BWFE2016-015078-495 CALLE TAMPICO . .
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT.DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2016-0150
Property Address: 52075 AVENIDA VILLA
APN: 773233014
Application Description: SALVADOR MORENO / BLOCK WALL
Property Zoning:
Application Valuation: $0.00
Applicant: '
SALVADOR & MARIA MORENO
51795 AVENIDA NAVARRO
LA CIUINTA, CA 92253
U J U L• 0 8 2016, .:
O'N OF LA QUINTA
COMMUNITY DEVELOPMcNT DEPARTMENT
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.::CONV:140528101254122238
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).: . .. " .
(� 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 ow roperty who builds or improves
thereon, and who.contracts for the pro(P.C..f)this
s with contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec: reason
Date:Owner:
I hereby affirm under penalty of perju
the performance of.the work for whit
Lender's Name:
Lender's Address:
G AGENCY
is a construction lending agency for
is issued (Sec. 3097, Civ. C.).
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: '7/8/2016
Owner:
SALVADOR & MARIA MORENO
51795 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor.
SALVADOR &MARIA MORENO
51795 AVENIDA N/rVARRO
z.... 4AQUINTA;.CA92253,...::..
Llc. No.::CONV:140528101254122238
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of :he following declarations:
I have and will maintain a certificateof consent to self -insure for workers'
compensation, as provided for by Section 3700:)f the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' co npensation.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 fie 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 3200 of the Labor Code, l shall forthwith
comply with those provisions. .
I Date:
Applicant:.
WARNING: FAILURE TO SECURE WORKERS' Cum PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMMAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSANDDOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED F0.2 IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to Vie Building Official for a permit subject to -
the conditions and restrictions set forth on th`s application.
1. Each person upon whose behalf this app ication 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 owrer, 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 becom ull and.void.if work is
not commenced.within 180 days from date df issuance of uch ermit, or cessation.of
work for 180 days will subject permit to canmllation.
I certify that I have read this application and state that th abov information is correct.
I agree to comply with all city and county orJinances and t I ws relating to building.
construction; and hereby authorize represertatives of this ty o enter upon the
above-merlitioned propertyfor inspection purposes.
Date:re (Applicant or Agent
FINANCIAL • •
q.
DESCRIPTIONS.>�g
�, §a app F ... , ass - as v, M
s iQTY ; AMOUNT4. PAIDf PAID DATE`
..„z
Y�A000IINT ?. S
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86 $0.00
�fiPAIDBY`�` 'r';
r� s�METHODE��
`qtr,:«RECEIPT#�;�CHECK'# '�' CLTD�BY
�r l DESCRIPTION
� t@ 4�ACCOUNT4
AMOUNT PAID:DATEw
- r�
K
7
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91 $0.00
,
ETHOD 4 �.
RECEIPT # CHECK # f jai s CLTD BY.
.,x-7
^<
Total Paid for FENCE OR FREESTANDING WALL: $108.77 $0.00
TOTALS:��
Description: SALVADOR MORENO / BLOCK WALL'
Type: WALL/FENCE _ Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 7/8/2016 RSE
APPROVED
Approved:
Parcel No: 773233014 Site Address: 52075 AVENIDA VILLA LA QUINTA,CA 92253'
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 94' Lot: 3 .
Issued:
UNIT 11
• •
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired: _
No. Buildings: 0 No. Stories: 0 No. Unites: 0 ,
CONTACTS
Details: 80LF OF 6' GARDEN 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. 4
' ADDITIONAL SITES
Mal 1 1010 L• •
• •
CONTACTS
;NAME TYPE NAME._ ADDRESSi CITY STATE ZIPm FAX�a EMAIL
. M.
,.
:.PHONE- K
APPLICANT
SALVADOR & MARIA MORENO
51795 AVENIDA
LA QUINTA
CA
92253
NAVARRO
CONTRACTOR
SALVADOR & MARIA MORENO
51795 AVENIDA
LA QUINTA
CA
.922S3
NAVARRO:
OWNER
SALVADOR & MARIA MORENO
51795 AVENIDA
LA QUINTA
CA
92253
NAVARRO
. . . ... . ........ .
INSPECTIONS
. . ........ . .
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. .......
.. ... . .. .......
A
,
77 7 77,
�.. �` , �. I
,,PAID O'l
RETURN
REVIEWS.,
-E REMARKS '11-1--
A
REVIEW• , TYPE,� REVIEWER SENTEYATE
,..PAID DATE.�
ECEIPT #t
APCHECK1 li;,
1METHOD.A
A.
DATE
WALL/FENCE -FIRST
........ ... . ......... ........ ........ ..................
.. . ... ...... . . . . .............
...........
..
BOND
. ... ... . .. ......... 1- 7
INFORMATION
�-�7 Z w-.
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
....... .. .. ... J(ITALS: .77
. . . ... . ........ .
INSPECTIONS
. . ........ . .
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.. ... . .. .......
.... . ........... . ...
Y I ,,..,.FNTPRnl,FrTS,.
PAR
.......... ...
. .........
RETURN
REVIEWS.,
-E REMARKS '11-1--
REVIEW• , TYPE,� REVIEWER SENTEYATE
TES '
DATE
........ ... . ......... ........ ........ ..................
.. . ... ...... . . . . .............
...........
..
BOND
. ... ... . .. ......... 1- 7
INFORMATION
�-�7 Z w-.
I
Bin #
ICity of La Quin to
Building - &TSafeiy Division
, A-495 Calle. Tampico
La Quinta, CA,92253''.(760) 777-7012
Building,erm. it Application and Tracking Sheet
Permit #
Project Address: � 20 -7 z
-0��ner'sName: Zl0 VC)2 / O�0
A. P. Number:b�w�?14Q
Address.N
Legal Description:
-7
City, ST'.Zip: 25�,)1117W
Contractor:
Telephone:
Address:
-Project.Description: (46JIW�
City, ST, Zip:
Telephone:
..... .... .....
State Lic. #
City Lic. #.:.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
....................
. . . . . . . . . . . . . . . ..' ......
x. . . . . . . . . . . . . . . . . . . . . . . ......
-- -x ...... .... ..
Con traction Type: Oc.--upancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
1.
Name of Contact Person: C_ I ye
Sq. Ft.: eo L F-
# Stories:
Units:
Telephone# of Contact Person:
Estimated Value of Project: r00 v
APPLICANT: DO NOT WRITE BELOW THIS LINE
Y
Submittal
Req'd
Rec1d
TRACKING
PERMIT FEES
Plan Sets
Plan ChecksubmittedItem
Amount
Structural CaIcs.
Reviewed, ready for. corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21' Review, ready for-correctio.ns/i,ssue
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 I -npact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Perm R Fees
P:O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO • (760)777-7012,
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
PROPERTY OWNER'S PACKAGE
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 name listing yourself as the builder of the property
improvements specified at —7 S— ;9 ' "Jell, l�t� �2 .
We are providing you with an wner-Builder Ac oaowledgment and Information Verification Form to make you aware of your
responsibilities and 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. Ari agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
DYRECTIONS: Read and initial each statement below to signer you understand or verify this'informaaon. �-
yI understand a frequent practice of unlicensed persons is to. have the property owner obtain an "Owner -Builder"
b1d ingpermitthat erroneously implies that the property owner is providing his or her own labor and material personally. I; as
wner-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
Nuries. 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.
I understand building permits are not required to be signed by property owners unless the_ are responsible for the
-tion and are not hiring a licensed Contractor to assume this responsibility.
1 -understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
l from potential financial risk by. hiring a licensed Contractor and having the permit filed in his cr her name instead of my
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
Os and contracts.
�_5- I understand if Iemploy or otherwise engage any persons, other than California licensed Contractors, and the total value
MY construction is at least five hundred dollars ($500), including labor and materials, I may be -considered an "employer"
ger state and federal law.
I understand if I am considered an "employer" under state and federal law, I must register With the state and federal
nent, withhold payroll taxes, provide workers' compensation disability insurance, and con-ribute to unemployment
sation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial
\j understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
ctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
su contractors 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.
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
tial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
manshiv or materials.
9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
:ce, the United States Small Business Administration, the California Department of Benefit Payments, and the California
ion of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
legally, and financially responsible for proposed construction activity at the following address:
I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
cable laws and requirements that govern Owner -Builders as.well as employers.
r"'I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
meeprovided onthis form Licensed contractors are regulated by laws designed to protect the public. If you contract with
one 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. n
Before a building permit can be iss this
the agency responsible for issuing t er
other verification acceptable to the
owner's signature. •
Signature of property owner
rm must be completed and signed by the property owner and returned to
Note. A copy of the property owner's driver's license, fornotarization, or
required to be preser when the permit is iss ed to v rify the property
Date: V O w
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 perntit is issued to verify the property owners signature.
Property Owner's Signature: Date:
FOOTING OPTION "1"A."l
FQQTQ4-Qr QP-TtQN ".B.
TT
#4 HORIZONTAL REBAR
(USE BOND BEAM BLOCK)
..... .....
611 OR 8" BLOCK
L
"H"
H
HEIGHT FROM . OM TOP #4 HORIZONTAL AT 32" MAX. O.C. HEIGHT FROM TOP
OF FOOTING
(USE BOND BEAM BLOCK) OF FOOTING
SEE TABLE "A" SEE TABLE "B"
FOR REBAR SIZE FOR REBAR SIZE=
AND SPACING AND SPACING
(LOCKIC nroAR IN cr.,Nmrp or ccul (I.00Afr RWAR IN CrNflft OF ccu.)
FINISH GRADE
.0 REBAR
12". .101,
REVERSE
H I
DIRECTION OF
L4- "W"
HOOK ON EVERY
I
(FOOTING WIDTH)
OTHER RE6AR-
SEE TABLE "A•'
�A
'T -K
H I
W„
VERTICAL
REINFORCEMENT
3".
17"
#.4*Ca 48" O.C....
W
20"
#4@48"O.C.
5'
23"
#4 9 48" O.C,
6' -
219"
#4 Ca) 24" O. -C.
(2) - #4 REBAs
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
OF'
FOOTING 5' MIN.
I(FOOTINGWIDTH)
SEE I -ABLE "b"
it nitur-, DEPARTMENT -re .-%
H
W„
VERTICAL
REINFORCEMENT
31
191,
#4 9 48" O.C.�
4 1 1
22"
#4 0- 45" O.C."
5-
29"
#4 @`48" O.C.
6'
34"
#4-0 24" O.C:'.'
it nitur-, DEPARTMENT -re .-%
'SEE PAGE 2 FOR ADDITIONAL INFORMATION*
DISCLAIMER; Al,
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* PHONE (760) 777-7125
FAILURE OR DEFECTS. FAX (760) 777-7011
IDE COUNTY CODE UNIFORMITY PROGRAM
FREESTANDING BLOCK WALL
J;A QUINTA,CAIAPORNIA92253
W/91211P- ICOMMUNi-i-Y.I)CVELOPMr:mri)i-,.ir.l,i-,AcF.i.oi,2
F IQF LA QlW W
1) THIS.DESIGN DOES NOT ALLOW GRADE D FQrPnALs
T
DEPT
t E
E V "" I
PERMI IS REQUIRED, THE FOLLOWING,
P E M
MORE THAN 6" ON OPPOSING SIDES OFT EvBUILOW�G & SAFRj
NOT A RETAINING WALL.
0
PPRO
INSP CTIONS ARE REQUIRED:
INSP C-
T -ZONP
P-) FENCE HEIGHTS ARE REGULATED — CONSU ZON(VA . _O
Ex NATION TRENCH CLEAN WITH
G ' EX
6
3TRL%n0TV--G;
ST
REGULATIONS BEFORE BEGINNING CONST UCTIOfOR CON!
ING C r UCT104
STEEL IN PLAC AND SUPPORTED 3" ABOVE AND
ST IN P L AC I
R - OR= LL
3) NO WATER COURSE OR NATURAL DRAINAG SHALL BE
AJWAYFROMTH SURROUNDING EARTH/DIRT.
Y 0 R
OBSTRUCT -ED.
By
By
/P
2) REBAR/.PRE.. . /pRE;.. ROUT: BOND BEAM REBAR AND
R
4) GROUT ONLY THE CELLS CONTAINING RE Ap.ATg- ICA IN PLACE INSPECTION PRIOR TO
IS NOT DESIGNED FOR ALL CELLS TO BEG
PLACING GROUT.
5) ALL REBAR TO BE ASTM SPEC. A615, GRADE 40 MINIMUM.
3).FI,NAL; AFTER GROUT IS PLACED PRIOR TO ANY
6) ALL REBAR LAP SPLICES TO BE 2411 MINIMUM.
DECORATIVE CAP PLACEMENT.
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; Al,
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* PHONE (760) 777-7125
FAILURE OR DEFECTS. FAX (760) 777-7011
IDE COUNTY CODE UNIFORMITY PROGRAM
FREESTANDING BLOCK WALL
J;A QUINTA,CAIAPORNIA92253
W/91211P- ICOMMUNi-i-Y.I)CVELOPMr:mri)i-,.ir.l,i-,AcF.i.oi,2
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.
f,V QF INr\�
SEISMIC:
PHONE, (760) 777-71257A-495
NA= 1 .3. NV= 1.6. Z=0.4. SOIL PROFILE=SD
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
w, ry
'c
F i.
} r
FREESTANDING BLOCK WALL.
f,V QF INr\�
PHONE, (760) 777-71257A-495
CALLS TAMPICO
LA U11INTA CALIFORNIA 92253
FAX (760) 777-7031
10/`)/2014 COMMUNITY DF:VIs1.01'Mt:NT DUI'1'. PAGIS 2 OR 2