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9603-071 (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 Code, and my License is in full force and effect. License # Lic. Class Exp. Date 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: ( Q 1, 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 bate �� " . Signature. of Owner �.. !� ./4"la ,, 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 Policy No. (This section need not be completed if the permit valuation is for $100.00 or. less): ( ) f 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 fo 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: f i '� �rS�. Applicant dw' . 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 inspection purposes. Signature (Owner/Agent) _ // 7 - Date ' �' PERMIT # CONTROL # BUILDING PERMIT 03-071 2969 DATE .bl1�%196 VALUATION9�`v LOT' TRACT ADDRESS 514,60 CALIXf. >'I�e'4IlAi11 t1.' JOB APN OWNER CONTRACTOR / DESIGNER / ENGINEER SHAUN R A BN I CASEY OWNF IBUILDt i 1 i 6o cALLE IyAI. OMA. LA QUINFA i".A 922.53 (619)771-0442 C8Lff . USE OF PERMIT PA°NO PXVf0 COVER FUK(:. Vl-;'Ai tU 9lb.tHi Sk' PERMIT 1 'RE, SUMMARY F'T.;ANd C..€ii CK FEW $58.50 CONS"IRI:zCi ON FEE lUl �b0-4f -{ (J4 S9G.0t) STONCs MOTION i'F9 - R,ESID 101-000-241-Wi $.7u SUB -TI AL CONSTRUCTION AND PLAN CHECK, LESS ME -PAID FEES Dr�7 0.00 fYfAl, PERMIT F EKS OIJE NOW 5149141 ' MAR 15 .1996 By RECEIPT 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 & 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 Fixtures Main Service Sub Panels Exterior Receptacles G F.I. S,wke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: 4 Dennis S. Wish P.E. 54-625 Avenida Bermudas La Quinta, California. 92253 Job Number: 9606 Date- 3/13/1996 Description: Lateralfor patio cover Job Address: Owner: Casey Residence Address: 51-160;Calle-Paloma City; La Quinta State -California Client: Mr. &Mrs. Shawn Casey t; Scope of Work: Client wants to add.a new:patio cover with conventional roofing (not trellised). The city has required the owner to secure an analysis from a licensed engineer to design appropriate -lateral constraints. The patio cover is to be: constructed`in an area that will provide :lateral support from existing exterior bearing.vualls with sufficiienf_solid_w.alls as to,allow_the lresultihg_sheartobe-dragged. Assume -that the -lateral load is+governed by Wind : For anchorage of -the new cover to the existing structure, design the iateral load from the structure as 30%'of the patio cover weight distributed to appropriate resisting elements. SPECIFICATIONS: Design Data: Building Code:..1994 UBC Fonndation:Soil: UBC Table.29-B for Sand.and:decomposed granite =1500 psf Structural. Concrete: 2000 psi in 28 days Wood Framing: Per WCLB Grading Rules No. 16 Studs:.D:F. Construction Grade Joists:. D.F. #2: Grade Posts: D.F. Construction Grade 4x4 Light. Framing: D:F...No..2 Beams: D.F. No.2 for 4X, No.i for. 6X Glue&Lamivated Wood: Douglas, Fir'Comb. 24DF/24DF Design Reference: Western Wood Products Association Span Computer. Plywood :.,Structural ll or as noted in -analysis per P.S. 1-74 3/13/9611:21. AM - 1 9606 Casey Residence Patio Cover.MGD . t v Dennis S. Wish P.E. 54-625 Avenida Bermudas La Quinta, California 92253 LATERAL LOAD: Wdl_:=12-psf Area--: (3-9- 11.5):ft? 'F :=,0,3,.. P L long := 39.41. L tri, ='13.5, ft. In the Transverse Direction: J--longV transv = F p' W dl' L transv 2 L tcansv V long := Fp' W dl'L long' 2 V t.ansv = 94.7.7 -lb V long = 947.7 -lb Job Number: 9606 Date: 3/13/1996 Description: Lateral for patio cover Check 1MthdraWl for lag bolt into D.F. (speck gravity = 0.51, value form NDS) For 1/2" diameter lag bolt - in Rounds per inch of penetration as noted in table 6.27 of the AITC Timbei Design manual: T:= 390. lb in For 3" embedment. T full :=T -3 -in 3/13/9611:21 AM =1.17.1,03 •1b > than.950 lbs,,therefore ok. Summary: Secure new 4x beam to (E) double top�plate-of_wall_withSimpsfln LTT20 strap w/ 112"-diametei lag_bolt-embeded into wood a minimum_of-3"._P_redrill-td avoid: splitting plate. Min. edge distance to centerline of bolt is not to exceed 314" for 112" diameter lag. 2 9606 Casey Residence Patio Cover.MCD (E) EXTEIRIOR_LATHAND; STUCCO --FINISH TO REMAIN. (N) 4X BEAM AS PLANS. .SOLID BL --KG. (N) SIMPSON LTT20 STRAP W1 1/2" DIAMETER LAG BOLT EMBEDDED 3". MIN if4T-b,(E) TOP PLATE. -OR- STUD: N6T­E. PRE. -DRILL, AT -.CENTEROF PLATE OR .,STUD TO AVOID SPLITTING WOOD. NOTE. IF BOLT CAN..NOT.BE INSTALLED ,IN SIDE OF PLATE AS ISHOUK, CONTRACTOR IS. TO INSTALL (N) 4X 50WO BLOCK BETWEEN STUDS AND - SECURED'UJITH SIMPSON ON A35 AT TQP.AND,._5OTT.OM-_OF BOTH SIDES OF BLOCK TO. EXISTING ..STUDS. WITH SIMPSON 10d (N-10) X 1 1/2" LNG NAILS (V=500 L5. / CONNECTION) LATEfRAL DfRAGSTfRAF CONNECTION. (E) EXTERIOR LATH -AND--,,, STUCCO FINISH TO REMAIN. IINSTALL. A.4X-DRAG.-STRUT IN PLACE OF RAFTER AT CORNER. INSTALL (N) SIMPSON LTT20 INTO (N) 4X LEDGER. _LAG= -N) 4X . -LEDGER TO (E), STUDS Ult-3/8" DIA ..LAG ABOLT—Et-15ED. -LAG . A INIM TYPICAL. AT 16" O.C.- PREDRILL NOTE- LEDGER CONNECTION TO TO AYOID- SPLITTING STUD: PLACE -STUD ZALL-.NOT SHOWN1.-FOR.. LAG IN CENTER, OF: -STUD, OR. CLARITY. NOLESS THAN 1 1/2 TIMES BOLT DIAMETER FF;bf1 EDGE OF STUD. LATEfRAL DFRAG'STfRAF CONNECTION. . D:%Completed Jobs - Archives19606 Casey Patio Cover19606 Casey Residence Patio Cover. vcd 311311996 OWNER/BUILDER, INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as'the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may �pro�tect yourself from .possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. , If you'plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than'your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are riot licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding,' federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may befinancial risks for you if you do not carryout these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal.Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific, information' about .your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for' sale,. property owners who are not licensed contractors are allowed to perform their workpersonally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be .signed by property owners unless they are performing their own work personally. Information_ about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-105 Calle Estado La Quinta,. CA 92253 (619) 564-2246 - FAX: (619) 564-5617 lam/ /_ r /rl, OWNER'S SIGNATURE /DATE r PROPERTY ADDRESS 900,3 -o -7 / PERMIT NUMBER(s)