0302-142 (BLCK)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Fes- Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
04 W Professionals Code, and my License is in full force and effect.
O 5 co License # Lic. Class Exp. Date
ti w 4516392 C%C29 08131P7el
oZ r- Date Signature of Contractor
co 0 r`
J U C:) OWNER -BUILDER DECLARATION
HUJ I hereby affirm under penalty of perjury that I am exempt from the Contractor's
Ila -
U) License Law for the following reason:
Z ( ) 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 & Professionals Code).
() 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code). ,
ce)() I amexempt under Section B&P,C.I.fcrr this reason r.
O N Date �� 6 i i Signature of Owner.. -
0 °)
Q_ Q WORKER'S COMPENSATION DECLARATION
O Q 1 hereby affirm under penalty of perjury one of the following declarations:
� 0 () 1 have and will maintain a certificate of consent to self -insure for workers'
X W LL compensation, as provided for by Section 3700 of the Labor Code, for\the
O J Q performance of the work for which this permit is issued.
m Q I have and will maintain workers' compensation insurance, as required by
QU Q Section 3700 of the Labor Code, for the performance of the work for which this
2U')
Z permit is issued. My workers' compensation insurance carrier •& policy no. are:
Carrier�1Qrstloa JAmw f� Policy No. Qlkratt.$'S'm
ao �
r` CY
g (This section need not be completed if the permit valuation is for $100.00 or less).
( ) 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
3 Code, I shall forthwith comply with those provisions.
Date: ' t -A k N-% Applicant 1.`[ !'.A, *v -G 3 S4
Warning. Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines u� to $100,000, in
addition to the cost of compensation, damages as provided forf�n Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
�^Vip & hold harmless the City of La Quinta, its officers, agents and employees.
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 State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes. ,
�. • Signature (Owner/Agent) � } � Date
BUILDING PERMIT PERMIT#
DATE VALUATION LOT W02,442 TRACT
02/199(. S111W0.00 ? 5 y 30023
JOB SITE [Yw�7�. ♦�t APN
ADDRESS .�72 �i±'�.a1F,.RT.,;M1D:s�Vi{f )tv v
OWNER CONTRACTOR / DESIGNER / EN (NEER
01TEAROMRS PACWC IYLAXOx+"7z Y, Wit.
811-260AVENU.1 ~ 6Z 1 Ot;a W. CIVRCAIR AVY1.1 SUITE J
CAS 92863 011A1vGE CA 92805
(714)282-0212 M4, 06272
USE OF PERMIT
4401.` 8' E0,(X`1C''WAI4L PER C'RCO S'"ANDARD &C:DD F,1'PR;O''V.E0 PANS
6 FLIVYAL1, 4400 LF
WSUMATED MST OF CQMT.CRUCTION IM "10)
CONSTRUCTION RE; 101-0001-41U-000 $126.00
KTB-TOTA% CONWRTM310 i' AM PLAN CIMC C.- $126.00
IMS RRCE-PAM, FM?3 $0X10
TMAL i'FS2VYd'MRS I AM" HOW 41.20.9
SEB 19 2003
CITY OF LA (�UliNTT
CPT A
RECEIPT ��.= BY DATE F AL IN E R
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
Set Backs
Electric Bond
Footings
_
Main Drain
Bond Beam
//Approval
to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
// a
Gas Piping
PLUMBING APPROV S
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
ORCO 6' HIGH WALL W/ 2'TO YRETAINING
FOR 85 MPH WIND 3 SEC. GUST @a EXP C
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- OPTIONAL FLAT CAP
ORCO 6816 OR 6615 O%fU
GROUTED ONLY @ VERT STEEL
#4 VERT DRO°-IN a" 0 32" O/C
- PROVIDE 24• LAP INTO 8X m QNU
06 STD JOINT RaNFORaME NT
LID 14' 0/C(3 PLACES). USE 05 SID. FOR
SLUMP BLOCX
NOTE: PROVIDE.4'4DOWEL B
04 DROP4N SAR AT EACTi
57DEOF0"OL JOINTS,
ENDS OF WALLS AND @ WALL
HEIGHT CHANCES
#4 HORZ CUNT.
@ 14' O/C
LEVEL S400:YLL
W/ NO SURCHARGE
DiSTG N OUTHLL4. PER 2010 CDC
1. SOIL BFAIUNG PREZUkE = 1500 PSF+ 0 INCR MR WI
SEEP= EQWVALENT RULD PRESSLIRE - 45 PSFPER TABLE
16164-1
Z ALLOWALifELATERAL. PASSW PRESYJRE =150 PSF.
3. GROUTSTRVOGM - 2000 PST C 28 DAYS.
4. RUNFORONGSTE73: GRADE60.
S. 54UNC- I SEC ACCELSU77ON - 7096.
6. 15M PSI MASONRYCOMPRERVON STREVON.
HUTU.l
1. ODAMETE&OOCSM u CONFORM TO ASTM CAT. ORCO 57D.
PREcwm&00f MAYBELLSED.
2. COAULE7EPOR AX7WG SHALL BE 7 PART CEMENT T'122.772
PARTS SAND 70 3-!/I PARISGRAVI3 WT7H A MAXtMLLM
G4CLOYS OF WATFit PER SAC= PORRAIYD BNEMSH4I1 WNfURIf
TOASTMC150TVFF4V. &-23WPA
3.REUNP0RC7NGS7Et SIULLBEDEI-DRMEDANDCONFORHTO
AS7MA 61 S GRADE 60. PROVIDE 48 5W DLIPHRBL LAP.
4. MAR STi4LL BE CENTERED IN THE ODHOTffTE 61 Do( CELL L 1N
KNIOHITLSLOCA7TD.
5.O7N0RETE&OCX9ALL BELAYLDINARUNNINGBDNO
PATTBM KM VER77C4L C01MNUTT YOF 771E allS UNt7.
6. ALL BLOCK fFus CONTAINING VERTICAL REMR SNALL BE SOLID
G,ROUrm
Z USE05P TYPES MORTAR PROP7R71OYED M6 ATW C270. 1
PART aN8VT TO 112 PART LIME TV 4-W PARTS LAMP, LOOSE
SWD.
B. GROUT FOR CDVOL'W BLDOC70 BEI PART C546W TD 3
PARTS SOD (GROUT MAY C7 NTAIN2 PARTSJR'PEAGRAM IF
WEAINER WNDIT70AS AREFAVgRABLEAND BL00(UNOL%7RUC7ED
CELL SZglS 5UlFX7&NT TO ALLOW GOOD GROUT ROW). Wi47M
RMLL BE ADDED 70 P'RO LXE GOOD GROUT ROW WTTNOUT
SEGREG4TION OF T HECONS &NTS PR AS 476.
9. BLOCK STEM M4Y BE WET -SET 1-W' IMD THE F0077NGWHIE
THE MVOtE7El5PLASTTC &00(570f RAYBEPLACED TD
ETWER EDGEOF THE TRENCH TYPE FOOTING.
10. FOOTING ML(ST BE POURED ON OR NW UNDISIMBED
NATURAL SOIL OR ON COMPAC75D FILL WTI)I A MINMUN
C WPAC17ON OF SM.
11. )URST IN91EC'170N TO BE AFTER FOOTING TRHNCR3 ARE
READY FAR MyOt67EANDALL REQUIRED S7EFI1577ED IN PLACE
SfMWINSPE{' ON70BEWHENTHE REQUAWVERTICALISIN
PLACE AND THE BLOCX WALL is RFADY TO GROUT.
17. MWNL#4 Cl7 MOM JOINT SPA C M: 40' 01C OR 20' 01C IF T7IC
WALL 15 TO BESnXW MATED
12' DR4MSTAR SU84XWN CONTINUOUS
x DOWEL PER NER-569. FOLLOW MFGS NSTALLA770N
RECOMEMM770AS PROVIDE OUTLET FITTING
2,CIR. AND 4'07HROUGH NEW WALL 4S J 00'INTER VALS.
- — OR USE 490SDR 35 PO FPIPEW/ I a OF314
GRAV&. - SLOPE TO DRAIN ANO PROVIDE OUTLET LD
100' MAX. SPACING.
#4 HORZ. CONT:
rA r
rD 1
1 tA/ l DOWEL
/#4@32
2'-0'
3'-0`
' 0/C
I 'D ' + P-9'
'
#4052, O/C
3'-4
4'-0"
#4@16' 0/C ('D' 3'-l'
1�" CITY OF LA QUINTA
L17NT
-- I d%1� w
2 5/8' MIN. CLFAR CELL
OP9N REQUIRED TD USE
6616.SUUMPLD OMU.
C:D O
ORCO WIDE CELL SLUMP
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ORCO STANDARD 6' TO S' CMU SITE WALLS
8"
CONT
OMTIONAL FLAT CAP
DESIGN OiMMA: PER THE2010 C7BC
1. ALLOWABLE SOIL 854MG PRESSURE =1500 PSF
2 ALLOWABLE LATERAL PASSIVE PRESSURE -150 PCF
3. GROUT STRENGTH - 2000 PSI 918 DAYS.
4. RETNFORaNG 57ER : GRADE 60.
S. 1500 PSI MASONRY COMPRESSION STRENGTH - NO SPCL,
INSPECTION
6816, 6616, OR 6618CMU
GROUTED ONLY@ PERT
NOTES•
S7FEL
1. CONOWIE BLOCK SHALL CONFORM TO AnN C 90. WEDGELOCK
BLOCS SLUMP BLOCK AND SPLTTFALF BLODYARE ACCEPTABLE.
'r DROP -IN BAR
2. CONCRETE FOR F0077NG SHALL BE 1 PART CEMENT 70 2-112
PAR75 SAND TO 3-112 PARTS GRAVEL WITHA MAXIMUM OF 1-W
GALLONS OF WATER PER S40C. PORTLAND CEMENTSMU COWRM
TOA57H C 150 TYPE HIV Fc = 2500 PSI
A'6 STD JOINT
REWFORCEMENT @ 24° O/C
(3 PLACES - 4 PLACES FOR 7'
6 8' WALLS). USE r5 STD.
FOR SLUMP BLOCK
NOTE• PROVMEr4 DOWEL $
04 DROP-1N iNR AT E401
SWCOFCONIROL JDINTS,
ENDS OF WALLSAND @ WALL
HEIGHT CHANGES
9C' DOWEL @ CENTER OF
CMU,
r4 HOR2: CONT.
S' 7t7 DAYLIGHT
SEE CHART FOR REQUIRED REBAR
AND FOOTING DIMENSIONS
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
3. WNFORaNG STEEL SHALL SE D&MMED AND C19NFORM TO
ASTM A 615 GRADE 60. PROVIDE 48 BAR DIAMETER LAP.
4. RE84R SHALL HECSNIERED JN 'THE CONCRETE BLOCKCELL IN
WNICIH IT IS LOG47LA.
S. CONCRETE BLOCK SHALL BE LAYFD IN RUM =BOND
PATTERN WTM VERTICAL CONTTNU7YOF THE CELLS UNO.
6. ALL BLOCK CELLS CONTAINING PER77CAL REB4R SHALL BE SOLID
GROU7ED.
7. USE TYPE S MORTAR PROPORTIONED USING A57M C 270 PART
CEMENT 70112 PART LIME TO +112 PARTS DAMP, IOO5E SAND.
8, GROUT FOR CONOZETFBLOCK PER A57M C476 70 BE PART
CEMENT TO 3 PARTS 54NO (GROUTMAYCONTAIN 2 PAR TS318"
PEA GRAVEL IF WEATHER CONDITIONS ARE FAVORABLE AND BLOCK
UNO85TRUC7ED CELL S W IS SUMCIENT TO ALLOW GOOD GROUT
HAW). WATER SHALL SEA ODED TO PRODUCE GOOD GROUT FiOW
WITHOUT SEGREGATION OF THECONSITUENPS
9. BLOCK STEM MAYBE WET -SET 1-V2"INTO THE F0077NG WHILE
THE CONCRETE IS PL45TIC. BLOCK5TEM MAY BE PLACED TO
EJTHER EDGE OF THE 7RENCH TYPE FOOTING.
10. ROOTING MUST BE POURED ON OR INTO UND157URBED
2 NATURAL SOIL OR ON COMPACTED FILL WITHA MINIMUM
I MAX. COMPACTION OF 9M
11. 17AST INSPECTION TO BE AFTER FOOTING TRENCHES ARE
READY FOR ClONCRE7PAND ALL REQUIRED STM IS 77ED IN PLACE
SECOND 1N5PRIION TORE WNIN THE REQUIRED VER77C+4L IS IN
PLACEAND THE BLOCK WALL 1SREADYTO GROUT:
12. MAXIMUM CONTROL JOINT SPACING• 40'0/C: 20' O/C foR
WALLS TO BE MORTAR WASHED OR STUCCO COATED.
MIN. FW77NG
DEPTH FOR 5' TD DAYLIGHT
SLOPE
WALL
7O➢
WALL @
1 FT. SETBACK
WALL
2 FT. SnW a
2 ro 1
2 6"
2 V'
3701
2'-o°
—
2 518`M1N. CLEAR CELL
OPEN ANWRED TO USE
6616 SLUMPED m..
ORC tO WIDE CELL SLUMP
ofEss10N
4�
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DATE BY
CHART FOR 6' TO 8' SITE WALL W/ TRENCH FOOTING
WIND
MAX.
D
DESIGN
WALL
TRENCH
FOOTING
'X' DOWEL
'Y' BAR
SPEED
HEIGHT
DEPTH
2-0'#4@
48" O/C JD6'-O�+2'-0"
#4 @ 48" O/C
U V
LB' O/C FOR 6'
48 O/C FOR 6'
W
SLUMP BLOCK
SLUMP BLOCK
U) EL
X �
�
6 -8"
-2
2'"
#4@ 48" O/C ID+2'-O"
#4 @ 48" 0/C
�
LO' 0/C FOR b'
40' 0/C FOR 6
Q
Z W
SLUMP BLOCK
SLUMP BLOCK
W
0-
= N
7'-4"
2'-4"
#4@ 40" O/C ID+2'-0"
#4@ 40" O/C
�-
32. O/C FOR 6'
32' O/C FOR 6
SLUMP BLOCK
SLUMP BLOCK
Lo
00
#4@ 32" O/C I D+2'-0"
26' O/C FOR 6'
24' O/C FOR 6'
SLUMP BLOCK
SLUMP BLOCK
Wit: tVH 18" LUNG BLOCK USE 9"INCREMENT REW SPACING THAT
IS CLOSER TOGETHER THAN THE 16" LONG BLOCK SPACING, FOR EXAMPLE.'
46" O/C SPACING FOR 16" LONG BLOCK REVERTS TO 45" 0/C FOR
18" LONG BLOCK 40" FOR 16" BLOCK GOES TO 36" 0/C FOR 18" BLOCK - ETC.
- WAM X,n
04 DOWR 0 EAO/ SIDE Or eoa ■w. w wno sc
k-
at=-ma W/ 04 DRORINW m�as
N/ aw,OR Aswgz D
ULM I1lG•4 w-
B XB' BLDG60UT ° • ° ' °
o° 01° • 00 • °• °° • °°
Q7,Yl. FDDITNG
- L T
j1`--� .1' M/O120M.IORDr.RG�VJI[a1•
FOR 9DEYARDRETURNWALLS WF/BtE wxw tiurraa•raaaraw
AWMGESWAtEDtXURt 4 A Aa &OCX �+rtwa soa oe >�
N4YLEETOUr6)SWALEGRADEPROViDE m°wnmrai -- P•0'
04 DOWa AND 04 D1RO"N AM ON 640/
STDEOFTHE W &00(OWN -AS
SHOY , F0077NG STEP DETAIL
QRgfESStON
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CITY OF L A QUINTA 14
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