BWFE2017-0091LICENSED 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 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 (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
s @cts the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 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
o she did not build or improve for the purpose of sale.).
( ) -a s 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
(4tractors' State License Law.).
.I -am exempt under Sec. . B.&P.C."for this reason
Date: - a Owner
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:
Car ri��ff Policy Number: _
t. tlt�ertify 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 3700gf)the Labor Code, I shall forthwith
comply with those provisions. _ „/
Date: 5- 23 - /7 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.
CONSTRUCTION LENDING AGENCY I certify that 1 -have read this application and state that the above information is correct.
1 hereby affirm, under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relati to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and. hereby authorize representatives of this city enter n the above-
mentioned property for inspection purposes.
Lender's Name: d j
Date: "/ Signature (Applicant or Agent):
Lender's Address:
78-495 CALLE.TAMPICOD
�i4MU�il/
D
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS
(760) 777-7153
BUILDING PERMIT
Dater 5/23/2017
Application Number: BWFE2017-0091
Owner:
Property Address: 51820'AVENIDA RUBIO
RODOLFO CERVANTES
s
APN: 773162004
51820 AVENIDA RUBIO
�J
Application Description: CERVANTES / 177LF OF BLOCK WALL INSIDE NORTH EAST WEST PL
LA QUINTA, CA 92253
z
c>
Property Zoning:
,omt-D
Application Valuation: $4,425.00
T
c' g
Applicant:
PP
Contractor:
w
j-�
RODOLFO CERVANTES
OWNER BUILDER
A
nv
51820 AVENIDA RUBIO
LA QUINTA, CA 92253
R"
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 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 (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
s @cts the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 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
o she did not build or improve for the purpose of sale.).
( ) -a s 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
(4tractors' State License Law.).
.I -am exempt under Sec. . B.&P.C."for this reason
Date: - a Owner
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:
Car ri��ff Policy Number: _
t. tlt�ertify 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 3700gf)the Labor Code, I shall forthwith
comply with those provisions. _ „/
Date: 5- 23 - /7 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.
CONSTRUCTION LENDING AGENCY I certify that 1 -have read this application and state that the above information is correct.
1 hereby affirm, under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relati to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and. hereby authorize representatives of this city enter n the above-
mentioned property for inspection purposes.
Lender's Name: d j
Date: "/ Signature (Applicant or Agent):
Lender's Address:
Date: 5/23/2017
Application Number: BWFE2017-0091 Owner:
Property Address: 51820 AVENIDA RUBIO. RODOLFO CERVANTES
APN: 773162004 51820 AVENIDA RUBIO
Application Description: CERVANTES / 177LF OF BLOCK WALL INSIDE NORTH EAST WEST PL LA,QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,425.00
Applicant: Contractor:
RODOLFO CERVANTES OWNER BUILDER
51820 AVENIDA RUBIO
LA QUINTA, CA 92253
Llc. No.:
----------------------------------------------- -----------------------------------------
Detail: 177LF OF 6' BLOCK WALL INSIDE NORTH, EAST, AND WEST PLICITY SPECIFICATIONS] PRECISION'CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA'BETWEEN THE 'BACK OF CURB AND ANY FENCING
SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION
INFORMATION
ACCOUNT QTY.
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404. 0
$30.40
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE : FIRST 100 LF PC
101=0000-42600 0
$63.33
Total Paid for BLOCK WALL:
$144.40
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
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
150.40
'Bin #
Qty. of LQQ uin is
Building &r Safety Division
78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 51 1b.2 i NJ Vo g 1 0
Owner's Name: O_J�, o LSO
A. P. Number:.
Address: 5 ( t 9-3 AV Ao gn 1 C
Legal Description:
-City, ST, Zip: („P Cc � f I N T e L A, `7 9 93
Contractor: o w '
� J
le
Telephone:
Address: 10� 1 16 ";L Q M) 019 / O
Project Description. ? 3- �
City, ST, Zip: L A- Ul1.��i�
Lb CW-. W A U_
Telephone: b Q l( QU �-
1
State Lic. # :
City Lic. #..
Arch., Engr., Designer:
Address:
City., ST, Zip: .
Telephone:
State Lic. #: _ ;
Construction T e: Occu an
YP Occupancy:
Project circle one): New Add'n
J type ) Alter Repan Demo
Name of Contact Person: RQJ Q(_:F(3 .Ou */ J VE1
Sq. Ft:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2p° 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
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
BUILDING..& SAFETY DEPARTMENT v
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 build' ,pemt has been submitted in your name listing yourself as the builder of the. property
improvements specified at' l p, J., P,091 L
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form tomake you aware of your
responsibilities and possible risk you may incur by having this'permit issued inyour 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 signs you understand or verify this. information..
ec1. I understand a frequent practice of unlicensed persons is to have the roe - « "
building permit that erroneous) lies that the roe property rty owner obtain an Owner -Builder
Y imp property rty 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.
{.2. I understand building permits are not required to be signed by property owners unlessthe
construction and are not hiring a licensed Contractor to assume this responsibility. X are responsible for the
3. I 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.
at 4. I understand Contractors are required by law -to be licensed and bonded in California and to list their license numbers on
permits and contracts.
L5. I understand if I employ or otherwise. engage any persons, other than California licensed. Contractors, and the total va
lu
of my construction is at least five hundred dollars ($500), including labor and materials, I may be .considered an "employers
under state and federal law.
eL 6. I understand if I am considered an "employer" under state and federal law, I must register with the state
government, withhold payroll taxes and federal
p yr , 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.
QC7. 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.
L8. 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.
i� LC9. I understand I may obtain more information regarding 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.
1-10. 1 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 finan mall res onsible 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.
Q,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, 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 be issued, this form must be completed and signed by the property owner and. returned to
the agency responsible for issuing the F
t. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to thpe ags required to be presented when the permit is issued to verify the property
owner's signature. ��'
Date: 5-- _ 3 / e7
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 fora 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 Authorised Agent:
Address of Authorized Agent:
Tel No
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:
J
rb
l
p
CITY OF LA QUINTA DEP
T.
BUILDING SAFETY
FOR CONSTRUCTION
"BY
DATE-
I€
O
J
rb
l
p
CITY OF LA QUINTA DEP
T.
BUILDING SAFETY
FOR CONSTRUCTION
"BY
DATE-
Description: CERVANTES / 177LF OF BLOCK WALL INSIDE NORTH EAST WEST PL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: EXPIRED
Applied: 5/23/2017 SKH
APPROVED
Approved: 5/23/2017 SKH
Parcel No: 773162004 Site Address: 51820 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 34 Lot: 21
Issued: 5/23/2017 SKH
UNIT 2
STAFF NAME
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,425.00 Occupancy Type: Construction Type:
Expired: 5/15/2018 DCL
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 177LF OF 6' BLOCK WALL INSIDE NORTH, EAST, AND WEST PL [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE
BACK OF CURB AND ANY FENCING SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE
CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
REV 1: APPLICANT WILL USE ANGELUS DETAIL 5-1.6LQTO RETAIN. ON THE NORTH PL
Printed: Friday, January 27, 2023 1:38:36 PM
1of4
CRWSY5TEM5
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
TELEPHONE CALL
DUANE CLAYTON
6/24/2019
6/24/2019
RETURNED CALL TO NORA, 760-702-2916, INFORMED HER
THAT WALL PERMIT WAS NOT FINALED AND IS EXPIRED.
ALSO INFORMED HER THAT A REACTIVATION OF PERMIT IS
REQUIRED PRIOR TO REQUESTING ANOTHER FINAL
INSPECTION.
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX
EMAIL
APPLICANT
RODOLFO CERVANTES
51820 AVENIDA RUBIO
LA QUINTA
CA
92253
CONTRACTOR
OWNER BUILDER
Printed: Friday, January 27, 2023 1:38:36 PM
1of4
CRWSY5TEM5
CONTACTS
NAME TYPE
NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL
OWNER
RODOLFO CERVANTES 51820 AVENIDA RUBIO I LA QUINTA CA 92253
• •
SEQID
INSPECTION TYPE
FINANCIAL INFORMATION
SCHEDULED
COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
WALL DETAIL REQUIRED AT NORTH SIDE
DISAPPROVE
YARD TO ACCOMMODATE GRADE
BY
WALL/FENCE - EA
DCL
5/25/2017
5/25/2017
101-0000-42404
0
$30.40
$30.40
5/23/17
R25126
DEBIT
RODOLFO CERVANTES
SKH
ADDITIONAL 50 LF
NEEDED, RECALL INSPECTION.
WALL/FENCE - FIRST
101-0000-42404
0
$50.67
$50.67
5/23/17
R25126
DEBIT
RODOLFO CERVANTES
SKH
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$63.33
$63.33
5/23/17
R25126
DEBIT
RODOLFO CERVANTES
SKH
100 LF PC
Total Paid for BLOCK WALL: $144.40 $144.40
BSAS SB1473 FEE
101-0000-20306
1 0
$1.00
$1.00
5/23/17
R25126
DEBIT
RODOLFO CERVANTES
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
TECHNOLOGY
502-0000-436110
$5.00
$5.00
5/23/17
R25126
DEBIT
RODOLFO CERVANTES
SKH
ENHANCEMENT FEE
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00
Ask d� i
• •
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
- DIFFICULTY ACCESSING SITE- COMBO
WALL DETAIL REQUIRED AT NORTH SIDE
DISAPPROVE
YARD TO ACCOMMODATE GRADE
FOOTINGS
DCL
5/25/2017
5/25/2017
D
DIFFERENTIAL.- OBTAIN APPROPRIATE
WALL DETAIL, ADJUST FOOTINGS/STEEL AS
NEEDED, RECALL INSPECTION.
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WsYsrEMS
Printed: Friday, January 27, 2023 1:38:36 PM 3 of 4
WsYsrEMS
- COMBO WALL DETAIL OBTAINED. -
FOOTINGS
DCL
5/26/2017
5/26/2017
PARTIALLY
FOOTING AND STEEL APPROVED FOR SIX
APPROVED
FOOT COMBO WALL NORTH SIDE YARD
ONLY.
BOND BEAM
DCL
5/31/2017
5/31/2017
PARTIALLY
- RETAINING BOND BEAM ONLY AT NORTH
APPROVED
SIDE YARD WALL.
NORTH SIDE YARD COMBO WALL MID AND
BOND BEAM
DCL
6/5/2017
6/5/2017
PARTIALLY
TOP OUT BIND BEAM ONLY.- SEE BOND
APPROVED
BEAM PHOTO IN ATTACHMENTS.
PARTIALLY
- REAR YARD WALL(EAST) FOOTING ONLY. -
FOOTINGS
DCL
6/23/2017
6/23/2017
APPROVED
NO JOB CARD ON SITE
BOND BEAM
DCL
6/26/2017
6/26/2017
NOT READY
BOND BEAM
AOR
6/30/2017
6/30/2017
PARTIALLY
EAST SIDE MID -HEIGHT BOND BEAM ONLY
APPROVED
- WALL IS ONE COURSE TOO HIGH.
APPROVED
BOND BEAM
DCL
7/5/2017
7/5/2017
W/EXCEPTIO
EAST PL TOP OUT BB
HOMEOWNER REMOVING ADDITIONAL
COURSE DURING INSPECTION. VERIFY AT
N
NEXT INSPECTION.
FOOTINGS
DCL
10/30/2017
10/30/2017
APPROVED
- SOUTH PL COMBO WALL FOOTING. FULL
FOOTING APPROVAL.
RETAINING WALL BIND BEAM AT SOUTH PL,
BOND BEAM
AOR
11/6/2017
11/6/2017
DISAPPROVE
MINIMUM LAP AT REBAR NOT PROVIDED,
D
24? MINIMUM INTO AND OUT OF
RETAINING COURSES.
BOND BEAM
DCL
11/7/2017
11/7/2017
PARTIALLY
- RETAINING BOND BEAM AT SOUTH PL
APPROVED
COMBINATION WALL.
BOND BEAM
DCL
11/13/2017
11/13/2017
PARTIALLY
- MID HEIGHT BOND BEAM.
APPROVED
BOND BEAM
DCL
11/15/2017
11/15/2017
APPROVED
- TOP OUT BOND BEAM.
FINAL"
DCL
11/17/2017
11/17/2017
DISAPPROVE
- WALL MUST BE GROUTED PER WALL
D
DETAIL AND CAPPED AT FINAL.
Printed: Friday, January 27, 2023 1:38:36 PM 3 of 4
WsYsrEMS
PARENT PROJECTS =
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REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND INFORMATION
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME SUBDIR
ETRAKIT ENABLED
BWFE2017-0091 - PL
DOC
5/26/2017
DUANE CLAYTON
PL WALL CONSENT
WALL CONSENT
0
LETTER
LETTER.pdf
IMAGE
11/15/2017
DUANE CLAYTON
BOND BEAM_2.jpg
BOND BEAM_2.jpg
0
IMAGE
6/5/2017
DUANE CLAYTON
BOND BEAM_1.jpg
BOND BEAM_1.jpg
0
Printed: Friday, January 27, 2023 1:38:36 PM 4 of 4
WsYsrEMS
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BUILDING & SAFETY DEPT.
APPROVED
FOR DON STRUOTION
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