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LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
r ChapiAr 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect. ryry
License # Lic. Class 11Ep1 Date
/ S19"8 oVr
2129100
3 1�1/J1��.-.�_./Date _',Signature of Contrac
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.
(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 Californiaand agree that if I should become
subject to the workers' comps sn ation proJisions•of SedibnJ3700 of the Labor
Code, I hall forthwith comply�with those provisions
JDatel M, 14 Applicant'*,-.. F\ N_
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminalkpenalties 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.
isignature (Owner/Agent)=%f `(=�'''° Dated
BUILDING PERMIT PERMIT#
NK � 2-�2�1fii
DATE VALUATION $6.756.40 LOT TRACT
JOB SITE
ADDRESS 79-0J9 CM.A .' WY7 rAD0 APN
OWNER CONTRACTOR/DESIGNER/ENGINEER
78-039 CALLS E.SEADO 44489TOWN CENITER WAY 11D1941
LA lJE1Ci+TA CA. .42251 PALM WiiSERT CA 92260
(760)322-742113 C%#
USE OF PERMIT
rflo
503 Sr. FAMC M10 03VER
Pr.34'cCIVIPATIO 508.00 SF
1N A13 QRECKF-49
401.-i�)0-F135i-31 t4 $ f3. *fit
rOUSTR4:J40TKYN FF 101-00P-44RI -0i S90,I)o
IIR.01N0 41rIr. OT 1074 FE'L - Rr;STUD 101-000-241-000 9•,63
s
SU11- 10TAL CONS XRLI P1t' N AND PI,A N 04:F?CKK
TtY6'All, PERN1117 F11 .EN DIN lVC7W
MfJsj�
�r •DATEI BY DATE FINALED INSPECTOR
$149.19
$0.00
$149.18
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 I
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 PI . 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
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
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CARLOS ELIAS l x125198
- Civil Engineer
38 125 Charlesworth Dr.
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5PJCf�9AL C�LCIAATIONS.9j13�&72
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PRO.J..E.CT..F.A.B,IRI.I.C.,/CO.LO.R: CALLIOPE/MINT
......... .. ........ .... ..
.SIZES, ARE APPROX.
140TE: DemWShop Dm -ng of proposed project contained Within this drawing is the sole property of American Awning Co.,
and may not be reptochzed and/or fhbrkated in any mmma vifth= written approval by Amedcan Awning Co.
C U'c T ZOO-; "Vea—H "rC �ta.cq. ,lass JW; 7-701C-FhC6E TCU
JOB EL -RANCHITO LA QUINTA.CA.
AMERICAN AWNING COMPANY
44489 Town Center Way, Suite 13494 SHEET NO. 1 OF
PALM DESERT, CA 92260 CALCULATED BY is MAN 11/11/98
FAX (760) 323-7349
CHECKED BY DATE.
(760)322-7433 SCALE 1/4"W
e,I r
3/A
Stucco
By Or
Frm Mbr Sz Are TYP.
Sizes Are A�Prox.
Stree �41
t.
G
5/A
4/A
Rafter 1 "x2"x16Ga
Suppt Post 2"x2"xl/8"
°(TYP)
..............
1 "xl" Stl Tube
3/4.:'x3/4" SP Tube
.6" Spc
3/C
r ..
` e Pro j. Location: 78-039 Calle Estado
roe EL RANCHITO - La Quinta,Ca.
IERICAN AWNING COMPANY
44489 Town Center Way, Suite D-194 SHEET NO. 2 of
PALM DESERT, CA 92260 CALCULATED BY JS
FAX (760) 323-7349CHECK
DATE
(760)322-7433 SCALEED'BY DATE
0
Front Horiz 1 "x2"x16Ga Stl Tube
%Oki -1.4 LA.- PIN C*.A--
,Rafter
Weld Min (2) Sides
Main Frm Rafter
Rafter ,Stringer Tube I "x1".Stl Tube
Suppt Post Pit 2"x4"x3/16"
Front Suppt Post
3/8"X2 3A. Multi ....
pop:.
An: chbrs
-Eal
Fit Wshr
Weld (4) Sides'
2mm L"L bm"m
Suppt -Post -Base 'Plt
4vX6 A A..' tl pilt.
Tile/Concrete
. gl'Z-6s' Are AppE!R?�
JOB EL RANCHITO La Quinta,Ca.
IERICAN AWNING COMPANY
44489 Town Center Way, Suite D-194 SHEET NO.' 3 OF
PALM DESERT, CA 92260
FAX (760) 32-3-7349 CALCULATED BY is. DATE 11
CHECKED BY DATE
(760) 322-7433 SCALE Full Scale
Stl Tube
Main Frm Rafter
.... . . ... ..
r
Man )!171 7�0,Ct, PHOIE TOM. -'FE- ;-100-2i!-634
EL RANCHITO La Quinta,Ca.
JOB
IERICAN AWNING COMPANY
44489 Town Center Way, Suite D-194 SHEET NO. 4 OF
PALM DESERT, CA 9220 CALCULATED BY s
FAX (760) 32.V7349 DATE
CHECKED BY DATE
(760) 32 2-74 3 3 ' SCALE' 1 11=211
Gable Unit Rafter
.1"x1" Sq Stl' Tube
1 1/4" Band tl ecure Gable nit To Mair ° z
/ S S .. U�
Frm Rafter Via #10x3/4" TEK Screws
"
#10x3/4 TEK Screw
30"± OC
Main Frm Rafter 1 "x2"x16Ga Stl Tubd--/
Sizes Are A
man
c
i
JOB EL RANCH.ITO - La Quinta,Ca.
IERICAN AWNING COMPANY I 5
44489 Town Center Way, Suite D-194 SHEET No. of
PALM DESERT, CA.92260 CALCULATED BY JS DATE 11/11/98
FAX (760) 323-7349
(760)322-7433 CHECKEDD BY DATE
SCALE NTS