0107-020 (PAT)LICENSED CONTRACTOR DECLARATION BUILDING PERMIT PERMIT#
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 DATE VALUATION LOT (p$p'� �(j �0� TRACT
cel W Professionals Code, and my License is in full force and effect. 07AK3IVr,. 959m_ 20
License # Lic. Class Exp. Date
JOB SITE APN
r LU ' t;%t32$ki C61 D03 f`' ij� 1/2(
ADDREss 45-415 kUi1 HOOK C.'IR LE -
ti t �' ,!� /y; „y'' ,r, _� ;✓ OWNER CO ACTOR•/ DESIGNER / EN &NEER
O
� Z� � Date Signature of Contractor � I
ti 1-0 OWNER-BUILDER DECLARATION
J U 0 GREG Dt:}3dN-I*.�. Y r ATLAS ,Aye N01 COMPANY
LU ~W I hereby affirm under penalty of perjury that I am exempt from the Contractor's dl
5,42.5 UM�4'001e, "754 W.[�G'LA 0 RL AD
~ License Law for the following reason: lLA QUOITA. CA, 92253 111ALM SPRINGS CA 42264
Z ( ) 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 �iCa{S)367.5<456 Ck?,L 4(#2i
sale (Sec. 7044, Business & Professionals Code). USE'OF PERMIT
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals PATIO
Code).
C () I am exempt under Section B&RC. for this reason 444 V „6il..flMAWOOD PATIO C:C.1VNIt
N Date Signature of Owner IC0002621P
OC
Q WORKER'S COMPENSATION DECLARATION
p ZCc I hereby affirm under penalty of perjury one of the. following declarations:
Lo H O O 1 have and will maintain a certificate of consent to self-insure for workers' FORC:.4iifF'ATIO 444,00 SF
X LLI �: compensation, as provided for by Section 3700 of the Labor Code, for the
m� Q performance of the work for which this permit is issued.
Q U 4) 1 have and will maintain workers' compensation insurance, as required by
Q U Q stiction 3700 of the Labor Code, for the performance of the work for which this
li rn H permit is issued. My workers' compensation insurance carrier & policy no. are:
1-t Z Carrier Policy No.
ob O STATF FUND 1;�r'.1.7MATED COW OF COJI`1YMUC TION
(This section need not be completed if the permit valuation is for $100.00 or less): ?Kawr X, `( '
( ) I certify that in the performance of`the work for which this permit is issued, FLAW MWK FFM 10)'000.4:39.318 $32.65
shall not employ any person in any manner so as to become subject to the CrYNS'f'ltllt"'I'ION "--& �i til «(M-41 R-000 $81.00
workers' compensation laws of California, and agree that if I should become w'1'ROW MOTION 0'F,P - 901D 101-!N 0.241-QUO $134
subject to the workers' compensation provisions of Section,3700 of the Labor
Code, I shall forthwith comply with those, provisions: 1 n
U
Date: �- f Applicant—
Warning:
pplicant Via'' -t
Warning: Failure to secU a Workers' Compensation coverage is unlawful and .. f
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 U` 3
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety p0�1NSA
for
apermit 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 S1'(1'.C3-i'(D'1'.i L C ` C"3°K4 J AND PLA14 C'HROX. $134.7A
any permit issued.as a result of this applicator agrees to, & shall, indemnify \ 1,1130 ;SPY-,.-PAID MV $000
& 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. r '
RECEIPT DA a BY 1 DATE FINALED INSPECTOR
Signature (Owner/Agent) " ' Date •�f �?
r t _ ._.
NSPECTM RECORD
OPERATION
DATE
INSPECTOR OPERATION
I.DATE
INSPECTOR
SdJJII DWG APPROVALS NECHAN6 CALL. 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
SLOCKWWLL APPROVALS Steel
Set Backs �i Electric Bond
Footings Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUJ f SS MG- 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
COMMENTS:
Final
Utility Notice (Gas)
,L
ELF,CMCAL 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)
. . . . . . . . . . . . . . . . .
.............:....
Atras.,Awning Company For:
754 Williams Road LIC: 678256 �-• aZ S e& '
Palm Springs, CA 92264
Park: -
PH? 760-327-8466 FAX: 760-327-8467Phone:
C,Jb6-- swu2a ba ai° V41L qi-DO P9- 4W
1 X66 : a 6 A I P
CITY OF �q 11 QUIIT
NT
BUILDING 8 SAFETY A
vn
SINGLE SPAN ATTACHED CANTILEVERED ALUNA—WOOD PATIO STRUCTURE
2'X 6 1/2"X'12"
ALUM. F
016"
O.C.
ALTERNATE DECORATIVE
FASCIA TRIM
ISIf t ROLLFORMED
HEADER
2'X 6 1/2" FASCIA
COVERING ROLL- -2.4
FORMED HEADER
OR ALTERNATE
3/4'X 6 1/2' OR
1 1/2'X WOOD
NOTES:
1. FOR GENERAL NOTES SEE DWG. 035003,
SHEETS 1 OF 16 AND 2 OF 16.
2. FOR COVER PANEL.INFO. SEE DRAWING
#35003, SHT. 3 OF 16 DETAILS 'A k 'B"
k DWG.35030 SHT. 10 OF 10.
3. FOR LEDER TO WALL CONNECTIONS SEE
THE FOLLOWING:
FOR ROLLFORMED- DWG. 435003 SHT. 4
OF 16, DETAIL 'L k SHT.
3 OF 16, DETAIL 'G' FOR ALTERNATE
AND on #35030 SHT. 10 OF 10.
FOR EXTRUDED- DWG. 135003, SHT. 7 OF 16,
DETAIL:IF, SHL 7 OF 16
DETAIL "JJ" AND DWG.
135030 SHT. 10 OF 10.
4. FOR HEADER TO COVER PANEL CONNECTION
SEE DWG, 35003, SHT. 5 OF 16, DETAIL '0'
AND DWG. 35030 SHT. 10 OF 10.
5. FOR SIDEPLATE TO COLUMN do HEADER
CONNECTIONS SEE PWG. #35019 SHTS. 4, 5
MD6OF6.
2" X 6 1/2" ALUM:
S.IDEPLATES - ONE
EACH SIDE OF
COLUMN
It",
COVER PANEL(6' FAT PAN
12'OR 18' V -PAN)
MIN. SLOPE= 0.4"/fT 2"X 6 1/2' CITY QF LA QUINT
si~—•�= 6RWOODSG1A BUILDING & SAFETY DEPT.
7 ALTERNATE
�'4Ri. •
3" X 8" ALUM. HEADER D
OR 3"X 6"X 12 GA. EXISTING APPR"
STEEL "C" BEAM STRUCTURE -STRUCTION
OJECTION LDATIE
R CON
SE NOtl L 8 BY�
SEE NOTE #8 •
OPT. 3 1 2
CONCRETE SLAB /
. L`?� SAFETY STAKE OR ABESCO
ANCHOR.
SIDE VIEWD PENDS ON NO. uln
OF NCIH `AND
ABOVE FOR U'IN' PANEL JOINT��WGTFI
E S PER
10 SMS FASTENER
7'X 6 1/2" ALUM. FASCIA
ATTACHED TO ROLLFORMED HEADER
- TYPICAL FRONT AND SIDES.
3"X 6' BOX BEAM
OR 3"X Ti'X 12 GA. STL.
'C' BEAM CANTILEVER HEADER
6. DESIGN PER U.B.C., 1991 EDITION.,
7. FOR COLUMN TO HEADER do COLUMN TO FOOTING BRACKET,
SEE DWG. 35019, SHT. 4, 5 ANO 6 OF B.
8. USE 3"X X 0.024' ALUM. COLUMN WHEN ATTACHING TO CONCRETE SLAB.
USE 3'X 3'X .046' ALUM. COLUMN WITH 3'X 8' ALUM. BOX BEAM HEADER
WHEN ATTACHING TO FOOTING.
USE 3"X• 3"X 0.048" STEEL COLUMN WITH 3"X 6'X 12 GA. STEEL 'C' BEAM
HEADER WHEN ATTACHING TO FOOTING SEE DWG. 35003,
SHT. 10 OF 16, DETAIL 'V V" FOR COLUMN, FOOTING CONNECTION.
1 1/2" DRAIN / 1�
ALTERNATE 3"X 3" COLUMN SEE SCHEDULE FOR
WITH ALUM. "H" BRACKET CONNECTING FOOTING SIZE
COLUMN TO HEADER.
"NEWPORT" PATIO STRUCTURE
MAX.
12" TO 1
OVERHANG
COVER
PANEL.
IMNS I COL. SPACING
2"X 6 1/2" ALUM.
SIDEPIATES
3° POST
BETWEEN PL
AT
ES
OPT. 3 1/2" CONC.
SLAB- SEE NOTE
15 ON DRAWING
35003, SHT. 2
OF 16.
e ti��!ur�• 4 O REC,fr gyp. G/{4� FESSIp tool t w%% F D. cl
:......'?!c,c NE',
! J� EA3B 4 $ y� BRUCE tQ wJt{F/4l , :St ATE ps's es' i� p .JL�..L •+ •h ��,e 'p9
oa _ D. . °� N o. Z No. 6144 147.0
CHAGLAAAN31971 BRUCE D !:': :6267: ; _ ' BRUCE. .
ro z3�1 W STMEOF CNALLA1Ali z _ =' ,i i. y tFFial o o.CHALL4%
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15
27. �` • ciSTE�.�t
n NN TFREO ENC' �� r. �� '%ettq ; ....... 4�?1 }J '�E 0 n{Al�`� I cS .�aC' " �• u
s 'ON SLAB' INCLUDES ATTAC ING COLUMN TO SAFETY STAKE.OR ASESCO EARTH ANCHOR. SEE
DRAWING. #35003, SHT. -10 OF 16 FOR DETAILS. FOR; ATTACHING TO SLAG USE
HILT) KWIK BOLTS OR EQUAL, SEE SHTS. 4, 5, AND 6 OF S.
•f FOR FOOTING ATTACHMENT TO COLUMN SEE SCHEDULE 'F' (DETAIL 'UU') ON DWG: 350.03,
SHEET 10 OF 16.
-
REGO p CfZ
;UCE �4o QJI'� Z►F7� l
D. . ci�N o. mss"
LLM" . 34971
3921 RATE OF
ENG`�W •ta�pt• ��
IAL frERED EN6�
DATE REVISIONS 11
''1ill►1"ALU MAX 1 Dom, of A=r►mob 3k.
0
14651 Donis Forictiq, SuOe 330
BUILDING PRODUCES INC. Dallas, Ti. 75240-7478
V. - - AJF ICBG ES. EVALUATION REPORT NO. 2621P
NONE as PARTSINCLE SPAN ATTACHED ALUMA-WOOD PATIO
STRMTURE
S,-«
35019 2 OF 6
f Es{/
O O'
COVER PANEL 7-
0.01 x r X Ir ALUMA-WOOD BOX OEM TYPE H15400
r X'B' X 12 GA SR. 'C BEM HEADER.
iR
UK
PROD- (INCHES).
MAX. COLUMN SPACING
MAX. COLUMN SPACING
STRUCTURE LENGTH do PANEL FASTENERS PER JOINT
�'•,,��t'f C11ws',,.+�'
fi1L'�167Fid■���d�
AND FOOTING .IES
AND FOOTINGSIZE
.i��lOTi�
IPSO
ECIION 6 2 1/2'x If 3 1/ x 1E'
ON SUBS WITH FOODNC u
ON SLAB- WITH FOOTING »
UNENCLOSED STRCTR. ENCLOSED STRCTR.
(Fr.) PIH PNL P
COWUN SPApNC IcoLumk SPAFAIIC I F00[RIG SIZE.
COWUN SPACING I COW)dN SPAONG fOOTIHG SIZE
wN. LENGTH N10 SATS/JNT. 111N. LENGTH 190 :SMS/JNT.
s 'ON SLAB' INCLUDES ATTAC ING COLUMN TO SAFETY STAKE.OR ASESCO EARTH ANCHOR. SEE
DRAWING. #35003, SHT. -10 OF 16 FOR DETAILS. FOR; ATTACHING TO SLAG USE
HILT) KWIK BOLTS OR EQUAL, SEE SHTS. 4, 5, AND 6 OF S.
•f FOR FOOTING ATTACHMENT TO COLUMN SEE SCHEDULE 'F' (DETAIL 'UU') ON DWG: 350.03,
SHEET 10 OF 16.
-
REGO p CfZ
;UCE �4o QJI'� Z►F7� l
D. . ci�N o. mss"
LLM" . 34971
3921 RATE OF
ENG`�W •ta�pt• ��
IAL frERED EN6�
DATE REVISIONS 11
''1ill►1"ALU MAX 1 Dom, of A=r►mob 3k.
0
14651 Donis Forictiq, SuOe 330
BUILDING PRODUCES INC. Dallas, Ti. 75240-7478
V. - - AJF ICBG ES. EVALUATION REPORT NO. 2621P
NONE as PARTSINCLE SPAN ATTACHED ALUMA-WOOD PATIO
STRMTURE
S,-«
35019 2 OF 6
f Es{/
O O'
�1aa■ra�rc�
��1[�1[:i
■���� 1��I�]a�Illlll��s�i•�
iR
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u
���■�d�ilt?ir��iis�
' Oi NLVr
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� � i�a�s
.i��lOTi�
UZZAr,
WANK,
itl�ii
� � �—!!®�➢���il13�®�
s 'ON SLAB' INCLUDES ATTAC ING COLUMN TO SAFETY STAKE.OR ASESCO EARTH ANCHOR. SEE
DRAWING. #35003, SHT. -10 OF 16 FOR DETAILS. FOR; ATTACHING TO SLAG USE
HILT) KWIK BOLTS OR EQUAL, SEE SHTS. 4, 5, AND 6 OF S.
•f FOR FOOTING ATTACHMENT TO COLUMN SEE SCHEDULE 'F' (DETAIL 'UU') ON DWG: 350.03,
SHEET 10 OF 16.
-
REGO p CfZ
;UCE �4o QJI'� Z►F7� l
D. . ci�N o. mss"
LLM" . 34971
3921 RATE OF
ENG`�W •ta�pt• ��
IAL frERED EN6�
DATE REVISIONS 11
''1ill►1"ALU MAX 1 Dom, of A=r►mob 3k.
0
14651 Donis Forictiq, SuOe 330
BUILDING PRODUCES INC. Dallas, Ti. 75240-7478
V. - - AJF ICBG ES. EVALUATION REPORT NO. 2621P
NONE as PARTSINCLE SPAN ATTACHED ALUMA-WOOD PATIO
STRMTURE
S,-«
35019 2 OF 6
f Es{/
O O'
+""
�QESSiq
ATE t
Oje
p PROF
' �61HfE
�' 4
ND: 6791�
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�'•,,��t'f C11ws',,.+�'
.GNI`
FROM : PHUIE No.
PF:rAI '.Hh�Lf9Hr v cl�;i? 1.'EEF' 1 ? ;PHU-4E 1,40.r
Apr; 123, 200.1
Mike 8onRsoro
A11mu,,t Building Products
6450 A Caballero Blvd.
Buena t+arl:, Ca. 90620
Maar Sir:
Jun. 20 2021 12:22DII PI �
27 2031. 10:43kN P3
Ir. feguirds to your ingtulry t onscrning, the lr.PIration date afa�y g•, re or California Profe6tional Engineer
ho. G 13857. The new expiration date it Matcb 31, 2AOS. This docunmj has been wet sealed
with my nen- sgoi And iM nd1A eXpiration date..
HbI'veVV1', according to Ms. Nancy Eisaler of the Californla Board for Professional EnSineem and Land
Sdrveyor,-,, she indicatHd that if The hert"Icate was valid at rite time of sralit�. the xcpor<, it is valid tlttr+itg
the lift of the Ct'etuarion Rcpor. or plum appmcal even ifthcdatt on the seal has expire4. Ms. Ed dur mai
be contimed at 416- 263.2241 for verification.
1 Mate that this Will resolve any Rueatiotu Con3trrlitt$
!t4arcn 31, 2001, og Validly of the seal %vWoh has an expiration date of
Sincerely,
$ruin D. Chall�,, pF
Civil Engineer
435 Wett 200 North - P.O. Baa. 1270
ti
•