9903-265 (PAT)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
• rr:•
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
19,56 U-0 I Do.5 1013V99
Date ' , �! `•-7!�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 prQuertv, am exclusively contracting with IicenSRd
contractors to construct the project (Sec. 7.044, 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.
(X) 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.
43.R f�6�.:. MIND
(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 shall forthwith comply with thoseptrovisions.
vC ate: !,. Applicant i*k
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
constructiorf, and hereby authorize representatives of this City to enter upon
the above-mentioned property,for inspection.purpfoses.
ySfgnature (Owner/Agen) F-� * ' *-�- r ,� • Date
BUILDING PERMIT PERM, 9"3-249
DATE 3/26&) VALUATION 56,118.00 LOT TRACT
JOB S 414621 F'.A9,.��i NiO Cia$-).Ei�M
ADDRESS
APN p
OWNER
CONTRACTOR / DESIGNER ENGINEER
TACK i1fJRE�Yp
.
ATLAS Ai/iCI 1 t"4 RA Y
43621 PA:i.FRivio coeur
'754 WIi.I.,UIVAS R.01AL).
IA QUM'A CA 92253
R?ALM S:PRJNGS CA 92264
(760)1-27-8466 Mil 1825
USE OF PERMIT
4004 -5,F. ALU t"'1+i i Ai LATTICi:.WLTIO COVER (10102021P)
FORCHAPATIO c
. i'n31.MY•F 11 0 Cwr OF'5. GINT91RUI :4,10,,91
6.113.09
PE,I 'tV IT .I+FE SUMMARY
P1:t1N CHF-CK.'t''*rl3 1.01.000-4:j9a318 S58.50
t"Y31�15'.'Piti1't",'i'ti'ytd l•`i;� if11,-(►[!(��d1fZ-f1+1(I $�?O f�i
•
' 3 Y??vt3 rC�?rit�,i rl-A!» 1W31D IM -000,141-000 S.41
S! t€1-•j'Ol"Af,,. CQN,;;jR(,X,"I10N ,AN..D PAN Ci-tRX,
$14911
LESS PRU-k'.ri1R3.1+EES
WOO
TOTAL PERMCFFEE'S 105C NOW-
$149,11
r
f
h v' A
"R-CIRT\({ /"��
DATE
BY
DATE FINALED
INSPECTOR
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 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final Odij >3 0 'POOLS
BLOCKWALL APPROVALS
-SPAS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
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:
'
TIm A S y.
AUTHORIZED DEALER
�N,NO FOA AL UMAX
AND ALCAN PRODUCTS
CIO M P ANY LIC. NO. 376238
'76Q) 360 -6By4 r,
W4
1 � f
�o �`�,v ow."
Z
i
JIr N
2°
1
C1
���� bpy � t!a€3 s' w `
6 �:uv B' 7,u�..�7y Se s-9� �,
BUILDING' �""ft,'A'F-ETY DEPARTMENT
ACCENTED � R "ONS
90 WI`
SUBJECT TO INSTALLATION AS PER
AND ALL APPLICABLE CODES
a q BY �
754 Williams Road/Palm Springs/ California 92264/(619) 327-8466
AND ALL APPLK`tABLE CCPD
No. 13857
EXP 1-31:97
�clYll ^;
f Of CAU`��
ALD W. RAFTER __4'
SEE SCEDIAf FOR 91E
r x r ALUU. COLUMN
4TMIATE 4 x 4 D.F.
WOOD POSI
)R. 3 1/t CONC. SLAB
SAM STARE OR ABESCO---R
ANCHOR WITH CONCRETE
FOOnnG rYP. OR FOOrINC
11@IOUT ANCHORS.
%IT
ALILMNAlt 4 • Of.. `'DUSTIN'
NEA DER 0P. rx Y 12 STRUCTURE
'C BEAM
fall I/f ALUM. SIDE-
%PUITE- ALTERNATE
2 X 1 Of. SIDE PUTS
SIDF VIEW
I
cre�
r
P 9 24' MAX.
O'HANG-�
MIN. O'wwc
MAX.
COLUMN HT.
tai CIE �.
` A
LACUNA -TYPE OPEN
LATTICE STRUCTURE
1"IYALUMAX
A im•- a Hum F&ww Nub 4
IALSI DaR01 PoA• Sul• yyp
BUILDING PRODUCTS INC. 0d o'• 1•. 7S2.0-'i11d
ATF LC.8.0. ES, EVALUATION REPORT NO. 2621P
NONE OR Pm A11Aou IAr9S (Px90 S7RUCMES
+A.1 - 10. 20. • 30 P'SI - 70 k 9d 1d'N Smo VM
A«� —
5-31-91 .�',lEl
,w,,R 33017 M
I or e
—�•.
REC,f
�eox 4 ^. ERt10E RAF _ J`� A► < t�OFESS/ptif_ e•AFEsl!glr4l c>i' �itE TE k •��C
} O m� '1� Y Ai[ MGINEC rf rr
1R1ci.er�-OVM D. , V f '� J :'yt d4.'. r �' 1. ♦
fV o. Z a Ile.' 6791 i �i ' I dT7N • • a �� = 7
OWLAA/1N t 34471 IW -BRUCE 0.
23921 �4 ...
my[ OF h C1ULlJ� z : ?6267: _� i � ff D. C*IALLMA��
♦.... 'Ff,{�,, 'b, �. d tml -p : •� •. ,y 1: ♦ �� / s .p 55081
�Af �� / f)J.-_r.arA� �., �a 'f�y YI E'I,�.�I �I} 27•., .i'?• pe���STf��r �•ri� *�,�fC/iTEt��2�
SCHEDULE FOR ATTACHED LATTICE PATIO STRUCTURE — 10 PSF — 70 AND 90 MPH
TX 6' ALUM. BOX BEAN OR
TIS-
RAFTER MAXIMUM COLUMN SPACING AND FOOTING SIZE FOR 31 8' ALUM. BOX BEAM HEADER
COLO" SPAmG a FIC. WE
PROA- UTANR7
pjp SPACING 2- tx 9 1/tX .029' HEADER !x cx .030• HEARER rx CX 0.03c HEADER O
Tx rX 0.O4t HEADER
HEADER To
rx cx 12 CA s>L C euM
ECTON am
• 24' O.0 CILUNN SPACNC IF007WG COLUMN SPACINC FOOnNC COLUMN SPACING FOOTING
SDLPLVE
COLUMN SPACING FOOTING MillEC110N
COLUMN SPACM
FOOTUC
MO DEPLAR NTTH POST SMS TO RAFTERS.
AND sIDEPLATEs ALT 'B- SHALL CONSIST OF 18" ROOF
ON STAR M OGTC SI2F N IAB R FOOIC SIZE ON SLAB # M fDQIG 97E
ON SUB i N ODIC 92E
REOTI ISYS ON SUB # M FOOT'C
92E
10 S•
ru I TY02( 1P -S' IP -S, d -2r 8'-11' r -Ir d-70' 10'-9' IO• -T d-21'
12'-Y 12'-r d -2r
a #t
13'-6' JD -0
d -2f
r
fx9 1 tx.02c _ 9'-c ld-ir a -f e' -t d=20' T-10' 9•-I? d -It
W -i 11.4 d -24r
a ##
1r -c JoIf
d-31
7
Txfyoff r -lar- i ff IA. T -f 7'-t d-21' 9'-I' 9'-1' 4-2t
9'-9' 10'-7' d -2f
8 ti
9'-9' JO - 0'
d -3r
IF 8,
rifLoJc N -r S -r 6'-f r -f d-21' 8'-r 8'-6' d -2r
8•-G 9--10' d -2i
8 ##
6 -c 26'-4'
d.3{
18' fr
rxcY.04d 1'-6 T -c 5'-7 S' -t d-21' T- D'-? d -Ir
F2r
T-8 - d-2
8 t#
7'-7 27'
d-3
20, 10
rxcY.af 6'-1� 7-i S-0 Y -O' d-21' 6'-1Cr T-7' d-2(
6'-10' 67-10' d -Ill'
6 #i
6'-1r 23'-6'
d-36'
• 'DN 51 AIr
AIM simn[e an.rurn rn �w rn
1 1
1, .;
z. ?`'
AND ALL APPLK`tABLE CCPD
No. 13857
EXP 1-31:97
�clYll ^;
f Of CAU`��
ALD W. RAFTER __4'
SEE SCEDIAf FOR 91E
r x r ALUU. COLUMN
4TMIATE 4 x 4 D.F.
WOOD POSI
)R. 3 1/t CONC. SLAB
SAM STARE OR ABESCO---R
ANCHOR WITH CONCRETE
FOOnnG rYP. OR FOOrINC
11@IOUT ANCHORS.
%IT
ALILMNAlt 4 • Of.. `'DUSTIN'
NEA DER 0P. rx Y 12 STRUCTURE
'C BEAM
fall I/f ALUM. SIDE-
%PUITE- ALTERNATE
2 X 1 Of. SIDE PUTS
SIDF VIEW
I
cre�
r
P 9 24' MAX.
O'HANG-�
MIN. O'wwc
MAX.
COLUMN HT.
tai CIE �.
` A
LACUNA -TYPE OPEN
LATTICE STRUCTURE
1"IYALUMAX
A im•- a Hum F&ww Nub 4
IALSI DaR01 PoA• Sul• yyp
BUILDING PRODUCTS INC. 0d o'• 1•. 7S2.0-'i11d
ATF LC.8.0. ES, EVALUATION REPORT NO. 2621P
NONE OR Pm A11Aou IAr9S (Px90 S7RUCMES
+A.1 - 10. 20. • 30 P'SI - 70 k 9d 1d'N Smo VM
A«� —
5-31-91 .�',lEl
,w,,R 33017 M
I or e
—�•.
REC,f
�eox 4 ^. ERt10E RAF _ J`� A► < t�OFESS/ptif_ e•AFEsl!glr4l c>i' �itE TE k •��C
} O m� '1� Y Ai[ MGINEC rf rr
1R1ci.er�-OVM D. , V f '� J :'yt d4.'. r �' 1. ♦
fV o. Z a Ile.' 6791 i �i ' I dT7N • • a �� = 7
OWLAA/1N t 34471 IW -BRUCE 0.
23921 �4 ...
my[ OF h C1ULlJ� z : ?6267: _� i � ff D. C*IALLMA��
♦.... 'Ff,{�,, 'b, �. d tml -p : •� •. ,y 1: ♦ �� / s .p 55081
�Af �� / f)J.-_r.arA� �., �a 'f�y YI E'I,�.�I �I} 27•., .i'?• pe���STf��r �•ri� *�,�fC/iTEt��2�
jj r#D COLUMNS MINIMUM REQUIRED.
v - irf DoucAs FR - LARCH (12 CIM WOOD HEADER MAY BE SUBSTITUTED FOR r x r ALUM.
TX 6' ALUM. BOX BEAN OR
HEADER USE COLU2N SPACING FROM r x Ir 1 041 ALUM. HEADER,
rX 6'X 12 GA STEEL 'C BEAM HEADER
fX5 1/t OR rxK' RAMS• ALTER'A SHALL CONSIST OF 18"
SEE UlF FOR 511E
• OPT. ALTERNATE 'Ir (I Ir ROOF PA
ROOF PANELS, PLACED PARALLEL TO
ALTERNATE 2-2-X6 1/t
•QP1 ALTERNATE
RDOF
STRUCTURE ATTACHED W/2 X10
HEADER N PLACE OF
(TBI PANEL)
MO DEPLAR NTTH POST SMS TO RAFTERS.
AND sIDEPLATEs ALT 'B- SHALL CONSIST OF 18" ROOF
LATTICE OVERHANG 16' FOR
1 1/2' X 1/2' OR
PANEL PLACED PERPENDICULAR TO
18' FOR
x r POST STRUCTURE AND ATTACHED W/2 #10 SMS T' X 4-
TO BLOCKING.
ALTERNATE 2-f X 6 1/2' HEADERS. LATTICE: .018 X 1 1/2 X 1 1/2- 0 3 1/2'
OR7"O.C.OR2X 406' ORB- O.C.
/� O
�% 5
NOTES:
/
O� N p�
IY MIDTF� UANG�FOOi1NCSs M/9 AND 10 I. PI'RS�mCTURE 1! Y NOT BE ENCLOSED WITH
ALL Lf SAUCE REQv J
C1 u10 t0'QTECTIOHS.
R 1 ro o P J Cr s 2 FU GENERAL NO S SEE OWC
:.' 135003 SHT. 1
�v
9 6 AND 2 OF 6.
/`
,:y EQD
1
F/CTI
3. FOR ALTERNA EA E ATTACHMENT OF RAFTERS
I 0 OWC. NO. 35003 SIR. 3 OF 16.
4T, - TAKE AND A9ESC0 ANCHOR DETAIL
AR
>'
1 1
1, .;
z. ?`'
. FOR
OL
1 PA
N J50 3 SHT. I 1 OF 16.
C
5. W. HEADER OVER G = 40% OF COLUMN
SPACING FOR UP T 16' PROJECTION AND 337. OF
p�Frm
COLUMN SPACING R 17'-20' PROJECTION.
6 R PER U.B.C. 1991 EDITION.
J `ftAfTER
OPT. 3 1/2' CON y
SIA%B- SEE NOTE Ld' J
-
b.' SON FWiCE , HEADER TO SIDEPLATE OR
CQ CONN., TO HEADER h COLUMN TO
;35003, d
SPLICE LOCA, -. 4A,i:TICE Ih
` F"OR SLAB ACH. SEE OWC. NO. 35017, SMS.
SHE 2 F I
2 OF 16
6, 7,
i ae ��[[ ae
SV Bi1 r , Ya-:..m.i'YV
AND 8 OF 8
�a
DATE
I REVISIONS
AND ALL APPLK`tABLE CCPD
No. 13857
EXP 1-31:97
�clYll ^;
f Of CAU`��
ALD W. RAFTER __4'
SEE SCEDIAf FOR 91E
r x r ALUU. COLUMN
4TMIATE 4 x 4 D.F.
WOOD POSI
)R. 3 1/t CONC. SLAB
SAM STARE OR ABESCO---R
ANCHOR WITH CONCRETE
FOOnnG rYP. OR FOOrINC
11@IOUT ANCHORS.
%IT
ALILMNAlt 4 • Of.. `'DUSTIN'
NEA DER 0P. rx Y 12 STRUCTURE
'C BEAM
fall I/f ALUM. SIDE-
%PUITE- ALTERNATE
2 X 1 Of. SIDE PUTS
SIDF VIEW
I
cre�
r
P 9 24' MAX.
O'HANG-�
MIN. O'wwc
MAX.
COLUMN HT.
tai CIE �.
` A
LACUNA -TYPE OPEN
LATTICE STRUCTURE
1"IYALUMAX
A im•- a Hum F&ww Nub 4
IALSI DaR01 PoA• Sul• yyp
BUILDING PRODUCTS INC. 0d o'• 1•. 7S2.0-'i11d
ATF LC.8.0. ES, EVALUATION REPORT NO. 2621P
NONE OR Pm A11Aou IAr9S (Px90 S7RUCMES
+A.1 - 10. 20. • 30 P'SI - 70 k 9d 1d'N Smo VM
A«� —
5-31-91 .�',lEl
,w,,R 33017 M
I or e
—�•.
REC,f
�eox 4 ^. ERt10E RAF _ J`� A► < t�OFESS/ptif_ e•AFEsl!glr4l c>i' �itE TE k •��C
} O m� '1� Y Ai[ MGINEC rf rr
1R1ci.er�-OVM D. , V f '� J :'yt d4.'. r �' 1. ♦
fV o. Z a Ile.' 6791 i �i ' I dT7N • • a �� = 7
OWLAA/1N t 34471 IW -BRUCE 0.
23921 �4 ...
my[ OF h C1ULlJ� z : ?6267: _� i � ff D. C*IALLMA��
♦.... 'Ff,{�,, 'b, �. d tml -p : •� •. ,y 1: ♦ �� / s .p 55081
�Af �� / f)J.-_r.arA� �., �a 'f�y YI E'I,�.�I �I} 27•., .i'?• pe���STf��r �•ri� *�,�fC/iTEt��2�