BWFE2015-00351i
` 18:495 CALLE TAMP ICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:.,
Application Valuation:
Applicant:
DWAYNE JURETICH
77125 CALLE TEMECULA
LA QUINTA, CA 92253
c% 4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BWFE2015-0035
77125 CALLE TEMECULA
774261007
1URETCICH RESIDENCE - PROPERTY LINE WALLS
$25,000.00
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).:
MI, 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.).
f, 1, as owner of the property, am exclusively contracting with licensed contractors
toinstruct 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 am exempt under Sec. . B.&P.C. for this reason
Date: L—bm Owner � OL 1
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:
Owner:
DWAYNE JURETICH
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
77125 CALLE TEMECULA
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
Date: 2/6/2015
FEB 06 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 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 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 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
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 • o e ter upon the above-
mentioned property for inspection purposes..
i
Date: 2 to 'Signature,(Applicant orAgent)
Lender's Address: I c—
P.O. Box -1504,.
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS 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 your ame listing yourself as tlje builder .of the property
improvements specified at IL ON I ' t
We are providing you with an Owner -Builder Acknowledgment and Information_ Verification Form to make you aware of.your
responsibilitiesand 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'SACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
V i / i . 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.
E2. I understand building permits are not iequired to be signed by property owners unless they ace responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
11 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.
0�4. I understand Contractors 'are required by law to be licensed and bonded in California and to list their license numbers on.
permits and contracts.
5. 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"
under state and federal law.
0-6. 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.
saI understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
c res 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.
'-PAX 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.
R!jf_9. 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 California
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. 1 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:
ss 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
app tcable laws and requirements that govern Owner -Builders as well as employers.
12. 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 be held 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 requirid to be presented when the permit is issued to verify the property
owner's signature.
Signature of property own r 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):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
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 required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
FOC
DESIGN PARAMETERS:
ACTIVE SOIL PRESSURE (PSF)
= 30
PASSIVE SOIL BEARING (PSF)
=150
COEFFICIENT OF FRICTION
= 0.25
ALLOWABLE SOIL BEARING (PSF)
=1 500
WIND = 80 MPH. EXPOSURE C
SEISMIC:
NA= 1.3. NV=1.6. Z=0.4, SOIL PROFILE=SD
FOOTING OPTION "A"
i
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 Rroi R IN CCNTER Off ccW
12"io.
inn
REVERSE
' =111=nn
DIRECTION OF
W" No 1
HOOK ON EVERY
(F' OOTING WIDTH)
OTHER REBAR
SEE TABLE "A"
'..
TABLE.''A".
H"
W„
VERTICAL
REINFORCEMENT
3'
17"
#4 @ 48" O.C.
4'
20"
#4 @ 48" O.C.
5'
23"
#4 @ 48" O.C.
6'
29"
1 #4 @ 24" O.C.
SEE TABLE"B"
FOR REBAR SIZE—
AND SPACING
(LOCATE.•. REBAR IN CF-NT01 OF C01)
FINISH GRADE
(1) - #4 REBAR
(2) - #'4 REBAF
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST S' TO
DAYLIGHT AS SHOWN BELOW.
101
tis
OF
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 WATERCOURSE 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.
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
J J/
CI• ,Y>.
FREESTANDING BLOCK WALL
CF.v OF Pyr.
=1111-1111
(FOOTING WIDTH)
SEE TABLE "B"
f
iI
f
«H,.
HEIGHT FROM TOP
OF FOOTING
i
CHECK WITH_THE..BUILDING. DEPARTM.E..NTTO
VERIFY_IF A. BUIL DING_PERMIT.IS._REQU[RED.
WHEN A PERMIT IS REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) FO.QTING; 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.
'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.
PHONE (760) 777-7) 25
PAX (760) 777-7011. 1 111/9/2014
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
7.171Y DLNIFLOPMENT DEPT. PAGE 1 01-2
TABLE "B„
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. DEPARTM.E..NTTO
VERIFY_IF A. BUIL DING_PERMIT.IS._REQU[RED.
WHEN A PERMIT IS REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) FO.QTING; 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.
'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.
PHONE (760) 777-7) 25
PAX (760) 777-7011. 1 111/9/2014
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
7.171Y DLNIFLOPMENT DEPT. PAGE 1 01-2
Clip
PP
• . .:i ®Y F OV By PU.3eNHYG DEPAPTI 94i
DATE
CA.$E NO: i2
# ' tfio
If,
(
QIW405-4 ._.�lTy OF LA QUINT
.!;otCL
l: p - BUILDING &Si4FE1Y.DFF?T..
FOR CONSTRUCTION,-
DATE
ONSTRUCTION. DATE
FINANCIAL INFORMATION
r
` o-PAIAID DATE=
DESCRIPTION " ` ' QTYu�AMOUNT 9 DZ P
, g . s _ .?dA000UNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $1.00 2/6/15
PAID;BY r *
k's i" METHOD ^ _ RECEIPT # i0 CHEEK
t s' •^b :: i^a-:,,i--. i"T
DWAYNE JURETICH
DEBIT . R3631 AZA, '
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA .' $1.00 $1.00
DESCRIPTIONS'ACCOUNT
:
QTY
AMOUNTS
sPAID
PAID.DATE
;=`
j.
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$178.36
$178.36
2/6/15
RECEIPT# 'n�
#4"
HECK
CLTD BYE,.
DWAYNE JURETICH
DEBIT
R3631 •
AZA
DESCRIPTION-0ACCOIINT„
t
€'QTY
AMOUNTy`' t
PAID DATE:.
+ WALL'/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86'
$47.86
2/6/15,
`�
PAID BY_r 3.
F METHOD a xE
RECEIPT ,#
CHECK #
CGTD BY ?
7.?
DWAYNE JURETICH
DEBIT
R3631
AZA
t.
��;
ACCOUNT
�QTY�
AMOUNTS `
� PAID;^
� PAID�DATE
zDESCRIP.TION
c`
,Y
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$60.91•
2/6/15 .
`~ PAID'BY(,
` ' ' METHOD
Fy •"'RECEIPT #41 ' e
�t `b a CHECK #
CLTD BYi>
9
�
�<
DWAYNE JURETICH
DEBIT
R3631
AZA
Total Paid forFENCE OR FREESTANDING WALL $287.13 $287.13
TOTALS:
IV-
wAPProv Issu
• .4 -`:vara ,s wa..�..
ADDITIONAL
CONDITIONS
NAME TYPE
t
CONTACTS
,; ,ADDRESSl "'CITYg
STATE:,
; ZIP+*.
PHONE,''Y ��� FAX. EMAIL'
APPLICANT
DWAYNE JURETICH
`
77125 CALLE
TEMECULA
LA QUINTA
CA
92253
(760)774-6054 R.
CONTRACTOR
OWNER BUILDER
•
(760)774-6054 y
OWNER`
DWAYNEJURETICH
77125CALLE
TEMECULA
LA QUINTA
CA
92253
.(760)774-6054 '
a
IV-
wAPProv Issu
• .4 -`:vara ,s wa..�..
ADDITIONAL
CONDITIONS
NAME TYPE
NAME' ;w,
CONTACTS
,; ,ADDRESSl "'CITYg
STATE:,
; ZIP+*.
PHONE,''Y ��� FAX. EMAIL'
APPLICANT
DWAYNE JURETICH
`
77125 CALLE
TEMECULA
LA QUINTA
CA
92253
(760)774-6054 R.
CONTRACTOR
OWNER BUILDER
•
(760)774-6054 y
OWNER`
DWAYNEJURETICH
77125CALLE
TEMECULA
LA QUINTA
CA
92253
.(760)774-6054 '
a
E C I PTION
ACCOUNTS
QTY
PAID a
t4
PAID DATE
7,
CHECK It
8> p'
PAID
LTD
t .AMOUNT,;
4
BY
BSAS 581473 FEE
101-0000-20306
0
$1.00.
$1.00
2/6/15
R3631
DEBIT
DWAYNEJURETICH
AZA
Total Paid forBUILDING STANDARDS ADMINISTRATION k
$1.00 $1.00
BSA:
WALL/FENCE - EA'
101-000G-421404
0
$178.36
$178.36
2/6/15
R3631
DEBIT
DWAYNE)URETICH
AZA
ADDITIONAL 50 LF
WALL/FENCE ',FIRST
.
101-0000-42404
0.
$47.86
$47.86
2 /6/15
R3931
DEBIT
DWAYNEJURETICH
AZA
100 LF
-
WALL/FENCE -FIRST
101-0000-42600
0
$60.91
$60.91
2/6/15
R3631
DEBIT
DWAiNEJURETICH
AZA
100 LF PC
I
I
II
Total Paid for FENCE OR FREESTANDING WALL $297.13 $287.13,
TOTALS: $288.13 $288.13
Bin #
.-City of La Quinta.
Building &I Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, a 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
a-jl CA
Owner's Name:
A. P. Number:
g•
Address:+
Legal Description:City,
ST, Zip: °`�
Contractor: D
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Tele hone:ba,
Address:
Project Description: '\CL
City, ST, Zip:05--A
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TeleP hon .
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State Lic. # :
City Lic.
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Arch., Engr., Designer:
Nto VIV
Address:
City, ST, Zip:
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Telephone:
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ConstructionT e: Occupancy:
YP
State Lic. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person
r L
Sq. Ft.:
#Stories:
# Units:
Telephone #,of Contact Person:
U (�p Ce)5-4f
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 Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans.pickcd up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Nr
2" Review, ready for correctionslissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
+`
H.O.A. Approval
Plans resubmitted
.+.
Grading
IN IiOUSE:-
'rd Reyicivi ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
r
School Fees
k
Total Permit Fees