0303-307 (BLCK)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
636353:5 BMC
Date' i Signature of Contracto��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am !exempt from the Contractor's
License Law for the following reason: t
( ) 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). f
( ) I am exempt under Section B&RC. for this reason
Date Signature of Owner i
{ f
WORKER'S COMPENSATION DECLARAT40N
I hereby affirm under penalty of perjury onelof 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 carrie(e & policy no. are:
Carrier OTATE FUND Policy No.' 229-P671-2003
(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°provisions., .�
Date:. •{ P t` 5 fp.yApplicant N --
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.
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
' < , he'�bove-mentioned property -for inspection purposes. {
Signature (Owner/Agent)- ` Date .41
-BUILDING PERMIT PERMITM
311117
DATE e°VALUATION &4,3W,()0� LOT TRACT
.,
11
JOB SITE
ADDRESS 53 -SW AWNTDA BERMMM; ;
APN _
OWNER
CONTRACTOR/DESIGNER/EN INEER
171•"IISS Poll—A M -M
i.'�.:NmE:VEloa!°CTRES, WC.
53-S85"A'VMIi.1.613RR7d1ITY'D
`18.! ZO CPLLL,'MAD.0 ,MiT.rE ?t)4
LA.QUINZIL C,r'+` 92253
LA QTJINTA. CA. 92253
C-160)564.1866 Ci3Tiff 859
USE OF PERMIT
am.?lrix.3 unDTNa
.AAM;
W IZ s' "X.MNLVW WAL4. CX WO L.r 4,V1W6iJ rr a 1— Airt! uc
W 0ARDEN, CITY UANiiARD
A FSP: WALL ",00 LF
6 3T. WALL 100.00 LF
XISITMIMM, COQ` CAP COMM"MON
3134 0,00
PE'RUff FEE SUMMARY
CONISTRUG'1 ON FEE 101.000-418.000•
rAPR15 2003
Y OF LA QUINTA
DEPT.
INANCE
STIB -TOTAL COMMA C, fTO N' AND PIA- C13 WK
$64.00
LESSI► ,-PAID FE0
$0.00
TOTAL PMZ:�� IMEN ] UE' NOW
�G►�.47:i
RECEIPT
DATE ' /,f�
BYE r'
DATE FINALED
INSPECTOR
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
POOLS - SPAS
steel
Set Backs
Electric Bond
Footings -
Main Drain
Bond Beam , ®
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing 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 •
Rain Service
Sub Panels
Exterior Receptacles
G.F.1.
Smoke Detectors
Temp. Use of Power
Final
J.,Utillty Notice (Perm)
COMMENTS:
q
S
ORCO 6 'HIGH WALL W/ 2' RETAINING
FOR 80 MPH WIND @a EXPOSURE C
cl,ry
1. CORU E7F&OCKSHALL CCW/ORM 70 L.BC•STD. 214. ORCO
O
LA QUINTA
BU
LDIN
& SAFETY DEPT.
#4 VERT DROP-IN BAR ® 32'01C
AP
ROVED
OALLOAS OF WATER PER SACK PORRMD CEMENT SHALL COAFORN
70ASTMC1WTYFENKFc=21XOPST
OR c
NSTRU0
3. RE9ffURCDVGS7Fa SHALL BE D99MNEDAND COAFORM TO
A ME INSKMON ME OF $30
WIBECH EDIFTHE APPROVED
PLA
SAND OB CAIS ARE NOT ON
TH SITE FOR A SCHEDULED
-� -- .N4 EXCEPTIONSI
PIAT CAP
DE57G NCLITBUA:
1. SOIL B64RMG PRESSURE =1500 PSF. EQUIVALENT PLUID
PRESSURE= 3375F
2. ALLOWABLE LA7ERAL PAS9VE PRESSURE =150 PCF MIN,
3, COA RETE/GROUT STRENGTH = 2000 PSF @ 28 DAYS
4. RETNFORCM STEEL : GRADE 40 FOR #4 a4RS AND SMALLER 8
GLADE 60 FOR #5 AAD LARGER
5. SE15MIIC - ZONE 4, S EON PROM TYPEA OR 8 SOURCE.
6. 1500 PSI MASONRY COMPRE SRON STRENGTH.
HALF STRESSES USID - NO SPEcm INSPECTION REQD.
ORCO 6816, 6616, OR 6618 a4U
GROUTED ONLY® VERT STEEL
#S DOWEL @32—OIC
�— (2r O/C ROR 187.ONG a4U)
L _u
18'
4' DIA. SDR 35 PBZFPIPE W/ I C.
r
314* GRAVEL - SLOPE 70 DRAT. WATERPROOF
�. LLACC SIDE OF WALL W/ OBP WA7BZMP'.
6n
ol
2�-4° ol
04 NW.. CONT.
(3 TOTAL)
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C31925
E%P. 12-32-2004
J+ \F F V A �F
1. CORU E7F&OCKSHALL CCW/ORM 70 L.BC•STD. 214. ORCO
SID. POM004 SPLTTMM S UWED, OR WEDGELOOCW=
MAYBEUSFD
2 CGROZE7EMRROOTMSNAU BEI PART CSYENT702-1/1
#4 VERT DROP-IN BAR ® 32'01C
PARIS SUM 703.112 PARIS (RAVa WITHA MWNW OF 1-I/2
(27- D/C FOR 18' LONG CdU) .
OALLOAS OF WATER PER SACK PORRMD CEMENT SHALL COAFORN
70ASTMC1WTYFENKFc=21XOPST
PROVIDE24'LAPINTO &W6 OW
3. RE9ffURCDVGS7Fa SHALL BE D99MNEDAND COAFORM TO
AS7MA 615GR406 40 FOR 04 BARSAAD SMALLER. GRADE 60 FDR
#6 STD JOINT REINFORCEMENT
#SAND LARGEX PROVME 40 AAR D14FE t LAP FOR GRADE 40
® 24' O/C (3 PLACES) PER UBC
REawAND 48 BAR DIANFIE R LAP POR GRADE 6a
STD. 11-10. USE#5 STD. FOR
4RM4R MALL AE CENTERED IN TIE 02ACETE BLOCK C&LW
SLUMPBLOCC
WUM IrLSLOGUED.
S. COROWIF BLOCK 9NU BELAYEDINA RL RM BOND
PAT787N WPM YER77CAL COM7DR9TYClF THE CHI NW.
LL ALL BLOOC CELS COMrADYAG YL3MM ROW S7MLL BE SOLID
GROUTED.
7. USF OBP TYPES MORTAR PROFORMNED USM UX'TABLE hO
21-A I PARTCBRHYT TO I/2 PARTL3MF 704.1/2 PARIS D4W,
LOOSE&M.
B CROUPFO R COVORMALOC C TO BEI PART CE MBVr 703
PARTS SIA® (CRIrMAY CONTATN2 PARTS 31rPEA GRAYS D'
W54HLi1 CONDITION; ARE FAVVRASEAAD 8LOCX UNR MIX7E7
CELL SNFLSA.Ri7CZENT TOALLOW GUOOOROVIT R .0K WATER
SINALL SEADOED 70 ARODLKFGOOD GRCWTFLOW wIiHWT
S$REGATIOM OF TIFCOAUTUBVIS
A BLOCK 57Z 74 ANY OE WE J -W MM 779 APOTIM' WIG LE
— #4HDRZLO/VT.
7WO3N tETE6HASRGBLO(XSTEMMAYBERA®70
E7TM EDGE OF THE 7RUCY TMP 077M
la R7D77AGlwTBEmpmcMoRwvuAmz mEv
LEVEL LiAQCFILLL W/
MITI" SOIL OR CW COAVAC7® FAL WTINA MMM M
NO SURCHARGE
LON®ACTMN Of 90 %
1t. FIRST 111(SPEC7R1M70 BEAfTHt f007DVG TABVOgSARf
�(
READY FOR CONOM EAADALL REgMt D STER S TIED LN PLACE
SEMW DK9£{7M TO BE WHEN TIE AFWDtEO Y87TIO4L 5 D
PLACE AND RIE AM WALL S READY TO GRIT.
^ I
R. MAXW-W C0NI=JX'VNrSA1C M' ,V OX O?.V 01CIF7ME
_
WALL IS TO BESRKXO CONT
#S DOWEL @32—OIC
�— (2r O/C ROR 187.ONG a4U)
L _u
18'
4' DIA. SDR 35 PBZFPIPE W/ I C.
r
314* GRAVEL - SLOPE 70 DRAT. WATERPROOF
�. LLACC SIDE OF WALL W/ OBP WA7BZMP'.
6n
ol
2�-4° ol
04 NW.. CONT.
(3 TOTAL)
0(—
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F-
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C31925
E%P. 12-32-2004
J+ \F F V A �F
i
Timothy S. Mallis - Civil Engineer
Orco Block Inc.
4510 Rutile St.
Riverside, Ca. 90509
(909)685-1521
Rev: 510300
User. KW -0603522, Ver 5.1.3, 224 1999, Win32
(c) 1983-99 ENERCALC
Title :
Dsgnr:
Description
Scope:
Cantilevered Retaining Wall Design
Job #
Date: 10:21 AM, 8 APR 03
I Description Orco Wall System 6' high tract wall w/ 2'-0" retaining for 70 mph Exp c wind condition
Criteria
= 840 psf OK
Retained Height
= 2.00 ft
Wall height above soil
= 6.00 ft
Slope Behind Wall
= 0.00:1
Height of Soil over Toe =
0.00 in
Soil Density =
110.00 pcf
Wind on Stem = 13.8 psf
Design Summa
Total Bearing Load = 910 lbs
...resultant ecc. = 5.33 in
oil Data -------------
= 840 psf OK
Allow Soil Bearing
= 1,500.0 psf
Equivalent Fluid Pressure Method
Heel Active Pressure
= 30.0
Toe Active Pressure
= 0.0
Passive Pressure
= 150.0
Water height over heel
= 0.0 ft
FootingllSoil Friction
= 0.300
Soil height to ignore
= 76.0 psi
for passive pressure
= 0.00 in
Soil Pressure @ Toe
= 840 psf OK
Soil Pressure @ Heel
= 0 psf OK
Allowable
= 1,500 psf
Soil Pressure Less Than Allowable
ACI Factored @ Toe
= 1,176 psf
ACI Factored @ Heel
= 0 psf
Footing Shear @ Toe
= 7.4 psi OK
Footing Shear @ Heel
= 2.5 psi OK
Allowable
= 76.0 psi
Wall Stability Ratios
Rebar Spacing
Overturning
= 2.04 OK
Sliding
= 1.60 OK
Sliding Calcs (Vertical
Component NOT Used)
Lateral Sliding Force
217.8 lbs
less 100% Passive Force = - 75.0 lbs
less 100% Friction Force = - 273.0 lbs
Added Force Req'd
= 0.0 lbs OK
....for l..5: 1 Stability
= 0.0 lbs OK
Footin sign Results
82.8
Toe Heel
Factored Pressure =
1,176 0 psf
Mu': Upward =
831 0 ft-#
Mu': Downward =
187 115 ft-#
Mu: Design =
644 115 ft-#
Actual 1 -Way Shear =
7.43 2.54 psi
Allow 1 -Way Shear =
76.03 76.03 psi
Toe Reinforcing =
None Spec'd
Heel Reinforcing =
None Spec'd
Key Reinforcing =
None Spec'd
Stem Construction
I
Top Stem
Min. As %
= 0.0012
Stem OK
Design height
ft =
2.00
Wall Material Above "Ht"
=
Masonry
Thickness
=
6.00
Rebar Size
=
# 4
Rebar Spacing
=
32.00
Rebar Placed at
=
Center
Design Data
0.00
Masonry
fb/FB + fa/Fa
=
0.765
Total Force @ Section
lbs =
82.8
Moment.... Actual
ft-# =
248.4
Moment..... Allowable
ft-# =
324.8
Shear..... Actual
psi =
3.7
Shear..... Allowable
psi =
25.8
Bar Develop ABOVE Ht.
in=
20.00
Bar Lap/Hook BELOW Ht.
in =
20.00
Wall Weight
psf =
47.0
Rebar Depth 'd'
in =
2.75
Masonry Data
I'm
psi=
1,500
Fs
psi =
20,000
Solid Grouting
=
No
Special Inspection
=
No
Modular Ratio'n'
=
25.78
Short Term Factor
=
1.330
Equiv. Solid Thick.
in=
3.90
Masonry Block Type = Normal 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
Page 1
Footing Strengths & Dimensions
fc = 2,000 psi
Fy = 40,000 psi
Min. As %
= 0.0012
Toe Width
= 1.17 ft
Heel Width
= 1.17
Total Footing Width
=
Footing Thickness
= 12.00 in
Key Width
= 0.00 in
Key Depth
= 0.00 in
Key Distance from Toe
= 0.00 ft
Cover @ Top = 3.00 in
@ Btm.= 3.00 in
2nd
Stem OK
0.00
Masonry
8.00
# 4
16.00
Edge
0.436
142.8
454.0
1,041.2
2.5
22.3
20.00
6.00
84.0
5.25
1,500
20,000
Yes
No
25.78
1.150
7.60
��OP1 c5S/ON\
LU
C31925 U: m
690. 12-31-2004
I V I L �\P�
OF CALIF��
I
-7
r
Timothy S. Mallis - Civil Engineer Title: Job #
Orco Block Inc. Dsgnr: Date: 10:21AM, 8 APR 03
4510 Rutile St. Description
Riverside, Ca. 90509 Scope
(909) 685-1521
Rev: 510300
User. KW -0603572, Ver 5A.3,224u 1999.` .32 Cantilevered Retaining Wall Design Page 2
(c) 1983-99 ENERCALC c:\ec\new6walls.ecw:Calculation;
a Description Orco Wall System 6' high tract wall w/ 2'-0" retaining for 70 mph Exp c wind condition
Summa of Overturnins & Resisting Forces & Moments
....OVERTURNING..... .....RESISTING.....
Force Distance Moment Force Distance Moment
Item lbs ft ft-# lbs ft ft-#
Heel Active Pressure = 135.0 1.00 135.0 Soil Over Heel = 110.0 2.08 229.2
Toe Active Pressure =
Sloped Soil Over Heel =
Surcharge Over Toe =
Surcharge Over Heel =
Adjacent Footing Load =
Adjacent Footing Load =
Added Lateral Load =
Axial Dead Load on Stem =
0.00
Load @ Stem Above Soil = 82.8 6.00 496.8
Soil Over Toe =
SeismicLoad =
Surcharge Over Toe =
Stem Weight(s)
450.0 1.45 651.7
Total = 217.8 O.T.M. = 631.8
Earth @ Stem Transitions =
Resisting/Overturning Ratio = 2.04
Footing Weight =
350.0 1.17 408.4
Vertical Loads used for Soil Pressure = 910.0 lbs
Key Weight _
Vert. Component =
Vertical component of active pressure NOT used for soil pressure
Total =
910.0 lbs R.M.= 1,289.3
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