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BLCK (07-2629)A ,y P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002629 Property Address: 51980 AVENIDA MENDOZA APN: 773-182-012-13 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 2317 T-ityl 4 4� Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S 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 Class: License 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 ISec. 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 any ap icant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (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.). 1 _ 1 I, 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.1. 1 ) I am exempt under Sec. , B.&P.C. for this reason � Date: % — 7 7 - 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.). Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/28/07 Owner: RAQUEL PONCE 51980 AVENIDA MENDOZA LA QUINTA, CA 92253 (760)564-3554 fjj �1 � u { B i d �Qr � Contractor: 200 Owner a SEP 2 8 CIS O� ----------------------------------------------- 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 and policy number are: Carrier - - - - - - - - - - - - - - - - - - - - - -- Policy Number 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 �0o 3700 of the Labor Code, I shall forthwith comply with t fee p_ro'vissiionns. Date: G d plicant: /(l�O�isi U�vc�c 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 I 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 i of this cou pp to enter upon the above-mentioned prope for inspection rposes. Date: �li�^ ture (Applicant or Agent): Application Number . . . . . 07-00002629 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2317 Expiration Date 3/26/08 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 --------------------------------------------------------=------------------- Special Notes and Comments 107LNFT X 5 HT BLOCK WALL PER ORCO STANDARDS. 6 CLOUMNS PER APPROVED PLANS Fee summary Charged Paid Credited Due ----------------------------------------------- Permit Fee Total 54.00 .00 ---------- .00 54.00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 .00 .00 54.00 LQPERMIT Bin # City of La � Quinta . Building & Safety Division , _ P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # j/ Project Address:' 57 7969 : �" Owner's Name: U �G A. P.,Number: 1Gc.- Address: AI 1.O - Legal Description: Contractor: r City, ST, Zip: '` G• rif Telephone:s 6MEMO= Address: Project Description:" _ City, ST, Zip: t �� 0 a-�— Telephone: State Lic. # : City Lic. #: J Arch., Engr., Designer: Address: L t Li City, ST, Zip: Telephone: State Lic. #: Name of Contact Person:' A onstruction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft. - " #Stories: #Units: ff nn Telephone # of Contact Person: . ?lO,� y-, S �� Estimated Value of Projec . , APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES" '• Plan Sets Plan Check submitted • Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person, Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans,picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Develooer" Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �3 QV I 8' HIGH M WALL SYSTEM SITE WALL FOR 70 MPH WIND @ EXPOSURE C RATCAP ORCID 6816, 6616, OR 6618 CMU GROUTIDONLY@ VERT S/1$ DESIGN CRITERIA: 1. ALLOWABLE SOIL 864RING PRESSURE = 1500 PSF BL L ALLOWAE LATERAL PASSIVE PRESSURE = ISO PCF 3. CQNCREWGROUTSTRENGTH =1000 PSI @ 28 DAYS 4. REWWRC7NG STEEL : GRADE 40 FOR #4 84RSAND SMALLER GR40E60 FOR #SAND LARGER S. SEISPUC- ZONE 4, S n4 FROM TYPE OR 8 SOURCE 6. 1500 PSI M4SONRYCOMPRESS70N STRUNG/H. NALFSIRISSES USED - NO SP&lU B6PECTION REQID. 1 11. D.ST DKSPCtBEARERTON 70 BEARER fAOTWG 7R[ NG7/L?SARE READY FOR CONCRE7EAND ALL REQUIRED STEEL IS TDD DV PLACE SECOND Fens TION To BE WHLOU THE REQLQR® VER7TrAL LSBV n 04 HORZCOIVT RACFAND THE BLOCK WALL LS READY 70 GROUT. N 11. MAXIMUM CONTROL JODVTSPACING: 40/COR 20'O/CIFTHE ~ ^' nFESS i WALL rs To BEsnAXO CO47RX 2t- 3" CONT Qa 0� 0 aWc F— y x 031023 BLOCK CO. * EqL 12-31-2004 S��TF C I v `; o��`! Page 18 CA PROVIDE SSDOWELLtOP-1N [N= a4R AT EAC}/ SIDE0FQONTROLJODVT N07M 1.CONCRETE' iLOCXSNALLCONFORMTOUBCSTD.21-4 0000 SOD. PREMWN, SPLIT FACE;, SLUMPS) OR WCOGEIOCX"M MAY BE LSED 2 CONCRETFFOR F00737VGSiALL BE 1 PARTCENEVT TO2-k2 PARTSS4ND T03-1/2 PAR7S GRAVELWIIHA MAXIMUM OFl-1)2 ' GALLONS OF WATER PER S4CK PORTLAND CE MEMSHALL CONFORM T0AVN C 1S0 TYFEg1V. Fc = 2000 PST O to 3 REV fVRQNGS7E34. SHALL BEDERORMEDAND CONFORM TO ' 04 VERT DROP-IN ASTMA615GRADE 40R)R94BARSAND"UBGRADE 60fDR 8AR @ #SAND LARGER. PROVIDE 40 BAR DIAMVER EAP FOR CRPADE 40 a0 32' 0/C(36'O/CFOR 18' RE34RAND 48 RAR D64METER LAP FOR GRADE 60. LONG CMU) 1p 4. REwSMALL BEC3VTEREDDV THE CONCRE7F BLOCK CELL BV WMCTf ITIS LOCATEV S65TOJODVT REDYF•0RC84EVT @ 24'01C S. CXNUCRFIE BLOCK SHALL 8E LAYED DV A RUNMNG BOND (4 PLACES) PER UBC STD. P4T7EXN Wd7H VERTICAL CON7DVUITYOF 7HE 0915 UNO. 11-10. USE o5STi) FOR SLUMP BLOCK 6. ALL BLOCKCE IIS CONTAINING VERTICAL RE34R SMU BE SDLID GROUTED, Z LOSEOBP TYPES MORTAR PROPORTIONED LISOVG UBC TABLENO. 2i -A 1 PART CEMENT To W PART LIME TRO 4-1/2 PAR7S aW, LOOSESAND. 1L GROUT FOR CONCRETE BLACK TO LTE I PART CEMEVT 70 3 PAR7S S4ND (GROUT MAYCOMADV 2 PARTS 3/8' PFA GRAVEL g WE47MOL CONDrITONSAREFAVORA&EAND BLOCK UINOBS'TRUC7M CE'157ZEis-w 1l7EVTToALLOWGooDGROL?fiOW). WAnw OSDOWEL @ 16- 0/c SHALL BEARDED 70 PRODS GOOD GROUT RAW WITHOUT (18'O/CfA1R181ANGCMLn SEGREG47I0NOFMECONSI/UEV7S 9. BLOCKSTENMAYOEWET-SETI-Aa- MO THE FOOTDVGWWLE _L� 10' 10' 7MECONORE7ELSPLA577G BLOOKST&MMAYBEPLACED 70 EM0? EDGE OF7HE7REVCH TYPE FOOTING. °v LEVEL GR40EB07H SIDES 10. F0077NG MUST BE POURED ON OR DVTO UNDLSTURB® NATURAL SOIL OR ON COMPACTED FILL KM MINIMUM IN —1 1 ij -- _ COMPACTION OF 90 %. 1 11. D.ST DKSPCtBEARERTON 70 BEARER fAOTWG 7R[ NG7/L?SARE READY FOR CONCRE7EAND ALL REQUIRED STEEL IS TDD DV PLACE SECOND Fens TION To BE WHLOU THE REQLQR® VER7TrAL LSBV n 04 HORZCOIVT RACFAND THE BLOCK WALL LS READY 70 GROUT. N 11. MAXIMUM CONTROL JODVTSPACING: 40/COR 20'O/CIFTHE ~ ^' nFESS i WALL rs To BEsnAXO CO47RX 2t- 3" CONT Qa 0� 0 aWc F— y x 031023 BLOCK CO. * EqL 12-31-2004 S��TF C I v `; o��`! Page 18 CA 6'--8" to 8'-8" HIGH W 161' SQ, PILASTER FOR 70 & 80 MPH EXPOSURE C WIND CONDI TIONS DESIGN CRITERN, 1. ALLOWABLE SOIL BEARING PRESSURE =1500 PSF+IHCR FOR WIDTH & WIND OR SE196C LOADING Z ALLOWABLE LATERAL PASSIVE PRESSURE= 150 PCF 3 COINOQEWGROUT STRENG7TI = 2000 PSI @ 28 DAM 4. REWFORCDNG STEEL : GRADE 40 FOR 44 MRS AND SMALLER! GRADE 60 FOR RIS AND LARGER S. S 99WC - ZONE 4, SEE BELOW FOR PRCMMITY TO SOURCE 6.15W PSI M45ONRYCOMPREMON SIRENGIH. NALFSTRESSU USED - NO SPEOAL M93ECUON READ, OPTIONAL CAP NOTM L Q2M0tMBLOCX9WLL CORM MTOUBCSTD 21-4. ORa7 SMAUCLICr4SPLITFACFCRSI.UMWMDCrM4YBELLA. ZCCAK)MWMRMaMiG9 !BE1PARTCJMff O2 -I/7 PARTS SMT 703 -Aa PARTS GRAYS W77HA M4WAN OF 1-42 GAUCASOF WATER PER SAOC F0RTLANDCHVBYTM4LL 02WORN 7'-4' TOASTHCLW TVFEq/V &. MW PSI 16816 16616 PILASTER IAUNMRCms7fuSWLEEDSIORAMAhOCOMUW7V CMU - OLID GROUTED AS MA 615GRAOE40fM 04 94RSAND9114LLL3 GQAOE60 FOR X-0" 3'-6" /SAND LAIRGEt. PROV/AE488AR DIA wm IAPPoGRADE60.R GRAOE40 RL$ARAN0488gR DlAFaTHR [APFOR ' 4 REMR 9RARL SECBVYB1M IN TNEariOPETEBLOIXGBL DW (4) /4 T DROP-IN BAR . *mwlT5LOADEDLURa . S. COAtXMBLOX9P4LLBELAAWDVARLIAWMBOND x PATTBW WITNYSTRAL O3V7VAffTYOFTNELFIl c Lm 6. ALL ft=f"ll O2YTAVWW VERTICAL REM 9WL BESO(ID GROUTM 00 . 7. L6FOBPTYPESNWARMWFaT MW SLSCTA81EACt � CVV&ff T01jIPARTLDMETV4.1/IPARTSO4MP, T �ro3 . PAR75� GROUT YMA a2WTALN2PAR7S .i/B':'FAGAAVB IF W54ABRCl2WTMf5AREFAIVRABIEMIDBLAO UACaMC'7® �} CELL syff 5s#maOWTTOAILOWGOW GWtfff nWATER ' 9RALL BEAOM 70PRODUCEGOOO GROU7FlOW W17NOUT 3-1/2" CER. �A77ON OF TNECONOT ITS 9. BLMSTEM MAYBE WET -WT 1-1/PDVT0 7NEPO07DWG WIRE THEOONCAETE BPLASM 1a R70TDWGML6TBEPOURLTCWWORIM LWDlSftWM AATESM SOIL OR CO RaWFDL WHHA MINlMN COWACTION�O �� (4) 14 DOI GS W1 24" M! 11. FMTROPEC72ON TO BEAFTLR A)OTDYG TREWO/BARE � �� ®�5�� EXTENSION INTO twu. I SEmwDn�Asalav roBEWTmv7RffREpaRm vrxTrAu aDv . J MACE AND TNEBLOOCPDASTBT 5 READY TO GRO r. ' £OVAL 12 SFBTOCGOH9PKTHEDE3M0FPRASIERS. POR PDASTER EOUAL VBAC 6FOR SITES TMTAREQLLSSQ 70AL77VEFAMS PLEASE . 2 C WTACT ATLIR LOCAL ORM RBVA30VTA77VE LI SEAN V7RMJVNrATE4(NSWEOF PILASTER M7{$lEBVnRScnW 8LOCCWAU5OCUA 7 L -I p4 HORZ - 20" LONG E.W.MIA ® PAIR OF 14 DOWELS 110 O "-- BLOCK CO_ v h FOOTING WfDIH 'W TYPE OF EARIHOUAKE FAULT & SO. FOOTING WIDTH 'W SITE PROXIMITY FROM FAULT 7'-4' 5 Km FROM TYPE B FAULT & 10 Km FROM TYPE A FAULT 2-4" 2'-6" 3=O" 2 Km FROM TYPE B FAULT & 5 Km FROM TYPE A FAUL T. 2'-9" X-0" 3'-6" Page 07 QEtorESS1p O in w~ CJ/ Nm Enk 11-X1 100E 4r C / V F OF CA<tf� Mu TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Budder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 OWNE S SIGNATURE/DATE 5/ 7P e 4vir- PROPERTY ADDRESS (_7 ---- cl � PERMIT NUMBER(S)