0007-167 (RER)' LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions'of
CY;nptes 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
684837 13 m'C , { � � �' G3/31 . f
o (/r� �c
Date? Signature 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:
( ) 1, 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'
compens pn, as provided for by Section 3700 of the Labor Code, for the
perfor five of the work for which this permit is issued.
( 1 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 C.A. INDEMNITY INS Policy No. N80572791v
(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.pro6+ions//of Section 3700 of the Labor
Code+� shall forthwith comply with those[ir �i o'hs.
Date: F'ZO^-4y- APPlicant YfG�
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 a
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 re res entatives of this City to enter upon
the above-mentioned proTlyt'
inscCion purpVs.
Signature (Owner/Agent) _. Date
,.fes BUILDING
PERMIT PERMIT#
DATE VALUATION
LOT7 "•� % TRACT
vopwoo
JOB SITE
APN
ADDRESS 54-240 JUMT4,
7i -S -031-d59
OWNER
CONTRACTOR/DESIGNER/ENGINEER
eOHN O'. MIE
BOB EDWARDS CORKRUCY10N
54-250 RIUMA
79-920 %TC•5'TA DRIVE
1.A Q"t1SATTA
CA 92253
LA Q,iiiJtA
CJS 9225
(750)775.7933
Ck 3212
USE OF PERMIT
REH DE AL Y ODM,
RESfDF,NVAL RKMODEL (MDOOR BAR AREA)
M
VAL,UAT IO14
�AM.001.8
'
E8': D"TE ? COST OF COP7MUMON
20,000:00
PLAN CHECK FEE
101.000-439.318 El3�i.,SS
CONSTRUCTION FEE
101-000-418.000
ELECTRICJNL; TKE
101.-000.420-000 $15.00
PLUM"fN0 FE,L
101-000-419.000 $18.00
STRONG MOTION ITY. - RESI
101-000.2414600 52.00
1
a
OUP,-XYTA'L CONMRVCJOO14 AND PLAN CFI1•:Cl:
$376, S
1-3S PRE -PAID FM
$0.00
!'C:a'. AJ., PE—R 'M' �.. '` DUE NOW
t"%6,�5
JUL
rRVFJZ I , . DATE
BYI �`
DATE FINALED
INSPECTOR
/ ;s
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
oet Backs A
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 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final a/
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:
J�Ifi�/ l�riy P1161071
REGISTERED INSPECTOR'S WEEKLY REPORT
- JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
PERFORMED
❑ REINFORCED CONCRETE ❑ STRUCT. STEEL -ASSEMBLY
❑ POST TENSIONED CONCRETE ❑ ASPHALT
❑ REINFORCED MASONRY ❑ FIRE PROOFING
fC. -yINSPECTION
❑ OTH R
JOB LOCATION Sq 91.0'
& ' N
REPORT SEQUENCE NO.
TYPE OF TRUCTUR% (� '/� p S •
s 0 ��Q yl/C, 6¢s {/T ,per\
PERMIT NO.� �
DOD-[
� E�� "
DAY OF WEEK
MATERIAL DESCRIPTION
ARCHITECT
IN PECeR
MRS. CHARGED
ENGINEERIe �C
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERAL
CONTRACTOR� �
SUB
CONTRACTOR
-7
c�
2-I
�iOSC.f-wco cLUPAwl N E-�4•
�i� 1 �i i7se�oa�
ALIS �Q t`Zr< we /1�l Ns iilJ S�'
Svc
•
I,
.' COPY SENT TO CLIENT ❑
CONTINUED ON NEXT PAGE ❑
PAGE , OF ,
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
'' SIGNATURE OF REGISTER INSPECTOR
y [1410V
DAA OF REPORT REGISTER NUMBER
M
CALIFORNIA
July 10, 2000.
G O U VIS ENGINEERING
• C A L I F O R N I A •.
E-MAIL TO • SUPPORT c7i GOUVISGROUP.COM • SALES@GOUVISGROUP.COM
John O'Keefe .
54-25- Riviera
La Quinta, CA 92253
Re: O'keefe Remodel
GEC Job No.: 21146
Dear Mr. O'Keefe:
Pursuant to your request regarding the above mentioned project, we submit the following:
In order to remove 5 foot of the shear wall at the front of the bar, replace the existing
6 x 14 beam with a 5 1/8" x 12" glulam and apply 9'- 6" long shear wall type 11 with
Simpson HD8A at each end of the kitchen side as shown per the attached framing and
foundation plan and detail "A".
Note: Please verify the above with the building department prior to construction.
If you have any questions, please do not hesitate to contact this office.
Sincerely,
GOUVIS E GI
Saeed J. Bekam
President
SJB:cb
Attachments: (6)
21146
No.C38276 R
Exp. 3-31-01
V ►
OF CALJF
ARa nd Frangie
Project Manager
CITY OF LA QUINTA
BUILDING .& SAFETY DEPT.
APPROVED
FOR CONSTRUCTION I
DATE Bl'
GOUVISENGTNEERING GROUP OF COMPANIES WITH OFFICES IN. WEB -SITE: WWW.GOUVISGROUP.COM
4400 CAMPUSDRIVE, SUITEA • • NEWPORTBEACH, CALIFORNIA 92660 • (949) 752-1612 • FAX (949) 752-5321
2150 EAST TAHQUITz CANYON, SUITE 9 • PALM SPRINGS, CALIFORNIA 92262 . (760) 323-5090 • FAX(760)325-2863
FIELD OFFICES: SAN DIEGo (858) 623-9941 . FAX(858)623-0278 • PLEASANTON (510) 252-9195 • FAX (510) 252-9196
I
OCIH
We Eiec�7i�14
hw fz7W4 ,
sc1Me
r
11. 3/I," APA -.STRUCTURAL RATED PA►'►C:L MATH aD COMMON NAILS AT V O.C. AT EDGES
AND 1r' O.C. FIELD (TABLE 23—* -1-1 UBC) . . . . . . . . . . . . . 350; • I t 1
� �' • � �� F� �` �� (11,1 - �
,4
v1
p
A.
tJC� ;) % A' c:s �1 e+[oC E r N e
it, �. - �► `,_ 11 1 .10
tip
jam c-
�— (
V OTtt*A 42, 81
(: 1 y\.(; x u 1 FJ► J t�:;1_ , J 0 1
��.1„� p �� ��, 1�.�t�.. 8T h 1►► I o r 1. �,� 1ft
r _77-
;;111 aI a � /�. (. „ ;”/' ; .n � � �p41 � �• ...
KIN
3 � X11 4'� lv) � :� I^ � %�•_. 11 �'fa��� .. ��1 � ; � `\ � �� (
r►j��' a ins (� r Vi = - 7=-:
mF;t
4Vt4t►. �� I
_Ott e:.i•4. N Y_
- 1 FULL- HCS %4A"
se 14
It
01
awl
NOTES: USE SIMPSON SET EPDXY— TIE SYSTEM
Z ( DO NOT SUBSTITUTE
APPROVALS : ICSO 05279 AND CITY OF
LA. R.R. % 23279
2 4 REFER TO ICBO AND MANUFACTURERS
SPECS, FOR INSTALLATION PROCEDURES.
SPECIAL INSPECTION IS REQUIRED. DURING
.ALL INSTALLATIONS.
3 MIN. CONCRETE STRENGTH rc- 2300 psi
ADEQUATE SIZE WASHER REQUIRED WHEN
5 n ANCHOR BOLT SIZE IS SMALLER THAN
HOLE IN HOLDOWN.
n
u v CONTRACTOR SHALL SPECIFY OVERALL
LENGTH OF ANCHOR.
MIN.
1. 4X4 POST U.N.O. SEE PLAN
2. SEE TABLE
3. EMBEDMENT JS FROM TOP OF SLAB AT
MONO -POUR FOUNDATION SYSTEMS
W/
Rao &
1
OrCE
r
S/I!'
y-
a !
NOTES: USE SIMPSON SET EPDXY— TIE SYSTEM
Z ( DO NOT SUBSTITUTE
APPROVALS : ICSO 05279 AND CITY OF
LA. R.R. % 23279
2 4 REFER TO ICBO AND MANUFACTURERS
SPECS, FOR INSTALLATION PROCEDURES.
SPECIAL INSPECTION IS REQUIRED. DURING
.ALL INSTALLATIONS.
3 MIN. CONCRETE STRENGTH rc- 2300 psi
ADEQUATE SIZE WASHER REQUIRED WHEN
5 n ANCHOR BOLT SIZE IS SMALLER THAN
HOLE IN HOLDOWN.
n
u v CONTRACTOR SHALL SPECIFY OVERALL
LENGTH OF ANCHOR.
MIN.
1. 4X4 POST U.N.O. SEE PLAN
2. SEE TABLE
3. EMBEDMENT JS FROM TOP OF SLAB AT
MONO -POUR FOUNDATION SYSTEMS
4. OPTIONAL COLD JOINT AT 2 -POUR SYSTEMS • HOLDS STRAPS ARE. ALL PA'S` ALL HPA'S.
5, EMBEDMENT IS FROM COLD JOINT AT PAHD42. MPAHD• HPAD22. AND HPAHD22-2P
2 -POUR SYSTEMS NOTE: FOR OTHER HOLbONNS NOT LISTED M TABLE
ABOVE AND/OR OTHER CONDITIONS NOT INCLUDED
t HERE. CONTACT GOUVIS ENGINEERING GROUP OF
COIPANIES FOR SPEom FII..
FIX FOR MISSING HOLDOWN /1 1
W/
Rao &
MBEDAAENT
OrCE
HTT22
S/I!'
y-
a !
i
HDOA/HM I
HD6A/HD6A
7/e"
7 3/4"
4. OPTIONAL COLD JOINT AT 2 -POUR SYSTEMS • HOLDS STRAPS ARE. ALL PA'S` ALL HPA'S.
5, EMBEDMENT IS FROM COLD JOINT AT PAHD42. MPAHD• HPAD22. AND HPAHD22-2P
2 -POUR SYSTEMS NOTE: FOR OTHER HOLbONNS NOT LISTED M TABLE
ABOVE AND/OR OTHER CONDITIONS NOT INCLUDED
t HERE. CONTACT GOUVIS ENGINEERING GROUP OF
COIPANIES FOR SPEom FII..
FIX FOR MISSING HOLDOWN /1 1
4 �
r
a !
i
GOUVIS ENGINEERING
CALIFORNIA
SHEET
JOB NO.
21146'
CLIENT
OKEEFE
PLAN NO.:
0
DATE :.07/08/2000
ENGINEER:
RAYMOND(VER5..10)
PRIMARY ROOF
LOADING
----------------------------------
Pitch
05.0:12
K = Increase for
Pitch
1.08
RAFT=(2x10 24"
OC)
4.03
PLYWOOD(1/2" )
x K
1.68
1/2" GYP. BOARD
2.20
CONC. TILE
x K
10.83
Misc.
2.26
Total Dead Load
(psf)
21.00
Snow Load
(psf)
0.00
Live Load
(psf)
16.00
Total Load
(psf)
37.00
SHEET
JOB NO.
CLIENT
PLAN NO.:
DATE 7- 8-2000
NEW BEAM RIGHT OF BAR
OVER-ALL LENGTH: 12.25 RCTS AT: .00 12.25
APPLIED LOADS (DOWN +)
1000 AT 4.5 CONC LOAD #
3815 AT 10 CONC LOAD #
70 UNIF LOAD #/LF
370 FROM 0 TO 1 P'TL LOAD #/LF
370 AT 1 222 AT 10 P'TL LOAD #/LF
185 FROM 10 TO 12.25 P'TL LOAD #/LF
REACTIONS (UP +):
LEFT: .3704.7 RIGHT: 5418.0
****** USE 24F GLB 5.125X 12.0 *A P'rld
�
A= 61.500 S= 123.000 I= 738.000
FV=165. E=1800000. DF=1.00
CRIT SHEAR 51.63. AT 11.25 1.5*V/(A*FV*DF) _ .76
SPAN MAX MOM = 13254. FT.LBS AT 6.77
FB=2400. M/(FB*S*DF)= .54
DEFL= -.28 AT 6.33 L/240.= .61
JQ� U26
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