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9907-361 (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 67:3256 C-61 D03 1(//31/101 D ate 77 Signature of Contractor L�e2.z� sT 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, 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. Vf All 71 Irift-0 (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.,[ -shall forthwith comply with,those provisions. Date f APPlicant" .xi g2 '.st n./ �.�. 7 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)• '`I ' A } �. f Date!, BUILDING PERMIT PERMIT# 9907-161 DATE VALUATION LOT TRACT 07/081,199 $6,543.60 JOB SITE APN ADDRESS 79-095 KAYE COURT _ OWNER CONTRACTOR / DESIGNER / ENGINEER CEN'1"lllt'`I CROWELL C'ONINICTINITIES; -A.` 1. AS AWNING COMPANY 153a C3. ".i�" s.CfZE:ti'1', 51 . tt200 '754 WIL(.,Ct11 IS WAD SAN MA.P A.RDINO CA.: 92408 PALM SPiUNGS CA 92264 (760)327-9461 C'811# 1825 USE OF PERMIT 12'X 41` A1,'aifMVOCO LATTICE AI iOKO:fc;80#2r 21.P I.ORC:I1i'I ATIO wr s:a0 Sl: L, STIMAT1061 JJ COST OF CONSTUC1110N QS43.60 PERMIT'VET, SUMMARY I�L fly C. f i:f 101-0FiV4_491 .3.18 S%8.50 rANT%G^K � 'I' J`" ()A7 ►� PLAN CHECK %t'T}=TcY1" .t�: LESS pyE­�PpID VMS fy Qv1}Is •1nJ:1�V w.% % MCw)1;` "p304'Af, !':;:a;RMT PC,RS ili3VE NOW RECEIPT DATE BY t DATE FINALED INSPECTOR t` 1 • 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 ti. z 3 -g 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 Final Utility Notice (Perm) COMMENTS: Bin City of La Quints Building at Safety Division P.O. Box 1504 Permit # 78-495 Calle Tampico La Quinta, CA 92253 Building Permit Application and Tracking Sheet Project Address: W7 — b 5— K Q e Owner s Nam e:f'�,QM —5 A. P. Number. Address: Legal- Description: Ciry,ST. Zip: AContractor: 1 iw� • //'' ]j • ljOr.Q►�i► s Telephone:--., . :,.--.�:.:.X--,.--.-,,-.-..... . Address: 73-4 W%Z / Project Description: �0 OS ed I ` / " Ciq.ST. Zip: -,-,, %-• `n eA, .� ___ I co 0 a ' EU Telephone:2-2 — 4 ... State Lic. =,? Citi- Lic. t#: . Arch.. Ener.. Desiener: Address: Cite. ST. Zip: . Telephone: :;. _ - ,;:.:: Construction Type: Occupancy: Stale Lic. _: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone = of Contact Person: Estimated Value of Project: .: APPLICANT .:.:."-1..'..X..... ©: NQfi iAfRiTE BELOW TiiCS LINE .....:........ ...... 'r `. '::::::»::>:. ... e Submittal Re d.:::'RW 9..... .S,.. ;' .. .:; TBACiQNG<`: °:>:: ,p :: T. :: 'Plan Sets :. . Ylaa C>3ecksuhtrutted: .. Tteat Atn000t .::: ?. . SaucturabCslas: Revxed, rear for eoerectums Pian Check Depos�f ., . Truss Calcs Called Contact -erson . Plap Cb " Stila#0: , _ ;. Title 24 Calcs :'. .. .;' _ P 11 laas:PIC.k.— u .. Constettcboe..;... Grant Deed .. : P";:- esub,miited : .::: :. ` -Waanical . School Fees :. . Mewtdi rtad fi tssnQ . . i F,�4�clrit; Subcontactoriist .. Calkd,. ap tYersoa,.: Plumhieg CantractorInfo ➢ateef perrnitissue S Ni I Ci. Business. i;ic. Grsdiag 1 rke Workers' o rs Com _ ....... :. ...:....:4. ..... ..:...... :.:..... .. .............. .. .:. ....: -:. �. ": o-.: ", W :::::::::?2Y:::* ;Infrastrnetar:e:..:.::;:•;:.;:.:;.4.;:..;.;;:.;:.;;::.;:::.;:::,.;:::;..; G:X:: r.:>,:::::: :4 .::.., :.:.:W:.:.:. :<:::>:i:::>» Planning �:PPcovalWe-4L44.41.4. ::.. ....... 4,:.4:::::::444.:.:.:.:::::::::::::..:.. A LP,$r `;' ' :. ' z:>:'.. ....:.. W.:::•::;::: 4. Pub. )Vls 4. .WW ::::::::::::: ;:::::::::>::e::: .:::::.. : ,::as:.. H.O.a..: 9 . .oxai .PPF:::: , W. 1. .. :.;:.;: 4. W W W ::.:..:...:::.:::::::::::. .:..:>;>;:;:> . ;;;:>:;:;;:: ::>:::>::> ::::.:. .Fire Mar. App h r:.::.:. *W. »?:>:> IL Dept. pif : r 1.:: :< »a » :; • ::; s: :: ;` : : :E:>:»>>:: : ::1W.W. 4g. Approval:::: aci'P .na.c; :Dg:iMWto . W. . .. �8Ee :i ; ..... FrLAS WN/NG COMPANY CerdLty-4 Names Lot#/Do -Z 9-0� 0. eCt, L a.,—G�2253 „c�r6ejla" S-treef AUTHORIZED DEALER FOR ALUMAX AND ALCAN PRODUCTS LIC. NO. 376238 754 Williams Road iPalm Springs /California 92264 /(619) 327-8466 SCHEDULE FOR ATTACHED LAFIICE PATIO STRUCTURE - 10 PSF - 70 AND 90 MPH NSKg7a MAXIMUII COLUMII SPACING AND FOOTING SIZE F01I 3"X IJ"_ ALLIUM. BOX_OFlr11 111A ER caulrN $PA(1Nc r nc 97E 1010.1- tnAm,• MITER TACK 1- tl 1 I/r1 ,079. 1EADER rl 61 .0)(r HEADER fx 61 0016 IEA1xR () Ix 6x OOIY IENYR (� 11(XAR 10 rx rl 17 CA SR_ 'C O(Nu ICflDN will . !1. O.0 Da Ulil SPAOIc r00TNC COLUUN_7AC1NC FOOIINC C_a UUII SPACINC /0011116 Ca UNN SPACUIC r00011C SIIUTAIL _ _. _ caoRCRaI Ca_WN SPAC1ilc F001uc` OA SUe I t 00FG 911 N AAB r t IOOI•c 91E ON SIAe e N /1-001'6 91[ ON STAB 1 w OOt'C 911 RFOO I;XS Ory SIAD'i y !0016 971 IP S' TAJi I tL07( +P -S IP -T 1-!f e' -II- a, -If d-70• 10'-9• 10'-1' t•)I• 11 =Y I!' -Y a -2t- e 1 i____- IJ' -6 JP -0• d-!9' 1 1' rig 1 rEur f� 1'-t a=t_ d•Hr -lit 9' -IV 1•!t_ _I I' 1 II' -6 d_]_f_ a 1/_ II _( J0�-d•JI'-- It 7 x6Y. -i _ T -t )•-T_ 1•!!• 1'-I /'-I•— d -!Y 9'-9' 10•-r d -!f Ir r TrfY_oir P -r t -r my r-( r-( 4-21• e' -J e'-6 4-2T e'6 9' -lo a 1r r rllr.ad T-6' >-t d -Ir s• -r s -Y e_!r i'=�- e'—� 1-}f r-� 7 ?'-�1 d=93 a ii i -r ii a=ice IP tler.at 1' -lo COLUMNS r-( 1-!T r -a s -o 1•!I' i -I? i -r i-!� a-i� e-Idl1►a•t� a i1— -i-i� is-1� eaC • 'ON SLAG ALSO NQIJOES ArU[1fED COLUW 10 SYEiY STAKE OR ADESCO EARTH ANClIOR ALTERNATES. O-- - --- — --- IMO MINMUM REQUIRED. t/ - its DOUGLAS ER - IAACH #i GIM WOOD HEADER WAY BC SUBS'TIRM FOR i x 6- ALUM. 7r Ir ALUM. Box Brm OR !HEADER USE MuIN SPAWG FROM r I Ir 1 D42 ALUM. HEADER. rx 91 12 CA STEN •C' BEAM HEADER fX1 IK OR Txf RAFYERs• ALTER'A" SHALL COFISIST OF IEP OPr. ALIIJU E'Ir (IEP ROOF PA srtE ut ROOF PANELS, PLACED PARAI LEL TO •DPI. AITERNAIF "A' ALTERNATE t-fx6 1/f SIRUCTURE ATIACIIED W/2 10 (18ROOF PANEL) HEADER N PLACE Or rxlr HEADER Mrl POST SKIS TO RAFTERS. f wERIW+c 16' FOR AND SIUYLgu ALF 'a" SIIALL CONSIST OF 11T• ROOF Urnc `4) PANEL PLACED PERVENDICUTAR TO 1 1/7- x 1/r or IEr For I r Post STRUCTURE M40 ATIACIIED W/1 #10 SMS r x 141 TO BLOCKING, \ f \ &" WE 2-T X 6 1/T HEADERS. LATTICE: .018 X 1 1/2 X 1 1/7• 0 3 1/7 - OR _r O.C. OR 2 X 4 0 6' OR B• O.C. (�5[ p [tpperlA NOTES: TR1611fiA2RYHi1T1TVgWijG9?cO Ncss Ir/9' Ni0 10' I. HITS STRUCTURE MAY 1101 0C RICLOSEO Wlrl JILE &PUCE Rrou s o0. OPEN LATTICE. f R0 c:rl 1. FOR GENERAL NOTES SEE DWG 0500.1 SII(. I OF 16 AND 2 OF 16. 3. FOR 41ER14AII [AVE ATIACI(MCIII OF RAPIERS SEC DEIAIL • OF UNC. 110. 35003 Sill. 3 OF 16. ell - 1 Ix T 4. FOR S,VEIY STAKE NII AOCSCO ANCIIOR DETAIL R�7A, t1L FDE 1 O 11 pR 1'CT101 S SEC DWG. NO. 75001 SIII. 1I OF 16. S. WEA(. IIEAOCR OV(RI WIG = 40X OF C01 UHN bAS�I SPACING FOR UP 10 16' PROJFCRON AND Jif. OF COLUMN SPACING FOR 17'-20' PROJECTION. 10' 11 R 112' PROD HO c I 6. DESIGN PER U.B.C. 1991 COITION. Cpl. ] 1/ CON , y 7. FOR RA1CR IWICER, IIEAOER TO SIOEPLAIE OR SLAB- SEE FTOIE lid' COLUMN CON15 N., RAFTER 10 NEMER k COLUMN TO SPLST(r. 2rI0Fwl6 G.j15003, ,k ICE LDCATgNS FDR OPEN UAfOCE AM111NC5 TOOTING OR SLAG AFIACH. SEE EFWG. NO. 35011, SIRS. 6, 1, MID B OF B. QIT� �a01 f '� 0n1E rC'nS1ouS LATTICE crel P BST r� 14• MAX. O'HAt1 LAIN. ow1HA wc AI Uu RN'RR _-I �AIRRNAr MI SCIrKA1 RJR VIE (j Sl1 IIUO(R Cfl ISERUCR,BW1.6 T Y Jr Am Comm 1/t XIFFNATE 4 14 OF. PUIFIlt MOOD POSI, DI. IPI. s t/t CONC. SLN3 WM STAKE OR AD[SCO� , N101OR nm Ca1CR(g FOOTING nP. OR FOONuC IKnDU XICIORS. Am— %S 8,_j MAX. COLUMN FIT. q�• i��,. LAGUNA-TYPE OPEN LATTICE STRUCTURE rl I6.6-1rl..eI"Adn.1.ek g11FALUMAX IIJ)I o,n., ►on.ar $-a# 310 BUILDING PRODUCTS INC. rd.•, I.• 11$110- 411 AIF IC.B.O. ES, EVALUATION WORT NO. 2621P �— NOHE oa Pu+l Aruota IAncE ►no i1Rt1rnY37i T=— ..0 - 10. n, r In Psr - to ♦ w IAT Foo SPEID s-n-tt.,,,o1a' 35017 �� I W �1p0 tE j�� .• O C1Jf. ip. U�t OEESSI Et1 ADI 01 CI � u»• � � �- exE10E *� �� .irk• t; ar. t o a � �, >- � F � ..•ti��rcq„•,. ,. .j;. t.t' • Cts `' :> ��d r ti(; 'S' m � '�"' o. Ito. � z. o- 1•.. 1,11 i /;, - - `. l_ 1-11» o- �. a � h1.A>•.. s aEA.E1.AAAN . �tw! � B1luCE D. � � � ti.... .� qg J '�?•3/9A2l1� �xu- .��w *.�4 ?R/u.o-t. lxoa..r .�� v a QUEIIrLIWI UL -b�z i- �u.�+:�. :w-6." �2w6i. 7: �1..,:r:3I► 55008_71ALL-4,W1 1 f19 ^o i v 1