13-0916 (BLCK)I
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000916
Property Address:
77355 CALLE POTRERO
APN:
774-292-033-24 -000000-
Application description:
WALL/FENCE
Property Zoning:
COVE RESIDENTIAL
Application valuation:
4000
TUY/
"
r7>-,,,,
BUILDING & SAFETY DEPARTMENT fl
BUILDING PERMIT
Owner:
RYBAK
42760 MADIO STREET
INDIO, CA 92201
(760)775-1234
Applicant: Architect or Engineet:
-------------------
LICENSED CONTRACTOR'S DECLABATION
I hereby affirm under penalty of p ry that I 81P: censed under provisi s of C apter 9 (commencing with
Section 7000) of Division 3 of the iness and ofessions ode, a my Li ense is in full force and effect.
License Class: B cense No.. 72 199
11
a��
Date 3• t3Contractor
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 subjects the applicant to a civil penalty of not more than five hundred dollars ($
500).:
(_) 1, 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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
Contractor:
CORONEL ENTERPRI
42760 MADIO STRE
INDIO, CA 92201
(760)775-1234
Lic. No.: 727199
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/23/13
WORKER'S COMPENSATION DECLARATION
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 STATE FUND Policy Number 9033452-2012
_ I certify that, in the performance of the work for whic is p mit is issued, I shall not employ any
person in any ma so as become ject to a work rs' compensation laws of California,
and agree that, if I s u1d be me subj ct to the orkers' ompensation provisions of Section
3700 of the Labor e, I s II for
th comp] with t se provisions.
Date 13 -t.3 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 1$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 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 t -commenced
within 180 days from date of issuance of such permi , or cessation of work r 180 d ys will subject
permit to cancellation. '
I certify that I have read this application and state that above in ormation s c rre I agree t comply with all
city and county ordinances and state laws relating to ild g cons ction. d hereb authori representatives
of this county toI enter upon the above-mentioned prop y or insp tion pu oses.
Date:
to '�'a3�1.3 Signature (Applicant or Agent)`
� v
Application Number . . . . . 13-00000916
Permit . . . WALL/FENCE-PERMIT 2013
Additional desc . .
Permit Fee . . . . 75.79 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date . . 1/19/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
2.00 14.3000 EA MISC WALL, ADDL 50 LF
28.60
----------------------------------------------------------------------------
Special Notes and Comments
54LF OF 6. GARDEN WALL, 33LF OF 3
GARDEN WALL AND 87LF OF 5 GARDEN WALL
IN 8 SECTIONS AS PER APPROVED PLAN.
[ORCO SPECIFICATIONS] PRECISION CONCRETE
BLOCK SHALL BE COVERED WITH STUCCO,
PAINT, OR TEXTURED COATING WHERE VISIBLE
FROM OUTSIDE THE PROPERTY. 2010
CALIFORNIA BUILDING CODES.
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 75.79 .00 .00
75.79
Plan Check Total .00• .00 .00
.00
Grand Total 75.79 .00 .00
75.79
LQPERMIT
Bin #
.. City Of La Quinta
. Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1 0
Project Address: c v
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor: r
City, ST, Zip:
Telephone: els 0- -77 S - L) 3 4 :,;Y;>;;: >.%;::Y.v.}:.};,:;:<:;:w > v:;•..
;...}..;:>:<:;:::r.::;•:i:;n,;::�:::�;
Address: 4 a _ -7 O kN- \ S
Project Description:
City, ST, Zip:`�'r.\t
Sy \s
Telephone: o --77L -
5 Q 3
a
State Lic.
City Lic. #:
�. L�
Arch., Engr., Designer:
Address:,
M
City., ST, Zip:
Telephone: one:
State Lic. #: 4::<:»::;;»;}>;:.}}:<.:.:.;::.::>>:.%">}:.}}:.;}}}}:.}:.}
<><. :<.:>.;;
Name of Contact Person:
tructi n Type: Occupancy:
•s
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: -
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' Review, ready for correctionsfissue
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 correctionstissue .
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
k
ORCO STANDARD 6' TO 8' CMU SITE WALLS
o-- OPTIONAL FLAT CAP
DE9GNCRITER14: PER 77LE2007COC
1. ALLOWABLESOIL BEARING PRESSURE a LSW PSF
2. ALLOWABLE LATERAL PASSIVE ffli WRE =150 PCF
3. GROUT57RENGTH = 20010 PSI @ 28 DAM
4. REDVFORQNGSTEEL: GR40E60.
5.1500 PSI M4MRYCOMPRE NON STRENGTH.
6816, 6616, OR 6618 CTRL
GROUTED ONLY 0 VERT .
57EII
I 1 it I� i 1 71 MAX
H#4 HORZ CONT.
P �p€�
5'70 DJAYLmw
t17NT.
SEE CHART FOR REQUIRED REBAR
AND FOOTING DIMENSIONS. I.
NDTm CITY OF LA QUINTA
.L amum, r RlalluQ Wm& 9 W DEPT.
Z CONCRE F FOR A2
PAR7S S4N T03-1/2 PAR75GRAVEL WITHA MWMOMOF I-1/2
GALLONS WATER PER S4CX POR72AND CEMENT SMU CONFORM
70A57M lYPED/V Fc=ZSUOPSI
3 SHALL BEDBOR D L171VfORM 7O
A57MA61
4. REBIAR SHALL BE CVVTfRED IN THE CONCRETPBLOCK CEIL DV
WHICNITISLOCA7ED.
5 CONCRETE 8LOCKSHAU BE LAYER DVA RUNAONGBOND
PATTERN WITH W.RUCAL LON7NUITYOFTHELELL.S UNO.
6. ALL BLOCKCSLS CONTABVDVG M TMU REM SI'MU BE SOLID
GROUTED.
7. USE TYPES MORTAR PROPOR7IONEU U5VWGASTM C270 PART
CEMENT TO 1/2 PART LIME T0,+112 PARTS O,AMP, LOOSE SAND.
8. GROUTPOR CONCRETE BLOCK PER ASTM C476 TV BE 1 PART
CEMSVT 70 3 PARTS 54W (GROUT MAYCONZIM 2 PARTS 318-
M GRAVEL IF WEATHER CONDITIONSAREFAVORABLEAND BLOCK
UNMOSTRIX7ED cFIL SUELSSUPFICIENT TOALLOW GOOD GROUT
fLOW). WA7SG SHALL SEADDEO TO PRODUCEG70D GROUT PLOW
WITNOUTSFGREGA77ONOFTHE CONSMIJ3 M
9. BLOIX STBN MAYBE WET SET 1-1/2"DV7L7 THE P0077NG WHRE
WECOACRETEISPLAS77C.HLO KSTEM MAYBEPEA CED 70
L]THER EDGE OF THE 7R8VCNTYPE POOTING.
10. FO07WG MESTBE P UFM ON OR IMi) UNDLSTURBED
NATURAL SOIL OR ON COMPACTED FILL WITH AWMIUM
COMPAC77ON OF 90 9L '
11. FMSTDVSPECTION TO BE AFTER F007DVG 7R9VCflES ARE
READY FOR CONCRM AND ALL REQUIRLO STEEL JS TIED DV PLACE
SEFCONDDZPEC77aV TO BE WHEN TIE REVMZEJ VHCT M IS IN
MACE AND THE BLOCK WALL 1S READY TO GROUT.
TZ MAWWMCONTROL JVMrSPACING: 47OX 20'01C FOR
WALLS TO BE MORTAR WASIUDD CBT STUCCO OWED.
)TING DEPTH FOR 5' TO DAYLIG HT
WAtL �i1 wAu 6t WALL
TUP 1
FrALL
m4cK 2 R; SETBACK
2TOI 2--r zo-
9701 21-o' -
CI7Y.,C)OF QUINTA
OFESS.LON4
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tu
at ~ C31925
*
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1
o r
I 1 it I� i 1 71 MAX
H#4 HORZ CONT.
P �p€�
5'70 DJAYLmw
t17NT.
SEE CHART FOR REQUIRED REBAR
AND FOOTING DIMENSIONS. I.
NDTm CITY OF LA QUINTA
.L amum, r RlalluQ Wm& 9 W DEPT.
Z CONCRE F FOR A2
PAR7S S4N T03-1/2 PAR75GRAVEL WITHA MWMOMOF I-1/2
GALLONS WATER PER S4CX POR72AND CEMENT SMU CONFORM
70A57M lYPED/V Fc=ZSUOPSI
3 SHALL BEDBOR D L171VfORM 7O
A57MA61
4. REBIAR SHALL BE CVVTfRED IN THE CONCRETPBLOCK CEIL DV
WHICNITISLOCA7ED.
5 CONCRETE 8LOCKSHAU BE LAYER DVA RUNAONGBOND
PATTERN WITH W.RUCAL LON7NUITYOFTHELELL.S UNO.
6. ALL BLOCKCSLS CONTABVDVG M TMU REM SI'MU BE SOLID
GROUTED.
7. USE TYPES MORTAR PROPOR7IONEU U5VWGASTM C270 PART
CEMENT TO 1/2 PART LIME T0,+112 PARTS O,AMP, LOOSE SAND.
8. GROUTPOR CONCRETE BLOCK PER ASTM C476 TV BE 1 PART
CEMSVT 70 3 PARTS 54W (GROUT MAYCONZIM 2 PARTS 318-
M GRAVEL IF WEATHER CONDITIONSAREFAVORABLEAND BLOCK
UNMOSTRIX7ED cFIL SUELSSUPFICIENT TOALLOW GOOD GROUT
fLOW). WA7SG SHALL SEADDEO TO PRODUCEG70D GROUT PLOW
WITNOUTSFGREGA77ONOFTHE CONSMIJ3 M
9. BLOIX STBN MAYBE WET SET 1-1/2"DV7L7 THE P0077NG WHRE
WECOACRETEISPLAS77C.HLO KSTEM MAYBEPEA CED 70
L]THER EDGE OF THE 7R8VCNTYPE POOTING.
10. FO07WG MESTBE P UFM ON OR IMi) UNDLSTURBED
NATURAL SOIL OR ON COMPACTED FILL WITH AWMIUM
COMPAC77ON OF 90 9L '
11. FMSTDVSPECTION TO BE AFTER F007DVG 7R9VCflES ARE
READY FOR CONCRM AND ALL REQUIRLO STEEL JS TIED DV PLACE
SEFCONDDZPEC77aV TO BE WHEN TIE REVMZEJ VHCT M IS IN
MACE AND THE BLOCK WALL 1S READY TO GROUT.
TZ MAWWMCONTROL JVMrSPACING: 47OX 20'01C FOR
WALLS TO BE MORTAR WASIUDD CBT STUCCO OWED.
)TING DEPTH FOR 5' TO DAYLIG HT
WAtL �i1 wAu 6t WALL
TUP 1
FrALL
m4cK 2 R; SETBACK
2TOI 2--r zo-
9701 21-o' -
CI7Y.,C)OF QUINTA
OFESS.LON4
S.
tu
at ~ C31925
*
Exp. 12-31-
F OF _m- ,.
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Exp. 12- 0
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sr
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" 1 ^• HGH WJOD - . .81 MGH WALL al MASONRY WALL
1 61 A� tA/ i -'�Q ENTRY GATE _ 4' V MGH WALL 'D
aJ" SEES E`r UU PLAS. FP1 �I
/SEE SHEET lID C a 790 GAM_ . _1 r_ F9dFME TAMC
/ 1 POT 0 'k' � .ID MALL 'W FLA& FIN
SETBAOC m RETAIIPG WALL
CQI.. a —ER d9 t♦®F:D
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PLANTER
RAISED -' - -----------Ly-,-i-- --- -- ----
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S�M I it El- `- ❑ 4x�� ____ ____
I
1
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l.J [�----------�TELeP�WNE
6'HICiN fL19PP2Y I 1 fr---------- " �I ----- 1 I .
WALL W/FL. .FIN I_ CABLE '1
RETAMPG WALL I ii •' 1' i i i__ __1 1 �_ ___ ___ ___ T
AIDER A9 NEEDED I I I 1 1 I I
I i Cr n„ 6'HKH YA50NRT
I I�LJNI 11 1 I I I i I! ' FIX
I - ' V RE AT UTALL
C=====7 , II Il UNDER AS NEEDED
I 11 CCNC.
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1 1 11 1 I I 1 1 it 111 li`•1aj� 1 /
113
. �
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I � ' '�-------------- -�• I FOR OF]AINIC¢ ((I I
I 11 FIrEPLAGE ; i L.
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17
IPA= J I I I Z• _
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OI _ DELKI _ ; l V �v I:.J 'I I • rQ2 DRAINAGE '' 11A9OPv'Y WALL
T
BAR GA®EN
. I I i 11 DEIX Cr AEFA 1�1
r� __BY bad
--------------I 6'Mfi lasPLAS. I
I IIIYtAA6T TILE
G ,l :. WALL W/ PLA9 FUN
a LJ _____ f :. a ' N� RETARNII'. WALL
SCREETI iYPKAL \� I C� -. _____ I ) I � I➢IDER AS NEEDED
6 PLACES I C - � T � 1 6' H1GH HA50r62T '
1 .v✓ WALL UV PLA9. FIN. _ 1
__,A _ ________-____
\ 1 AD PLVL EQUIP. a YY' L: L: :: 3060 WOOD GATE—
b' MSN U ¢ UV STt
_ �. 10'- 4'- _
RETAMIIG WALL 96' HKdN REtAaN WALL _ DRAWAf� 6U1aLE® DRAINAGE FAIAI.E _ PER CITY STANDARD
UNDER A9 DED PER CITY ST ARD T
R PLANTER ' PL R
D'.0'
MB'•rJ'
10-0
IAA-50�Ca
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1:7 1 .. SAFE
DEPS.
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316
SCALE: 1/8'=1'-0' NORTH
1
PROGRESSIVE DESIGN CONCEPTS
• Arehltecbnral Design
• Residential and Conunertlal
• Planning and Development
79.116 cane Estado, Ste. 705
U Dulnta, CA 92255
Office (760) 5644707 Fax (760) 561-4955
.—neeptx.com
PROJECT TITLE
Proposed Single
Family Residence
for
Rolf & Deborah
Rybak
54-780 Avenida Rubio
La Quinta, CA 92253
A.P.N.:774-292-033
Datil Description
Number
tQ srm= Omer Changes
Dravm By
Approved BY
Project Manager
z
9A9�
�99Y9�
LU
III -
Stephen R. Nieto Date
Date: 3/26/2012
A11.0