9910-223 (BLCK)it 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
13W.13 11 C9 ^� (32i$(M
cl
Date �'� 9lignature 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.
( ) 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 & policy no. are:
Carrier��11TT C, AA (���t Policy No. 1
(This section need not be completed if the permit valuation is for $100.00 or less).
( ) I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workers' compensation laws of California, and agree that if I should become
subject to the workers' compe�satie44��provision , of Section 3700 of the Labor
Code, I hall f hwi �yyomply with tho$e prov sions�
Dater 1pplicant Q,
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000', in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby"authofize `7epresentatives of this City to enter upon
the above-mentioned pro e " for inspection purposes. ( �
Signature (Owner/Age t �r Dateia �;,9't'�
BUILDING PERMIT PERMIT#
!39af0.2iJ
DATE I ()I'11�11"VALUATION %,925 (0 LOT �� TRACT
JOB SITE fi-APN
ADDRESS i�`1��C'.1E769-W2,032
OWNER CONTRACTOR/DESIGNER/ENGINEER
MICFIAI-1 NX)ONF, s11-)KER (0NS'T7'.C,(M_ ON INC"
141 CANYON COUM' 57-370 24 1'ALNIS d-iWA' 1,201
NAPA CA 945ytt YUCCA CA VALLEY CA. 112244
(760)-465-pol (11111 ! 2"1
USF OF PFRMIT
93 Lr, f' WikLL (.31 -tO) isND I$.1
L+,, ry GACtUUN WW,, ('I7 Y &I'APda)AR.0
&.V MOP A l Ri
PEUM IT FEE Sa31M"FiWII-RI
CX)N8TRt1C1'10N f%Ht: 101-(N10-41K_W) 3%),00
SI fii-1 [ 1TAT. VON; FR i 1(71(0*) AN)-) PIAN (`;;P.ry
1,r:SS Mri}STi IDI KLia)
I'M At, f'11'liMtl* 1 #SEN DITE NOW
RECEIPT I DATE I BY I DATE FINALED I INSPECTOR
� !l1C1 7tA
�144D M
IV) 00
yi9df,iN)
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
Footings
��' ' ��
Electric Bond
Main Drain
Bond Beam (( p0
Z,57
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
ZC%-Zr
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
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
PROJECT
THE M00%4E RESIDENCE
Tacker �nneerinLOT 31, TRACT 28470-1
LA QUINTA, CALIFORNIA
a gig I SHEET I CSF
57370 29 Palms Hwy. Phone: (760)3653131 -
Suite 202 Fax: (760)3657010 CALC'D M.D.H. CHK'D D.H.
Yucca Valley, CA 92284 hacker@eee.org
W.O. cM0204 DATE 10/21/CICI
W OW, PARTIAL 6ROUT
#5 a W O.O. a CENTER
EMBED. 24*
#4 CONT. a 24" O.O. (rYP
ZA C, yf_PeO-�KP 60, A
VIS I.(x K = 15 0 LI)II6655
`?"Ai3igG Apf"VAL.
1�011%j . Aj % 99D
b"CM, SOLID GROUT
#5 o 161 O.C. o EDGE,
. EM15M. 24"
�b
#4 CONT. (TYP
5GALE: 3/8'1=11-0"
CITY OF LA QUINTA
BUILDING & SAFETY DEPT
APPROVED
FOR CONSTRUCTION
DATE J0 BY
IA�
♦ ExpN2/34100
1W-
J-�
QFMX*tO�
f.
HACKER ENGINEERING, INC. Title : Moone Residence Job # 990204
57370 29 Palms Hwy, Suite 202 Dsgnr: Michael D. Hacker Date: 3:10PM, 21 OCT 99
Yucca Valley, CA 92284 Description : Lot 31, Tract 28470-1
(760)365-3131 Fax (760)365-7010 Scope: Retaining Wall @ P.L.
hacker@eee.org
Rev: 530303
User: K4l-0602789, Ver 5.1.3, 22 -Jun -1999, Win32 Cantilevered Retaining Wall Des Page 1
(C) 1983-99 ENERCALC m files\enercalc\moone.ecw:Calculati
Description Wall @ P.L.
Criteria
= 1,475 psf OK
Retained Height =
3.67 ft
Wall height above soil =
5.67 ft
Slope Behind Wall =
3.00: 1
Height of Soil over Toe =
6.00 in
Soil Density =
110.00 pcf
Wind on Stem = 17.4 psf
Design summary A
Total Bearing Load = 2,468 lbs
...resultant ecc. = 7.62 in
(Soil Data Footing Strengths 8 Dimensions
Allow Soil Bearing = 1,500.0 psf fc = 2,000 psi Fy = 40,000 psi
Equivalent Fluid Pressure Method Min. As % = 0.0018
Heel Active Pressure = 35.0 Toe Width - 0.17 ft
Toe Active Pressure = 35.0 Heel Width = 3.33
Passive Pressure = 200.0 Total Footing Width = 3.50
Water height over heel = 0.0 ft
Footing Thickness = 12.00 in
FootingllSoil Friction = 0.500
Soil height to ignore), Key Width = 12.00 in
for passive pressure = 0.00 in Key Depth = 0.00 in
Key Distance from Toe = 1.25 ft
Cover @ Top = 2.00 in @ Btm.= 3.00 in
Stem Construction Top Stem 2nd
Stem OK Stem OK
Design height ft = 3.33 0.00
Wall Material Above "Ht" = Masonry Masonry
Thickness = 6.00. 8.00
Soil Pressure @ Toe Rebar Size _ # 5 # 5
Rebar Spacing. = 16.00 16.00
Rebar Placed at = Center Edge
Design Data
fb/FB + fkei = 0.877 0.877
Total Force @ Section lbs = 100.6 329.5
Moment :Actual ft-# = 312.7 927.7
Moment::...Alldwable ft-#= 356.6 1,058.0
Shear...:.Actual , psi = 4.2 5.9
Shear,.=
Shear.... psi 19.4 , . 19 .4
Bar Develop ABOVE Ht. in = 25.00 25.00
Bar Lap/Hook BELOW:HL in=. 25.00 . ;. 6.00
Wall Weight : , .. psf = 47.0 78.0
Rebar Depth •'d' in= 2.75 5.25
Masonry.•Data.
I'm psi = 1,500 1,500
Fs "psi = 20,000 20,000
Solid Grouting = No Yes
Special Inspection.... = No No
Modular'Ratio'n' = 25.78 25.78
Short Term Factor = .1:000 •1.000
= 1,475 psf OK
Soil Pressure @ Heel
= 0 psf OK
Allowable
= 1,500 psf
Soil Pressure Less Than Allowable
ACI Factored @ Toe
= 1,910 psf
ACI Factored @ Heel
= 0 psf
Footing Shear @ Toe
= 2.6 psi OK
Footing Shear @ Heel
= 22.4 psi OK
Allowable
= 76.0 psi
Wall Stability Ratios
Overturning
= 2.60 OK
Sliding
= 2.28 OK
Sliding Calcs (Vertical Component Used)
Lateral Sliding Force
= 599.4 lbs
less 100% Passive Force= - 225.0 lbs
less 100% Friction Force= - 1,234.1 lbs
Added Force Req'd
= 0.0 lbs OK
....for 1.5 : 1 Stability
= 0.0 lbs OK
Footing Design Results
Factored Pressure =
Toe Heel
1,910 0 p
ps
Mu': Upward =
103 0 ft
Mu': Downward =
16 0 ft
Mu: Design =
87 1,577 ft
Actual 1 -Way Shear =
2.58 22.41 ps
Allow 1 -Way Shear =
76.03 76.03 ps
Toe Reinforcing =
None Spec'd
Heel Reinforcing =
None Spec'd
Key Reinforcing =
None Spec'd
Other Acceptable Sizes & Spacings
Toe: Not �6q'd,'Mu < S ' Fr
Heel: Not req'd, Mu < S ' Fr
Key: Not req'd, Mu < S ' Fr
CITY OF LA QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
Lq N"5 606
*k If -X 2131100
OF CAL\ sp
Equiv. Solidz-rtkk.
in=
4.50
7.60
# Masonry Block Type = Medium Weight
# Concrete Data
# fc _
psi=
i Fy
Psi =
Other Acceptable Sizes & Spacings
Toe: Not �6q'd,'Mu < S ' Fr
Heel: Not req'd, Mu < S ' Fr
Key: Not req'd, Mu < S ' Fr
CITY OF LA QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
Lq N"5 606
*k If -X 2131100
OF CAL\ sp
HACKER ENGINEERING, INC. Title : Moone Residence Job # 990204
57370 29 Palms Hwy, Suite 202 Dsgnr: Michael D. Hacker Date: 3:10PM, 21 OCT 99
Yucca Valley, CA 92284 Description : Lot 31, Tract 28470-1
(760)365-3131 Fax (760)365-7010 Scope : Retaining Wall @ P.L.
h
hacker@eee.org
Rev: 510303
User: RW -0602789, Ver 5.1.3, 22 -Jun -1999, Win32 Cantilevered Retaining Wall Q.e��m
_ Page 2
(c) 1983-99 EHERCALC files.enerca1c\moone.ecw:Ca1cu1ati
Description Wall @ P.L.
Summary of Overturning & Resisting Forces & Moments
.....OVERTURNING.....
.....RESISTING.....
Force Distance Moment
Force
Distance
Moment
Item lbs ft ft-#
lbs
ft
ft-#
Heel Active Pressure = 540.2 1.85 1,000.3
Soil Over Heel =
1,075.5
2.17
2,330.5
Toe Active Pressure = -39.4 0.50 -19.7
Sloped Soil Over Heel =
130.3
2.61'
340:3
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= 98.6 7.50 739.4
Soil Over Toe =
9.2
0.08
0:8
SeismicLoad =
Surcharge Over Toe =
Stem Weight(s)
541.9
0.46
247.6
Total = 599.4. O.T.M. = 1,720.1
Earth @Stem Transitions=
6.2
0.75
4.6
Resisting/Overturning Ratio = 2.60
Footing Weighl =
525.0
1.75
918.7
Vertical Loads used for Soil Pressure = 2,468.1 lbs
Key Weight =
•Component
1.75
Vert. =
180.0
3.50
630.2
Vertical component of active pressure used for soil pressure
Total =
2,468.1
lbs R.M.=
4,472.7
CITY OF LA QUINA
BUILDING & SAFETY DEPT
APPROVED
FOR CONSTRUCTION
I DATE BY
OF