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BWFE2014-114178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Twyl 4 4 QuAro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BWFE2014-1141 Owner: Property Address: 78905 SONESTA WAY ESTELLA RANGEL APN: 604152002 78905 SONESTA WY Application Description: BLOCK WALL 120 LN FT X 6FT HT CITY SPECS LA QUINTA, CA 92253 Property Zoning: Application Valuation: $3,500.00 D Applicant: Contractor: HUGO ACEVES OWNER BUILDER 78905 SONESTA WY . OEC ®g 2014 LA QUINTA, CA 92253 COMMUNITY DEVOELOpMOEM DEPARTMENT Llc. No.: 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: License No.: 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).: I as owner of the property, or my employees with wages as their sole cdmpensation, 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, 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:--`:/ `� 4ner7�L--f- 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: Date: 12/8/2014 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 perm t 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 issues, 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 forthwitf comply with those provisions. Date: t ,Applicant:_ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFU_, 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 IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject m 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, aid shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, aiid employees for any act or omission related to the work beingperformed 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 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter u n the abowe- mentioned property for inspection purposes. Date l5Signature (Applicant or Agent): FINANCIAL INFORMATION -DESCRIPTI"ON L ACCOUNT" M` AMOUNT ''' PAID PAID'DAIf' 4 ,+� ;£QTY ; BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY �' r: �.* , . METHOD -: - RECEIPT # ' CHECK # CLTD BY'. . , , , i Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00. $0.00 DESCRIPTION "" ' ' ".,`ACCOUNT Q TY. _ AMOUNT `' :t = PAID ,. _ . PAID WALL/FENCE - EA'ADDITIONAL 50 LF 101-0000-42404 0 $62.36 *' ,$0.00 ' RPAID BY ;" °METHOD,. :r =RECEIPT# ; >- "CHECK'#k CLTD BY_� 1 _DESCRIPTION, t :: ACCOUNT £:" QTY "u -AMOUNT f, n `' " PAID • 7t. _ -PAID. DATE. r_g , WALL/FENCE - FIRST 100 LF 101-0000-42404 0 a $47.86 $0.00 PAID BY ,, 4 ,, METHOD r, •: _ _,i RECEIPT # '' a ' CHECK # .� .` _ CLTD , `; ' ,` *E ` t ' i '`"'ACCOUNT z QTYAMOUNT #'� �;` "PAID PAIDDATE ..DESCRIPTION . WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY ''ti` `' METHOD $`RECEIP,.T•# ^� CHECK# CLTD.BIt , _ Total Paid forFENCE OR FREESTANDING WALL $171.13 $0.00 TOTALS:• •- i i ��t .ro ^F .ry"�,1 � - z'� �' �i ��� 'J1 i,%"�'..` r . . �f''t - �7• r� �' i. G � .. r .. � �� �• � . • �C d - a '�� '-�-,. a .. D..rt"s f ,,F - -r '* '�`• � a '+�nY'�''*'"'�.;. L ,ae'r" � 4. r' � � . F'r^' 3�s:. - `3;a�� Description: BLOCK WALL 120 LN FT X 6FT HT CITY SPECS Type: WALL/FENCE Subtype: - Status: SUBMITTED Applied: 12/8/2014 PJU Approved: Parcel No: 604152002 Site Address: 78905 SONESTA WAYLA QUINTA,CA 92253 Subdivision: TR 23269 Block: Lot: 51 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 120 LN FT X 6FT HT BLOCK WALL CITY SPECS. & APPROVED PLANS PER AJ.PRESION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES ADDITIONAL SITES CHRONOLOGY CONTACTSCONDITIONS _T Printed: Monday, December 08, 2014'5:06:01 PM 1 of 2 • SYSTEMS .,1• NAMETYP.E 4 `-''.. NAME" ADDRES51, CITY, .. STATE ZIP PHONE FAX EMAIL APPLICANT HUGO ACEVES 78905 SONESTA WY LA QUINTA CA , 92253 (769)250-8522 CONTRACTOR OWNER BUILDER (769)250-8522 OWNER ESTELLA RANGEL 78905 SONESTA WY _ LA QUINTA CA 92253 .(769)250-8522 _T Printed: Monday, December 08, 2014'5:06:01 PM 1 of 2 • SYSTEMS 01 ' tt�`q,• ,.Z v�t ` x �.. < �'�`'!� ';c . �= r .,,,* 'v,�t+Duy3 A.x `_:` ��i..: " ��.s.� y�+r^�xs' •� o � •f w „ r�, _ .. r i . . .... OF 77 r ..,,;• d•.• y s r. "AMOUNT r a'S ,•...s.!..u.....� +�'1"r'T ,r'.n"..Yw"�w '°CHECK ^1q' .. �4!'� dTD DESCRIPTION �'' , ACCOUNT, ;QTY ,; PAID PAID DATE RECEIPT # #" , METHOD, .y . PAID BY.': WALL/FENCE - EA 101-0000-42404 0 $62.36 .$0.00 ADDITIONAL 50 LF WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF WALL/FENCE = FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL $171.13 $0.00 044. I Printed: Monday, December 08, 2014 5:06:01 PM 2 of 2 srsreMs ' 1 Bin # City of La Quinta.. ' Building Sz Safety Division P.O. Box 1504, 78495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: --7,5 �� Owner's Name: /I k L-_-I_A_^ vcL A. P. Number: , Address: 76.-elOS Legal Description: City, ST, Zip: Z r v .rLA Contractor • Tele h n U o % 2 P )2 � 2 - Address: " Project Description: L City, ST, Zip: �tJ/� lc7 rte) ' 1P Telephone:SEMI �. y. I State Lie. # : City Lie. Arch., Engr., Designer: l <: —,,A� Address: City, ST, Zip: . Telephone: .:;.:..:.:. .:,:::.<: .::::.;".:::::. ::•:>;:•::>: "<' :>:.s:<:':>.`'•'...<>>.<":>•'•. Construction Type: Occupancy: State Lic. # Add'n Alter Repair Demo type (circle one): New Name of Contact Person: Sq. Ft.: 17 j # Stories: 1 # Units: a(, • . Telephone #,of Contact Person X60)13g'j 6— 2(6^js Estimated Value of Project:' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrcetions/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans }licked up S.M.I. . H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 'rd Reyiew, 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 CITY OF-13MUINTPX BUILDING & SAFETY DEP APPROVE® DATE b !BY <0� r oS Zee FOOTING OPTION ."A" FOOT(NG_OPTtONy "B" #4 HORIZONTAL REBAR (USE BOND BEAM BLOCK) 6" OR 8" BLOCK H., H.. HEIGHT FROM TOP #4 HORIZONTAL AT 32" MAX. O.C. HEIGHT FROM TOP OF FOOTING (USE BOND BEAM BLOCK) OF FOOTING SEE TABLE "A" SEE TABLE "B" I FOR REBAR SIZE FOR REBAR SIZE AND SPACING AND SPACING (LOCATE REUAR IN CENTER OF CCI.0 (LOCATE RW.AR IN CENTFR OF 0671) FINISH GRADE (1) #4 REBAR T CONTINUOUS _ F 12" 10 ILII (2) - #4 REBAR s ' . 10„ i2^ `�Sz �, .•_t.. =1111 CONTINUOUS IIII °�: • �� REVERSE II1�1111 DIRECTION OF Id HOOK ON EVERYiF OTHER REBAR i 00TING WIDTH)! ((FOOTING WIDTH)I SEE TABLE'•A" SEE TABLE "B" 'A "H • "W„ VERTICAL VERTICAL REINFORCEMENT 3' 17" #4 @ 48" O.C. 3' 20" #4 @ 48" O.C. q4'� 23" #4 @ 48" O.C. 6' 29" #4 @ 24" O.C. ALL FOOTINGS ADJACENT TO SLOPES TO BE AT LEAST 5' TO DAYLIGHT AS SHOWN BELOW. a. 13OTTOM S<oFyr OF V 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. CHECK WITH THE_BUILDING._DEPARTMENT.TO VERIFY IF A BUILDING. PERMIT I.S R.EQUIRED,. WHEN A PERMIT IS REQUIRED, THE FOLLOWING . INSPECTIONS ARE REQUIRED: 1) EOOTING; EXCAVATION TRENCH CLEAN WITH STEEL IN PLACE AND SUPPORTED 3" ABOVE AND AWAY FROM THE SURROUNDING EARTH/DIRT. 2) REBAR/PRE GRQUT; BOND BEAM REBAR AND VERTICAL REBAR IN-PLACE - INSPECTION PRIOR TO PLACING GROUT: 3) .FINAL; AFTER GROUT IS PLACED - PRIOR TO ANY DECORATIVE CAP PLACEMENT. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM qj o/ a FREESTANDING BLOCK WALL PHONE (760) 777-71.25, 78-495 CALLE TAMPICO LA OUINTA, CALWORNIA 92253 PAX (760) 777-70).) 1 to/n/201,1 'COMMUNITY DEVELOIlNIsNT DLr r.I PAGE I OF• 2 "H .W„ VERTICAL 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 THE_BUILDING._DEPARTMENT.TO VERIFY IF A BUILDING. PERMIT I.S R.EQUIRED,. WHEN A PERMIT IS REQUIRED, THE FOLLOWING . INSPECTIONS ARE REQUIRED: 1) EOOTING; EXCAVATION TRENCH CLEAN WITH STEEL IN PLACE AND SUPPORTED 3" ABOVE AND AWAY FROM THE SURROUNDING EARTH/DIRT. 2) REBAR/PRE GRQUT; BOND BEAM REBAR AND VERTICAL REBAR IN-PLACE - INSPECTION PRIOR TO PLACING GROUT: 3) .FINAL; AFTER GROUT IS PLACED - PRIOR TO ANY DECORATIVE CAP PLACEMENT. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM qj o/ a FREESTANDING BLOCK WALL PHONE (760) 777-71.25, 78-495 CALLE TAMPICO LA OUINTA, CALWORNIA 92253 PAX (760) 777-70).) 1 to/n/201,1 'COMMUNITY DEVELOIlNIsNT DLr r.I PAGE I OF• 2 FOC DESIGN PARAMETERS: ACTIVE SOIL PRESSURE (PSF) =30 PASSIVE SOIL BEARING (PSF) =150. COEFFICIENT OF FRICTION = 0.25 ALLOWABLE SOIL BEARING (PSF) =1500 WIND = 80 MPH, EXPOSURE C SEISMIC: NA= 1.3. Nv=1 .6, Z=0.4, SOIL PROFILE=SD T&!V-4-40" P.O. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in yo name listing yourself as the builder of the 'property improvements specified at 6 � 9 U> \ � 0 LA We are providing you with an Owner -Builder. Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this -notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF.INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. (1: I understand a frequent practice of unlicensed persons .is to, have the property owner. obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on �my property. I understand building permits are not required to be signed by property owners unless they are responsible for then construction and are not hiring a licensed Contractor to assume this responsibility. W.U. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from.potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. fA4. I understand Contractors are required by law to be, licensed and bonded in California and to list their license.numbers on permits and contracts. . Y v5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered. an "employer" unnderr state and federal law. �/ "6: I understand if I am considered an "employer" under state and federal.law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject,me to serious financial risk. a7• I understand under California Contractors' State License Law, an. Owner -Builder who builds single-family residential structures cannot legally, build• them with the intent to offer them for 'sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. r`8 I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. f9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the Califomia Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. �10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. "--�2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may beheld liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner ��/` Date: �~ Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work):,1.�'xa,t:(�l Project Location or Address: '74_5 -91 %34:� Name of Authorized Agent: _V_6_,,o e, , ,"S Tel No bc>-38,75 2✓1� Address of Authorized Agent: ",; -mak k -k e;, iz-> � j3 - y , CA I declare under penalty of perjury that I. am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is requir d"-' be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: Z2 -Y—