RER (9913-187),. LICENSED CONTRACTOR DECLARATION
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
Professionals Code, and my License is in full force and effect.
License #- Lia Class• Date
DateSignature of Contract
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) .l, 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 ; 1-10 �s7 Policy No. i)
(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,prb Iv sions of Section 3700 of the Labor
Code, I shalbf(irt I, comply with.those provisigns. w�•
Date:, ! 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 auuthoriz `epresentatbl�es of -this City to enter upon
rty f
the above-mentioned propeor Inspection purpokes.
�-�, , /I �
Signature (Owne`r/Agent) � ate
BUILDING PERMIT PERMIT#
DATE9 VALUATION ' LOT �5+ TRACT )Fi A-) Ili
r
JOB SITE 49-320NriON ikNAWAY
APN -
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
'i'7l,)�:ll' T1P."bi �A}iAxi:MtT
t A1�1'C F%tR �^ �i�T�RiT�Tn�
u�PA �<a a,' ' as r .r , kt 0!
TAQUlNTA CA 91153
i.t1.L,`iUIKI'FA CA 92253
USE OF PERMIT
ld E310i"N i f A t� ztl It ilJ i�
[AhifMi:'Rf K)NI-PYXFixv,; '�IXYU t)PLA14S
ETT AIM�ATEt D CWM,. +l.F.F ^4.U1111.i t rvlf .. i. XXQNt
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PLAN t:rMt.`K Ft+i 1111114)W430-318 49"i
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81.LR-wt.7TAI,(''(4p+IS`4'RtiC110N t N #%LAIN C'itl'1,17Z,
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ESS Ft's -P ACL)FEE1.
RECEIPT
DATE
BY
DAT N�— Qe
INSP
It
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
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 Pibg. 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:
-
G OaU VI•S .ENGIXEER.IN�G
C A' L 7 F O .R N I A. ,.
r CALIRpRNIAember 9, 1999 E-MAIL TO • SUPPORT@GOUVISGROUP.COM,'•. SALES@GOUVISGROUP.COM-' '
T.D. Desert Development.
c/o Sparks Construction..
P.O. Box 1716 r
La Quinta, CA 92253' f
Attn: Nolan Sparks
CITY OF LA . O U I N TA
BUILDING & SAFETY DEPT..
Re: Montanas .
APPROVED
Plan#2
FOR CONSTRUCTION
GEC Job No.: 20505
Dear Mr. Sparks: DATE I Z 17 a BY'— p t.
Pursuant to your request. regarding the above captioned project,,, O'er our phone
conversation on 1.1/9/99, 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 have any questions, please do not hesitate to contact this office.
Sincerely, alp
O IV ERIb
t' yp
a 4 4F- Alli _
Saeed J. `Bekam a� Grp. 3/31/00,� . a and Frangie
President ��, , Pro' ct manager.
;-
f�
SB:cb
20505
LW
attachments: (6)
GOUVIS ENGINEERING GROUP OF COMPANIES WITH OFFICES IN WEB -SITE: WWW.6OUViSCROUP.00M .
4400 CAMPUSDRIVE, SuiTEA NEWPORTBEACH, CAaFomm 92660 • (949) 7524612 _ FAX (949) 752-5321
2150 EAST TAHQUITL CANYON, SUITE 9 . • PALM SPRINGS, CALIFORNIA 92262 • (760) 323=5090 • ' , FAX (760) 325-2863
5465 MbPEHousEDRIVE,.Su1TE 100 • SAN DIEGO,, CALIFoRMA 92121 (858) 623-9941, • FAX (858) 623-0278
:: FIELD OFFICES: LAs VEGAS. (702) 597-2005 • FAX(702) 597-0905 • ,FREMONT (510) 252-9195 • . FAX (510).252-9196
I•. :p�.:..�?f��. ,�F ' 'r( I�' � 1. :�L• :!_• ,,. � �• . • �: Y'.*. ' •.4' - •' :.
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.. Client : TD
_ Plan No: 2
Date : D4/10199 ,
Wind 3768 3/ Engineer: STEVEN(Ver3,00)
Selunic 4930 0;#tf -
14.o
eo f f6 9.0.
o INTERIOR HOLDDOK'N � .
37.7. 90.9
.7,0 33.0 j
1571
Drag Force Analysis
-A: SIMPSON ST22. (1150 LB) ALT.(12.) #.16d sinker per: top plate splice
B: SIMPSON ST6224(2116 LB) 'ALT, (18) # 16d sinker per top plate splice
l6, AT RIGHT OF INTERIOR WALL
STORY FIRST FLOOR TWO POUR FOUNDATION: 941UBC
TOTAL WALL LENGTH =,. 50.5(FT). TOTAL PANEL LENGTH .0(FT.). ,
SHEAR-DIAPHRAM = 4.55.0/ 50.5 90(PLF)
SHEAR 4550/. 9. 0*- 5BS56(PLF) MAXIMUM DRAG FORCE 1577 (LB)
USE TYPE 1 w/ 1/2" DIAMETER x10:' LONG ANCHOR BOLT MAX.'n .0" o/c
DEAD LOADS:
Wall 140 - 10 *,14'
Roof P 38.0 - 19 *•4.0/2 FROM.. 0.0' TO 50.5'
OVERWA,�
ANALYSIS _ t�
PANELLEFT. SIDE UPLIFT �bQl d. (LA)., USE !" 8414x�o.
RIGHT SIDE: UPLIFT =6U1! (LB) USE f� /4x .
!/�
RLCl l i:Jld F'ra.a't i;
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