13-1396 (BLCK)P.O.'BOX 1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001396
Property Address: 80270 VIA CAPRI
APN: 777 -100 -073 -
Application description: WALL/FENCE
Property Zoning: LOW-DENSITY RESIDENTIAL
Application valuation: 8000
Applicant:'
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RICHARD .& ALEXANDRA ALBERS
ALBERS FAMILY TRUST
.80270 VIA CAPRI
LA QUINTA, CA 92253
NOV 04 2013
-----------------------------
LICENSED CONTRACTOR'S DECLARATION
------�rNdNc
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 Professionals Code, and my License is in full force and effect.
Li se.Class: B. License No.: 769229
(/Date: NU✓ ( 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 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.).
(_ 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:
ALBERS CONSTRUCTION CO, INC.
P.O. BOX 238
LA QUINTA, CA 92253
(760)771-9954
Lic. No.: 769229
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/01/13
WORKER'S COMPENSATION DECLARATION
LW4Q arm rm 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
ssued.
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 9028371-2013
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 subjec o the workers' compensation provisions of Section
3700of a Labor Code, I shall fo h omply with those provisions.
��j/ f
I
Date:( ' pplicant: '
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 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 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, a hereby authorize representatives
o;fpis county to enter•u�p the above-mentioned proper for insp ction oses.
i y
Date: ' �� 3 Signature (Applicant or Agent(:
Application Number 13-00001396
Permit WALL/FENC2 PERMIT 2013 .
Additional desc .
Permit Fee . . . . 61.49 Plan Check Fee
.00
Issue Date Valuation
8000
Expiration Date 4/30/14 "
Qty Unit Charge Per
Extension
1.00 47.1900" LS MISC WALL,•FIRST•100 LF
47.19
1.00 14.3000 EA MISC WALL, ADDL 50 LF
14.30
Special Notes and Comments
BLOCK WALL - INSTALL 138 L.F. OF
4FT.-6FT. HIGH BLOCK WALL WITH (7)
24INX24IN PILASTERS & (2) PLINTHS PER
APPROVED PLAN AND ORCO BLOCK (TO BE USED -
FOR PILASTERS AND BLOCK WALL). PRECISION
CONCRETE BLOCK SHALL BE COVERED WITH <
STUCCO, PAINT, OR TEXTURED COATING WHERE
VISIBLE FROM OUTSIDE THE PROPERTY. 2010
CALIFORNIA BUILDING CODES.
------------------------------------.----------------------------------------
Other Fees .. . . . . . . BLDG STDS ADMIN (S81473)
1.00
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited.
---------
Due
----------------- ----------
Permit Fee Total 61.49 .00 .00
61:49
Plan Check Total .00 .00 .00
.00
Other Fee Total 61.06 .00 .00
61.06
Grand Total 122.55 .00 .00
122.55
LQPERMIT
l
Ern #
City of La Quinta
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: 'E01-1 IGS .cc�
Owner's Name: '
A. P. Number:
Address:
Legal Description:
City, ST, Zip: �u Qwli� CA-. Cl 2 -ZS 3
Contractor: `�SS''P-��.w Co
Telephone: .
Address: P10 9,2O Z3
Project Description:
City, ST, Zip: �. U?u w C �'('LZ�i�
�Jg 2)kocAckli1.S - Cts ST -Z%•.
Telephone: 2 (t v -1 ^j Lt
ilk a-
> .:s:::z•>;> ::::::y.:;:.:;;r^•::;::;»: <;;:,
�::;::>:;>::.::.�<:>. :.;<»;>:::>
� 2L(1
State Lic. # : ZZ
City Lic.
AWAAv5 �
Arch., Engr., Designer: �G �h� ll�
- —
Address: H
City., ST, Zip:
o YJ� ol2Z t 0
Called Contact Person
Telephone . - Q
..
>.:,•.<:..;:.;:.:;.;:•:.:•..
Construction type: Occupancy:
State Lic. #:
Project type (circle one)rNew Add'n Alter Repair Demo
Name of Contact Person: �V l
Sq:, Ft.:
Stori :
# Units:
Telephone #;of Contact Person: t{
Estimated Value of Project: �� r
APPLICANT' DO NOT WRITF RFI (1W Tu1S 1 InIG 1
#
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 Calks.
Plans picked up
Construction
Flood plain plan
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 .
O
0/ A? STANDARD 6' TO 8' CMU SITE WALLS
o— OPTIONAL RAT CAP
DMGN ou7ERra PER THE 2007 C:TC
1. ALLOWASLESCIL BEARING PRESSURE = 1500 PSF
2 ALLOWABLE LATERAL PASSIVE PRESSURE =150 PCF
3. GROUTSTRENGTH = 2000P5I @ 28 DAYS:
4. RE7NFORCINGSTEEL : GRADE 60,
5, IM PSI MASONRYQ7h7PlAREMON STRENGTH.
6816, 6616, OR 6618 CMU
GROUTED ONLY 9 VERT
57EU
NOTE
1. CONCRETEXXCKSH4U COAFORMTOA57MC90. .
2 CONCRETE FOR FOOTTNGSHALL BEI PART CEMENT TO 2-19
9"DROP-IN BAR
PART$54NDTO3-1/2PARTS GRA VEL KIN AMAXIMUMOFI-1/2
GALLONS OF WATER PER SACTC PORTLAND CEMFMSHALL CONFORM
717AVMC150TYPEHIV. Fc-25i70M
#6 SID JOINT
3 REINFORCING STEa SHALL BE DETORMED AND CONFORM TO
REINFORCEMENT @ 24'01C
ASTMA 615 GRADE 60. PROVIDE 48 BAR DIAMETER LAP.
(3 PLACES -4PLACES FOR T
4.REBARSHALL BECEWEREDINTHECONCRETE BLOCK CELL IN
& 8' WALLS). USE #5S7D.
WFFICHIT 1S LOCATED.
FOR SLUMP BLOCK
NOTE ReOl04 *DOWEL B
S. Lt7NCRETEBLOCK SHALL BELAYS) INA RUNMW BOND
#4 DROPLM FAR ATE40Y
PATIERNWITNVER77CALCON7WLUIYOF7HEC&1.SUN0.
SDE OFC ONTROL JOINTS,
BWS OF WALLS AND i$ WALL
6 ALL BLOCK Cil CONTABYING V6R77CAL RERAR S I' AIL BE SOLID
FLF7pfT 0 fAh�i£S
GROUTED.
7. USE7?PESMORTAR PROPOR77ONED LISVVGASINC270 PART
CEMENT TD 1/2 PART LIME TO +112 PAR75 DAMP, LOOSE SAND.
W DOWEL @ CENTER OF
CMU.
8. GROUT FOR COAKRETI: BLOCK PER ATM C476 TD BE 1 PART
CEMENT TO PAR73 S 44D (GROUT NAYCONTAIN 2 PARTS 3/8'
PEA GRAVEL IF WE47HER mwnTONSAREFAVORABLEAND BLOC
UNOBSTRUCTED CSL SIZEISSUFFIC OU70ALLOW GOOD GROUT
R.OW). WATER SHALL BEADDED 7O PRODUCE GOOD GROUT RAW
WITHOUT SEGREGATION OF THE CONgTLIENTS
9. BLOCK 57EN MA YBE WET -SET 1-1/2°INTO THE F 0077NG WHILE
SETBA SEE014RT
THE CONCRETEZSPLAS71CBLGYJCSrfMMAYBEPLACT_D70
EITHER EDGE OF77ETRENCN TYPE FOOTING3.
10. F00717VG MUSTBEPOUR® ON OR INTO UNDISTURBED
M47URALSOIL ORONCOMPACTED FILL WITHAMINIMUM
�1MAX
CONPAC770NOF90%.
11. FLZSTDYSPEL7ION7i7BEAF7ERFOOTING 7RElYCYESARE
READYFARCONULETEANDALL REMPM57EEI LSTILOINPLACE
SWONDINSPEMVNTO BE WHEN 7HEREQURED VERTICAL 157N
RACEAND 7HE&oa( WAIL IS READYTO GROUT.
12 MAA7MUM coN7RoL JOINTSpAaw.. 40 O/G 20 0/CFOR
#4 HORZ CONT.
WALLS TO BE MORTAR WASHED OR SnC O 034TED.
I�e I I 5.70DAYLIGHT
Li7NT.
SEE CHART FOR REQUIRED REHAB
AND FOOTING DIMENSIONS
MIN. FOOTING DEPTH FOR 5' TO DAYLIGHT
WALL ® WALL 61 WALL @
Saw TDP 1 FT. 57713AUc 2 FT. SI TSaOC
3701 210 --- ofESS.FON
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� I 11� — — — - - I . DAT BY
i ), UNAUTHORIZED CHANGES & USES ___1 , � �-, STAMP I I — — _,::�_T EX. %EDGE C&G . 1--4
� I CAU770N. THE ENGINEER PREPARING THESE PLANS WLL NOT BE RESPONSIBLE - %P � 11 Q�
UNAUTHORIZED CHANGES To OR USES OF THESE PLANS. ALL _j2Q20.93 TC - 1020.94 TQ 1 1. 12 TC (PROTECT) CIVI �,
I FOR, OR LIABLE FOR, (1 .4 , 1 0.4 STAMP) 1021.27 TC CA %f I �5
: CHANGES TO THE PLANS MUST BE IN *RITNG AND MUST BE APPROVED BY THE 1020.78 R 1 1. 41 TO � �
24.13' ' 1 .9J FL 1021.54 TC I 11-4
PREPARER OF THESE PLANS. N. 1021.04 FL) I C)
I ALONG BACK OF CURB rE T B. IV. - 111:�
I . NOTICE To CONTRACTOR � V I A nr) P T 04
- C A P R I .r-j-,6EC1SE'GRAD1NG ., j_,AN I U
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CONSTRUC77ON CONTRACTOR AGREES THAT IN ACCORDANCE WTH GENERALLY ACCEP7ED CONS7RUCRON I co
I IN THE CITY OF LA QUINTA 11-4
Under round Service Al ert PRAC77CES, CONS7RUC77ON CON7RACTOR WLL BE REQUIRED TO ASSUME SOLE AND comPLE7E RESPONSIBILITY FOR I (�)
-
ORE JOB S17E COND177ONS DURING THE COURSE OF CONS7RUC770N OF THE PROJECT, INCLUDING SAFETY OF ALL PERSONS APPROVED: r24
PREPARED UNDER THE p[R�CT SUPERVISION OF: 94
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Call: TOLL FREE ANDPROPERTY' THAT THIS REQUIREMENT SHALL BE MADE TO APPLY CON71NUOUSLY AND NOT BE L#7E'D TO � � .i � Q�
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TO DEFEND, INDEMNIFY AND HOLD I "', I 0
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: NORMAL WORKING HOURS, AND cowwcwN CONNACTOR FURTHER AGREES U V ',,____� 315113
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1 1-800 1. � .
DESIGN PROFESSIONAL HARMLESS FROM ANY AND ALL LIABILITY, REAL OR ALLEGED, IN CONNEC7701V WTH 7HE ERIC F. JOHNSON -V R.C.E. 62033 1: EXP. 9/30/13
11
i \\\ 227-2600 PERFORMANCE OF WORK ON THIS PROJECT, EXCEP77NG LIABILITY ARISING FROM THE SOLE NEGLIGENCE OF DESIGN I I I I
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CHECKED
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DATE
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SCALE
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MSI JOB NO.
3819
SHEET NO.
G 2
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