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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
13 X71 &9
Dated Sr 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 Policy No.
STAT11 t71JIN"D/37/09597
(This section need not be completed if the permit valuation is for,$4. 0.00 or less).
() I certify that in the performance of the work for which,thls permit is issued,
I shall not employ any person in any manner so as tohiecome subject to the
workers' compensation laws of California;.sand agree that if I should become
sudiect to the workers' compensation provisions of Section 3700sof't e Labor
Code, I shal forthwith comply with those provisions. /
,Date: � J1 r1 t) 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
�-oermit, or cessation of work for 180 days will subject permit to cancellation.
;"i
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 C roperiy for ir'spection purposes
/Signature (Owner/Agent)
�
BUILDING PERMITPERMIT# t CONTROL#
DATE VALUATION +qLOT TRACT -8853-
JOB SITE
ADDRESS 79-010 C ARNICIL CIRCLE
APN 6-16- J0(MII12
OWNER
CONTRACTOR/DESIGNER/ENGINEER
79010<;.Aktl.f'(D.tC:I,
79295.kttl�C:FiG J�!� {1iJII�t i A► Cult. ;
LA Q1:_391A CA, 422534
LA QIJTKIl t. CA 97'5;1
(7t� i713-l�iai CAL4 2Q)6
USE OF PERMIT
i 17MOD
kiaZAEMMIA WALL B iUT-EW liUIRPi &CF.: 9; WET 13ML R ism'W'tT
SAR.
VA1.CJI ION (5.905.00 LS
MMIA'y'CDCOST, O CON.Sl.'If)Cf10J�
PERMIT FE F. SUMMARY
MAN C• EMM ` FEX 401.;000-139-1-19 �7l}.2r1
CrYN10111''1tr1CTION fl'r. 101411111.419-000 ?0£t t 1
S' YRONt,'I<4MION Flys - f3.EP[i 101,_000.241-000 x.13
b� I
FEB 19 199
B ®= Vie,
b�
SU!V! _'QJ, CONS°roti C7,10i NO ?' LA -N CHRCK
t ,�€�
LESS •i RE-iAID i'Ebis�
iso
Ta At, PhOkAlf VFE,111SDUE NOW
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
Drywall - Int. Lath
Final
Final:
BLOCKWALL APPROVALS
steel
POOLS - SPAS
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
Conduit
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:
C�
6- `/ (— c)
CALIFORNIA
GOUVIS ENGINEERING
• C A L I F O R N I A
E-MAIL TO • SUPPORTrJGOUVISGROUP.COM • SALEScJGOUVISGROUP.COM
February 17, 1998
T.D. Desert Development
c/o Sparks Construction
P.O. Box 1716
La Quinta, CA 92253
•
F !
Attn: Nolan Sparks S
i
Re: Palacio
Parcel #10, Lot #12, Plan 2
GEC Job No. 20215
4 '
Dear Mr. Sparks:
Cod
Pursuant to your request regarding the above captioned project, our conversation on
February 13, 1998 we submit the following:
In order to remove the media center called -out at the great room, locate a 6 3/4" x 12"
Glu Lam beam as shown per the attached partial framing and foundation plans.
Note: Please verify the above with building department prior to construction.
If you have any questions, please do no. esitate to.contact this office.
�?rL
�.�d0
Sincerely, � �®A
G IS_IFORNIA
No. C38276 �.
Saeed e am Exp. 3/31 f a n Frangie
President ��. �1V1� ��� rojec anager
Cir C��®Fpm
SJB:cb
20215
attachments: 3
GOUVISENGINEERINGGROUP OF COMPANIES WITH OFFICES IN. WEB -SITE: WWW.GOUVISGROUP.COM
4400 CAMPUSDRIVE, SuITEA • NEWPORTBEACH, CALIFORNIA 92660 • (714) 752-1612 • FAX (714) 752-5321
2150 EAST TAHQu/TZ CANYON, SUITE 9 PALM SPRINGS, CALIFORNIA 92262 0 (760) 323-5090 • FAX (760) 325-2863
5465 MoREHousEDRivE, SUITE 100 SAN DIEGO, CALIFORNIA 92121 • (619) 623-9941 • FAX (619) 623-0278
FIELD OFFICES: LAs VEGAS (702) 597-2005 • FAX (702) 597-0905 • MILPITAS (408) 263-3016 FAX(408)263-3714
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GOUVIS ENGINEERING
NEW DROP BM. OVER BAR
OVER-ALL LENGTH: 15.00 RCTS AT:
APPLIED LOADS (DOWN +)
35 AT 0 175 AT 10
30 D•v.
560 FROM 9.5 TO 13 35K32�/Z
850 AT 4.75
2250 AT 8 R
3 2 0 0 AT 9 .5
REACTIONS.(UP +):
LEFT: 4141.4 RIGHT: 5618.6
SHEET
JOB NO.
CLIENT
PLAN NO.:
DATE 2-17-19.98
.00 15.00
P'TL
LOAD
#/LF
UNIF
LOAD
#/LF
P'TL
LOAD
#/LF
CONC
LOAD
#
CONC
LOAD
#
CONC
LOAD
#
****** USE 24F GLB 6.750X 12.0 **/
A= 81.000 S= 162.000 I= 972.000 W/$u/�J/3�..
FV=165. . ' E=1800000. DF=1.00 /
CRIT SHEAR = 5589. AT 14.00 1.5*V/(A*FV*DF) _ .63
SPAN MAX MOM = 27109. FT.LBS AT 8.41
FB=2400. M/(FB*S*DF)= .84
DEFL= -.58 AT 7-:83 L/240.= .75
d ALT SIZE
OVER -ALL -LENGTH: 15.00
RCTS AT:
.00 15.00
APPLIED LOADS (DOWN +)
35 AT 0 175 AT 10
P'TL LOAD
#/LF
30
UNIF LOAD
#/LF
560 FROM 9.5 TO 13
P'TL LOAD
#/LF
850 AT 4.75
CONC LOAD
#
2250 AT 8
CONC LOAD
#
_ 3200 AT 9.5
CONC LOAD
#
REACTIONS (UP +):
LEFT: 4141.4 RIGHT:
5618.6
****** USE 24F GLB
5.125X
13.5 ****�**DF/��
A= 69.188 S= 155.672
I= 1050.785
Y�I3 L/�jye�w
FV=165. E=1800000. DF=1.00
CRIT SHEAR = . 5585. AT 13.88
1.5*V/(A*FV*DF)
_ .73
SPAN MAX MOM = 27109.
FT.LBS
AT 8.41
FB=2369. M/(FB*S*DF)=
.88
DEFL= -.53 AT 7.83
L/240.=
.75