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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 # Lic. Class Exp. Date
(57,1074
bate -1 !/ / •'- Signature of Contractor } i
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
1 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.
S c( ) I have and will maintain workers' compensation insurance, as required by
ion 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 Policy No.
;:'$A^.'ti 1!'111.1:1 1371057?
(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 Section 3700 of the Labor
Code, I shall' forthwith comply with those provisions. )
Date: 'f Applicant—
Warning:
pplicant 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
'
theabove-mentioned property for inspection purposes.
/Signature (Owner/Agent) Date
BUILDING PERMIT PERMIT# CONTROL#
t v
�ili113- V79
DATE4 VALUATION Z•�ill, f� LOT TRACT
7006
JOB SIT91 f `
APN
ADDRESS 7,100 CEMIEII, CIRCLE
646-400-007
OWNER
CONTRACTOR / DESIGNER / ENGINEER
T.D. 01 -SH l' DUrVEI,Of' :'1:tiT
SPARKS t'f_!i�itii`!?if:~I'It)P1
i'.0. BOX 17i6 '
79x95 RANCI10 LA QUINIA DR.
LA Q 191'A CA Q2253
LA QVIWlk UA 9225:s
'
f7r""x11771-1941 CRI. 29t)(
PAI
USE OF PERMIT
rry or,
APR 0 1 1998
U X998
PR
A�
L'STMATT D COST Or t.`ONS;fltUCTION
2..^,i1.tlt1
P ,Wrf FEE, SUMMARY
PLAN(:RIV.1K F€il; !U1•CZ(NJ 43'.} 31K 5:�5.13�
C*0N,q 1'R1Y-r10N FEE t(}!_(1fH) .lit3 t lf) ccf,cnt
;,'P ONG NICITION1 1-71;: - itl�Z+IO 101 -000:41 -(ft
SUR C(-)N.,-rRI_JC( ION ANI) PT,AN (,I ff'c .
�Rn,r►Q
LESS PRETAID FEES
$000
10lA1,1'M RM#11+i:ES4)UKNOW
S89,611I
RECEIPT
DATE
By '
DATE FINALED -INSPECTOR
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 v 5
Drywall - Int. Lath -1
Final
Final
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:
-
GOUVIS ENGINEERING
• C A L I F O R N I A •
CALIFORNIA E-MAIL TO SUPPORT@GOUVISGROUP.COM • SALES@GOUVISGROURCOh�
March 17, 1998 t
T.D. Desert Development.4'->tl�
coo Sparks Co. t' L :��-tU' ` t t • `�^�'
P.O. Box 1716
La Quinta, CA 92253
Attn: John Clapinski
Re: Palacio, Plan 2, Lot #7, Parc e 10 ?�?
Pantry Enlargement p �J J�
GEC Job. No. 20215
V
Dear Mr. Clapinski:
Pursuant to your request regarding the above captioned project, per our conversation at
the job site on March 13, 1998, we submit the following:
In order to enlarge the pantry and delete the coat closet see the attached partial framing
plan, foundation plan, detail "A", for the revised foundation pads and hardware and the
revised shear wall and roof support.
Note: Please verify the above with building department prior to construction.
If you have any questions, please do not hesitate to contact this office.
Sincerely,
GOUVIS ENGINEER TJ CA RNIA` y
0001, i}ts 4y til''
'�. Fx;�<, ./:'i aymo
I Iden T : ;° b : 'ro ect
SJB:cb
attachments:6
GOUVIS ENGINEERING GROUP OF COMPANIES WITH OFFICES IN: WEB -SITE:
4400 CAMPUSDRIVE, SuITEA • NEWPORTBEACH, CALIFORNIA 92660 • (714) 752-1612
2150 EAST TAHQUITl CANYON, SUITE 9 PALM SPRINGS, CALIFORNIA 92262 • (760) 323-5090
5465 MoREHousE DRIVE, SUITE 100 SAN DIEGO, CALIFoRNiA 92121 • (619) 623-9941
FIELD OFFICES: LAS VEGAS (702) 597-2005 • FAX (702) 597-0905 • M/LPPI'AS (408) 263-3016
WWW. GOUVISGROUP. COM
• FAX (714) 752-5321
• FAX (760) 325-2863
• FAX (619) 623-0278
•
FAX(408)263-3714
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APPLY PLYWD. PRO
BTTM. OF BEAM Tp
DBL. TOP PLATE 141),:
w -v-
CRIPPLE WALL /
61RDERAPTRUSS
I 9UPP.c,RIPPL.E � � /
WALL FROM ROOF
TRU55E5 AND CL&.JO1ST
i FROM CRIPPLE
WALL Ho"IN 3-I6d's
CONN.
! I GREAT I
ROOM' I
Po DER
101-00 CLS.
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ItNM I
u X
TYP. LINE OF 2X BLK'6
VVA35 BETHEEN HIEN
•ie• O.G. ROOF TRUSS H/ E.
MIN. (5) BAYS W/
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LOW
HALL
101-0' GLS
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ull
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SUITE
101-0' GL.&
9D
14 LINE OF 2 -
CONT. 4_ 23!SCi Bo 9D BLK'6 BETH[
PLYHD. 5D 7p' I r a�... HI6H ROOF 1
TfIRU...I 1Y t'�. L.OWI �►, - YV/�'►5 I ani W/ 1" N. MIN 4
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GOUVIS JOB NO.:
ENGINEERING DATE:
K
NOTES: USE SIMPSON SET EPDXY— TIE SYSTEM
SYSTEM ( DO NOT SUBSTITUTE )
APPROVALS : IC80 x/5279 AND CITY OF
L.A. R.R. / 25279
REFER TO ICBO AND MANUFACTURER'S
SPECS. FOR INSTALLATION PROCEDURES.
SPECIAL INSPECTION IS REQUIRED, DURING
ALL INSTALLATIONS.
MIN. CONCRETE STRENGTH f'c= 2500 psi
ADEQUATE SIZE WASHER REQUIRED WHEN
ANCHOR BOLT SIZE IS SMALLER THAN
HOLE IN HOLDOWN.
1 3/4"
MIN.
1. 4X4 POST, U.N.O. SEE PLAN
2. SEE TABLE
3. EMBEDMENT IS FROM TOP OF SLAB AT
MONO—POUR FOUNDATION SYSTEMS
4. OPTIONAL COLD JOINT AT 2—POUR SYSTEMS
5. EMBEDMENT IS FROM COLD JOINT AT
2—POUR SYSTEMS
CONTRACTOR SHALL SPECIFY OVERALL
LENGTH OF ANCHOR.
MISSING
REPLACE W/
ROD o
EMBEDMENT
HOLDOWN
STRAP •
HTT22
5/8"
5"
AND HD2A,
M05A
HD6A/HDBA
HD6A/HD8A
7/8"
7 3/4"
• HOLDOWN STRAPS ARE: ALL PA'S, ALL HPA'S,
PAHD42, MPAHD, HPAD22. AND HPAHD22- 2P
NOTE: FOR OTHER HOLDOWNS NOT LISTED IN TABLE
ABOVE AND/OR OTHER CONDITIONS NOT INCLUDED
HERE. CONTACT GOUVIS ENGINEERING GROUP OF
COMPANIES FOR SPECIFIC FIX.
FIX FOR MISSING HOLDOWN
THIS DETAIL IS ONLY VAUD WHEN ACCOMPANIED BY COVER LETTER
FROM GOUVIS ENGINEERING GROUP OF COMPANIES.
PACE 2 OF 2
+�** SHEAR WALL #iso LOCATtc,'N
SEIS SEC 3= 177. 33 X 27. Q10/:WIND SEC 3= -200. 82 X 2-7. 00/ _ 7 . L 4'S
SEIS SEC 1= 196.45 X 32.50/2 = 3l*),'-::',
WIND SEC 1= 94 X 32. 50/2 = 346V;.S� � ���o
G
TOT FORCE = c711 . 0.5+ -c�
3460. 7 = 1 ; _/� pie
/� LENGTH �5
SW ? StI..
3/ /� • `j = I��'r 2� : LF
SW _
USE 12. e?QU 51 DE5S
1 /2 X 10" ANCHOR BOLTS AT 8" O. C. i"PIX .------...-- -___-------•_-�... _._
DRAG FORCE CONNECTION 'DESIGiV_ir!c�:i� r+i,L_i,�•1 -
TOTAL FORCE AT WALL = 6171.3:.:, L:+"_
LENGTH OF DIAPHRAGM = 38.50 T
SHEAR DIAPHRAGM (SD) = 1 31i F
SUM OF SHEAR WALL LENGTH= 5 FT
SHEAR WALLS (SW) = q/444 LHS/F'('
MAX DRAG FORCE = 4568.39 _BS '
SPL I C- E WITH S I MPSON MST60 W/ .16 D
GOUVIS ENGINEERING f
LATERAL ANALYSIS '
1
r OL: k l �vl i NON 0 UNG
OVERTURNING ANALYSIS SHEAR WALL 10 PAMEL 1
L— 13
12288
T. D. Development
01/09/1995
,S
i
LENT TH OF F r LS� E �✓D -�/ o 3/m,?�2N '
HEIGHT OF PFPJEL = 14. 00F 123414 214-0y 102icrlA)q
.: r L F\.V 1 1!% Y'i L.lil=lei•. 3J fl
i- 1 . _G{ . !ll���++� J' —_- gol
IFT FORCE
USE S I APSON ,::,is►; W /MIN 4X6' F'O
IN AC -1). TO ;#4 I17F'&BOT PROVIDE #4 TOP:1-20T SNL E/W► y