BLCK (14-0445)52681 Avenida Martinez
14-0445
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000445
Property Address:
52681 AVENIDA MARTINEZ
APN:
773-301-020-7 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2500
T,&t 4 4a Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1 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 Pro ssi Is Co , and my License is in full force and effect.
License Class: ( ce No.:
Date: Contractor: `
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
3ri>,I applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.:
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 and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
_improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
C1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
,( / pursuant to the Contractors' State License Law.).
'i I am exempt under Sec. , B.&P.C. for this reason
vte: - QIf Owners ,(VA -,>L—
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.1.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
HERMAN LEE WILLIAMS
52681 AVENIDA MARTINEZ
LA QUINTA, CA 92253
(760)275-8884
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/15/14
-------------------------------------
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
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 and policy number are:
Carrier - - - - - - - - - - - - - - - - - - - - - -- Policy Number
certify that, in the performance of the work for which this permit is issued, I shall not employ any
U 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
3/7 00 of the Labor Code, I shall forthwith comply with those provisions.
Dat :15 ._ Applicant'V YY ( „ GtJ J Ltf'i
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this 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 application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
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 'have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned pro erty for inspection purposes.
Date. ' S.2v /Signature (Applicant or Age
fJ v
Application Number
Permit
Additional desc .
Permit Fee . . . .
Issue Date . . ..
Expiration Date .
. . . . 14-00000445
WALL/FENCE PERMIT 2013
47.19 Plan Check Fee.. . .00
Valuation . . . . 2500
10/12/14
Qty Unit Charge Per Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19
----------------------------------------------------------------------------
Special Notes and Comments
20LF OF 5' GARDEN WALL AT SOUTH PROPERTY
LINE PER APPROVED PLAN [ORCO
SPECIFICATIONS] PRECISION CONCRETE BLOCK
SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE FROM
OUTSIDE THE PROPERTY. 2013 CALIFORNIA
BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, WALLS 60.06
Fee summary Charged
Permit Fee Total 47.19
Plan Check Total .00
Other Fee Total 61.06
Grand Total 108.25
LQPERMIT
Paid Credited Due
.00 .00 47.19
.00 .00 .00
.00 .00 61.06
.00 .00 108.25
L J
Bin #city
Permit #
Project Address:S
Of La Quinta
Building &r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
AVS• ►Q f,v z Owner's Name: R ti 4t/ L) i qN S
A. P. Number:
Address: SZ—b MU %lAR N6
Legal De on:
City, ST, Zip: (14 tLjra C 2 53
Contractor•
Telephone:8 g }
ddress: (j N6
Project Description:
City, ST, Zip:
w l 6
Telephone:
- #'>:.;,..;,.:.•....,.;_.r.:... v>,:,
to Lic. # :
City Lic. #t
6 RAN.S
Arch., Engr., Designer.
Address:
City, ST, Zip: .
Telephone:
":': >. ;«:: %>:;>:> >::::
Construction Type: Occupancy:
New Add'n Alter Repairai
ProJect type circle one) r Demo
State Lic #:
.:...W
Name of Contact Person:
Ale ✓nl v I gri,Sl
Sq. Ft.:
# Stories:
# Units:
Telephone *,of Contact Person: % 6U ' %
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
P
Submittal
Rcq'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrcctionsCssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit'issue
School Fees
Total Permit Fees
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
e
BUILDING &SAFETY DEPARTMENT
PROPERTY 0VM' E_ R' S PACKAGE
, (760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Coiastruction Pefn is
IW 1.RTANT/ NOTICPIER-TX OWNER
Dear Property Owner
An. application for a building permit has bora submitted in your name listing' yourself as,the builder of the .property
improvements specified at
We are providing you with an owner -Builder Acknowledgment and Information`Verifteation-Form to make you aware of your
respar sibilities and -possible risk you may incur by having thls permit issued in'your name as :the
Owner -Budder. We-wffi net;issue'a building;permit untit;you-have react, ifiitialed your. understanding of each'provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this-uotice
unless you, the property owner, obtain the prior approval of the permitting authority.
gj
OVA'S ACKNI?W :EDG 'T A,ND- VERIFICATION UFg*~fT liN
DIROCITOXY. Read and initial'earh 'statement below to signify you i6idersawd cii= ver#fy this infbimat on.
I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder'
wilding permit that erroneoust lies that own labor and material personally. I as
Y imp the property owner is providing his or her p y ,
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person:
and his or her employees while working on my property. My homeowner's insurance may not.provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers
'on my, property-
J//2-
roperty J//2. I understand building permits are not required to be signed by property owners utiles they are responsible for the
construction and are not.hiring a licensed Contractor to assume this responsibility-
L3. I understand as an."Owner-Builder" I, am theresponsible party ofsecord on the,permit. I understand that.; may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his -or her name.instead of my
own.
4. I understand Contractors are required by taw to be licensed and bonded in California and to list their license numbers on
permits and contracts.
L95. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
underr state and federal law.
W(. I understand if I am considered an "employer' under state. and federal law, I must register with the state and federal
government, withhold. payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be hc liable, for any
financial or personal. irljuuies sustained by any subsequent owner(s) that° result from* any latent construction defects in the
workmanship or materials.
9 I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
S ervice, the United States Small Business Administration, the California Department of Benefit Payments, an&the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSI B) at I-
800-321
-
80 0-3321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
►'" 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
"party legally and financially responsible . for proposed construction activity at the following address:
12,L I agree that, as .the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well a§ employers.
12_ I agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does, not have a license, ate Contractors' State license Board may be unable to 1 loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court it is also
important for you to. understand that if an unlicensed Contractor or employee of that individual or firm is injured while woddng
on your property; you may be held liable :for damages. -1f you obtain a permit as Owner -Builder and wish to hire Contractors,
You . will be .revonsibk for. verifying who her or not those Contractors are properly licensed and .the status of .tht;ir wodcas'
corngCnsation insurance coverage.
Before it building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issaileg.tge;per it..Nole: A copyof.tluproputy owner's driver•'sltmrsq form not ropibX; or
other verrJuation acceptable to the agency is required to be.presented when the permit is issued to reriJy the pt+operty
owner's signature.
Signature of property owner r Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder -
AUTHORIZATION OF AGENT TO ACTON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand. is my personal responsibility, I hereby authorize
the following Person(s) to act as.'my agent(s) to apply for, sign, and file `the documents necessary to obtain: an Owner -Builder
Permit foi my project.
Scope of Construction Project (or Description of Work): __9(2 of
Project Location or Address: J:)_(16/ pile Z_ z
Name of Authorized Agent: \ Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note. -A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required t be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date: ! 5 /
, P2
17 0
'77
6/77
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7`5-4ioik- -- L
ORCO 6°HIGH WALL W/ 2'TO 3' RETAINING
FOR 85 MPH WIND .3 SEC. GUST @a EXP C
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RAT CAP
ORCO 6816 OR 6616 ONU
GROUTED ONLY @ VERT STEEL
#4 VERT DROP-IN BAR @ 32" O/C
PROVIDE 24" LAP INTO 8axi6 cmu
#6 STD JOINT REINFORCEMENT
@ 24" O/C (3 PLACES). USE #5 STD. FOR
SLUMP BLOCK
NOTE.* PROVIDE 04 DOWEL 8
04 DROP-IN BAR AT EACH
SIDE OF CONTROL JOINTS,
ENDS OF WALLS AND @ WALL
HEIGHTCMNGES
CITY OF LA
c' 4,Roil MBUILLDI GG & SAFE
r Aa0Iu m O
DESIGN CRITERIA: PER 7010 CDL
1. SOIL BEARING PRESSURE = 1500 PSF+ 1/3 INCR. MR WIND
SEWWC EQ"ALENT FLUID PRESSURE - 45 PSF PER TABLE
16104-1
2. ALLOWABLE LATERAL PASSIVE PRESSURE =150 PSF.
3. GROUT STRENGTH - 2000 PSI @ 26 DAYS.
4. REVOURQNG STEEL : GRADE 60.
5. SEISMIC -1 SEC ACCEL A71ON - 70%.
6 15W PSI MASONRY COMPRESSION STRENGTH,
NOTES.,
L CONCRETE BLOCK9WL CONFORM TO ASTM C 90. ORC O SID.
PRECMM BLOCK MAY BE L6W.
1.CaUCRETEADRFWTIM 9MUBE! PARTCEMENT702-W
PARTS SAND 703-1/2 PARTSCRAVH N?TICA MAXIM IM OFI-l/2
GALLONS OFWATERFERS4acPiJRT1AND MlBVTSHALLCID;V RM
TOAS7M C 150 TYPELVV Fc = 2500 PS7
3. RENFORQW STEEL SHALL BE D09VMLDAND CONFORM 70
ASTNA 615 GRADE 60. PROVIDE 48 BAR DLAMETE? LAR
4. RB UR SWL BE CSV/Ht®W THE CONCRETE BLOCK CELL IN
WHRII IT IS !LOCATED.
S. CONCRETE BLOCK SHALL BE LAYED INA RUNM7NG BOND
PATIHtN WITH VER7TCAL COM7NUPYOFT HE SLS UNO.
6. ALL SLOOrMI CONTAWNG MMC4L REBAR SHALL BESOLID
GROUTED.
7. USE ORP TYPES MORTAR PROPORTMNED LWiGA57I4 0270. 1
PART aNBVT 701/2 PART LIME 70 4.1/2 PAR7S D4MP, LOOSE
Savo.
B. GROUT FOR [ONOZVF BLOCK 7O BE 1 PART CFTBVT T03
PAR73 SAND (GROUT MAYO0NTAlN 1 PAR733/B' PEA GRAVEL IF
WEATHBt COIVDITIOMLSAREFAVOR4&EAND BLOCK UAVWMULTED
CETLSZEEISSUFFTQBVTTOALLOW GOOD GROUT FLOW). WATER
SPALL BEAORD TO PRODUCE GOOD GROUT FLOW WITHOUT
SEGREG477ON OF THE CONS71UENTS PER ASTM 476.
9. BLOCK STEM MAY BE WET -SET I-1/2' INTO THE FOOTING WHILE
G LiLOIX S1HN MAYBE PLACED TO
*=0
IN TYPE'WO77NG.
NOR INTO UNOLSTURBED
EDFILLWITHAMINIMUM
W/N SURCHARGE REWYMR CONOZUT
SECLIMD INSPECRON
PLAC SAND MEBLOC
12. MAJOMUMCONTRG
WALLLSTOBESnla
12" ORAINSTAR SUB-DRATN C ONTMUOUS
T DONE! PER NER-569. FOLLOW MRSS INSTALLATION
RECl ME 04770NS. PROVIDE OUILET RTTMG
AND 4 ,OTHROUGH NEW WALL@ S[XO'INIERVALS
1" OR USE 4'0 SDR 35 PERF PIPE W/ 1 a 3/4
GRAVEL - SLOPE 70 DRAIN AND PROVIDE OUTLET @
100' MAX. SPACING.
#4 HORZ. CONT.
'A'
'D'
I'X' DOWEL
3'-0'
#4@52' 0/C
2'-8'
3'-6'
#4@32' 0/C
I'D' + i' -s•
X-4
4'-0'
#4@16'01C I'D' + 3'-l'
CITY OF LA QUINTA
P BE AFTER FO077NG TRENl1FESARE
D ALL REQUIRED STEEL IS TIED IN PLACE
) BE MEN THE REQUIRED VM77CAL IS 1N
WALL IS READY TO GROUT.
JOINT SPACING: 40' 01' OR 20'01C IF THE
15/B" MIN. QEM CELL
OPEN REQUIRED TO USE
6616 SLUMPED CMU.
O
ORCIN WIDE CELL SLUMP
ssL C,O
F
m
rc F- C31925 fn A
Exp. 12-31-2014
s ql C / V 1 P
F OF CA SE