0205-021 (RPL)LICENSED CONTRACTOR 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 # Lic. Class Exp. Date
656128 C$31ZQ1C•8 I U!"91/fit
Dates Signature of Contractor��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
(, ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date Signature of Owner
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.
4() I have and will maintain workers' compensation insurance, as required by
Sgction 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier ; kV.11 COMPENSATI Policy No. 04004,610-01
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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 pro visions.r�
Date:'^ �n Applicant �J-�-�•r
"Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
u:
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
f Signature (Owner/Agent) $' ail' a ./ Date
BUILDING PERMIT PERMIT#
DATE ^VV UATION LOT TRACT
JOB SITE
ADDRESS 79-615 BAY,&
APN
x
OWNER
CONTRACTOR / DESIGNER / EN (NEER
iAQWHT—A, CA 9225.3
,13,x.11DrugWr CA, 92260
(M)340-90,00, C%Vf 00 1.451
USE OF PERMIT
P001,AMMOR SPA
PO, 1]2z F:i SeTt Wl.:s 1i3 i�a.k'�� W�31ii0i . iCT
{SPAjM� 3 /� {2�lVvt fji'�C3.9i?
LAST
11001, ANDi0R.8 k i
KIM CHWK lqE 101.000,43S;l,- 318 Sl11g.7o
CO ira'eRUC'E'iMIFEr, 101-()00-418-000 3199.1110
Yt?IEl''H"It✓AI,TgE -. POOL 101.000-4x1-000 $24,00
ELECT FeICAL FEM —POOL- 101-000-420-000 $4100
plrUMNO RE -- P001,► -000- . -000 � S27,00
E
r
MAY 06 2002
OFLAQUINTA
T
PLAIT MCK
w ...
•
RECEIPT
DATEBY
, /
DATE FINALED
INSPECTOR
RP
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
Set Backs
Footings
POOLS - SPAS
Steel
Electric Bond
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric U
Underground Plbg. Test
Final
_
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
P$umbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL -APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
Cl
/4I
�G'v
PATRELL
ENGINEERING
GROUP, INC.
651 E. Northridge Ave. • Glendora, CA 91741 . PH: (626) 335-4362 FAX: (626) 963-4812
ENGINEERING CALCULATIONS
AND DETAILS FOR
SURCHARGED RETAINING WALL
HODGES RESIDENCE
79615 VAYA ST.
CITRUS COUNTRY CLUB
LA Q U I N TA, CA
DATE: SEPTEMBER 19, 2002
ENGINEER: DOUGLAS R. FERRELL
RCE # 32994, CALIFORNIA
651 E. NORTHRIDGE AVE.
GLENDORA, CA 91741
(626) 335-4362
Project:
- -011MLL
PAS
ENGINEERING
Client: C. =. cs.
GROUP, FNC.
Engineer: c�
651 E. Northridge Ave. PH:
Glendora, CA 91741 FAX:
(626) 335=4362
(626) 963-4812
Ddte: Sheet 1 of
'
LZ
General Notes:
1. Concrete - 2000 p.s.i. Min. @ 28 days.
2. Reinf. Steel '- Grade 40. fs--20,000 p s.i.
, l
L
3. Reinf. Steel Laps - Min. 1'-8'. ;
4. Concrete Masonry Units with type 'W mortar fm=1500 p.s.i.
V/AL'
5. Grout -1 part cemerit'(plastic cementnot.permitted) 21/: to3. parts sand; 2 parts pea gravel..
6. Mortar type "M' or "T =1 part cement, 1/4p art hydrated lime or lime putty, sand. 2'/. - 3 times the
sum of cement and lime.
V
7 All worknansup and materials.to conform with the UNIFORM BUILDING CODE
8. Backfill -.sand or gravel sod.
1 r r�C �✓ (2FTAh-0s1 QQ
- _ �:F �c:�i�•
�95 s)
r� IVO 6GIAl. lief e*
SS/pN
6 _S,9 ,
Lu No. C32994
o=
ew 61106
G°Fy1L
� �P
Qeneral Retaining Wall Design
Patrell Engineering Group
651 E. Northridge Ave.
Glendora, CA 91741
(626) 335-6632
965 psf OK
Surcharge Over Heel =
Title : Hodges Residence
Job # Dsgnr: DRF Date: SEP 18;2002
Description....
Retaining Wall w/ surcharge from footing `2
Used To Resist Sliding & Overturning
Surcharge Over Toe =
Cantilevered Retaining Wall Design
Used for Sliding & Overturning
5.0.4
Criteria
Axial Dead Load =
Soil Data
Axial Live Load =
Footing Strengths & Dimensions.
Retained Height =
2.00 ft
Allow Soil Bearing
= 1,000.0 psf
fc = 2,000 psi
Fy = 40;000 psi
Wall height above soil =
0.00 ft
Equivalent Fluid Pressure Method
Min. As %
= 0.00.1,8. ........ .............
Slope Behind Wal =
0.00: 1
Heel Active Pressure
Toe Active Pressure
= 30.0 psf/ft
= 30.0 psf/ft=
Toe Width
= 1.50 ft
Height of Soil over Toe =
6.00 in
Passive Pressure
= 150.0 psf/ft
Heel Width
Total Footing Widtt
1.00
= 2.50
Soil Density =
110.00 pcf
Water height over heel
= 0.0 ft
Footing Thickness
_ 12.00 in
Fy
psi =
FootingliSoil Frictior
= 0.350
Wind on Stem = 0.0 psf
Surcharge Loads
965 psf OK
Surcharge Over Heel =
0.0 psf
Used To Resist Sliding & Overturning
Surcharge Over Toe =
0.0 psf
Used for Sliding & Overturning
1,298 psf
Axial Load Applied to Stem
Axial Dead Load =
0.0 lbs
Axial Live Load =
0.0 lbs
Axial Load Eccentricity =
0.0 in
Design Summary
Wall Stability Ratios
Total Bearing Load =
784 lbs
...resultant ecc. =
8.50 in
Soil Pressure @ Toe =
965 psf OK
Soil Pressure @ Heel =
0 psf OK
Allowable =
1,000 psf
Soil Pressure Less Than Allowable
ACI Factored @ Toe =
1,298 psf
ACI Factored @ Heel =
0 psf
Footing Shear @ Toe__.. _.,.,,.._•,..
, 6,1 psi,..0K_
Footing Shear @ Heel =
2.1 psi OK
Allowable =
76.0 psi
Wall Stability Ratios
Actual 1 -Way Shear
Overturning =
1.53 OK
Sliding =
0.43 UNSTA
Sliding Calcs Slab Resists
All Sliding !
Lateral Sliding Force =
1,004.0 lbs
Soil height to ignore
for passive pressure = 0.00 in
Lateral Load Applied to Stem
Lateral Load = 0.0 #/ft
...Height to Top = 0.00 It
...Height to Bottom = 0.00 ft
Stem Construction
Top
Key Depth =
S
Design height
ft =
Wall Material Above "Ht'
= M
Thickness
=
Rebar Size
=
Rebar Spacing
=
Rebar Placed at
=
Design Data
89 ft-#
Actual 1 -Way Shear
fb/FB + fa/Fa
=
Total Force @ Section
lbs =
Moment .... Actual---------
ft-#=- -
Moment.....Allowable
=
Shear..... Actual
psi =
Shear..... Allowable
psi=
BLE!
Footing Design Results
0.00 in
Key Depth =
0.00 in
Toe
Heel
Factored Pressure
= 1,298
0 psf
Mu': Upward
= 0
0 ft-#
Mu': Downward
= 0
89 ft-#
Mu: Design
= 91
89 ft-#
Actual 1 -Way Shear
= 6.05
2.15 psi
Allow 1 -Way Shear
= 76.03
76.03 psi
Toe Reinforcing
= None Spec'd
No
Heel Reinforcing
= None Spec'd
25.78
Key Reinforcing
= None Spec'd
1.000
Key Width =
0.00 in
Key Depth =
0.00 in
Key Distance from Toe =
0.00 ft
Cover @ Top = 2.00 in @
Btm.= 3.00 in
Adjacent Footing Load
Rebar Depth 'd'
Adjacent Footing Load =
850.0 lbs
Footing Width =
1.50 ft
Eccentricity =
0.00 in
Wall to Ftg CL, Dist =
1.00 ft
Footing Type
Line Load
Base Above/Below Soil =
-1.8 ft
at Back of Wall
Yes
Stem
tem OK
0.00
asonry
8.00
# 4
24.00
Edge
0.069
250.1
53.8'
776.1
4.3
19.4
Bar Embed ABOVE Ht.
in=
12.00
Bar Embed BELOW Ht.
in=
6.00
Wall Weight
=
78.0
Rebar Depth 'd'
in=
5.25
Masonry Data
fm
psi=
1,500
Fs
psi =
20,000
Solid Grouting
=
Yes
Special Inspection
=
No
Modular Ratio 'n'
=
25.78
Short Term Factor
=
1.000
Equiv. Solid Thick.
in=
7.60
Masonry Block Type = Medium Weight
Concrete Data
fc
psi =
Fy
psi =
Other Acceptable Sizes & Spacings
Toe: Not req'd, Mu < S ' Fr
Heel: Not req'd, Mu < S ' Fr
Key: No key defined
D I �
r
General Retaining Wall Design Title : Hodges Residence
Patrell Engineering Group Job # Dsgnr: DRF Date: SEP 18,2002
651 E. Northridge Ave. Description....
Glendora, CA 91741 Retaining Wall w/ surcharge from footing
(626)335-6632
Cantilevered Retaining Wall Design -5.0.4
Summary of Overturning & Resisting Forces & Moments
.....OVERTURNING..... .....RESISTING.....
Force Distance Moment Force Distance Moment .
Item lbs ft ft-# lbs ft ft-#
heel Active rressure =
Toe Active Pressure =
Surcharge Over Toe =
Adjacent Footing Load =
Added Lateral Load -
Load @ Stem Above Soil =
135.0
1.00
135.0
-33.8
0.50
-16.9
902.7
0.76
681.6
Total = 1,004.0 O.T.M. = 799.7
Resisting/Overturning Ratio = 1.53
Vertical Loads used for Soil Pressure = 783.7 lbs
Vertical component of active pressure used for soil pressure
Soil Over Heel =
73.3
2.33
171.1
Sloped Soil Over Heel =
Surcharge Over Heel =
Adjacent Footing Load =
54.5
2.40
130.5
Axial Dead Load on Stem =
0.00
Soil Over Toe =
82.5
0.75
61.9
Surcharge Over Toe =
Stem Weight(s) =
156.0
1.83
286.0
Earth @ Stem Transitions=
Footing Weighl =
375.0
1.25
468.7
Key Weight =
Vert. Component =
42.4
2.50
105.9
Total =
783.7 lbs
R.M.=
1,224.2
0
N
cv
G
3i�sti
Tom Berry, Gdveral Mmmger- T Brmwh
R- means resbmam to brat flow. The higher the R- value. the Beater the Insulating power_
Ask your builder for the fact sheet on R- values. Keep Bias certWmte wil h your other
vahod papers. Ifyoi, ever sell this hmnr, this certificate sbooki be passed on to the Dryer.
Yaw Howe has btem iasattttcd with Cate ffud Fiberglass bouldion pmdKta, whkb am dcsigno —
r I saFety sWmWft otd tomoiro s energy m quirements. — -- --
F�erghBs is srotgaii is antithenforc pe�ioiitfy rwaooi'bfe4 so it does icnt ilnve ea be reat®A _
-- —
--- with fire-ic%vdm* cltett*mb that 1i'bely Fos*their effi*fim= ovcr time Ithastrot btxrimod -- _-- —.-----___--
wltb ctietakak iliac cam a mob rahh4 or metat. F wA not absmb liicWm dOr will it
-------------..----------_-----
Betticever time@Lpwother insufatlonmat lak
m
.
This also ca Ries that CmtainTec�d 1=iber,Ghm lnaalatiaa has been professinoaft iastAcd in this home .... ,..
� -
to psavlde gn foltawingtheratel peHbiittestce►.
om 2
------------�t-No.•��.�._Jnb-Atl�ress�-7963;3HapafStreet_—��-----
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Ccftliia Arem A-38 Bbvn, hmfation Garage Coif Mon Aooe9a•
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Wilth Llvibg Mane & 3toping A�ess. .
g
Este� W>ift tt l3 Uii>ided i3etts
OvPJbmwt Amen Attu. -
w
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Walb R-11 Unfaeed Batts Between Roar:
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._............. - .. _..._. _... ... ...... -- _..._..- - _ _ .... .....
CE,S&bronbrrcAPr
DJ Imuladon Co , ,["-
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42620 We 'F 92990
0
N
cv
G
3i�sti
Tom Berry, Gdveral Mmmger- T Brmwh
R- means resbmam to brat flow. The higher the R- value. the Beater the Insulating power_
Ask your builder for the fact sheet on R- values. Keep Bias certWmte wil h your other
vahod papers. Ifyoi, ever sell this hmnr, this certificate sbooki be passed on to the Dryer.
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE STRUCT. STEEL ASSEMBLY SIfO p
❑ POST TENSIONED CONCRETE 40311
ASPHALT 1)66-THER Wec)& 14 �
❑ REINFORCED MASONRY ❑ FIRE PROOFING
JOB LOCATION�,y / /'� ; ! 9; ���
`��11
V
REPORT SEQUENCE N0.
TYPE OF STRUCTURE
F/Y�/• a c) \ -- ,5
(„^
PERMIT NO.
pATE/�
DAY OF WEEK
MATERIAL DESCRIPTION
-�3 to pt `-S:ub
ARCHITECT
LUUWTOR
HRS. CHARGED
-r
E
ENGINEER
ASSISTANTS I
HRS. CHARGED
INSPECTION GENERAL SUB I
DATE CONTRACTOR e -t sro P -y CONTRACTOR
e,C,0'ta 6- ® sc
A�� SitsJ S . S .
COPY SENT TO CLIENT O
CONTINUED ON NEXT PAGE O
PAGE OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
SIGNATURE OF REGISTERED PECTOR
t. L aG/ t) o a CqU
DATE OF'REPORT 'REGISTER NUMBER