0108-101 (BLCK)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 s,omme4cing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # �q Lic. Class Exp. `Date q y
67 J dtiV� ` i� 1��A3 il.W6
Date 4 �, A 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:
( ) 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 9TATE ➢ UND Policy No 06012001
(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 provisions of S2ction 3700 of the Labor
Code, I shall forthwith comply with thp'se proVisions—'_..,
Date: + 1 /� s Applicant .°.r`
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.
Signature (Owner/Agent) = r•_ - . - :.�•% Date". /
BUILDING PERMIT PERMIT#
DATE VALUATION yy�q,,aa��) pper�•• LOT .�^�� TRACT ygr�Q A
'tI gY' , .�L- 7 2. 30056 �
JOB SITE APN
ADDRESS '14-246 MMA'L:IX.i'C,�IDIT�! -
OWNER CONTRACTOR / DESIGNER / EN (NEER
78-5W CAD -a1 52
IA QY1N A. CA 9225:
USE OF PERMIT
(IMPA''�I' =:1DINC
d5 J,,.F. X d' I:WF.R'd11MfN'O go"ALL ^ CI* ] SIIiSN,fN ftl D
ANDREW TYLE tCP C OFtT«OR.At7OW
44835 0. UP C"„M YON � D
PkIM l798,'! I T CA 92261
(760)346,,3228 CPU 03031
0100 Jam;+
9STMAMM COW OF c:<aNMUM00
CONSTRUCTION FRE 101 -GOO-418-000 $35.00
S TWTC3`t.f L C'c7AiW�,A;�J3(;'.�1O .NIL) PLAN CHEXX
L&W9 P AM -PAW RM
RECEIPT DATE BY I DAT/INALED—' INSPE�y R
t(.,.
MOMS
MS
$35.00
$0.00
WSW
INS PECTION RECORD
OPERATION I
I DATE
I INSPECTOR
OPERATION
I DATE
I INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
!;et Backs
Underground Ducts
Forms & Footings
Ducts
Grade
Return Air
.,,ilab
tteel
Combustion Air
Roof Deck
ExhaustFans
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
POOLS -SPAS
BLOCKWALL APPROVALS
Steel
Set Backs
Footings
T
Electric Bond
Main Drain
Bond Beam i
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final I
L11
Gas Piping
PLUMEhNG APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out I
Equipment Enclosure
ShowerPans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation'
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
UtiI4 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
I Utility Notice (Perm).
PA
wmA Urz CT
CITY OF LA UINTA
& SAFBTY DEr T
JAPPRO�-ED
FORCONSTR
. . . . . . . . . .
105-231�` � f
Z
OEM,
. . . . . . . . . .
TIU. 3'
T.;
T.W. 4'
'LU, 51
TfU. r,'
JAI
!kg
llio
'?J8/22/2001 11: 00
7603252863
August 22, 2001
GOOVIS PIS
GOUVIS ENGINE
C A L L F- N A e
F -M4,11. TO UPJ00fiT@Gof1V1S0x0UP.00Af -YAU*3Y6GOUY15' IRO PCOM
-7 75 -
PAGE 01
Andrew Pierce Corporation
44-835 Deep Canyon Road
Palm Desert, CA 92260
Attn: G Lo'M
Re- ra4ition Villag . e
Tradition Village
Retainihg Wall'
G Ee I hn 4t
.B.C. Job No. 21335
"'�ear Mr. Lohman: Aez enzo-A
Pursuant to your request regarding the above captioned project, per our phone
convcrsatio'n on 8/21/01, we submit thu following:
I WT
Follow the attached detail "N' for the retairiing. wall at the''rieu o 12, 1. 10 & 12
"o"S
PIM -,
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,
couvig . I
Saeed J. Bekarn
President
Attachments (3)
SB:RF;ijt
21335
'�. I r�tt
�.Io- C38776
6 EXP -3/31 5
x
Vo
0 01- 1c, V11 �11
r
, I-ez- &rurrls' V/
GOUVIS ENGINEERMG GROUP OF C0MPtNJESWJrHOTrJCZ&,rv. WEO-ME; WWWAYMMMNOUPICOM
4400 CAUPVSDjtiyz. Sutrj'A ' a N&0P'oRrBFA.cm, CAUFOANU92660 (949) W-1612 a FAX (949) 75? -S321
2150 EAST rAmovn2rAkmN..Tt1nWQ 0 *. t7610) J -2.1-S0,00 0 FAM (760).-1.25 ?863
PIRLD OFFICES D&GO * PLMSANTON IMMNAT:704L OFFICE.- 111MAM
.1
'JB/22/2001 11:00 '603252863
Choose "Title.5lock" Menu iteM
on 5'ott'n Screen to change
th * eio fivegslinesto Your own
a ecial-titie, inform8tion
at"company logo
GOUVIS PS PAGE 02
CANT11 FVERED RETAINNG WAILL,DESIGN Date: ON2101 Page:
RETAINING WALL
WALL & FOCTING'DATA -
Retained Height 6.00 ft
VERTICAL LOA6S
Axial M nn St
1880.5
LATERAL LOADS
0
-
Will M. above Soil
Too
1-50 ft
AXial DL on Stem
0 Of
'0
Lateral Load Acdng on
4054.1
Wdth
Hecd Width
0.67 ft
.... EccehtrI*
plf
0.00 in
Stem Above Soil
Add'I Lateral Lo3d
0.00 pff
Total Footing Ndth
3.08 ft
3.75 ft
Surcharge over Toe
Surcharge over- Hoe
0.0 Psf
Dist to Load Start
0.00 PIr
0.00 ft
Footing Thfe*man
Key Depth
12.M in
0.0 Psf
Notc; Toe Sul'�1411 gil AftSts'Ovewning
Nit to Load End
171.00 ft
Key WWth
0.00 in
Note., Hael Surcharge Resists ov erturning
0
0.0
I oe�to Key Dist,
0.00111
0.00 ft
SOILIDATA
Allowable Bearing
- -
1500 Psf
---------- ;.- ADJACENT F00TInU
Verficel Load
0.0
SLIDING CHECK
rtgffloil h-iL;tiwj 'm
.0.3.0
Active Literal
Pro".
.33.0 pef
Load Frymtrieity
0.0 #
0.00 in
Soil to Neglect
I AlArAl proawe
0.00 in
800'#
.....Max
..... Slope Press,
0.0 Pcf
- 0.0 pcf
Footing Wdth
Ftg:,CL.toWaII
0.00 ft
0.00 ft
-:Passive Pressuie
Friction
2400 #
Backfill'Slope
Passive Prm,
0-0:1
300.0 pcf
Vert. Po4tion of Ftg.
A�ov4dcw:[+/_j
630.0
-
A&I Force Required
902-#
O.Q. #:
Soo nw."
'Soil Ht over Toe
i i 0.0 Pd
36.00 in
ipreed rooting
0.0 ft
No
SUMMARY
Pressure 0 Toe
1382.9 psf
0
FOOTING DESIGN
HePJ Ile
'0
Soil Pres& Mult. Toe
Prewure @ Hed
Allowable Preos.
WJ P9f
1500 psf
*By. Ad Eq 9.1 19316
IVILPLIPW'al � n. 409
21 0`psf
Fy
2500 Pei
400DO psi
Ecc. of resultant
5.43 in'
Mu-Dowriward -149
1924 ft-#
331104
l4n. As Percent
* Omi(SP Under Heel
0.0012
No
Max. Shear 0 Toe
Max. Shear @ Heel
n. WI P6.
.6.73 pzii-
Mu-aaaqn 260
One-Wity-Shear-
1387 ft-#
- Toe most
Allow. Ftg Shear
85-00 psi
Actual 0.0
B-7 04
# 4@ 19.61 17.54 in o1c
# 5 30.39 271.9 in *.
Factors ot Natety:
Ov"ing
3.79 :1
Allowable 85-0.
Cow ov& Asibar .3-56 ,
65.0 psi
2.50 in
#,6 43,14 38.60 in o/c
# 7@ 48.00 48.0D in o/c
Slicing,
V 8.50�
9.50 in
# 8 @ 48.UU 48.00 in
Ru = �Mqlbd ^2. A.0
17.1 psi
# 9 @ 48.00 48.00 in ok
SUMMARY OF FdRtES U01ACUTe
Overturning "aa Rellafts Moment$
Origin of Force... # � ft. ft-# # ft 1`4
Acdve Soil Press.
.3vil UM HW
Soil over Too
Sloped.goil 0 Heal
Adjacent Ftq, Load
Surcharge Over Heel
Surchargo-over Too
Axial Load on Wall
Load.0 Praj. Wall
Averaged Stem Wts.
Added Lateral Load
Fodng Weight
Key Weight
Verboal Component
of Active Preswe
Totals
808.5
2.33
1880.5
0
0
0
0
0
0
1595 '0
2 * b4
4054.1
.264.'0
1.33
-352.0
220 , 0.
0.33
73'.4
0
0
0.
.0.0
-0.00
0.0
0.0
0,00
Oil)
0.0
CLOO
0.0
0
0
0
0.0
0.00
0.0
0.0
0.00
0.0
0.0
0.00
0.0
0
a
0
0.0
O'do
0.0
0.0
0.00
0.0
0
U
.0
0
630.0
1,00
630.1
0.0
abo
0.0
0
0
0
0
0
'0
562.5
1.88
1054.7
0
0
0
0.0
O.do
0.0
= 544.5 #
Re�rfinq Totals Used For Soo Pressure
(Vert. Component of Active Preizu'ro Removed)
0 0.0
1534.5 ft.# 3007.5 #
3007.5 #
0.00 0.0
5812.3. ft-#
5812.3 ft.#
(continued on awd palle .... )
V4.4n(r) I 9AqAA,FNFR(1AI,(' GOLIVIS iNGINGGRING CALIFORNIA, XW0602276
Pis/22/2001 11: Ob �76032521363 GOLIVIS PAGE 03
ChoO86 "771le Block" menu item
On Settings, Scie'dn'jo change
thes6'five ifn.99 t,6 ;�ui.. - - -
special title in . formation owil
& compahy logo
Date. 04=1 rage.
9—ANTILEVEMbL) ETAINI
RFTAINING WALL
STEM SUMMARY
Top StSm: From 0.00 ft to Top of Wall
O-Cloili'masonry W/,# 51 q -1 6.13an, d- 5,25in
fm= I 500.6PS1, Fsw 24000,Opsi
LDFF 1;06, 20,8 �
SiNldlZrouted,-Ali Spec'.4.1s"P.
'Bar'Fmhad= 6.0in
wall M i 84-00pif
Vactual - 4.08 < 19.36061
lnta4L,flon value w a,qV3 ,
V C:M*- U., 1;�Vd.G�rtd,
50 16".V
4w4 tp 21" Norio
6
HELL Ctyy> b 4V 6i C.
TOE<bo01:-v' o.c.
2 '0' r
r
L
3P- 0'
V4.41D (c),l 983-06 ENERCALC
.,GOUVIS ENGINFFmmli I.A) wnRNIA w5jnFM179
bB/22/2001 11:00 7603252863
In
0
GOUVIS PS
Vx
42 M! e/pao
% vid ir
IF V7
PAGE 04
V.e
) q
5�0.
iv
7+
t:.0
I
0