BWFE2015-021678-495-CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2015-0216
Property Address:
49995 PARK AVE
APN:
602020004
Application Description:
BOYS AND GIRL'S CLUB / BLOCK WALL ENCLOSURE
Property Zoning:
N
Application Valuation:
$6,000.00
Applicant:
UNITED BROTHERS CONCRETE INC
P 0 BOX 756
THOUSAND PALMS, CA 92276
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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 Professions Code,
and my License is in full force and effect.
License Class: B, C-8, C29, A License No.: 800402
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 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.).
(_) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CITY OF LA QUINTA.
82879 HIGHWAY 111
INDIO, CA 92253
Contractor:
UNITED BROTHERS CONCRETE
P 0 BOX 756
THOUSAND PALMS, CA 92276
(760)343-2861
LIc. No.: 800402
Date: 6/11/2015
WORKER'S COMPENSATICIN 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 d the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' condensation 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 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 ($100,000)~ IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR 1.14 SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWI EDGEMENT
IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to
the conditions and restrictions set forth on this E pplication.
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 Gty 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 iszuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify.that I have read.this application and sta-e that the above information is correct.
I agree to comply with all city and county ordiminces and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for.inspection purposes.
Date: Signature (Applicant or Agent):
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WORKER'S COMPENSATICIN 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 d the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' condensation 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 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 ($100,000)~ IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR 1.14 SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWI EDGEMENT
IMPORTANT: Application is hereby made to the 3uilding Official for a permit subject to
the conditions and restrictions set forth on this E pplication.
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 Gty 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 iszuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify.that I have read.this application and sta-e that the above information is correct.
I agree to comply with all city and county ordiminces and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for.inspection purposes.
Date: Signature (Applicant or Agent):
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FINANCIAL INFORMATION
sDESCRIPTIONACCOUNT�,�`"'AMOUNT �, _ . PAID '� PAID DATE:
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY a ,,METHOD +iY,^ } itECEIPT# u °.,q ". CHECK # ' CLTD BY:';
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00
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SCRIPTION."„ACCOUNT
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AMOUNT', .
a PAID
.PAID DATE
WALL/FENCE -FIRST 100 LF
101-0000-42404
0
.$47.86
$0.00
41,
:-METHOD N,
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_z: CHECK #
CITD,BY
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�,n” UESCRIP.TIONf k;�` F
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�AAMOUNT,,
PAID
PAID;DATE'
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID,BY
METHOD;!:'414, 4:
`METHOD
N: a
r :RECEIPT # •
CHECK #
�, = 3
s BY",.
CLTD B,
Total Paid forFENCE OR FREESTANDING WALL- $108.77 $0.00
TOTALS:0• • •-
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FINANCIAL INFORMATION
sDESCRIPTIONACCOUNT�,�`"'AMOUNT �, _ . PAID '� PAID DATE:
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY a ,,METHOD +iY,^ } itECEIPT# u °.,q ". CHECK # ' CLTD BY:';
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00
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Description: BOYS AND GIRL'S CLUB / BLOCK WALL ENCLOSURE
Type: WALL/FENCE Subtype: Status: APPROVED
Applied: 6/11/2015 SKH
Approved: 6/11/2015 JJO
Parcel No: 602020004 Site Address: 49995 PARK AVE LA QUINTA,CA 92253
Subdivision: PM 20469 Block: Lot: H
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: "
Valuation: $6,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 26LF OF 6' GARDEN WALL FOR ENCLOSURE AT EAST SIDE OF BUILDING [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING
CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
FINANCIAL INFORMATION
Printed: Thursday, June 11, 2015 10:49:37 AM 1 of 2 C srsrEMS
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PARENT PROJECTS
.`,116h6VER
RE -TUR -46'
%SENT
REMARKS'
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REVIEWiTYk -I
DATE 14
DUE DATE',
INSPECTIONS
'SE66t
INSPECTION TYPE k
INSPECTOR-
'SCHEDULED
COMPLETED; RES LT.:.
Z_, REMARK
NCIN-STRUCTURAL -
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION _$1.00 $0.00
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
FINAL"
BLD
100 LF
FOOTINGS
BLD
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00
TOTALS: $109.77 $0.00
PARENT PROJECTS
.`,116h6VER
RE -TUR -46'
%SENT
REMARKS'
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REVIEWiTYk -I
DATE 14
DUE DATE',
INSPECTIONS
'SE66t
INSPECTION TYPE k
INSPECTOR-
'SCHEDULED
COMPLETED; RES LT.:.
Z_, REMARK
NCIN-STRUCTURAL -
JIM JOHNSON
6/11/2015
6/18/2015
6/11/2015
APPROVED
BOND BEAM
BLD
FINAL"
BLD
FOOTINGS
BLD
PARENT PROJECTS
. ^
Printed: Thursday, June 11,ZOzSzO:49:37AM
.`,116h6VER
RE -TUR -46'
%SENT
REMARKS'
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REVIEWiTYk -I
DATE 14
DUE DATE',
ATTACHMENTS
NCIN-STRUCTURAL -
JIM JOHNSON
6/11/2015
6/18/2015
6/11/2015
APPROVED
PER CITY SPECS
. ^
Printed: Thursday, June 11,ZOzSzO:49:37AM
BOND
INFORMATION
ATTACHMENTS
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Printed: Thursday, June 11,ZOzSzO:49:37AM
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FOOTING OPTION"A"
H..
HEIGHT FROM TOP
OF FOOTING
FOOTING OPTION "B
#4 HORIZONTAL REBAR.
(USE BOND BEAM BLOCK)
6" OR 8" BLOCK
#4 HORIZONTAL AT 32" MAX. O.C.
(USE BOND BEAM BLOCK) .
SEE TABLE "A'
- FOR REBAR SIZE
AND SPACING
(LOCATE REBAR IN CENTER OF CAL)
REVERSE=tli�llll
DIRECTION OF dW" -♦
HOOK ON EVERY (FI OOTING WIDTH)
OTHER REBAR SEE TABLE "A"
'°h.+Ch��'I%x
4�� .,
H„
'.W..
VERTICAL
REINFORCEMENT
3'
17"
#4 @ 48" O.C.
4'
20"
#4 @ 48" O.C.
r6-�
23"
#4 @ 48"O.C.
29"
#4 @ 24" O.C.
.. H..
HEIGHT FROM TOP
OF FOOTING
SEE TABLE "B"
FOR REBAR SIZE -
AND SPACING
(LOCATE REBAR IN CENTER OF CEL0
FINISH GRADE
(1) - #4 REBAR
CONTINUOUS
(2) - #4 REBAF
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
BOTTOM s`�-
OF 5' MIN.
FOOTING
NOTES:
1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF
_._...
MORE THAN 6" ON OPPOSING SIDES OF THE WALL. THIS IS
NOT A RETAINING WALL.
2) FENCE HEIGHTS ARE REGULATED — CONSULT ZONING
REGULATIONS BEFORE BEGINNING CONSTRUCTION.
3) NO WATER COURSE OR NATURAL DRAINAGE SHALL BE
OBSTRUCTED.
4) GROUT ONLY THE CELLS CONTAINING REBAR. THIS WALL
IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED.
5) ALL REBAR TO BE ASTM SPEC. A615, GRADE 40 MINIMUM.
6) ALL REBAR LAP SPLICES TO BE 24" MINIMUM.
7) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N.
8) REBAR.TO BE CENTERED IN MASONRY CELLS.
'SEE PAGE 2 FOR ADDITIONAL INFORMATION'
DISCLAIMER:
ALTERNATE DESIGNS MAY. BE POSSIBLE
WHEN PROVIDED WITH AN ENGINEERED
ANALYSIS. USE OF THIS STANDARD DESIGN
IS AT THE USER'S RISK AND CARRIES NO
IMPLIED OR INFERRED GUARANTEE AGAINST
FAILURE OR DEFECTS.
10" 12"
W., _
(FOOTING WIDTI
SEE TABLE "B"
VERTICAL
.H" W,. REINFORCEMENT
3' 19" #4 @ 48" O.C.
4' 22" #4 @ 48" O.C.
5 29" #4 @ 48" O.C.
6' 34" #4 @ 24" O.C.
CHECK WITH -a E_BUILDING._DEPARTMENT TO
VERIFY IF A BUILDING PERMIT _IS_ REQU[RED.:,
WHEN A PERMIT IS REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) FOQTIIVG; EXCAVATION TRENCH CLEAN WITH
STEEL IN PLACE AND SUPPORTED 3" ABOVE AND
AWAY FROM THE SURROUNDING EARTH/DIRT.
2) LZEBAR/PRE GROUT; BOND BEAM REBAR AND
VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO
PLACING GROUT.
3) EINAL; AFTER GROUT 1S PLACED - PRIOR TO ANY
DECORATIVE CAP PLACEMENT.
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
;
FREESTANDING BLOCK WALL
.01:
PHONE (760) 777-7125 78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
PAX (760) 777-7011 10/9/2014 1COMMUNCIY DEVELOPMENT DEPT. PAGE I UR 2
FOC
MAL
ACTIVE SOIL PRESSURE (PSF) =30
PASSIVE SOIL BEARING (PSF) =.I 50
COEFFICIENT OF FRICTION = 0.25
ALLOWABLE SOIL BEARING (PSF) =1500
WIND = SO MPH. EXPOSURE C
SEISMIC:
NA= 1.3. Nv=1 .6. Z=0.4, SOIL PROFILE=SD
Bin #
,
Qty of La Quetta
Building &r Safety Division
P.O: Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address: 9 9 9 5 P �(Aje.
Owner's Name:-
ame:A.
A.P. Number:
Address:
Legal Description:Ae6lA\AjCCA
Contractor:
City, ST, Zip:
Tele hone:
P
Address:S
('V
Project Description: k X
City, ST, Zip:qC
CY, 2
C ltl
Telephone: —1
V 2 g&
w S
}
State Lic. # : 00(41
City Lie. _#: "
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e one:
P
Lie. #
Con structi Type: e - Occupancy:
Y P cY•
F •
Project ect Pe (circle
one):
Re-)' Add' n alt er Repair
Demo
Name of Contact Person:
r
Sq. Ft.: .[A
# Stories:
#Units:
.
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Recd
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
2'd Review, ready for corrections/issueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A,I,P,P,
Pub. Wks. Appr .
Date of permit issue
School Fees
Total Permit F -'-es