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14-0367 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000367 Property Address: 51405. AVENIDA RAMIREZ APN: 773-082-021-9 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 1104 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 (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 a applicant for a permit subjects 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 or she did not build or improve for -the purpose of sale.(. (_ 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.). (_ ) I am exempt under Sec. , B.&P.C. for this reason / Date: O f r owner: G C7 C7 L✓�CO�� 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 Owner: GALLEGOS ALMA G 51405 AVE RAMIREZ LA QUINTA, CA 92253 (760)296-4622 Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/03/14 FPR 0 4 2 14 a= ----------------------------------------------- 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 /1 3700 of the Labor Code, I shall forthwith comply �with those provisions. Date:? t�/�� Applicant: .(i M"F 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 FOWIN 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 of this cou/yy to enter upon the above-mentioned property r i pection/p+urposes. �/ p(� Date: _ �� Signature (Applicant or Agent): l L �'lCt"'„'_b LS Application Number . . . . . 14-00000367 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . Permit Fee . . . . 47.19 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1104 Expiration Date 9/30/14 Qty Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 ------------------------ ---------------------------------------------------- Special Notes and Comments 51 LN FT X 5 FT HT BLOCK WALL PER PLANS& (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 Paid Credited -------------------- Due ------------------------------------- Permit Fee Total 47.19 .00 .00 47.19 Plan Check Total .00 .00 .00 .00 Other Fee Total. 61.06 .00 .00 61.06 Grand' Total 108.25 .00 .00 108.25 LQPERMIT Bin # cq Of :P .QCIICI�a Building 8&' Safety.Division P.O. Box 1504, .8-495 Calle Tampico La Quints .GA 92253 (760) 777-701.2. Permit. Application and Tracking Sheet Permit # -�Building Project Address: Owner's Name: mLI (le C) S• A. P. Number: Address: 5l..- Ll s— Ave- llm.t Legal Description: Contractor: © City, ST, Zip: • . i)t_ n o� �(a a�j ,�j •4 el h n •. _Z�I� Z• T e o e. Z P. c,zw c�MEMO Address: Pro eceDescri tion:, City, ST, Zip: OG/ 017 `V v �l Ql� Telephone: h i State Lic. # : City Lie. Arch., Engr., Designer:���% _ Address: City., ST, Zip: Telephone: ne: '.Constructi n TYPe: Occupancy: an cY: Lic. #: moState Add'n Alter PrbJe t type circle one :N w De Name of Contact Person: 'Sq. Ft.`. #.Stories: # Units: Telephone #,of Contact Person: .Esti,,,ated-Value.of-.Pjeec—t:M J�UD' 00 r1, - . 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 Clieck Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans:pickcd up Construction Flood plain plan. Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontactor List Called ContactTerson Plumbing Grant Deed Plans picked up S.M.I. H:O.A. Approval Plans resubmitted ' .. Grading IN HOUSE:- '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I:P.P. Pub. Wks. Appr Date of permit issue: School Fees Total Pcrmit-Fees T-, .1 -C DO F.LA CITY 0 QUINTA BUILDING & SAFETY DEPT. APPROVED DATE By f l2r 7- ------------- 12rr, oc k I UNA A ,,S TO DAYLIGHT 80 CONT, SEE CHART FOR. REQUIRED AND FOOTING DIMENSIONS MIN. FOOTING DEPTH AOR. 5 WALL WALL@. - ROPE TOP I Fr.'SETR40( 2701 2'6' 2'0' 3 TO 1 2'-0" 2518,'.PfRV, CLEAR CELL OPEN REQUIRED TO USE 6616 SLUMPED alu. O ORCO WIDE CELL SLUMP WALL @ 2 Fr. sEwcK s 6, rn m C31925 EXP. 12-31-2014 lF c / v OF c ORCO 'STA NPARD 6' TO 8' CMU SITE WALLS OPTIONAL FLAT CAP DESIGN CRITERIA: PER THE 2010 COC 1-,ALLOW48LESOIL-"BEARING PRESSURE= 1500 PsF Z;ALLOWABLE LATERAL ,fASSIVE PRESSURE= 150 PCF 3.GROVTSTRENGrH,=:-2000'P-q@28DAYS .4. RETNFoRaNG STEEL-,. GRADE 60. 5..'iSOO,'i6SI.MASONRYCOMPRE-WONSTRENGTH -NOSPCL rNSPECT70N 6816, 6616, OR 6618 CMU 'GROMEVONLY @..VERT* NOTES.' STEEL 7 1. C0NCXETEBLOCKSt!ALLiCVNFCRM TOAS774C90. K21)GELOCK BLOCK, SLUMP SLOCK.ANDSPLnFALE&L-OCKAREACCEPrABLE 'Y' DROP-IN BAR' 2. CONCRETE F VR F 00711VGSHAUaE I PART CEMENTCEMENTTO 2-1/1 PARTS SAND 70.3-1/T fAkit GRAVEL Wj7HA MAumum OF I_1/2 GALLONS OF WA TEX PER 54CX PORTLAND c&fBvr SHALL commm TO ASTM C 150 TYPEZEIV. FC = kW P-9 #6STD JOINT RE7NFORCEMENT @ 24-01C 3. REINFORONG STEEL SHALL BE DSVRMfD AND CONFORM TO (3 PLACES - 4 PLACES FOR 7 'AS774A615GRADE60.,PROVJM48BAR bL4ME7M LAP. & 8' WALLS). USE #5 SM* FOR SLUMP BLOCK 4. RE84R SHALL'BE CENTERED IN THE CONCRETE BLOCK CELL'IN W KHzcHrTlSlLOCATED: to NOTE,* PROVIDE #4 DOWEL & #41)ROP-IN8ARIATEACH I � . SIDE OF CONTROL JOINTS 5. CONCRETE BLOCK SHALL BE LA YED INA RUNNING BOND PATTERN WrTH VER77C4L WIMNUITYOF THE CEZ i UND ENOLS OFWAUSAND @ WALL O HEIGHT CHANGES 6.ALL BLOCK CELLS CONTAINING VER77CAL RE84R SHALL BE SOLID cb GROUTED. Z USE TYPE S MORTAR PROPORTIONED USING AS7M C 270 PART 9r DOWEL @ CENTER OF ' CEMENT TO 112 PART LIME TO 4-112 PARTS DAMP, LOOSE SAND. afu. 000, -'8.. GROUT FORZONCRE7F BLOCK PER ASTM C476 TO BE I PART CEkENT 70''3 PARTS _k4WD (GROUT MAY CONTAIN 2 PARTS 3/8' PEA GR4 VEVIF, WE4 7HER CONDITIONS ARE FAVORABLE AND BLOCK UN08STRUCTEDCELIL- SIZE IS SUFJ'L7C7ENT TO ALLOW GOOD GROUT FLOK). W47ERShALL.BEADDED TO PRODUCE GOOD GROUT FLOW WITHOUT SEGREC;A710NOFITHECONSrTUEh7S, SETH4CKL SEE CHART 9 SLOCK57EM MAYBE WFr-SET 1-112- INTO THE F007ING WHILE THE CONCRETE JS PL4571C, BLOCK STEM MAY BE PLACED TO EITHER EDGE OF THE nZFJVCH TYPE FOOTING. 10 FOOTING MUST BEPOURED ON OR INTO UNDISTURBED 2_ Ell Ell NATURAL SOIL OR ONCOMPACTED'FILL WITHA MINIMUM - 17 1-1 ---- 1 MAX. CCIMFACT70N OF 010%. 11. FIRSTrNSFEC770N TO BEAFTER F0077NG TRENCHES ARE READY F0R.CONCRE7EAN,6ALL REQUIRED sTEa is Trmilv PLACE WSOtt)76N Th BE� ' SECOND-, WHEN THE REQUIRED VERTICAL IS IN PLACEAND THE BiOCKW4lf'JSREADY 70 GROUT. #4 HORZ CONT. 12. MA)amum CONTROL JOINT 20'01C FOR WALLS TO BE MORTAR=WASHfV OR'STUCCO CavEo. ,,S TO DAYLIGHT 80 CONT, SEE CHART FOR. REQUIRED AND FOOTING DIMENSIONS MIN. FOOTING DEPTH AOR. 5 WALL WALL@. - ROPE TOP I Fr.'SETR40( 2701 2'6' 2'0' 3 TO 1 2'-0" 2518,'.PfRV, CLEAR CELL OPEN REQUIRED TO USE 6616 SLUMPED alu. O ORCO WIDE CELL SLUMP WALL @ 2 Fr. sEwcK s 6, rn m C31925 EXP. 12-31-2014 lF c / v OF c b CHART FOR 6' TO 8' SITE WALL W/ TRENCH FOOTING WIND MAX. D, 0 W184 DROP-IN fM DESIGN WALL TRENCH FOOTING 'X' DOWEL 'Y' BAR SPEED HEIGHT K-0UT o 0 •D •� DEPTH_ . 00 ti p Q -0"D+2'-0" 2'-0"#4@ 48" 0/C I6' #4 @ 48" 0/C U U 48' 0/C FOR 6' 48' 0/C FOR 6' w SLUMP BLOCK SLUMP BLOCK —I I S' N/GPL mYf. •aC7fuv-iieoYIDEx W6-8" � uv�vmK�ovawracwafnv 2'-2' #4@ 48" 0/C ID+2'-O" #4 @ 48" 0/C Q o . 40' 0/C FOR 6' 40. 0/C FOR 6' Z w SLUMP BLOCK SLUMP BLOCK �w a- _ 0 7'-4" 2'-4" #4@ 40" 0/C ID+2'-O" #4 @ 40" 0/C n- N 32' 0/C FOR 6' SLUMP BLOCK 32' 0/C FOR 6' SLUMP BLOCK In Z) #4@ 32" 0/C I D+2'-0" 24' 0/C FOR 6" 24' O/C FOR 6 - SLUMP BLOCK SLUMP BLOCK NU I t: rvK 16" LVNE7 tiLUGX USE 9" INCREMENT RE84R SPACING THAT IS CLOSER TOGETHER THAN THE 16" LONG BLOCK SPACING. FOR EXAMPLE: 48"01C SPACING FOR 16" LONG BLOCK REVERTS TO 45" O/C FOR 18" LONG BLOCK 40" FOR 16" BLOCK GOES TO 36"01C FOR 18" BLOCK - ETC. FVR 57DEYARD AMIAN WALLS WN67E DWINAGESWALE=/RES, A la BI.= MAYLLfT OLPT @ SWALEGRADE PROVIDE 04 DOWN AND 04 DROP -RV aAR ON EAOI 57DEOFTHE 1j2SDIX DWN-AS ssm".. i @ EAO/ SIDE OF C,Tfl=,W, aaa Mwc wramrae�c 0 W184 DROP-IN fM a�arrnat NMIZ mYI.O mpa&UO . "arvrtrxra� I.v.rm.ww,WY cuamdsia K-0UT o 0 •D •� 0 •D ° _ . 00 ti p Q O " 0 00 V 0 O CUM. FOOTING 0 .• ' •• •• —I I S' N/GPL mYf. •aC7fuv-iieoYIDEx � uv�vmK�ovawracwafnv mn" ae sm - cnvmcsm mNMR®fnt CITY OF LA QUINTA FOOTING STEP DETAIL 'mss S I O NQ 2 cn � rn m ~ C31925 A * EXP. 12-31-2014 CIv R 0f CA`\FO �l N P.O.'Box 1504 LA QU[NTA; CALIFORNIA 92247-1504 78-495 C'ALLE TAMPICO. . LA QUINTA, CALIFORNIA 92253 s Bt1IL61NG & SAFETY DEPARTMENT (760) 777-7412 FAX (760) 777-7011 6^ STACKA:GI Disclosures &Forms fo,r OR%ner-Bgild"ers Applying:%r Construction P".ermts feltTAIU7 'i�14' kCE Tf�? RQPE) `I O hTE.�t Dear:PropertyOwner.•. .� � .,�, .. , Ari:. application° -for ,a_+uildimg pern3kt:-:has° been-s'tk pitted `'in your name +listiisg yourseif -as'-,the--.builder of the :property improsp6cified4Lt4: We' are proindmg: you=.K!th an Owner Burlder'Ackaowi�dgmeut and :Information Ver�fcation Form. to'make you awane:o Vlf your . " ibilittes aril respons possible rrsk:you may. Incur by°having>this:permit ssued=rg your name as dle Owires-Builder: 'We �villxaot-issue x4brruiidrng permtt`untrl=you`Lave read; initialed your``a;iderstandiu$ of each -provision, signed, and returned this form to us at our official address indicated. An agent of'lh owner caiiaSt executelikiis notice unless you, the property owner, obtain the prior approval of the permitting authority. ri`� Q A!'�TIi►i(l�i�fY't�r,►cnr�'rwtrr ...ice cr.-.r�.,.,r.....r.��� .�..>.....�.�:�.:a.�.r . 1 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. 1, 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 Tertyi -W)-2- 1 understand building I permits are not required to be signed by property owners unless they are responsible for the construction and are not tor. to assume this:responstbhty.. I understand,as an "Owner Builder, I,am the responsible party of -n_ mit ,I understand. that I:= protect myself from potential financial risk by hiring a licensed Contractor and`havmg the permit filed in his, or her.nante instead ofmy own. 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. X5.1 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; J may be.considered an "employer" under state and federal law. k'1,6: -I understandif I; am considered an. . "employee' 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. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential s ctures 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. or -`& I understand as an Owner -Builder if I sell the property for which this permit is issued, 1(may be he'_d liable, for any financial or personal. 4uries sustained. by any subsequent owner(s) that result from any latent may defects in the workmanship or materials. 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 (CSI:B) at I- 800-321 - 800-321-CSLB (2752) or www.cstb.ca.gov for more information about licensed contractors.' _X210. 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 infotmatioa 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.Boaridmay be unable to 'at loss you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be is civil court_ It is also important for you to. understand that if an udktused 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' con4xn cation 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 iss ug,ihe.;ptrnsit. Nott: A copy of tkcproperty owner's Myer's� farm n or other verification acceptable to the agency is fequired to be presented ii�lren the permit is issued to rtrify tiro property owner's signature. Signature of property owner cA22Cr (�1 � S 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 ACT ON PROPERTY OWNER'S BEBALF 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: 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: