LA ;QUI'N q
r, BIJfLDING& SAFETY: D PT
FOR CONSTRUCTION
..OATS.;. �. • gy..
V.
(760)
'754 Williams Road-% Palri '` Prings / Cahforr is 92264. (760) 327'8466' =Fax: 327 84
.. _. .. 2v' -! : _ d�.�-{ ...f:e .. �I•:�.. .. i ♦ .... �� ....� a ...... ... .. .. � ... r..... ..�.. .. �_ T.. w..r?l i.•G?s%<.../J`it�.�. � _ se. n. .2
SCHEDULE FOR ATTACHED LATTICE PATIO STRUCTURE — 10 PSF — 70 AND 90 MPH
rRIB RAFTER MAXIMUM COLUMN SPACING AND FOOTING SIZE FOR 3"X 8" 'ALUM. BOX BEAM HEADER COLUMN SPACING & FTG. SIZE
TYPE
PROD— LUNY RAFTER SPACING 2— 7X 6 1/2'X .027 HEADER rX IFX .030' HEADER ' rX 8'X 0.036' HEADER C In 8'x 'O.04f HEADER .() HEADER 10 rX 8'X 12 CA STL 'C' BEA
ECTION pIOD{ SIDEPLATE
= 24 O.C. COLUMN SPACING . FOOTING COLUMN SPACING FOOTING COLUMN SPACING FOO TING COLUMN SPACING FODDNG CONNECTION COLUMN SPACING jFOonNG
ON SUB N FOOT'C 517E N. STAB *IW/FOorci SIZE:, ON SLAB *1 W/rOaTIGI SIZE ON SUB # W FOOT'C SIZE REO'D ISMS ON SLAB * W FOOTG SIZE
10' 5' 7X6 1/7X.024' 10'—S' 10'—S' 621- 8'-11' 8'—I1' d=20`' 10'-9 10•—g I d=21' I 12'-r 12'—r d=23' 8 ** 13'-8 30'-0 Id=29r
16' ( 8' 1I-Xrx..036' 18'—r 18'—r Id=2r '16'-4' 16'-4' 1'd=21' 18'=r 18'-6• Id=2Y 16'—g' -I9'-10, Id=24' 18 ** I W-6' I'28'-8' Id=3f I
'ON SLAB' ALSO INCLUDES ATTACHED COLUMN TO SAFETY STAKE OR ABESCO EARTH ANCHOR ALTERNATES.
KK TWO COLUMNS -MINIMUM REQUIRED.
V — 4'x8'•D000LAS FIR — LARCH 12 GRADE WOOD HEADER MAY BE SUBSITRM FOR Y x 8' ALUM. YX 8' ALUM. BOX BEAN OR
4EADER USE COLUMN SPACING FROM Y x 6' x .042 ALUM. HEADER. YX IfX 12 CA STEEL 'C' BEAN HEADER
• SCHEDULEOPT. ALTERNATE '6' (18" ROOF PA
SEE SC
2'x6 1[EDDIF L FOR SIZE Yxe' RAFTERS. ALTER"A" SHALL CONSIST OF 18"
ROOF PANELS, PLACED PARALLEL TOSOP.. ALTERNATE 'A
ALTERNATE 2-2'x6 1/f STRUCTURE ATTACHED,.W/2 #10 (18 ROOF PANEL)
HEADER .IN PLACE OF �. SMS TO RAFTERS. -
7X8' HEADER WITH POST LATTICE OVERHANG 16" FOR
AND .SIDEPLATES ALT "B" SHALL CONSIST OF 18" ROOF 1 1/2' X 1/2' OR 18' FOR
PANEL PLACED PERPENDICULAR TO
Y x Jr POST STRUCTURE.`AND ATTACHED W/2 #10 SMS 2" X 4'
TO -BLOCKING. }
\ ALTERNATE 2-f X 6 1/2' HEADERS. LATTICE: .018 X 1 '1/2 X 1 1/2" ® 3 1/2"
OR 7: O.C. OR 2 X.4 ® 6" OR B" O:C.
NOTES:`' s
1RIBlJfY WIDTHS UU9NGSFO�OTINCS W/9 �D 'IO'
I. ERE_ MAY NOT BE ENCLOSED' WITH
SEE SCEDULE FOR SIZE
U. WABLE SPLICE - REQ D 3 Lb UNN NN 0 S
FOR 34 TO C0O' .P C S)NS
oPENST�R
2. FOR GENERAL, NOTES SEE DWG • X35003 SHT. 1
'C' BEAM
r X r ALUM. COLUMN
OF .16° AND 2 OF 16.
ALTERNATE 4 X 4 O.F.
'PLATE— ALTERNATE
WOOD POST
J. FOR'ALTERNATE EAVE ATTACHMENT OF RAFTERS
'
OPT. 3 I/f GONG. SLAB
dFQQR1)1OOL c
SEE DETAIL OF DWG. NO. 35003_ SHT. 3 OF 16.
4._FOR,SAFETY STAKE AND ABESCO ANCHOR DETAIL
ANCHOR WITH CONCRETE , ..
FOOTING TYP.'OR FOOONG
•12 PR 3 CTI
S
SEE DWG. NO. 35003 SHT. II --OF 16.:
5. MAX. HEADER OVERHANG = 407. -OF COLUMN
SPACING FOR UP TO 16' PROJECTION AND 33% OF
10' THRQ 19' gojEcnoNs
COLUMNSPACING FOR 17'-20' PROJECTION.
6. DESIGN PER U.B.C. 1991 EDITION.
OPT. 3 1/2" CON . y
7. FOR RAFTER HANGER, HEADER TO SIDEPLATE OR
COLUMN CONN. RAFTER TO HEADER k COLUMN TO
SLAB- SEE NOTE:DNS
115 ON OWC. 135003,:
SHT) OF 16 1.11
i
SPLICE LOCATIONS FOR OPEN LATTICE AWNINGS FOOTING OR SLAB ATTACH. SEE DWG. NO. 35017, SHTS. 6, 7, AND 8 OF 8.
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Sa. �TTl� 'd�REO ENpR�
No. 13857 Z
P 3-31
CIVIL
OF CAUE���
E3SIgy7
��i•�141779f9
SEE SCEDULE FOR SIZE
w :6267:
STING
STRUCTURE
'C' BEAM
r X r ALUM. COLUMN
fa6 1/f ALUM. SIDE—
ALUM. RAFTER --4'
X ALUM FADER,
SEE SCEDULE FOR SIZE
ALTERNATE . x Df.
HEADER OR 3'x FX 12 CI
STING
STRUCTURE
'C' BEAM
r X r ALUM. COLUMN
fa6 1/f ALUM. SIDE—
ALTERNATE 4 X 4 O.F.
'PLATE— ALTERNATE
WOOD POST
2 X 6 D.F. SIDE PLATE
OPT. 3 I/f GONG. SLAB
SAFETY STAKE OR ABESCO—*,-r_
ANCHOR WITH CONCRETE , ..
FOOTING TYP.'OR FOOONG
WITHOUT ANCHORS..
SIDE -VIEW
24' MAX.
O'HANG-6'
MIN. O'HANG
uoll�
8'- MAX.
� COLUMN HT:
n SCC -r.'
6•
2 CRP .�• � `}•A
LAGUNA—TYPE OPEN
LATTICE STRUCTURE .
11-
ALUM VX A 651 alasmfaway.d uile 30
11651 Dallas Park• Suile 330
BUILDING PRODUCTS INC. Dallas. h. 75210-°7~478
AIF LC:8:O?FES;EEYALUAnON*REP,ORT=NO-.E
NONE O,,E — 10 p200. h 30 PSFAIID S 0U� wS
08 MPH WIND SPM
M
11-91 OU�1DER 35017 R PA1 OF 8
SCHEDULE FOR ATTACHED LATTICE PATIO STRUCTURE — 20 PSF LIVE LOAD — 70 & 90 MPH
X 6 1 2 RAFTER THICKNESS AND SPACING VX X .04 ALUM. BOX BEAM HEADER TO SICEPtA X X 12 CA
OJECTION Id' O.C. 20' O.C. 2Y O.C. 24' O.C. COLUNN SPACING FOOTING SOINSIIECTION REO'D �14 COLUMN SPACING
ON SLAB
f00RNC d' Y' 0 ►LPH .. Ion uau ..1 ON SLABI FOOTING
ON SHT. 8 OF 8
• -ON SLAE' INCLUDES ATTACHING COLUMN TO SAFETY STAKE OR ABESCO EARTH ANCHOR.
tf THREE COLUMNS MINIMUM REQUIRED. 3"X 8"X .042" ALUM. BOX BEAM
f4t 2 COLUMNS MINIMUM.' LATTICE ON 3"X 8"X 12 GA. STEEL
"C" BEAM HEADER
ALUM, RAFTER Ir X Er ALUM HEADER
SEE SCEDULE FOR SIZE QR Y X B' 12 GA. STING
C" BEAN HEADER STRUCTURE LATTICE OVERHANG 16" FOR
3' X 3' ALUM. COLUMN 2'X6 1/2' ALUN. SIDE— 1 1/2"X 1 1/2" OR 18" FOR
ALTERNATE 4 X 4 D.F. PLATE 2" X 4"'1
WOOD POST
OPT. 3 1/2' CONC. SLAB
SAFETY STAKE OR ABSEDO --4wi
ANCHOR WfTH CONCRETE �' SIDE VIEW
FOOTING
IH TNLG AN ANCHOR FOOTING LATTICE: .018 X 1 1/2 X 1 1/2" ® 3 1/2"
OR70.C.OR2X406"OR9' O.C.
NOTES:
REQ'D 3 COLUMN CONNECTIONS I. THIS STRUCTURE MAY NOT BE ENCLOSED WITH
OPEN LATTICE.
ALLQWABLE SPLICE 2. FOR GENERAL NOTES SEE DWG 035003 SHT. I
LOCATION OF 16 AND 2 Of 16.
3. FOR ALTERNATE EAVE ATTACHMENT OF RAFTERS
SEE DETAIL 'C' OF DWG. NO. 35003 SHT. 3 OF 16.
4. FOR SAFETY STAKE AND ABSCO ANCHOR DETAIL
SEE DWG. NO. 35003 SHT. 11 OF 16.
5. MAX. HEADER OVERHANG = 409. OF COLUMN
SPACING FOR UP TO 16' PROJECTION.
6. DESIGN PER U.B.C. 1991 EDITION.
7. FOR RAFTER HANGER, HEADER TO SIDEPLATE OF
COLUMN CONN., RAFTER TO HANGER AND COLUMN TO
FOOTING OR SLAB ATTACHMENTS, SEE DWG. fi35017,
SPLICE LOCATIONS FOR OPEN LATTICE AWNINGS SHEETS 5, 6, 1, AND 8 OF 8.
SSSS\��i�
I's,
J• SO�Q�A�
24" MAX.
O'HANG-6"
MIN. O'HANG
kb
6'— MAX.
COLUMN HT.
OPT, 3 1/2" CONC2 j 1-
SLAB— SEE NOTE d' �LAGUNA—TYPE OPEN
#15 ON DWG. #35003, " "� LATTICE STRUCTURE
SHT. 2 OF 16
Qh�l'••SSi j\ DATE REVISIONS I'IIII``UU1y►
pt10\'AA' fy' ` Y ALU MAX ► nd�a eI uumm �C_y, Produces lc !' 11651 Dallas Pa kwSuite 330
BUILDING PRODUCTS INC. Dallas, Ts. 75240-478
N0.13857
Exp. 3.31-9 a AIF ICBG ES EVALUATION REPORT NO. 2621P
�URAwINU
1V
OR PART ATTACHED LATTICE PATIO STRUCRTURE
�Q NONE NAME 10 20 & 30 PSF 70 & 90 NPH WIND SPEEL
FOF CAl\FAQ D" 'S/71/9I
OR v ar "FT
�— NUMRFR 35017 2 of e
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