9809-125 (PAT)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions ofy.
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
678756 C-6'1 1'0/31/99
Dat Signature of Contracto
/
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, at 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 RIND Policy No. 1.50930-1-93
(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, I shalliforthwith comply with,those provisions.
Date:= C I l ; . .i' Applicant 4 ) o
�I 3 t I j -i -
,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 for�ir spection purposes. ! t
SiAture (Owner/Agent) �. '� `('' Date
BUILDINGPERMIT PERMIT 9# CONTROL#
DATE !)/I,W98 VALUATION , . ;} a,d LOT TRACT ei
JOB SITE 43-1651. PAL }c sl0 C+ APN G
ADDRESS
OWNtE�R : y CONTRACTOR / DESIGNER / ENGINEER
. i'wLi3ir'.:��'r.i� .�.:ic. f . ti ;�a �:.. n i'T A F' n '�i"i`d VAJl-1 (.:�. A AT)t°�'�i v �e
J"ll. iwRla<A f �.
43-651 P.tLi..lwiC.t&TO CC 754 WILLIAMS RWO.
LA l';31'::f[WA. CA 922.53 PALM SPRINGS CA 92264.
f760p27-84C;6 U11.10 18?5
USE OF PERMIT
PATIO
al.0NIAW<eOiiPAM COVER 260SR
71 0 C91PA7110
:e0.010 S1`
ESS .i:OIAfl el` D r..yiST OF COJl1vr..Y.RZIR-...i A'ON
VERMIT V EF SUMMARY
PLAN CHECK i -WEE. 101-000-439.3113
("'O'NSIVI;C'rYON• FEE )01-40-419-000 v,3 t)n
�i`1i3LT�i i a1 0 ['.1l�iRt.1'f i� - M.`ii1) 101 -000 -241 -WO
S1 tsVIXY .A!, C ONS'I'R"fJG''1'ION AND P{..,'•did C.T-TFCK
LESS PRUTPAIDIFEES
RECEIPT DATE BY I DATE FINALED INSPECTOR
i
3,4. euo
$10445
$0.00
S104,45
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
WAMAao - 3 -
Final
Final —
BLOCKWALL APPROVALS
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
c
Final
Utility Notice (Perm)
COMMENTS:
0 T
LAS
WN/NG
COMPANY,
ci:
X72- '7 SP
FAV
75.4 Williams Road/Palm SpringslCalifornia 92264/(619) 327-3466
AUTHORIZED DEALER
FOR ALUMAX,
AND ALCAN PRODUCTS
LIC. NO. 376238
SCHEDULE FOR ATTACHED LATTICE PATIO STRUCTURE - 10 -PSF —.70 AND 90 MPH'
RAFIER MAXIMUM COLUMN SPACING AND FOOTING SIZE FOR 3"X 8" -ALUM. BOX BEAM HEADER COLUMN SPACING � FTC. SIZE
CE
TYPE TPoB-
Wq�Y �ER SPACING 2- TX 6 1/YX .019' HEADER TX 8•X .030' HEADER YX 8'x 0.036' HEADER O TX IrY 0.042 KAM O HEADER TO TX YX 12 CA STL 'C BEND
ECT10N SIDEPLATE
ALUM. RAFTER --4'
EA
L EA ER.
EL LTJ
��yAIE
RIQD1 = 24 O.C. COLUMN SPALINC !FOOTING COLUMN SPACING f00T1HC COLUMN SPACING FOORNC COLUMN SPACING
FOOTING CONNECTION COLUMN SPACING FOOTING
SEE SCEDULE FOR SIZE
f
HEADER OR YX X 12
Y
S11NC
STRUCTURE
ON SUB W OOTC SIZE N SLAB > W F001 C SIZE . ON SUB # W FOO`rG _g7E ON SUB # W FOOT'C
SIZE REDID ISM ON SLAB # W FOOT C SIZE
'C'BEAN
10• 5' 2`X6 I TX.024. 10'-S' 10'-5' d=21' B'-11' 8--11' d=20' 10'-9' 10'-9' d=21' 12'-7' 12'-T :
d=2Y 8 ## 13'-8' 3174 d=29'
Y X Y ALUM. COLUMN
fx6 1/f ALUM. SIDE -
12' 6' 2'X6 1 fX025 _ 9'-6' d=2P 8'-2` B' -f d=20' 9'-10' 9'-1U' d=2f . 11'-4' 11'-6' .
,
d=2P 8 ## 11'-4' 30'4 d=31'
ALTERNATE 4 X 4 D.F. '
WOE POST
PLATE- ILTEzRNATE
2 X 6 D.F. SIDE PLATE
If T TXIrX.03C 8'-10' — T—f 7'—f d=Z1' 9'-1' 9'-1' d=Zf 9'-9' 10'—T
d=24' 8 ## 9'-9' JO'—O' d=3Y
OPT. 3 1 f CONC. SLAB
'
is, 8' rXYX.03C 8'—'r . 8'—Y d=2Y 6'-4' 6 —4' d=11' 8'—Y B'-6' d=2Y 8'-6' 9'-10
d=24' 8 ## S. 28•x' d=34'
SAFETY STAKE OR ABESCO—�L
18' 9' YXB'X.040 7'-8' 7'-9' . d=2T 5'-7. 5'-7 d=11' T-6 8'—O" d=2Y T-6
d=2 8 ## 1'-7 2)' d=3
ANCHOR WITH CONCRETE _
20' 10' TXYX.04f 6'-10' T-4 d -2J. 5'� 5'-0 d=21' 6'-10' T—T d=2f 6'-1d 8'-10
d=16 8 #* 6'-10 25'-8' d=16
FOOTING TYP. OR FOOTING
Mf1FI0LIT ANCHORS. SIDE VIEW
*.'ON SLA(r ALSO INCLUDES ATTACHED COLUMN TO SAFETY STAKE OR ABESCO EARTH ANCHOR ALTERNATES.
;
xTWO COLUMNS MINIMUM REQUIRED,
V - fxIr DOUGLAS FIR - LARCH #2 GRADE WOOD HEADER MAY BE SUBSTITUTED FOR r x IF ALUM.
rX IF ALUN.'BOX BEAN OR
-
4EADER USE COLUMN SPACING FROM r x E' x .042 ALUM. HEADER.
rX 6X 12 CA STEEL 't' BEAN HEADER '
2'x612 OR rx6 RAFTERS . ALTER "A' SHALL CONSIST OF 18" +
SEE
• OPT. ALTERNATE 'T 18" ROOF PANEL ® k
JbJS 7/
ULE FOR SIZE .'
ROOF PANELS, PLACED PARALLEL TO
ALTERNATE
*PPI. ALTERNATE 'A'
ROOF
F
°�
�p
HEADER IN OFYX6 1/2 .,STRUCTURE ATTACHED W/2 110
- (18' PANEL).
!+��c
e.
rxT HEADER wTTH POST SMS TO RAFTERS.
AND sIDEPtarTs ALT "B" SHALL CONSIST OF 18" ROOF LATTICE
1
OVERHANG 16' FOR
2 4' MAX.
O'HANG-6'
�, �
PANEL PLACED PERPENDICULAR TO
1/2' X 1/2' OR 18' FOR
MIN. O'HANC
•
x r POST STRUCTURE AND ATTACHED W/2 #10 SNS
2' X 4'
\
TO BLOCKING.
ALTERNATE 2-2 x 6 1/2 HEADERS. LATLICE: .018 X 1 1/2 X 1 1/2' ® 3 1/Z"
T
OR y O.C. OR 2 X 4 ®5 OR 8" O.C..51�c
NOTES:
/���E o ���p�p
COLUMN
`'TRIBl1fA2R4Y ITMYIDIHS OOTINCS W/9 AND 10' i. THIS STRUCTURE MAY NOT BE ENCLOSED WITH
OPEN
"
`
8-MAX.
COLUMN
'
HT.
ALLOWABLE
SPLICE RE0'D 3
FOR
COLUMN CONN ET nopN5 LATTICE. -
13' TO 0' FROJEC DNs 2. FOR GENERAL' NOTES SEE DWC 135003 SHT. 1 _
R
OF 16 AND 2 OF 16.
3. FOR ALTERNA EAVE ATTACHMENT OF RAFTERS
SEE DETAIL ' OF DWG. NO. 35003 SHT.
o�E
0
+
GD
3 OF 16.
FETY
4. FOR SASTAKE AND ABESCO ANCHOR DETAIL
s
��
�S
`V���d
FDR 1
1 PR J cn
SEE DWC. NO. 35003 SHT. 11 OF 16.
5. MAX. HEADER OVERHANG = 40% OF COLUMN
r
GO F gy t1- p�Pe
SPACING FOR UP TO 16' PROJECTION AND 33% OF
COLUMN SPACING'FOR 17'-20' PROJECTION
6. DESIGN PER U.B.C. 1991 EDITION.' OPT. 3 1/2' CONC.
SLAB- SEE NOTE c�
7. FOR RAFTER HANGER, HEADER TO SIDEPLATE OR i ��`" �0 �� WLAGUNA—TYPE OPEN
s '. • - +15 ON OMC. X35003, � a
COLUMN CONN., RAFTER TO HEADER k COLUMN TO SHE 2 OF 16 } ° LATTICE STRUCTURE
SPLICE LOCATIONS' FOR OPEN LATTICE AWNINGS FOOTING OR SLAB ATTACH. SEE DWG. NO. 35017, SHTS. 6, • 7, AND 8 OF 8. 0 ��EO
S�%� ��
DATE RC'.'Lr,101J5 'I'IIII� �V / l/� '
• � �O �•'•:. A Deism at uwnm ro!rmkd RoB,di he
' �Q �Cp1 OVAN� F ::,, 14651 Dallas Park• Suite 330
v° BUILDING PRODUCTS INC.
Dallas.T. xsz+o-iiYe
W d No. 13857 RAW
ATF LC.8.0. ES, EVALUATION REPORT N0. 2621P
EXP. -3t 7 '
1 -Y S ( -i
MORE OR PIN ATTACVBD lAncf PATO STR MR S
l• IV 1� A NAME — 10, I0, R 30 PSF — 70 M 80 MPH 111f10 SPE®
9lF oA, Aw;v
OF CAUL 5=31-91 !,UM PART J5017 R 1 OF 8
r i T `.wilt O REC/f.F V •` 2. pFESS/p ti 'ZE OF TE �p • CFiq� .:.
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�} •S ATE �
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s3wqrE DUCE 0. Z z» eb267i i �I O. CHALLMA
. � 4.,.• O'� Cf�? � *� RCDP' r� W �GYIL '� 's J �=. .`v f �i •� � 7q gP 9 VAL �AG� !� ~fM MEy ` 77. O'xje �C/STEa���?Ai