0009-146 (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
PrOessionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
676Cc 1 1) /10/31 /2(
Date ,,^C-tSignature of Contr ctor
I
OWN ER-BUILDER1DECLARATION
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, wilLdo 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�ryce of the work for which this permit is issued.
( ) II have and will maintain workers' compensation insurance, as required by
Sectidn 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, PI��J' D Policy No. 0460 -UNIT 07749-99
(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 workers' compensation p'r�o//visions of jSection 3700 of the Labor
Code, I sh81, orthwl fi comply with tho's`eiprovi o js.)
Date: f OA�plicant f 1
Warning: Failure to secure Worke s' CompUensation coverage is unlawful acid
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 3766
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
Jl the above-mentioned property for inspectio urposes
f
Signature (Owner/Agent) % Da
BUILDING PERMIT PERMIT#
DATE) VALUATION LOT 0009-146 TRACT
/
JOB SITE
APN
ADDRESS 44-9W CALIX SAWA..I3.rAiMARA
- n
OWNER
CONTRACTOR / DESIGNER / EN (NEER
MKLAR%O
ATL AW27I14G COA9PMY
44-920 CALLS UMTA BARBARA
754 'iTVI1.X,1P,MS ROAD
LA, QITiN TA CA. 922:53
PALM SPRINGS CA 92264
(760)327.8466 CB1 1825
USE OF PERMIT
PAS7:0
3431_1 ALUMA:WOOD PATIO CCI3 E41 PER APPROVED YL.ANSFICBO fL
2621P ONLY
POR M/P.ATIO 343,00 SF
ENTMX17D CCAS' OF C;ONMUC CION
4,5=5D
P MY T.r "IE 9UNARY
P11_XN CHECK TBE 101 -000-1139-318 $46.80
CONSTRUCTION FEE 101-000-419-000 3?2m
STRONG MOTION FEE RESID . 101-000-241-000 x.30
Mi1S-rOTAL, COAISMUCTIO AND PI' MMCY
$119.301
LEM PRE -PIM 1r -3
MOO
'D: C)`CAD I°'Ir' M'!T FETS b1:T.y P70_ 4tYd
$119,30
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
U 8
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs 1
Underground Ducts
Forms & Footings
Ducts
Slab Grade 1
Return Air
Steel ;
Combustion Air
Roof Deck !
Exhaust Fans
O.K to Wrap I
F.A.U.
Framing
Compressor
Insulation I
Vents
Fireplace P.L. t
Grills
Fireplace T.O. 1
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall I
Exterior Lath
Drywall - Int. Lath
f
i
Final } /�U-� cI�J'�
BLOCKWALL APPROVALS
Final
POOLS - SPAS
steel
Set Backs i
Electric Bond
Footings f
Main Drain
Bond Beam
Approval to Cover
Equipment Location
]
Underground Electric
I
Underground PIN. Test
Final i
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines 1
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out I
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection 1
Encapsulation
Gas Piping J
Gas Test I
Appliances }
Final
I
Final
Utility Notice (Gas) I
ELECTRICAL APPROVALS
Temp. Power Pole I
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures I
Main Service f
Sub Panels
'Exterior Receptacles'
G.F.I. }
Smoke Detectors 1 .
Temp. Use of Power
i
1
Final I
Utility Notice (Perm)
COMMENTS:
SINGLE SPAN ATTACHED CANTILEVERED ALUMA—WOOD PATIO STRUCTURE
IZl' R
2*X 6 112-X 12. HANGER 6 H�DER OLLFORMED
ALUM. RAFTER 2'X 6 1 1/2- FASCIA
@ - Ilr OR 24* ROLLFORMED COVERING ROLL -
D.C. ti HEADER FORMED HEADER
OR ALTERNATE
2*X 6 1/2" ALUM. "
FASC I 1/2-X 6 3/4"X 6* 1/2" OR
WOOD
ALTERNATE DECORATIVE
'FASCIA -TRIM
NOTES 2" X 6 112" AL
1. FOR GENERAL NOTES, SEE DWC. #35003, SIDEPLATES - 01
.SHEETS. I OF 16 AND 2"OF 16. . .. EACH SIDE Of
2. FOR COVER PANEL INFO. I SEE . DRAWING COLUMN
135003. -SHT. '3 OF 16 DETAILS *A* & *B"
& DWG.: #35030 SHT. 10 OF 10.
3. FOR LEDGER TO WALL CONNECTIONS SEE
THE FOLLOWING:
FOR ROLLFORMED- OWG 135003 SHT. 4
OF 16, DETAIL l: & SHT.
3 OF 16- DETAIL *C* FOR ALTERNATE
AND OWd. #35030 SHT. 10 OF 10. Z'X 6 1/2
FOR EXTRUDED- DWG:, 135003: - SHT:
7 OF 16, ATTACHED I
DETAIL -Ir 'SHT-7 OF 16 TYPICA
DETAIL _-d AND DWC.
136030 SM.' 10 OF 10.
t. FOR HEADER I TO COVER PANEL CONNECTION YX 8'
SEE DWG. - - 35003, SHT. '5 OF. 16 'DETAIL "0" OR YX
A MOA`SHT: 10 OF lb... . c. B
5. FOR SIDEPLATE -To COLUMN & HEADER
CONNECTIONS SEE DWC. #35019 SHTS. 4, 5
AND: 6 -,,OF 6:
6. 'DESI ' GN:.PER UBC:,' 1991 EDITION. .
7. FOR-.iCOLUMN. TO; HEADER- &:,COLUMN To FOOTING BRACKET.
. SEE, DWG '135010, SHT. 4.' 5- AND 6 OF 6.
8. USE rX'S X 0.024- ALUM. COLUMN
OLUMN WHEN ATTACHING TO CONCRETE SLAB.
USE 3*X 3*X .04(r Abu. cdLUMN WITH YX 8' ALUM. BOX BEAM HEADER
WHEN 'ATTACHING TO. -FOOTING;
USE TX_S'X 0.048' STEEL COLUMN WITH YX 8'X 12 CA. STEEL 'C" BEAM
HEADER WHEN AtTkilik 10 FOOTING SEE OWG. 135003
SHT. 10 OF 16, DETAIL 'V V' FOR COLUMN FOOTING CONNECTION.
COVER PANEL(6- FLAT PAN
12 -OR 18- V -PAN)
MIN. SLOPE= 0.4'�Z[l 2"X 6 1/2'
ALUM FASCIA
OR
ALUM.
.[s�3" , X 8" ALUM. [iEADERX/ ALTERNATE
OR 3"X 8"X 12 GA. EXISTING
f�
STEEL "C" BEAM STRUCTURE
.PROJECTION
'3"X 3"COLUMN MN
._SEE NOTE #8
im. OPT 3 1/2"
lE CONCRETE SLAB
-2
SAFETY STAKE OR A81SCO
ANCHOR.
LENGTH VARIES COLUMNS.
016—� —0�.tkl OF COLL
-SIDE VIEW: 0. kND
j_FNGT" W'1\80\]E FOR IAIII. LENGI� I jo,,Tf.
MAX.LL p[R PAHEL
SEE ScHEDU E SIAS FASiEtif-RS,
-LAUNDER OF VO
ALUM. FASCIA
O'ROLLFORMED HEADER
FRONT Al -10 SIDES.
BOX BEAM
8"X 12 GA. STIL.
EAM CANTILEVER HEADER
c:
mmlIII§IIIIIIIIIIII
12- • To . ...... _
OYIRNANG�
COVER
IAX-,4 PANEL
)'HANG
57. OF
OL: SPACING
/2" ALUM.
SIDEPLATES
: q
P I -:::!:: l�I
ROVnLN blUt
PLATES
.1, OR 3 11r CONC.
ALTERNATE 3"X 3" COLUMN d"- SLAB SEENOTE'
WITH ALUM "H" BRACKET 'CONNECTING SEE SCHEDULE FOR * I '
15 ON 00*4�13-.
COLUMN TO HEADER. FOOTING SIZE -2-" 135003i .SHT. . 2
"NEWPORT" PATIO, STRUCTURE 'OF 16.
No. 13857
xp. -3 - 7
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COVER -`PANEL n7^ 0.017 X Tx Ir ALUNA-W000 BOX BEAM TYPE HEADER _f_ X 6 X 12 CA SII. 'C BrAIA HEADER
MAX. COLUMN SPACING MAX. COLUMN SPACING
LM PRa_ (INCHES) STRUCTURE LENGTH & PANEL FASTENERS PER JOINT
LOAD
AND FOOTING SIZES AND EOOrIrtC SIZES
(Psr) ECTION �- 2 I/tx It I 1/tx IIr ON sue. wren Foonuc •1 oa s1�e1wlm rooujH�c .. UNENCLOSED STRC7R. ENCLOSED STRCTR.
(n.) PAn. PNL PUL COLUMN SPACING CoLuNN Sppauc FooRNc s¢r c01.uM:1 spotic lc:LOUNN SPACIUG I FOOlu1c saE MIN. LENCfIjU10 SAIS/JNi. NIN. LENCTH Yrn Srlt/.uJT
_- - --�
4'-0' IL -S.—
_
d=IT 3'_5 g 4=0,
1R-
3'-2' tT-
`�
g • ON`SLAfr'INCLUDES ATTACHING COLUMN'TO SAFETY STAKE OR A13ESCO EARTH ANCHOR. SEE
•, DRAWING . j735003; SHL 10 'OF 6" FOR DETAILS. FOR 'ATTACHING TO SLAB USE
HILTI ;KW BOLTSsOR EQUAL, SEE' SHTS. 4; 5, AND. 6, OF 6.
•s-FOR':.FOOTING'ATTACHMENT TO COLUMN SEE SCHEDULE "F' (DETAIL 'UU") ON DWG. 35003,
SHEET' 10 OF 16.
a
`= No. 13857 r .
Exp. 3.31.97
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PER U.B.C. 1991 EOOON
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REVIS!ONS -
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ull
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A p mr d Al.. rokxaw 21.axe k..
1465r,Dallai Pak.oy; Sw1t.3$0
—�r-10-'--
6-5
BUILDING PRODUCTS INC.
oauar, L: Is7/o-w6
20
AIF
0.01 .0.01 0.01117 7,- -
0.01
�4=1�
J= lir
' 277 ..--
15'�
d- yjjr --
_
d=29•
—6•-Cj0.01F
7'-
IS�f
:a P IISINCLE SPAU ATTACHED ALUNA-WOOD PA110'
-
=1
5'-11
1'-
_
I'-3'--
— 6,_6 =
0.01 .0.01 .. _ T - IT
I'0.03f0.03. 4' -Il •-
0.037
T-
=1
=�914'
_ d_ 0
_ 5'-5`
—�
�Z11
—_4c2�
d�
'-
—19
11'-
::,13EA 33019
0.0 0.03 - /
-5•—
-II
1 i• -r
-- —21 _
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—Ion--! —
19_1 7
T
—1 '-
2/'-
_- - --�
4'-0' IL -S.—
_
d=IT 3'_5 g 4=0,
1R-
3'-2' tT-
`�
g • ON`SLAfr'INCLUDES ATTACHING COLUMN'TO SAFETY STAKE OR A13ESCO EARTH ANCHOR. SEE
•, DRAWING . j735003; SHL 10 'OF 6" FOR DETAILS. FOR 'ATTACHING TO SLAB USE
HILTI ;KW BOLTSsOR EQUAL, SEE' SHTS. 4; 5, AND. 6, OF 6.
•s-FOR':.FOOTING'ATTACHMENT TO COLUMN SEE SCHEDULE "F' (DETAIL 'UU") ON DWG. 35003,
SHEET' 10 OF 16.
a
`= No. 13857 r .
Exp. 3.31.97
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9jFOF CAUSQW,
cP�`O\ w►f�°y . `O .nOBEC7J�``f G� O C.. �0FESS7O�7
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a • •aux oaRanµ •
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awuw CHAIIAAAN . 34971 BRUCE D. 0
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PER U.B.C. 1991 EOOON
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REVIS!ONS -
Illy
ull
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A p mr d Al.. rokxaw 21.axe k..
1465r,Dallai Pak.oy; Sw1t.3$0
BUILDING PRODUCTS INC.
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ICBO ES::ALUATIO
-REPORT, W -262-
:a P IISINCLE SPAU ATTACHED ALUNA-WOOD PA110'
NONE
::,13EA 33019
2 OF 6
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