BWFE2015-0218LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. C53, A License No.: 348768
Da- Ve 1S a Contractor:I��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Conteactor'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
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
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.).
(_) 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:
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.
XL' -4 -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,
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. �iiGG�GS��K--
Date:'—/45 /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 ($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, an J
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 correcz.
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 upon the above-
mentioned property for inspection purposes.
Date:6 ��s -/r Signature (Applicant or Agent)
Q9,!K&Twit
VOICE (760) 777-7125
78-495 CALLS TAMPICO
D
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT.DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/15/2015
Application Number:
Property
BWFE2015-0218
Owner:
Address:
APN:
54065 AVENIDA VALLEJO
774212014
GLEN KNABENSHUE
54065 AVENIDA VALLEJO
o
Application Description:
KNABENSHUE / 14LF OF 3
1/2 FOOT OF BLOCK WALL
LA QUINTA; CA 92253
z
Property Zoning:
Application'Valuation:
$350.00
m o
-rho
� CTS
Applicant:
Contractor:
c C
WESTERN POOLS.
WESTERN POOLS
GD j
P O BOX 5328
P O BOX 5328
v
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)275-2948
Lic. No.: 348768
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. C53, A License No.: 348768
Da- Ve 1S a Contractor:I��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Conteactor'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
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
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.).
(_) 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:
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.
XL' -4 -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,
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. �iiGG�GS��K--
Date:'—/45 /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 ($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, an J
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 correcz.
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 upon the above-
mentioned property for inspection purposes.
Date:6 ��s -/r Signature (Applicant or Agent)
FINANCIAL INFORMATION
AC COUNT a }'u �
fit -AMOUNT+
s. PAID DATE
a
rCRTY
,PAID
BSAS SB1473 FEE 101-0000-20306 ' 0
$1.00
$0.00
PAIQ,BY t •>'_ �-� f ��« "�x'�`�METNOD�'� Jr` �w . RECEIPT
•CHECK # } CLTD BY.'
� N*y
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTIONi
y = i4A00OUNT
QTY
t AMOUNT ? ,
Tt, PAID^
,PAID DATE'
WALL/FENCE- FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY' " °° kms`
?"� -METHOD " �*° i:'
_ `: RECEIPT.# _ �� `
CHECK # =
*CLTD BY -
a_% K,DESCRIPTION' _:''��
:ACCOUNTS: j
iAINIOUNT
"PAIDr
PAID'DATE°WALL/FENCE
,
,'a' ,� .
- FIRST 100 LF PC
101-0000-42600
70t.-
$60.91
$0.00
PAID:BY
,
METHOD ;`v
F -:RECEIPT#%
{CHECK# "
CLTDBY:.4
�f
M ,
,:-
Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00
TOTALS:•• i •0
=
Description: KNABENSHUE / 14LF OF 3 1/2 FOOT OF BLOCK WALL
Type: WALL/FENCE Subtype: Status: APPROVED
Applied: 6/15/2015 SKH
Approved: 6/15/2015 SKH `
Parcel No: 774212014 ' _ Site Address: 54065 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 284 Lot: 3
Issued:
UNIT 26
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $350.00 Occupancy Type: t Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 14LF OF 3 1/2' GARDEN WALL [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
CONDITIONS
Printed: Mnnriay; li inP 15, mi r, R•79•'Afi AM , 1 of 2
SYSTEMS
^`F
INSPECTIONS
SEQID
TYPE,
; INSPECTORS ' n.
CTD.,
DESCRIPTION
QTY
AMOUNT
PAIACCUNT
PAD DATE
REE P,
C
METHOD
"PAID BYE
-.y
BOND BEAM
WALL/FENCE -FIRST
FINAL"
BLD
101-0000-42404
0
$47.86
$47.86
6/15/15
R7038
15098
CHECK
WESTERN POOLS
SKH
100 LF
WALL/FENCE -FIRST
101-0000-42600
0
$60.91
$60.91
6/15/15
R7038
15098
CHECK
WESTERN POOLS
SKH
100 LF PC
Total Paid forFENCE OR FREESTANDING WALL $108.77 $108.77
TOTALS:0• •• .77
PARENT PROJECTS
ATTACHMENTS .
i
Print4d: Monday, June 15, 2015 9:29:36 AR4 2 of 2 C
SYSTEMS
INSPECTIONS
SEQID
TYPE,
; INSPECTORS ' n.
SCHEDULED
COMPLETED'
:RESULT
; =. :: REMARKS
.. �
,INSPECTION
4k
DATE
DATE
"ak
-.y
BOND BEAM
BLD
FINAL"
BLD
FOOTINGS
BLD
PARENT PROJECTS
ATTACHMENTS .
i
Print4d: Monday, June 15, 2015 9:29:36 AR4 2 of 2 C
SYSTEMS
A -
j CITY OF LA QUANTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA BY
I
Pump
Fi I r rr t ,
gAc K P/
3
Pali o
3
V
va e.nshue
pI
rld ve
Bin #
City of La Quinta
Building 8z 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: �('�is �/� VVI
Owner's Name: e� b evt5
A. P. Number:
Address: ,5 Ave Valla
Legal Description:
City, ST, Zip: LQa VI t tteL CA
Contractor: p of
S t ID
Telephone:
hon e.
.................:................:.:.:::::.:
Address: Po S
2
Project Description: , f
City, ST, Zip: Lo. ' i s
Zzyrb
o b oc K wall
Telephone: 74c 1S
State Lic. # : ,3 7&
City Lie. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e one:
P
<'.
n stru tion TY e
�C
Occupoan cY
P
tate Lie. #.
ProJect type (circle one): . N w Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 350
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 Cales.
Plans picked up
Construction
'
Flood plain plan
r
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
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 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 Fees
FOOTING OPTION "A"
H
HEIGHT FROM TOP
OF FOOTING
FOOTING OPTION_!"_
#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 REDAR IN CENTER Or CELL)
t
X1111
1�„ 10 s I�1I=
REVERSE _ —
DIRECTION OF
HOOK ON EVERY �(FOOTING WIDTH)
OTHER REBAR SEE TABLE "A"
SEE TABLE "B"
FOR REBAR SIZE—
AND SPACING
(LOCATE REBAR IN CENTER OF CEW
FINISH GRADE
(1) - #4 REBAR
(2) - #4 REBAR
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
a.
s'C
ti -
BOTTOM AF
OF 4 5' MIN.
FOOTING
NOTES:
1) THIS DESIGN DOES NQT 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 ON LY 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.
111�II�
(FOOTING WIDTH)
SEE TABLE "B"
H„
HEIGHT FROM TOP
OF FOOTING
I
12"
TABLE `A"
"H
VERTICAL
REINFORCEMENT
3'
17"
#4 @ 48" O.C.
4'
20"
#4 @ 48" O.C.
5'
23"
#4 @ 48" O.C.
6'
29"
#4 @ 24" O.C.
SEE TABLE "B"
FOR REBAR SIZE—
AND SPACING
(LOCATE REBAR IN CENTER OF CEW
FINISH GRADE
(1) - #4 REBAR
(2) - #4 REBAR
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
a.
s'C
ti -
BOTTOM AF
OF 4 5' MIN.
FOOTING
NOTES:
1) THIS DESIGN DOES NQT 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 ON LY 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.
111�II�
(FOOTING WIDTH)
SEE TABLE "B"
H„
HEIGHT FROM TOP
OF FOOTING
I
12"
CHECK,WITH_ HE_.BUILDING_DEPARTMENT.TO
VERIFY_IF A BUILDING._PERMIT_IS.,REQUI.RED,
WHEN A PERMIT IS REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) EC!QTING; EXCAVATION TRENCH CLEAN WITH
STEEL IN PLACE AND SUPPORTED 3" ABOVE AND
AWAY FROM THE SURROUNDING EARTH/DIRT.
2) REBAR/PRE7G.B_ UT; BOND BEAM REBAR AND
VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO
PLACING GROUT.
3) EINAL; AFTER GROUT IS PLACED - PRIOR TO ANY
DECORATIVE CAP PLACEMENT.
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
�iMN W
J� JAG
FREESTANDING BLOCK WALL
OF'1�{°VO
PHONE (760) 777-71.25 178-495 CALLS TAMPICO
IA OUINTA, CALIFORNIA 9225:3
FAX (760) 777-7011. 1 10/9/2019 'COMMUNn-V DEVELOPMENTDEPT.I PAGE 1 OF2
:TABLE ` B"
VERTICAL
REINFORCEMENT
3'
1 9"
#4 @ 48" O.C.
4'
22"
#4 @ 48" O.C.
5'
29"
#4 @ 48" O.C.
6'
34"
#4 @ 24" O.C.
CHECK,WITH_ HE_.BUILDING_DEPARTMENT.TO
VERIFY_IF A BUILDING._PERMIT_IS.,REQUI.RED,
WHEN A PERMIT IS REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) EC!QTING; EXCAVATION TRENCH CLEAN WITH
STEEL IN PLACE AND SUPPORTED 3" ABOVE AND
AWAY FROM THE SURROUNDING EARTH/DIRT.
2) REBAR/PRE7G.B_ UT; BOND BEAM REBAR AND
VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO
PLACING GROUT.
3) EINAL; AFTER GROUT IS PLACED - PRIOR TO ANY
DECORATIVE CAP PLACEMENT.
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
�iMN W
J� JAG
FREESTANDING BLOCK WALL
OF'1�{°VO
PHONE (760) 777-71.25 178-495 CALLS TAMPICO
IA OUINTA, CALIFORNIA 9225:3
FAX (760) 777-7011. 1 10/9/2019 'COMMUNn-V DEVELOPMENTDEPT.I PAGE 1 OF2
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