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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
os), 1101
DateF:NER-BUILDER
nature of Contract 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, 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 FU)gD Policy No. 040 -UNIT i►7h49-99
(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 provisions of Section 3700 of the Labor
Aode, Lshal+f rthwith comply With those pr isions".
e: ant�� &do(
Warning Fa' lure 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
7ignature
above-mentioned,property for/inspection purposes.
(Owner/(ggent)�/9// i Date �
PERMIT #
V00 BUILDING PERMIT "7.015
DATE VALUATION6l�.�.iU LOT TRACT
ADDRESS n9 -p" CLAY717"I� COiAPN _
OWNER CONTRACTOR/DESIGNER/ENGINEER
Sjwl i'D m color MIAAS AWIMIG COMPAATY
79-093 C1 WY COURT 754 WTIliPIVIS ROAD
LA QL'TWA CA 92253 PALM SPRDJGS CA 92264
(760)327.6466 CBI(€ 1825
USE OF PERMIT
PAZ1O
PORMP.ATIO
648.00 9F
LST IRI COST OF CO.NMUMON
PJN RM. ., M S"[iMMMY
PIAN CIAI+CK Fa 101.000-439.318 M.20
CONSTRUCTION FEE 101.000-418-000 $109.00
STRO14C+MOTION FGR• RESI19 101-000.241-000 S.$6
SUB-TMAL CON. RJJ(4T1014 ANI) PLAK C.IM'K.
LESS PCS-Pto) FUZ
RECEIPT I DATE
T(7.I~AL I'Ir 1V fY 1nKKS DUE NOW
9,6? SAO
FINALED (INSPECTOR
$179.06
rfi;
In
�15S.
$119.06
$0,00
FINALED (INSPECTOR
$179.06
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
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
Foctures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
CITY OF lA QUI
BUILDING & SAFETY DE
APPROVED
FOR CONSTRUCTION
7q nqB LWDY L4
U QU I N i Ac g-L-1.Fz,3
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ASE
2i
12X5�Aulr�wo0o se��
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3.5' -- - - - ��.,-�.- - - - - - - - - - -
SINGLE SPAN ATTACHED CANTILEVERED ALUMA-WOOD PATIO STRUCTURE
2'X 6 1/2"X 12"
JJ
6HEA ER ROLLFORMED
HANGER
ALUM. RAFTER
2"X 6 1/2" FASCIA
® 16" OR 24" ROLLFORMED
O.C. ti HEADER
COVERING ROLL—
FORMED HEADER
�pSO
OR ALTERNATE
2"X 6 1/2" ALUM. FASC
/
�'�
.E6
X 6 1�2" OR
1 1 1 1/2"X 6 WOOD
COVER PAPIEL(6' FLAT PAN
12"OR 18' V—PAN)
MIN. SLOPE= 0.4•• /FT 2"X 6 1/2"
ALUM. FASCIA
OR WOOD
3•' X 8" ALUM. HEADER ALTERNATE
OR 3' X .8' X 12 GA. ,r� EXISTING
STEEL ••C' BEAM % STRUCTURE
. 3•'X 3"COLUMN
ALTERNATE DECORATIVE SEE NOTE ff 8 '
FASCIA TRIM
NOTES: 2" X 6 1/2" ALUM. OPT. 3 1/2"
1. FOR GENERAL NOTES SEE DWG. 935003, SIDEPLATES - ONE CONCRETE SLAB
SHEETS 1 OF 16 AND 2 OF 16. EACH SIDE OF
2. FOR COVER PANEL INFO. SEE DRAWING COLUMN SAFETY STAKE OR A.2ESCO
35003, SHT. 3 OF 16 DETAILS "A' & "B" ANCHOR.
& DWG. 35030 SHT. 10 OF 10. LENGTH VARIES OF COLUMNS.
3. FOR LEDER TO WALL CONNECTIONS SEE SIDE VIEW
LENGTH DEPENDS ON N0.
THE FOLLOWING: MAX. FOR MIN• LENCZH AND OJNT
FOR ROLLFORMEO- DWG. 135003 SHT. 4 SEE SCHEOF� 10 SMS FASTENERS PER PANEL
OF 16, DETAIL "L' & SM. NUNBER OF IE
3 OF 16, DETAIL 'C" FOR ALTERNATE 2"X 6 1 2 ALUM. FASCIA
AND DWG. 35030 SHT. 10 OF 10. / "
FOR EXTRUDED- DWG. 1350U3, SHT. 7 OF 16, ATTACHED TO ROLLFORMEDA-,�
DETAIL 'If SHF. 7 OF 16 -TYPICAL FRONT MJD SI
DETAIL 'JJ� AND DWG. FOR COL MN SPACING SEE135030 SHT. 10 OF 10. SCHEDULE THIS4. FOR HEADER TO COVER PANEL CONNECTION 3"X 8" BOX BEAM — INSTALL COLUMNSSEE DWG. 35003, SHT. 5 OF 16, DETAIL "0" OR 3"X 8"X 12 GA. SVERTICAL��AND DWG. 35030 SHT. 10 OF 10. "C" BEAM CANTILEVER
5. FOR SIDEPLATE TO COLUMN & HEADER
CONNECTIONS SEE DWG. #35019 SHTS. 4, 5
AND 6OF6.
6. DESIGN PER U.B.C., 1991 EDI110N.
7. FOR COLUMN TO HEADER & COLUMN .TO FOOTING BRACKET,
SEE DWG. 135019, SM. 4, 5, AND 6 OF 6.
8. USE 3'X YX 0.024" ALUM. COLUMN WHEN ATTACHING TO CONCRETE SLAB.
USE 3'X 3'X .040' ALUM. CdLUMN WITH -3'X 8' ALUM. BOX BEAM HEADER
WHEN ATTACHING TO FOOTING,
USE YX 7'X 0.048" STEEL COLUMN WITH 3"X 8"X 12 GA. STEEL 'C" BEAM
HEADER WHEN ATTACHING TO FOOTING SEE DWG. 135003,
SHT. 10 OF 16, DETAIL "V V' FOR COLUMN FOOTING CONNECTION.
'PROVIDE
1 1/2" DRAIN
ALTERNATE 3"X 3" COLUMN SEE SCHEDULE FOR
WITH ALUM. 'H" BRACKET CONNECTING
COLUMN TO HEADER. FOOTING SIZE
"NEWPORT" PATIO STRUCTURE
��lt FSS: jar DATE REVISIONS
Xo
- rt
No. 13857
r
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12' i0 18"
O�RHANC
COVER
MAX. PANEL II
O'HANC
27.0E
COL. SPACING
2"X 6 1/2" ALUM.
SfDEPLATES
3" POST
BETWEEN -
PLATES OPT. 3 1/2" CONC.
�^ SLAB- SEE NOTE
1 15 ON DRAWING
35003, SHT. 2
OF 16.
1"111FALUMAX
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BUILDING PRODUCTS INC. oouo'. T". 7'740-7,7, Sui78
q C/vi� �P ti NONE 40.c STRUCTURE°AR75IW ATTACHED ALUMA—WOOD PATIO
TFOF CAl\F��` A �.s/St/91
4A N"'
SHEEi—
�ugSS019 1 OF 5
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e ��E'uri ,p Fq (. !� QQ,O . 0.�. ,► �fES...... 1 �q ,�/. Fy1 �F• fwAa'i ��
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BRUCE D. n T : ! BRUCE D. CHALLMAN�
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FRFO Et .r�• .•. �� 1�............ Fn rut\.l If'��.._...•,C� y -.
SCHEDULE FOR SINGLE SPAN AffACHED WILEVEAED ALUNA-WOOD PATIO SIRUCIURE._ 101;
COVER PANEL "T' 0.047 X 3- X 6- ALUMA-WOOD_ BOx 1_3E_AAt t -i
(INCHES) MAX. COLUMN SPACING
LK PROJ- AND FOOTING SIZES _
LOAD FCTIOn 1 117'X 17 J 1/7X 16 ON SLAB, WBH FOOLING
(PST) (Fl.) PAN. PNL PNL COLUMN SPACING 1COLUMN SPACING I FOOTING
ii
AND 30 PSF L.I. -
HEADFR I f X Ir x I
AAA. LULUMN blAc;wt; STRUCTURE LENCIH do PANEL FASTENERS PER JOINT
AND FOO_NNC SIZES
AB. Willi footlNc .. UNENCLOSED STRCTR. ENCLOSED STRCTR.
SPACING COLUMN SPACING FOOTING SUE AUP1. LENCFH Il10 SMS/JNT. MIN. LENGTH 110 S1AS/JNT
_ .e -r 1 =
Ia•-K d=
v 'ON SLAV INCLUDES ATTACHING COLUMN TO SAFETY STAKE OR ABESCO EARTH ANCHOR. SEE
DRAWING 135003, SHT. 10 OF 16 FOR DETAILS. FOR ATTACHING TO SLAB USE
HILTI KWIK BOLTS OR EQUAL, SEE SHTS. 4, 5, AND 6 OF 6.
" FOR FOOTING ATTACHMENT TO COLUMN SEE SCHEDULE "F" (DETAIL "UU") ON D`NG. 35003,
SHEET 10 OF 16.
;IES
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DATE REVISIONS 'IIIIIIIIIIHI' A ����
V N A Diriva el Wmw fcOricmd /rcduch k.
11651 Dollar Parkva7, Suite 330
BUILDING PRODUCTS INC. Dana., 1.. 752111-7478
IJF IC80 IS. EVALUATION REPORT N0. 2621P
NONE '?`PA'RTSINGLE SPAN ATTACHED ALUMA-WOOD PATIO
%TFR �cL
•;;.,�g:3 35019 2 OF 6
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AAA. LULUMN blAc;wt; STRUCTURE LENCIH do PANEL FASTENERS PER JOINT
AND FOO_NNC SIZES
AB. Willi footlNc .. UNENCLOSED STRCTR. ENCLOSED STRCTR.
SPACING COLUMN SPACING FOOTING SUE AUP1. LENCFH Il10 SMS/JNT. MIN. LENGTH 110 S1AS/JNT
_ .e -r 1 =
Ia•-K d=
v 'ON SLAV INCLUDES ATTACHING COLUMN TO SAFETY STAKE OR ABESCO EARTH ANCHOR. SEE
DRAWING 135003, SHT. 10 OF 16 FOR DETAILS. FOR ATTACHING TO SLAB USE
HILTI KWIK BOLTS OR EQUAL, SEE SHTS. 4, 5, AND 6 OF 6.
" FOR FOOTING ATTACHMENT TO COLUMN SEE SCHEDULE "F" (DETAIL "UU") ON D`NG. 35003,
SHEET 10 OF 16.
;IES
r Exp,3-31-97
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REG,
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7
DATE REVISIONS 'IIIIIIIIIIHI' A ����
V N A Diriva el Wmw fcOricmd /rcduch k.
11651 Dollar Parkva7, Suite 330
BUILDING PRODUCTS INC. Dana., 1.. 752111-7478
IJF IC80 IS. EVALUATION REPORT N0. 2621P
NONE '?`PA'RTSINGLE SPAN ATTACHED ALUMA-WOOD PATIO
%TFR �cL
•;;.,�g:3 35019 2 OF 6
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NGIN[E
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