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0005-015 (PAT)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of v `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 # f Lic. Clas§ Exp. Date Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's (cense Law for the following reason: X _J 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 (Seca 7044, Business & Professionals Code). ( ) 1, as owner of -the property, am exclusively contracting, with licensed contractors to construct the project (Sec. 7044, Business & Professionals . Code). () I am exempt u der Section B&P.C. ff-o-�-tthis reason DateJZ Signature of Owner: -.r 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: CarrierPolicy 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 California, andagree that if. I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I scall forthwith comply with those:provisions. Date: /60 Applicant' - - Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby -made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application: 1: Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless. the'City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180,days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. 'Slgnatule Det=4� t BUILDIN_ PERMIT PERMIT# G DATE " VALUATION LOT -EIS TRACT JOB SITE APN ADDRESS bhyy 99 Ott ` DAt' t7 1y 4& OWNER CONTRACTOR / DESIGNER / ENGINEER 7RO S G MCMIR 'fHOMA,S 0 nSCW JZ 413.211 VMA17E NOPAL 48.2.11 VEM DE1, ITOPAL LA QUMA CA 92253 LA Q=TA CA 922S3 (7S(ia"!7?-183 fvl�l� USE OF PERMIT P".0 189 SIVA"! ALUMAbi 6bn PATfO COVER. PERMIT DOES NOT I?dCLUEM MOCK WAL.I"`1, PORCHIP,A:TIO 124.00 SP RS'A:7lUA,'.M COW OF C(JT. MIRI 7MON Pjazwo EvE sem' . PLAN CHECK FEE 101 -000-439- 1$ SAID CONSTRUCTI IN FEE 101-000-418-000 $3d.iJ0 STRONG MOTIO-A ;'ER - RESID 101.000-241.000 IU L .�< ca .♦dj., y�f�3P � . tf w �E 2J3. SUB -TOTAL CON'ST-R.UCTION AND PLAN C M $99.60. I SSS ME -P. FM $0.00 Afm"IRMN FUS Duk. now ,60 s RECEIPT DATE BY DATE FINALED INSPECTOR INSPECTION RECORD 15PERATION 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 0. 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 Dri" ll - Int. Lath l{1�r..ca_�`� K Cc 2 S� _7 Final �Cl / Final _ POOLS -SPAS «( BLOCKWALL APPROVALS 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 COMMENTS: - Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Vo age Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property . improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than. yourself, you may protect yourself from possible liability if that person applies for the proper permit in his, or her name. Contractors are required bylaw to be licensed and bonded.by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to-do your own work, with the exception of -various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection:' If you employ or otherwise engage any persons other than,your immediate'family,.and the work (including materials and other costs) is $200.00 or more for the . entire project, and such persons are not licensed as contractors or subcontractors, then you. may be an employer. If you are an.employer,'you must register with the State and Federal Government as an`employerand you are subject to several obligations including State and Federal income tax withholding, federal social security. taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's -compensation insurance. For more specific information about your obligations under.Federal Law, ,contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstratiori): For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform, their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing, to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his or her own labor'and material personally. Building permits are not required to be signed by property owners unless they are performing 'their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit,will not be issued until the verification. is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico _ La Quinta, CA 92253 (760)'777-7012 s FAX (760) 777-7011. i �OWh1ER'S SIGNATURE ATE <t� 4PROPERTY ADDRESS �ERMIT NUMBER(s) q � VV F NZ - + T T _e Am �- -� _�i�^ _ N� . r F. +1 rq Vit'" g i 4 F I O + "+_ {^ � # '•r — — - s * 0IMt — - 44 r _..- rrMTr- xp � +— k _v_ `- a� r . I SCHEDULE FOR ATTACHED LATTICE PATIO STRUCTURE 4Z10`PSF X70 AND_90"MPH~---� RATER MAXIMUM COLUMN SPACING AND FOOTING SIZE FOR 3"X 8" ALUM. BOX BEAM HEADER-cOLIlNN,SPACING,r FFG. SU �LALrnCE cm MI Ec N RAFTER SpKN6 - fX B 1/rx .029• NEAOEN rY rX .03G HEADER rx rx o.o]t; HEADER p T.X- 1.0.04r --HEADER OATO rx Irx 12 Gl SAL "r BWI Awu RAilER—/ x w • 2{ O.0 COLUMN SPACING FOOTING COLUMN SFlACMG . FOOTING COLUMN SPACING FOOTING COLUMN SPACING FOOTING SEE SCEDULE RIR SLE ALTFRN� x D.F.FSTIN; NFC CONNECTION COLUMN SPACING FOOTING HLA OP. X " X 12 STRUCTUFc N OOTG SIZE SI2E SLE -0 ON SUB N SUB > N FOOFG ON SUB # N ON SUB # N OOT C 91E REQ ISMS oN SU8 # M f00i C 92E C BEAM 'In S' rxi 17x.02{ 17-5, 10'-T d•2f K-11• B-1{ d•20' 10'-9• 10•-r dn21'• 12'-T 12'-T d•2T 6 ## C 13=� ]O -P d•29' r x r ALUM. COLUMN fx6 t/f ALR. SIDE - 12, i' ALIERNATE 4 x 4 QF. PUTS- ALTERNATE Txl 1 rxo2P _ 9-r d•2t r -f B' -f a 1tf 9'-1r 9'-1r d=:If 11'-{ 11'-r d•2f E ## Ir-{ ]0 d=]1' MOOD POST 2 z i D.F. SIDE PLATE If T Xr C-1 - T -r 7'-f d=2!• B'-1' 9'-1• d=;2S 9'-9 10-Td•2{; 5 ## 9' -if JO -0 d•3T J t/f CONC. SIA Ti' B• rxrLo3r R -r R -T d•2r 6-{ C-{ d-21 r -r 8'-r d -2T 6'-C 9 -IO• d=2i Is ## 6-6 26' r d•3{ SAFETY STAKE OR ABISCO� .� ti' 1i rxrY.04C T -r T-! Id -2.r S'• -T S; -T d•21' T- i' -O d•21 T-aT d•2 6 ## T -T 2T d•3 ANCHOR MRH CONCRETE 20'FOOTING M. OR FOOTING 'P Y.04f 6'-10• T -f d -2T S� S'-0 d•21• i' -1r T -'r d•2{ SNre• r-10' d•21r is ## S -1r 25'-6• d -W WMu7 ANCHORS. 'ON • SUB' ALSO INCLUDES VIEW CLUDES ATUCHED COLUMN TO SAFETY STAKE OR ABESCO EARTH ANCHOR ALTERNATES. I O1WO COLUMNS MINIMUM REQUITED. I v - 'fxr DOUGLAS FIT - MARCH `j2 MOE MOOD HEADER MAY BE SUBSTf1UTED FOR r x 6' ALUM. rX 6' ALUM. BOX BEAM OR %ODER USE COLUMN SPACING FROM r x Or 1 .042 ALUM. HEADER. rX rX 12 CA STEEL Y BEAM HEADER rX6 1/I OR TXr RAFTERSOPT. ALTERAfE'B' (18' ROOF PANEL) SEE SCHEDULE FDR SIZE • ALTER.'A SHALL CONSIST OF 18" ®J� ROOF PANELS, PLACED PARALLEL TO SOK. ALTERNATE 'A �. ALTERNATE 2-2'X6 1/T STRUCTURE ATTACHED W 2 10 18 ROOF PANEL) k r / t HEADER N PLACE OF SMS B� TO RAFTERS. 24' MAX. TXr HEADER NfTH POST LATTICE OVERHANG 16' FOR O'HANG-Ci AND SIDEPLAJU ALT "B" SHALL CONSIST OF 18" ROOF 1 1/T k 1/T OR 18' FOR PANEL PLACED PERPENDICULAR TO MIN. O'HANG r, x r POST STRUCTURE AND ATTACHED W/2 #10 SMS T X 4' TO BLOCKING. L. \ ALTERNATE 2-T X 6 1/T HEADERS. LATICE: .018 X 4 4/2 X 1 11/2' ®. 3 -1/2' OR 7' O.C. OR 2. X :4 0 Er OR r O.C. 1t5 NOTES: 8C1 8'- AJAX. '021 COLUMN SIpE�TES M/9' AND 10' 1. THIS STRUCTURE MAY NOT BE c COLUMN HT. IMENCLOSED WITH IBUTARY MIUTEfS LASING FOOTINGS. AL10M0.BLE SPLICE REGU R I I Two o' P J eis s 2- FOR GENERAL NOTES SEE DING J35003 SHT. I OF I6 AND 2 OF 16. 3 SEE DETAIL OFVOWC..NO. 3 003FS T. 3ROF 16. J •b v 4. FOR SAFETY SCCTAKE AND, ABESCO ANCHOR DETAIL 9 FDR 1 1 rPRA L'D SEE DWG. ;NO. 35003 SHL.: 11 OF 16. �Y� `qtr ��� 5. MAX: HEADER OVERHANG = 40% OF, COLUMN SPACING FOR UP TO 16' PROJEC11ON AND"337. OF COLUMN SPACING FOR N�A� ;17'-20' PROJECTION. CSJOF . 6. DESIGN PER U.B.C. 1991 EDITION. ( 3 I /f CON . f� I SUB- SES NOTE f 7. FOR RAFTFR!HANGER, HEADER TO SIDEPLATE OR 115 ON DWG. 35003, LAGUNA-TYPE OPEN }� Oa COLUMN CONN., RAFTER TO HEADER k COLUMN TO SHL. 2 OF 16 SQL jl SPLICE LOCATIONS p LATTICE STRUCTURE FOR OPEN LATTICE. AWNINGS FOOTING OR'SLAB ATTACH.. SEE DWG. NO. 35017, SS. 6, 7, MD 8 DF B. � O� E Q(1of EDATE REVISIONS 11' 911FA LUMAX Aida if Wim Fti M Mde6 YL 1451 Dallas Pmt. 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