BWFE2016-018578-495 CALLE•TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2016-0185
Property Address: 51735 AVENIDA RUBIO
APN: 773121017
Application Description: BEATRIZ TORRES / BLOCK WALL
Property Zoning:
Application Valuation: $3,600.00
Applicant: '
BEATRIZ TORRES
51735 AVENIDA RUBIO
!.A 0.1 iINTA; CA 92253
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 Professions Code,
and my Lic nse is in full force and effect.
License Cla s: G1 License No.:
Da e:9 L 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 any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
00 .:
. `' )jl, as owner of the property, or my employees with wages as their sole
co pensation, 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
or she did not build or improve for the purpose of sale.).
{( ^I; as owner of the property, am exclusively contracting with licensed contractors
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
e Contractors' State License Law.).
Tam ex - Apt under Sec. B.&P.C. for this reason
�Date,1 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/29/2016
Owner:
BEATRIZ TORRES
51735 AVENIDA RUBIO
LA QUINTA, CA 92253
RfflU U DtER9 2016
r CITY 0`r IUt QUINTA
'%OP.hiflUi�`iT'fOEV"cLCP��+TgFF,�RTP9cty(
Llc. No.:
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:— Polity 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
Applicant:
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 Building Official 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 of this city to enter upon the
above-ment bned pr perty for inspection purpose
C5_.
e L SigFFnature,(ApplicanYor Agenut):
Date: 8/29/2016
Application Number: BWFE2016-0185
Owner:
Property Address:. 51735 AVENIDA RUBIO'
BEATRIZ TORRES
APN: 773121017
51735 AVENIDA RUBIO
Application Description: BEATRIZ TORRES / BLOCK WALL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,600.00
Applicant:
Contractor:
BEATRIZ TORRES
OWNER BUILDER
51735 AVENIDA RUBIO
LA QUINTA, CA 92253
Llc. No.: .
•----------------------------------------------------.-----------------------------------------
t�etel'48LF OT b' uNnDEN WALL SIDE YARD AND 6 OF 5' PILASTER [CITY'SPECIFICA:I-IONS]
NI�Cdl N CONCRETE BLOCK SHALL BE COVERED WITH STUCCO,
PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013
-CALIFORNIA BUILDING CODES.
DESCRIPTION
•
ACCOUNT QTY AMOUNT.
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$2.42.
Total Paid for Credit Card Fee: $2.42
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100. LF
101-0000-42404
0
$47.86
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
Total Paid for FENCE OR FREESTANDING WALL: $108.77'
Bin ffi,
Permit #i
y�
ProjectrAddress:�� `�l , 3
City of La Quinto
Building 8T Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
J. t J ONSe.t
A. P. Number:
Legal Description:
Ci- ty' R_s_zip; L_a, QY\A.&, 0 A q 22S 3
Contractor:D W N Q.
T - (
e1e hon
Pe1
..................................:.
Address:
RcojeFt! scrip[ion: M �q ( %
City' ST, Zip:
t "Uv-'l 4
Telephone:
ii
C
State Lic. # :
City Lic. #;
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e one:
cy•
Construction Type: Occupancy:an
,
State Lic #. •
Project type circle one): New Add'n Alter Repair De mo
[ �.%_ .1..�, T..
Nam of Contact=P..erson ,
r
Sq. Ft:: �L�
# Stories:
#Units:
Telephone # of;Gontact Person:
'�. ._
EstiniatedjValtieofPcoject:� 3 �cy
APPLICANT: DO. NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
A unt
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact )person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
mech3prc.1
Grading plan
2"' Review, ready for corrections/issue
lectrical
Subcontactor List
Called Contact Person
Plumbing
Gran(Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
Review, ready forrrcctions/issue
Developer Impact Fee
Planning Approval
CalledCo ct Person
A.I.P.P.
Pub. Wks. Appr
a of permit issue
.School Fees,
Total Permit Fees
Tay 4.41 au1N1a
P:O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495_ CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760)777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
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 at. �j �'�`35 �enrel�, !`Z:t j ;,,,_lA 2
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to makeyouaware of your
responsibilities and possNe risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed 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 notice
unless you, the property owner, obtain the prior approval of the permitting authority:
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signer you understand or verify this information.
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder
building permit that erroneously implies that the property owner is providing his or her own labor and material personally: I, as
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.
'(, I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
$01I understand as an "Owner -Builder" I am the responsible -party of record on the permit. I understand that I 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.
I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
npermits and contracts.
4��/r5•. 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"
under state and federal law.
V�,�1�`6. 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.
U� 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single7farrffly single-fareresidential
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 held liable for any
financial- or personal injuries '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 re
gazding my obligations as an "employer" from the Internal Revenue
Service, the United States Small -Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-.
800-321-CSLB (2752) or www.cslb.ca.gov.for more information about licensed contractors.
N 5 a10. 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:
-11. 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 as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
L7h vvee 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, the Contractors' State License Board may be unable to assist you with any financial 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 working .
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status'of their workers'
compensation insurance coverage.
Before.a building permit can fie issued; this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note. A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is iss ed to verify the property
owner's signature. --�
Signature -of properly owner --- - _ "•itD�`J C, L �j
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 ACT ON 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 for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
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 to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
FOOTING OPTION. "A"
}
f
i
i
H..
HEIGHT FROM TOP
OF FOOTING
12" . 10,.
FOOTING OPTION L'B"
#4 HORIZONTAL REBAR
(USE BOND BEAM BLOCK)
6" OR 8" BLOCK
I
#4 I10RIZONTAL AT 32" MAX..O.C.
(USE BOND BEAM BLOCK)
SEE TABLE "A"
=FOR REBAR SIZE
AND SPACING
(rOcAlE rmei R w cEN7TR or cI-,.t u
REVERS[
=1111111:.
DIRECTION OF
VERTICAL
REINFORCEMENT
HOOK ON EVERY
j (FOOTING WIDTH) I
OTHER RE(3AR
SEE TABLE "A"
,TABLE Ar
„H..
tW..
VERTICAL
REINFORCEMENT
3"
17"
##4 @ 4:8" O.C.:
4'
20"
#4 e 48" O.G.
5'
23"
#4 @ 48" O.C.:
6'
29"
#4 @ 24" O.C.
SEE TABLE "B"
FOR REBAR SIZE—
AND SPACING
(LOCAlr Rt].'..L'; IN CEN t Eft OF CEU�
FINISH GRADE
(1) - #4 REBAR
CONTINUOUS
(2) - #4 REBAR
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
a.
see
L70TY"OM {�
OF S' MIN.
FOOTING
NOTES:
1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF
MORE THAN -6" ON OPPOSING SIDES OF THE WALL. THISIS
NOTA RETAINING WALL.
2) FENCE HEIGHTS ARE REGULATED — CONSULT ZONING
REGULATIONS BEFORE BEGINNING CONSTRUCTION.
3) NO WATER COURSE OR NATURAL DRAINAGE SHALL BE
OBSTRUCTED.
4) GROUT ONLY THE CELLS CONTAINING REBAR. THIS WALL
IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED.
5) ALL REBAR TO BE ASTM SPEC. A615, GRADE 40 MINIMUM.
6) ALL REBAR LAP SPLICES TO BE 24" MINIMUM.
7) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N.
8) REBAR TO BE CENTERED IN MASONRY CELLS.
'SEE PAGE 2 FOR ADDITIONAL INFORMATION'
DISCLAIMER;.
ALTERNATE DESIGNS MAY BE POSSIBLE
WHEN PROVIDED WITH .AN ENGINEERED-
ANALYSIS.
NGINEERED-ANALYSIS. USE OF THIS STANDARD DESIGN
IS AT THE USER'S RISK AND CARRIES 1110
IMPLIED OR INFERRED' GUARANTEE AGAINST'
FAILURE OR DEFECTS.
:(FOOTING WIOTH)I
SEE TABLE "B'•
BL;,,Y. t fir. .. Y�;
A, B At, x.
H"
VERTICAL
W,. REINFORCEMENT
3'
19" #4 e 48" O.C.
4'
-22" #4 @ 48" O.C.,,
5'
29" #4 ( 48" O.C.'
.6'
HEIGHT FROM TOP'
OF FOOTING
:(FOOTING WIOTH)I
SEE TABLE "B'•
BL;,,Y. t fir. .. Y�;
A, B At, x.
H"
VERTICAL
W,. REINFORCEMENT
3'
19" #4 e 48" O.C.
4'
-22" #4 @ 48" O.C.,,
5'
29" #4 ( 48" O.C.'
.6'
'34" #4 e 24" O'.0
CHECK._YYITH THE. B,(JL(_DING._DEPARTM.ENT,TQ
VERIFY IF A BlJ)LDINC PERMIT.IS REQ.U. RED.,
WHEN A PERMIT IS REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) F.QQTIN .: EXCAVATION TRENCH CLEAN WITH
STEEL IN PLACE AND SUPPORTED 3" ABOVE AND
AWAY FROM THE SURROUNDING EARTH/DIRT.
2) REBAR/PRE-GROUT: BOND BEAM REBAR AND
VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO
PLACING GROUT.
3) FINAL: AFTER GROUT IS PLACED - PRIOR TO ANY
DECORATIVE CAP PLACEMENT.
. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
" ''Ys
j= REESTANDIN'G BLOCKWALL
PHONE (760) 777-7125-
77-7,125I'AX
a)-195 CAI L1 !`A'MVIGO
I-AX(760) 777-7011
IU/ 12019 COMMUNITYPEVELOPhiF uI:)BPi. PAGE I OP2
FOC
DESIGN .PARAMETERS:
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM '
ACTIVE SOIL PRESSURE (PSF)
=30
PASSIVE SOIL BEARING (PSF)
=150
COEFFICIENT OF FRICTION
= 0.25
ALLOWABLE SOIL BEARING-(PSF)
=1500
WIND = 80 MPH. EXPOSURE C
SEISMIC:
NA= l.'3. Nv=1 .6. Z=0A, SOIL PROFILE=SD'
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM '
wnI
Q ��
FREESTANDING BLOCK WALL
PHONE (760) 777-7125
78-195 CALLS TAMPICO
LA (K)INTA, CALIFORNIA 92253
FAX (760) 777-7011
IG/)/2014 CO vl L4U;41'ry DF:vl61S)I.6i EK1'Dlihl'. 1'AG 2OF2
f Ak, -4;i • .1 ` 3
-.•- -
�wt3h r .. TOP VIEW
w�� �i� FOOTING ,. ' ��
.
ON
BLOCK
27" GROUT
STEEL REBAR
.. J yREBAR.
'r�h PLACEMENT
'.1_,•
==
_
_ �,...
ILLUSTRATION
SECTION VIEW
i
• f
GRADE
4 _
T �a�g
`, i4, .'
20�
16" a °.
BLOCK`
(12" X 12" OR 16"X 161
— SOLID GROUT
_ MIN. 241,1
(4).. # 4 REBAR RE9AR ( �.
(ONE AT EACH CORNER) OVERLAP • -,
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
Mini 24" . b
REBAR
OVERLAP • ::.' • . • . n`� sCo �', '
BOTTOM ,5' MIN. —
OF
FOOTING ,
LIMITATIONS:.'-
FOOTNG REBAR SHALL
HAVEA MIN. 6" LONG 1 . PILASTER SPACING. SHALL NOT EXCEED 20 FE
WHEN OTHER INFILL FF_NCING
IS ATTACHED. `
1{OOK AND A MIN. „
CONCRETE COVER OF 3"'. 2 ONLY OPEN TYPE FENCING (SUCH AS WROUGHT IRON) MAY BE ATTACHED TO
PILASTERS. , SOLID TYPE FENCING MAY NOT. BE ATTACHED TO PILASTER.
_,3 GATES AND DOORS ATTACHED TO PILASTER ARE LIMITED TO 200# MAX:
WEIGHT AND 4 FT: MAX. WIDTH PER PILASTER.
3 4.THIS PILASTER DESIGN IS INTENDED TO BE USED ONLY AS A FENCING '
I _moi FEATURE AND IS NOT INTENDED TO SUPPORT ANY OTHER LOADS."
5. FENCE HEIGHTS ARE REGULATED'— CONSULT ZONING REGULATIONS BEFORE
CHECK WITH -THE BUILDING-DEPARTME.NT BEGINNING CONSTRUCTION.
t
TO VERIFY IF A BUILDI�;NG PERMIT 15REQUIRED; 6. INSTALLATION'OF ELECTRIC CIRCUITS, -CONDUITS. OR LIGHTING FIXTURES
WHEN A$UILDING PERMIT IS REQUIRED, REQUIRE ELECTRICAL PERMITS AND INSPECTION:
THE FOLLOWING INSPECTIONS ARE ALSO REQUIRED: '7• FOOTINGS TO BE PLACED IN UNDISTURBED SOIL OR -PROPERLY COMPACTED
AND ENGINEERED FILL.
1) FOOTING: EXCAVATION TRENCH CLEAN WITH STEEL
BA
' FOR DESIGN PARAMETERS. SEE FREESTANDING BLOCK WALL STNDARD.
IN PLACE AND SUPPORTED 3" ABOVE AND -AWAY FROM
THE SURROUNDING THE EARTH /GIRT.' WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
2) REBAR/PRE,GROUT; VERTICAL REBAR IN PLACE- tu1 ,I
INSPECTION PRIOR TO PLACING GROUT. o° �ict,,clu/
3) FINAL; AFTER GROUT IS PLACED PRIOR TO.ANY
DECORATIVE CAP PLACEMENT.
DISCLAIMER: °F��Otn�t��
-MASONRY: PILASTER
ALTERNATE DESIGNS MAY BE POSSIBLE WHEN PROVIDED,WITH
AN ENGINEERED ANALYSIS. USE OF THIS, STANDARD DESIGN IS .PHONE (760) 777-7125 78-495 CALLS TAMPICO .
AT THE USER'S RISK AND CARRIES NO' IMPLIED OR INFERRED -LA UINTA, CALIFORNIA 92253
GUARANTEE AGAINST FAILURE OR DEFECTS. FAX (760) 777-701110/9/2014 COMMUNITY DEVEIAPMENT DEPT. PAGE'I OF I