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BRES2016-0154LICENSED 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 ass: C-8. C10, C29. C53, C27, D121 License No.: 656128 Da e: ontractor: T"F E�r�✓ [a 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 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 Na Lender's Add 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: Carrie/ry;,_, ,�- Policy Number:_ 44 certify that in the performance of the work for which this permit is issued, I sha�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. /y/s (K� te: App it �ant<e�l 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 appfication , 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 city to enter upon the above-mentioned property for inspection purposes. Signature (Applicantor Agent): �Q� 78-495 CALLE TAMPIEO V 6&� � VOICE (760) 777-7125 LA QUINTA, CALIFOR 92253 FAX (760) 777-7011 C MUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date:. 6/10/2016 Application Nu er: BRES2016-0154 Owner: Property Add r ss 54665 SEA HERO CIR IOTA GRIFFIN APN: 767780028 4675 MACARTHUR CT NO 1550 Application D cription: EVANS /WATER FEATURE WITH 30.5LF OF '-6" H BLOCK WALL NEWPORT BEACH, CA 0 Property Zoninztg Application Valua " n: $20,000.00' cc Applicant: Contractor: o TESERRA TESERRA LSI P O BOX 1280 P O BOX 1280 g g COACHELLA; CA 92236 COACHELLA, CA 92236CU (760)389-9222 Lic. No.: 656128 s G� U 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 ass: C-8. C10, C29. C53, C27, D121 License No.: 656128 Da e: ontractor: T"F E�r�✓ [a 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 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 Na Lender's Add 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: Carrie/ry;,_, ,�- Policy Number:_ 44 certify that in the performance of the work for which this permit is issued, I sha�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. /y/s (K� te: App it �ant<e�l 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 appfication , 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 city to enter upon the above-mentioned property for inspection purposes. Signature (Applicantor Agent): �Q� DESCRIPTION FINANCIAL INFORMATION ACCOUNT • QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for. BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY -METHOD RECEIPT # CHECK # CLTD BY t DESCRIPTION - ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL: $108.77 $0.00 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE WATER FEATURE 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER FEATURE PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:•0 Description: EVANS / WATER FEATURE WITH 30.5LF OF 5'-6" H BLOCK WALL Type: POOL Subtype: Status: APPROVED -CONDITIONS Applied: 6/3/2016 SKH Approved: 6/8/2016 DCL Parcel No: 767780028 Site Address: 54665 SEA•HERO CIR LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 251 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $20,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NOTIFIED CONTACT THAT PERMIT IS APPROVED AND PLANS Details: WATER FEATURE AND 30.5 LF GARDEN WALL AT REAR YARD [DOUGLAS R. FERRELL] ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. _--_f Applied to Approved 4 CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTIFIED CONTACT THAT PERMIT IS APPROVED AND PLANS TELEPHONE CALL DUANE CLAYTON 6/9/2016 6/9/2016 ARE READY FOR PICK UP. CONDITIONS CONDITION DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED READY TO ISSUE DUANE 6/9/2016 PENDING CITY BUSINESS LICENSE RENEWAL REQUIRED. CHECKLIST CLAYTON CONTACTS NAME TYPE' NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA P 0 BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA P 0 BOX 1280 COACHELLA CA 92236 Printed: Friday, June 10, 2016 1:40:36 PM 1 of 3 O SYS 7[nAS _. INSPECTIONS BOND INFORMATION Printed: Friday, June 10, 2016 1:40:36 PM 2 of 3 Cf SYSTEti1S FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT CITY AMOUNTT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY I BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: 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: $108.77 $0.00 WATER FEATURE 101-0000-42404 0 $181.29 $0.00 WATER FEATURE PC 101-0000-42600 0 $98.62 $0.00 Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:• 06 _. INSPECTIONS BOND INFORMATION Printed: Friday, June 10, 2016 1:40:36 PM 2 of 3 Cf SYSTEti1S m 0 m CL Qin Building a Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico ,DIU-La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: �� S��� 0 C/,(�� L F Owner's Name: �OvN S A. P. Number: Address:66S CI (= Legal Description: City, ST, Zip:6)U/k Contractor: �S � p- p ° � � << •'{fes g Telephone-. �v s y�r'•''%�%�:'� % ":r.: Address: .1�4 /,go Ve q City, ST, Zip: WiiC ELL -A C, r Telephone: ?6 � d %>!? mos#.. i .' .:''i'.tY + Project Description: E2 fiTU E 7.3 L/Np s, `t/►!D 7 ,r State Lic. # : City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: �'v+ 4 •� :. :: ��>. ; d� ,��;��_ f Y•3:' � Construction Type: Occupancy: . Project type circle one)New Add'n Alter Repair Dem Name of Contact Person:�r ��� CZ Sq. Ft.: # Stories: #Units: Telephone #,of Contact Person: 7,4 Z� 9 I Estimated Value of Project: 20 b U[U t7p APPLICANT: DO NOT WRITE BELOW THIS LINE # Req'd Rcc'd TRACTUNG PERMIT FEES fSu7bmittal Plan Check submitted Item Amount ructural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE ---- ''� Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A•I.P•P, Pub. Wks_Appr _ _ Date of permit issue SCI1001 Fees Total Permit Fees .R-.E-Q.A.R,P-LAQFMF-NT ILLUSTRATION! FOOTING ..OPTION .A DE.SiGI..N-,..PA.R.A.,M.ET.E..R..$: ACTIVE SOIL PRESSURE (PSI) = 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 F0.0.TfN%Q..-..0PTj-Q-.N, Q 'Ob' (TYPICAL) ONLY CELLS AND BOND BEAM COURSES WITH REBAR TO BE GROUTED (00 NOT. SOLID GROUT ENTIRE WALL - USE GROUT STOP MESH AS APPROPRIATE) T (TYPICAL) ALL REBAR SHALL HAVE MINIMUM OF 311 CONCRETE COVER AT FOOTINGS . WESiERN RIVERSIDE COPNTY71CODE UNIFORMITY PROGRAM I FREESTANDING BLOCK WALL PHONE (760) 777-7125) 78-195 CALLL TAM PICO IA 01JINTA, ,FAX(760)777-701I I''*'10/')/'2014..ICO%i?,IU�NIT'YI)P.V]"*I-()I'Ai'F1,11[..,,tll-.IF,Ac;-..-,—,),7.,I FOOTING OPTION "A" 1 j j� 1 i H., HEIGHT FROM TOP OF FOOTING i REVERSE DIRECTION OF HOOK ON EVERY OTHER RE3AR 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) SEETABLE "A" —FOR REBAR SIZE AND SPACING It OCAI E REDAR IN CZ:ftn M Of C1 1.L) 1 (FOOTING WIDTH) j SEE TABLE "A" SEE TABLE "B" FOR REBAR SIZE— AND SPACING (1,0f^A"fE RUP-V? IN CEN ILft OF CL"•1_J FINISH GRADE (1) - #4 REBAR -CONTINUOUS (2) - #4 REBAR CONTINUOUS (III ALL FOOTINGS ADJACENT TO SLOPES TO BE AT LEAST 5' TO DAYLIGHT AS SHOWN BELOW. a, 13OT90M OF S' MIN. FOOTING -NOTES: 1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF MORE THAN 6" ON OPPOSING SIDES OF THE WALL. THIS IS NOTA 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. A61 5, GRADE 40 MINIMUM. 6) ALL REBAR LAP SPLICES TO BE 24" MINIMUM. 7) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. 81 REBAR TO BE CENTERED IN MASONRY CELLS. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM :J FREESTAND'IN'G BLOCK WALL ((FOOTING WIDT1 SEE TABLE "B" '1. H ­ HEIGHT FROM TOP OF FOOTING . 1 tft 1 I I 12" W, y =TABL0�B 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" #4 @ 24" O.C. SEE TABLE "B" FOR REBAR SIZE— AND SPACING (1,0f^A"fE RUP-V? IN CEN ILft OF CL"•1_J FINISH GRADE (1) - #4 REBAR -CONTINUOUS (2) - #4 REBAR CONTINUOUS (III ALL FOOTINGS ADJACENT TO SLOPES TO BE AT LEAST 5' TO DAYLIGHT AS SHOWN BELOW. a, 13OT90M OF S' MIN. FOOTING -NOTES: 1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF MORE THAN 6" ON OPPOSING SIDES OF THE WALL. THIS IS NOTA 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. A61 5, GRADE 40 MINIMUM. 6) ALL REBAR LAP SPLICES TO BE 24" MINIMUM. 7) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. 81 REBAR TO BE CENTERED IN MASONRY CELLS. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM :J FREESTAND'IN'G BLOCK WALL ((FOOTING WIDT1 SEE TABLE "B" '1. H ­ HEIGHT FROM TOP OF FOOTING . 1 tft 1 I I 12" W, y =TABL0�B H W,. VERTICAL REINFORCEMENT 3' 19" #4 @ 48" O.C. 41 22" #4 @ 48" O.C. 51 29" #4 @ 48" O.C. 6' 34" 1 #405 24" O.C. CHECK VVITH_rdE B.Uli_pING.DEPARTMENTTO VERIFY IF,A BUILDING PERMIT 1S.REQUIRED. WHEN A PERMIT IS REQUIRED, THE FOLLOWING INSPECTIONS ARE REQUIRED: 1) FOOTING: EXCAVATION TRENCH CLEAN WITH STEEL IN PLACE AND SUPPORTED 3" ABOVE AND AWAY FROM THE SURROUNDING EARTH/DIRT. 2) REBAR/,PRE-GROUT: 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 USERS RISK AND CARRIES NO IMPLIED OR INFERRED GUARANTEE AGAINST FAILURE OR DEFECTS. PHONE (76Q) 777-71:25 7$-495 CAI,Lll-T SIP GJ IA QI.IIN'I'A, C'.AI.11>ORNIA 92253 FAX (760) 777-7011 10/9/2014 .- CVM-,,, Y DEVBLONAPINP D71T. PAGE 1 0112