0009-147 (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
X78' �fi
C-61.11 3
Date Sjgn. ire 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:
( ) 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
perfor nce of the work for which this permit is issued.
VI 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 FUND Policy No. 04604THIT MO."
(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 thq workers' compensation provisions of Sectipn 3700 of the Labor
Code, I ti ff. • rthwith complyfw'itose provisions. ,(�j
Date: �- Applicant �� -,
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 a�L.Qity, and State laws relating to the building
construction, and hereby authorizelrepresentatives of this City to enter upon
the above-mentioned property fors nspectiopurpose
Signature (Owner/Agent)�"'��/� EDate /�.
BUILDING PERMIT PERMIT#
.
DA E4 t� VALUATION j LOT "�• '� TRACT
bi
--Z jj $10,773.00
JOB SITE
APN
ADDRESS '79-.1.40 X.£'r.�ra"I<: C`.0>i7V.
OWNER
CONTRACTOR / DESIGNER / EN (NEER
Nil . KE1W
KIMMAWIMG C;ONYPAN Y'
79-140 KRUMN CC3UXf
754 W:£1,JJAta ROA1'3
.LA Q•I.WrA CA. 92253
PALM S"P1 WC -S CA 92W
(?60)327.8466 CBT..tr 1825
USE OF PERMIT
PATIO
R
310 L.N. AI. UMAWOOD NATIO CO's k FFR APPROVED PLANS iCSO #
`4621P ONLY ?'
POKf;pIIPATIO 310.00 SF
E&'MATED COR OF CONS U(MON
--10,771.00
PLAN CHECK _FFX 101-000-439-318 $31.90
COAfN'1` UC`I'ION 1t" 101.000-418.000 W.&O0
SiRO1401NfOTT014MEr-R1?SID 101,000.241.000 X1.08
. Mfr •,Ce�h.. e
SIM-TMAC. CONSTRUCt ON AND PLAN CHECK
$208.98
LYA40 PM-PALD FW
$0100
TOTAL PM#3Y11 T kEESDPE NOW
6
$210B198
• t
RECEIPT
DATE'1,!7 �i•�1
BY `ter }
DATE FINALED.
INSPECTOR
s v�
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
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
ATLAS AWNING & SCREEN
754 Williams Rd. Lic. No. 678256
PALM SPRINGS, CA 92264
(619) 327-8466 FAX: (619) 327-8467
7q 1 qo. L Ic E.N
%L X
LA LUINI-A CA- 02.253
-7 2 - Z,[,-75
C =kl ST"l ri L 1 -fn J rr
PX*no Ln4a;z-..
- X X
. X, oer
23�
CITY OF LA QUINTA _
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE
SINGLE SPAN ATTACHED CANTILEVERED ALUNA-WOOD PA110 STRUCTURE COVER PAilEL(6" FLAT PAN
1'X 6 1/2'X 12'ER 6 I/Y ROLLfORMED 12"COVER
18' V -PAN)
ALUM. RAPIER HlWCER HEADER ) MIN. SLOPE= 0.4"/FT 2"X 6 1/2'
® 16" OR 24" 2"X 6 1/2" FASCIA jALUM. FASCIA
O.C. ROLLFORNED COVERING ROLL- �� � ' �:_, ._.. _^ -: / OR WOOD
//� ti HEADER FORMED READER
OR ALTER►yAiE r3�"X 8" Al_UM. HEADER' ALTERNATE
YX 8"X 12 CA.
2'X 6 1/Y ALUN. FASC LEXISTING
ro 1 1/2"X 6/WOOD pRn.IFCTI BEAM / STRUCTURE
Vl� V� Y X 3" COLUMN '
ALTERNATE DECORATIVE SEE NOTE b8
FASCIA TRIM
NOTES X 6 1/2" ALUM. STE
SIOPTTES SLAB
1. FOR GENERAL NOTES SEE DWG. #35003, SIDEONE CONCRETE
SHEETS 1 OF 16 AND 2 OF 16. EAACHCHSIDEE OF
2. FOR COVER PANEL INFO. SEE DRAWING COLUMN 'Z/ SAFETY STAKE OR P.2ESC0
135003. SHT. 3 OF 16 DETAILS 'A & 'B" PNCIJOR.
& OWG. 35030 SHT. 10 OF 10. LENGTH VPRIES OF COLUMNS.
3. FOR LEDER TO WALL CONNECTIONS SEE SIDE VIEW EV',
THE FOLLOWING: ` JJAx FpR MIN. LENGTH AND
LEIyGTH DEPENDS 0P1 N
FOR ROLLFORNED- DWG. 135003 SHT. 4 SEE SCIJEOFL010 SIRS fpS1ENER5 PER PANEL JOINT
OF 16, DETAIL 'L" & SHT. NUNDER
3 OF 16, DETAIL 'G' FOR ALTERNATE " ALUM. FASCIA
6 1 2
AND DWG. 135030 SHT. 10 OF 10. 2 /
FOR EXTRUDED- DWG. 135003, SHT. 7 OF 16, ATTACHED TO ROLLFORMED HEADER
OETAIL 'If SHT. 7 OF 16 - TYPICAL FRONT AND SIDES.
DEfAJL 'Ji AND DWG. l FOR COL MN SPACING SEE
11 SHLLI
135030 SHT. 10 OF 10. j SCHEDULE THIS
• INSTALL COLUMN
C FOR HEADER TO COYER PANEL CONNECTION 3"X 8" BOX BEAM VERTICAL
s AND DWG. 3503SEE DWG. 0 Hi 0. 10 OF SHT. 5 OF 16,
DETAIL 'Q' 0 C'3 BEAMX12 GA. CANTILEVERTL.
HEADER —�
5. FOR SIDEPLATE TO COLUMN & HEADER
CONNECTIONS SEE DWG. #35019 SHTS. 4, 5
AND 6 OF 6.
6. DESIGN PER U.B.C., 1991 EDITION.
7. FOR COLUMN TO HEADER & COLUMN .TO FOOTING BRACKET,
SEE OWG. 135019, SHT. 4, 5 AND 6 OF 6.
8. USE XX YX 0.024' ALUM. COLUMN WHEN ATTACHING TO CONCRETE SLAB.
USE 3'X 3'X .04d 4um. CdLUMN WITH 3"X 8' ALUM. BOX BEAM HEADER
WHEN ATTACHING TO FOOTING,
USE rX rX 0.0411' STEEL COLUMN WITH 3"X 8"X 12 CA. STEEL 'C" BEAM
HEADER WHEN ATTACANG TO FOOTING SEE DWG.35003,
SHF. 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. "IJ" BRACKET CONNECTING FOOTING SIZE
COLUMN TO HEADER.
"NEWPORT" PATIO STRUCTURE
r
OVERHANG
COVER
MAX. PANEL_
O'HANG
7. Of
:OL. SPACING
1;,2"X 6 1/2' ALUM.
SIDEPLATES
Jr POST
BETWE -
\� PLATES OPT. 3 1/2" CONC.
d" SLAB- SEE NOTE
15 ON DRAWING.
35003, SHE 2
OF 16.
�yt•ol t• q �•s- RFr"s p. CH1
i FESsI • Ess t tE J\
4.i, t! 0.0 O ,� f
H7 ate.......... c NGINC( fy �t� J a° we ti
t AIE P
:.....• -c ally • ti � �� r
No. n No. 6191 y ! c•` (ORUCIE
;6267: .. CIT...... z E.r........._._7�: p 55087 .,, 30073 :
'ti....-•• 'fid �U` C ,v, d. CIYII .a ?,'y'. t'a' z7. � � O�R E. �� 'i,
ti S/ONAIE� err c" o rM. N, �:�. rt ,'U• .C1Sif.n•%`� <i:nrrxb
-_•-� tRCU i,I �, ___ .'fi .t l� [F r. n�el�� �1 f'r �._. .C�., , -..
IL H4
114
Ff
% 0 C,
grjrE DMOV 6794
CK4LMO (MALL 34971 ;t! BRUCE D.
c STAR OF CHALLMAN z
o Iqo..Dp,
CIVIL
Ab
RED 0% Of I"--
PRRo
p
A It
SA
-.6 2 6 7:
Tw
CE C 14 P-