9913-188 (RER)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
O*iapter 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,
674074 B 07T3l120i
Date id-` " 7 � Signature of Contr ct • r
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'
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 S,CAnr `fmfta _ Policy No. aeb--fltk;73 3
(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 Californi,_and'ag ee-th'at"ifi`slivyld become
subject to the workers' compensation provisions of Section 3700 Sf the Labor
Code, II shall forthwi(�h comply with those provisions.
Date: 1411 / �: ,�APPlicant
Warning: Failure to secure Workers' Compensation coverage is unlawfu 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, indemnity
& 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 fojr•inspectlon purposes.
Signature (Owner/Agent). Date
BUILDING PERMIT PERMIT�#��3
DATE ` Q�E¢4 LOT ��TRACT
VALUATION 4�
Iy
JOB SITE 49-2 76.INIONINNA WXY
APN - ..
ADDRESS
OWNER
CONTRACTOR/ DESIGNER ENGINEER
,T) DE's Te
%/NI5yIU.1y 3(.�11try
f
PO BOX 17.16
79-293RANCHO O 1A Qulwri� D
1..A, QuIiV".m CIA N25 1 -k
I:A QU.EN'1.A '0&
f 71 11?711 ••t e1 3 1:331.,#1 20(l
USE OF PERMIT
k8k;il.DOMDF+ .
C;ttfiA iL 0 -PE, INO fOR 8WO I,X)OR fW I WL -F14, y1;Ili 1, PIZVI L - RLKJM AND
UI91NO H. 44iX 8N0M-bli4F'i}sLD
1�..;lf4. .i1Z14yt Sf ,� I's
FMIALUNED COST 011T PONST.R. UN -yr WIN
PLAN (SCK AFFN 8a.75
CONSi'R;,tr"i<'[ON'ht:f,til-00-41''+-x(0 $I'-,%
• :+T(ir�2vC.a •i'1i"'GZ'I{3;°� 5=3�1� - ii%5113 1i7I-Ua)L-2�'I•�}(?0 S,5t1
x� x
S Ii
WL.t-•W'!J. t . C-;Of'1�"I'I�M SON AND PLAN QW -VI
%425-2;
LE"S", PRE -PAID FEES
RECEIPT
DATE
.
BY
DATE INALED
-ZZ �.
INSPECTOR
le
is
INSPECTION RECORD
It 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 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
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 Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
,
. .GO.UYIS ENGINEERING
C. A% L I F O R'.. N I A. •
"Member 9, 1999 E-MAIL TO •.SUPPORT@GOUVISGROUP.COM • SALES@GOUVISGROUP.COM
Desert Development
c/o Sparks Construction
P.O. Box. 1716 '
'La Quinta, CA 92253 ,
C! IY OF LA QUINTA
'. Attn: Nolan Sparks. u!!_DING &SAFETY DEPT-
Re':
EPT. '
r Re: Montanas I APPROVED
"Plan # 2 FOR CONSTRUCTION
GEC Job No.: 20505 ,
Dear Mr. Sparks: '
Pursuant to your request.regarding the above captioned project, per our phone
conversation on 11/9/99, we submit the following:
See the attached partial framing, and foundation plan and detail "A" for the added 8090
door between the dining room and the family room.
Note: Please verify the above with the building department prior to construction.
If you any questions, please do not hesitate to contact this office.
Sincerely,
O N ERt�Ilb} , t �-
4
N C38776
Saeed J. "Bekam 3/31, 00 ` ' a and Frangie
President `� ��- Pro* ct manager
.. a -..sem.."..- �.i�•
A.
SB'cb Y.
20505
attachments: (6) ..
GOUVIS ENGINEERING GROUP OF COMPANIES WITH OFFICES IN: WEB -SITE.: www.GouVISGROUP.COM
4400 CAMPUS DRIVE, 'SUITE .4. • NEWPORTBEACH, CALIFORNIA 92660 v (949) 752-1612 FAX (949) 752-5321 `
2150 EAST TAHQUITZ CANYON, SUITE 9 • PALM SPRMGS, CALIFORNIA 92262' • (760) 323-5090 • • ` FAX (760) 32572863 ,
5465 MOREHOUSE DRIVE; SUITE 100 SAN DIEGO, CALIFoim 92121 (858) 623-9941 4 FAX (858) 623-0278
FIELD OFFICES: LAS VEGAS (702).597-2005 • FAX (702) 597-0905 • FREMONT (510) 252-9195 FAX (510) 252-9196. i
�,v�- �.i. �:..Pieta.i�r ��r.�. yk,Arvlv�:► Job No :10505
Client : TD
ti .. Plan No,: 2
t Date :04110/98
'Wind 37e8 6'9�'� �JL Engineer: STEVEN(Ver3.00)
•selunic 4930
1/° ,
' 60.. 1.b 9,0 °
INfBR1oR HOLDDOKTI I'
1931
0.0 12.8 37.7. f0 s
.7,u 33.c
1577 r
Drag Force Analyaie
k: SIMPSON ST22 (1150 LB)' ALT (12) #.16d sinker.per-top plate splice
1:' SIMPSON ST6224 (2116 LB) ALT .(18) # 16d sinker per top ,plate splice
16 AT'RIGHT OF DINING INTERIOR WALL'
STORY` •,FIRST FLOOR. TWO POURFOUNDATION•. 94 UBC
TOTAL _ WALL .LENGTH =.'50.5 (FT) 'TOTALPANEL . LENGTH 0.(.FT)
SHEAR DIAPHRAM = 4550/ 50.5-_ 90(PLF)
SHEAR - 4550/ 9. Oa s657.56(PLF) MAXIMUM. DRAG FORCE 1577 (LB)--.- y
USE TYPE 1 ..w/ V.2" DIAMETER x10" LONG ANCHOR BOLT MAX. 0 ' ,0" o/c
DEAD LOADS:
Wall, 140 10 *.14'
Roof P 38.0 - 19 *.4.0/2 FROM 0.0' TO '50`.5'
DVERT ANALYSIS r
PANEL(11A LEFT _SIDE UPLIFT SiDq%+a (LA) USE I►�1��/4x�o
RIGHT UPLIFT =6 ''(LB.). USE /..4x<0
�� 4c
'�F'i�F'I: S � i_ih�,c i F'U�� 11. iJl•t F'uta't �; ; .