0108-102 (BLCK)LICENSED CONTRACTOR DECLARATION
I hereby agirT under penalty of perjury that I am licensed under provisions of
Ch;�Otet § (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
VIM B
Date Signature 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:
( ) 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).
( ) 1, 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:
Cartier Policy No.
VATE FUND 0601,2901
(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 p,.rmit 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: 4- t Applicant A i
cil 1/ F
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 cf 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.
h/ Signature (Owner/Agent) V1 Date
BUILDING PERMIT PEPIMIT#
DATE VALUATION LOT OIMI02 TRACT
JOB SITE
APN
ADDRESS
78-234 PIMACJZ PUME
OWNER
CONTRACTOR/ DESIGNER/ EN �INEER
TRAD.UJON CLUB ASSOMMS
ANDI&W PIMM, CORPORA4110M
7 8-5 0 5 OLD AVR 5 2
44835 D� CANYONW)
1,
LA f4INNTA. CA 92253
PALM DESWU CA 92261
Ir -760)- CK4 03TIl
346-3228
USE OF PERMIT
131MUMAL
'10 1.r.X YMtTAJNMC1 WAII, - C1TY'STAN.DA_RD
5 FT. WALL 70,00 V
MMUKATED COST OPCOMMUMMON
PERMA FEE SUM"RY
WNWAUCTIUR WE 101 -0-4110-418-000 MI)o
MI.- IWAL COIRSIRUMIOK AND PLAW Cf i=K
U1813 M-PAIDFMI
�RECEIPT 7�_
BY
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
I INSPECTOR
OPERATION
I DATE _T
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
POOLS -SPAS
BLOCKWALL APPROVALS
Steel
Set Backs /
Footings
Electric Bond
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Final
Underground Plbg. Test
Gas Piping
PLUMBING' I APkOVALS
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 Wining
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
,�P/22/2001 11:00 7603252e63 GOUVIS PS PAGE 01
GOUVIS ENGINEERING
C L F 0 R N A o
C-4UPOANIA -To SUP'00'qT@GOUV'SO'TOUPCOAf YALnYAC-OUVJSgROUp.COA1
August 22, 2001
Andrew Pierce Corporation,
44-835 Deep Canyon Road
Palm Desert, CA 92260
Attn: G Lo
ftn. G Lo
ITT; �r
e' T-6
R t i I
Retaining Wall
G G C'_ W 0
.E. ob N .21335
E.C. Yub No. 21335
car Mr. Lohman:
Pursuant to your request regarding the abo've captioned project, per our phone
conycrsation on 8/21/01, we submit dic fulluwing:
Follow the attached detail "A" for the retaining. wall at th"rear ror
Note: Please verify the above with the building depddme`nt-Pjqpr td -construction.
If you have any questions, please do not hesitate to contact this office.
Sinmely,
COUVIS-ENCINE
Saeed J. Bekarn
President
Attachments (3)
SB:RF;ijt
21335
&rlj4l�l
COUVIS ENGINEERING GROUP OF COUNNIES WIM OTFICZ& ly. ' WEB -SITE'. WWW- iYOU YISGROUP, LOU
4400,CAA,�USDjl�E. Sum I A. NsWP'ORT8&4cm, CAu)�omu92660 1 (049) 75.2-1612 * FAX(949) W -S321
e760) J13 -S0,00 * FAX (760)1.25.2861
P1,ELD OFFfCES sAm DiEco PLEASAYMN 19WNAT70*4k OFFXE. 111EMAM
'68/22/2001 11:Z -'J 7603252863
Choose "Title.8luck" Menu itern
on Settings Sereen to change
thesib five lines to your own
special title information
& company loqo
CAN "It FVERED R9TAlFJl?dr.1 VJA LL DESIGN
RETAININC, WALL
- WALL & FOOTINO'DATA -
RetaiPed Height
6.00 ft
Will Ht. above Soil
1.50 ft
Too Wdth
0.67 ft
Heal Width
3.08 ft
Total Footing Width
3.75 ft
Footing Thleom
11240 in
Key Depth
0.00 in
Key Width
0.00 ill
ce-to Key Dist,
0.00 ft
1. 91 �IDING CHECK
-
rtwsoil pt-iL;i,ivl1
0.3.0
Soil to Neolect
0.00 in
I ntprnl Prftwo
9004
-Passive Pressutli
2400 #
- Friction
902
Add'l Force Required
0.0
- SUMMARY -
0.00
GOUVIS PS PAGE 02
Date: M2/01
page:
- VERTICAL LOADS -
Axial 1711 nn Stem () plf
Axial DL on Stem 0 plf
.... Eccentricity 0.00 in
Surcharge over Toe 0.0 PSI`
Surcharge over Hod 0.0 psf
Note: Toe Sul-d'u'lle Resists Overturning
NDte., Heel Surcharge Resists overttirning
eftal
LATERAL LOADS
1500 Psf
Lateral Load Acdng on
-
Stem Above Soil
0,00
Add'l Lateral Lold
0.00 pit
Dist to Load Start
0.00 ft
Dist to Load End
n.00 fl
-
Allowable Bearing
1500 Psf
ADJACENT FOOTING
VerticalLoad
-
Active Lateral
..... max Ram.
33.0 pef
0.0 pof
Load r-rymtricity
Footing Wdth
0.0 #
0.00 in
..... Slope Pran.
Darkfill Slope
0.0 PO
0-0:11
Ftq. CL to Wall
0.00 ft
0,00 ft
Passive Press.
MO -O Pcf
Vert. Posifion of Ftg.
..AboyeAWovv:[+/.1
0.0 ft
Sao nm..Wty
110.0 pal'
Spread rooting
No
Soil Ht over Toe
36.00 in
0.0012
Max. Shear 9 Toe
11 (In P6.
rnnlrlNir_� neview
260
Pressure 0 Toe
1382,9 p3f
Soil Prm' Muft.
Toe
Heel f1c
0
2500 psi.
Presisure @ Heal
221,1 psf
By ACI Ell 9.1
1936
al 0 psf
Fy
1.33
40= psi
Allowable Prow.
Ece. of roultant
1500.psf
5.43 in
Mu-upwad M
- Mu-Downwlard -
409
149
1924 ft-#
3311 ft-#
l4n. As Percent
Omit SP Under Heal
.0.0
0.0012
Max. Shear 9 Toe
11 (In P6.
,
mu-Deoign
260
1397 ft-#
-
Toe Hml
No
Max. Shear @ Heel
-6,73 p3i
One -Wily Shear-
0.00
0.0
# 4 @ 19,61
17.54 in a/c
0.0
Allow. Ftg Shear
65.00 psi
Actual
0.0
63 0
# 50 30.39
27 1151 in n1r.
0100
Factors at �ataty:
0.0
Allowable M
85.0
86.0 psi
# 60 43.14
38.60 in aVc
0
Overwing
3.79 :1
Cover over Rabar =
3.50
2.50 in
* 7 @ 48.00
48.00 in cVc
0.0
Sliding
4,08.1
'd'
8.50
9.50 in
# 840 48,W
48.00 in cVc
1.88
1054.7
0
Ru = MuAd^2
4.0
17.1 ptii
# 9@ 48.00
48.00 in a/c
SUMMMY OF FORCES & MOMENT$
Overturning Moments
-
liliftlafin Moments -
Origin of Force...
#
ft
ft-#
#
ft
1`4
Active Soil Press.
3vil um Heal
Soil over Too
Sloped 9*110 Heal
Adjacent Ftq, Load
Surcharge Over Heel
Surcharge -over Toe
Axial Load on Wall
Load.91'roi.Wall
AveragW Stem Wts.
Added Lateral Load
Facting Weight
Key Weight
Vertical Component
of Actve Pressure
808.5
2.33
1886.5
0
0
0
0
0
0
1595.0
2.!34
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
0.0
0.0
0.00
0.0
0'
0
0
0.0
0.00
0.0
0.0
0.00
0.0
0'0
0.00
0.0
0
0
0
0.0
0100
0.0
0.0
0.00
0.0
0
0
0
0
0
630.0
1,00
630.1
0.0
0100
0.0
0
0
0
0
0
0
562.5
1.88
1054.7
0
0
0
0.0
0.00
0.0
0
Totals = 544.5 #
Resisting Totals Used For Sao Pressure
(Vert. Component of Active Prem're Removed)
0 0.0
1534.6 ft.# 3007.5 #
3007.5 #
0.00 0.0
58123. ft4
5812.3 ft.#
(cantlinued on awd page ... )
V4.46 (n) i 55.q.4A FNFRtAl.r GOLIVIS ENGINEERING CALIFOANIA, KWM02276
. . .08/22/2001 11: 00
...... ..... . ...
7603252863 GOUVIS PS PAGE 03
ChOO80 "Title BIOCk" menu item
on Settings Screen to change
these five JIM409 to Your owil
Special title information
& company logo
CAN NLEVERED Ig �AJNIW�G-WAL�LDESIGN
RFTAINING WALL
STEM SUMMARy
Top Stem: From 0.00 ft to Top of Wall
0.00,11 MasOnrY W/ 0 5 (9) 16.00in, d- 5,26in
fm= 1500.(�si, Fs= 24000.0p�
LDF= I .00,'n= 25.78
Solid -Grouted, No Spec, lisp.
W311 Wt.�_ 84.00psf, Bar Fmh@d.-� 6.0in
mactual 10393 < = 1058,0ft.#
Vadual 4.88 < = i 9,36psi
In teradon value w O'Vvs
Date, 04=1
6"CAU.' so)
90 16" V;% �Cdp
"4 -ro 21" Morig
"ILA—
HELL (tyls) t be -O.C.
Tor Oot): v o.c.
it 4 MORI 1, AS SMOWN
page.
T- 91
WAD (c) 1983-96 ENERCALC G0UV18ENGINFFM1NW-,wjFnAhjiA VORT55W
�8/22/2001 11:00 7603252863 GOUVIS PS
2
00,
�gvmh 4"Oso
bd.,S. & /&VX
a M! t/W40
PAGE 04
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