13-0471 (BLCK)1 1 P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000471
Property Address:
51735 AVENIDA RUBIO
APN:
773-121-017-5 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
645
Applicant: C Architect or Engineer:
P4 -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TORRES BEATRIZ
51735 AVENIDA RUBIO
�n�j QUINTA, CA 92253
D :�
r VOICE (760) 777-7012
FAX (760) 777-7011
�./ INSPECTIONS (760) 777-7153
APR 6 2013 1,11.175
ractor:
D WORKS INC
IYY 0 lle ®UINTA CALLE HELENE
FINANCE QUIT. TE�OUSAND PALMS, CA 92276
----1760)272-5183
Lic. No.: 917955
--------------------------------------------------
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: B -D06 -C29 LicenseNo.: 917955
Date: Contractor: QM r. LIcs .�
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 \
any applicant for a permit subjects the applicant to a civil.penalty of not more than five hundred dollars ($500).:
(_ I 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 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.).
(_) 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 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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
Date: 4/16/13
------------------------------------------------
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 EXEMPT Policy Number EXEMPT
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
(700 of the Labor Code, I shall forthwitxro_
omply with those provisions.
II �
Date:A , G * I3 Applicant: V NA 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 I have read this application and state that the abo information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi truction, and hereby authorize representatives
of this county to inter upon the above-mentioned prope for i spe ion purposes.
Date: •'G - mignature (Appligl3t or Agent);
Application Number
. . . . . 13-00000471
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 19.00 Plan Check
Fee
.00
Issue Date . . .
. Valuation
. . .
. 645
Expiration Date
10/13/13
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
2.00 2.0000
HND BLDG 501-2,000
4.00
----------------------------------------------------------------------------
Special Notes and
Comments
13 LN FT X 6 FT HT
BLOCK WALL 20 LN FT X
316' HT BLOCK WALL
PER ORCO STANDARDS
AND APPROVED PLANS
PER B.H.
-------------------------------------------
Other Fees . . .
---------------------
. . . . . . BLDG STDS ADMIN (SB1473)
------------
1.'00
Fee summary
---- - ------------
Charged Paid Credited
---------- ---------- ----------
Due
Permit Fee Total
•----------
19.00 .00
.00
19.00
Plan Check Total
.00 .00
.00
.00
Other Fee Total
1.00 .00
.00
1.00
Grand Total
20.00 .00
.00
20.00
LQPERMIT
Bln.#
Oty ofla Quints
Blinding 8r Safety Division 1
P.O. Box 1504,78-495 Calle Tampico
1-a.Writa, CA 92253 - (760) 777-7012
Building pp Permit A lication and TrackingSheet
Permit #
11
Project Address: Aw" 10A, aue,,,,:.,
Owner7Na-me:.A.
P. Number.
Addre
Legal Description:
City, ST, Zip:
Contractor. CA DO, W 0 S to L •
Telephone: (
Address: 314-75 (;Ails- .IAct-ENE
Pmje4Description:
City, ST, Zip: T"pUS A,%() rA U S CA �u-j 6 .
MFW Vb L T • & I (AT CAW W Au, e .'
Telephone: 1(D6 2-:r, SI��
State Lic. # : ,55 City Lic,#
Ntct�J 20 LT -3 t O H 1 . CM . W AL— -
Arch., Engr., Designer.
-
Address:
City., ST, Zip:
'
Telephone:
State Lic. #:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Unity:
Name of Contact Person:1 ('�. p
Telephone # of Contact Person: 7 2 S( 5
Estimated Value of Project -206b
APPLICANT: DO NOT WRITE 13ELOW THIS UNE
11
Submittal
Req'd
Recd
TRACKING
PERMTFFEES
Plpn Sets
Plan Cheek submitted
Item Amonat
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Calcs•
Called Contact Person
Pian Check Balance ,
Title 24 Cales.
Plans picked up
Canstmcdon
Flood plain plan
Plans resubmitted. ',
Mechanical
Giadiag plan
2•! Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
MO.& Approval
Plans resubmitted
Grading
IN HOUSE:-
34 Review, ready for corrections/'issae
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P. '
Pub. Wks. Appr
Date of permit Issue
+
Schodl Fees
`
Total Permit Fees
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ORCO WALL S)SZeN: FORCES PER :2010 COC CHAPTER 16
SAMPLE FOR :CITY OF; LA QUINTA
................ ......... .... ..... .... ......
WIND FORCES TO WALLS PER SECTION 1609
QvsOr WIND FORCE CAWUATION FOR BAW AS MW A 05 Nwy salojo &Br MW am" C CoWnON
....... ...
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IYOMFOU, FOR 0 MW &: 95. W. R: 0 SEC.:
NOW IBM SECTION 6.6:K
&5.*FQR.SaW
.RVWIAMW6 WALLSFm-aV6C-Ai.(")
140. mw or/ : 6;-M MW AVERAGE ASTC T RATIO (WALL LENM To HISTH) OF r.
NOTE-- "GWLWES: F 4
ROM FOR W 11; WOE RETMV WALL TV 13 FORA 60' PANEL
.. .. .. .. .. ... ...
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vi IN MPH H,
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120
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. ......................
......
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. ...... ......... I ...... ....... ......
SEISMIC FORCES PER 20/0 CBC (ASCE 7-05 SECT. 15.4. /8)
FOR NONBUILDING STRUCTURES
- FP" STANDING WALLS AW Pxmngu
- MMIECT SITE CLASS D
- RMANWAL PERIOD T GAE4 TER THAN 0.06 SEC
CALCMATED LWNG SECTION 12.6-7 AND TME 9.8-2
PER EON. 15.4-2 FOR NOMP"NO SM/CTERM W(0.80XS1)1(R11)j (W7
WHERE -10 6 FA - 0 FRON TABLE 11.44 8 R -111 FROM TABLE 14.2
I..... .... ....................... .... -
SEISMIC FORCE FOR I SEC. PERIOD CONDITIONS
St FROM PXZZ-4
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80
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CMU WALL WEIGHTS PER SO. FT.
BLM TIME
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elm
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cM-------------
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