05-4160 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
X0:5='00.00.41'60
78341 DEACON DR W
770-210-027- -
WALL/FENCE
LOW DENSITY RESIDENTIAL
6150
Architect or Engineer:
----------------------------------- ----- --
--
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 Professionals Code, and r iler� ys.� ff ll force and effect.
License Class:. A License No.: d !/
ContraoCf r: 9
1/�t1�1i
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 _ 1 1, 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, 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
Owner:
MALETIS THOMAS M
78-341 DEACON DRIVE W
LA QUINTA, CA 92253
Contractor:
HUDSON CONSTRUCTION,
WCC: EXEMPT
WC: EXEMPT
CSLB: 818121
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
INC., K.P
07/31/06
03/31/07
Date: 9/16/05
1
k
---------------------------------------
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:
Carrier B Policy Number - - - - - - - -- ---- --
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 sub'ect to the workers' compensation provisions of Section
3700 of the Labor Code, I shall fo h ith mply with those pprrov—isionns.
;W�4� Applicant: �Aso1/�1
WARNING: FAILURE TO SECURE WO S' 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.
1 certify that 1 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 bu'Iding construction, and hereby authorize representatives
of this c my to enter upon the above-mentioned prgp�rty for ins ectio urposes.
D-�. Signature (Applicant or Agent):
j
Application Number . . . . . 05-00004160
r Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 90.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
6150
Expiration Date 3/15/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
5.00 9.0000.THOU BLDG
2,001725,000
45.00
-------------------------------------------=--------------------------------
Special Notes and Comments
192 L.F. 6' GARDEN WALL; 54 L.F.
6'
GARDEN WALL (COURTESY INSPECTION
OF 45
L.F. 2' RETAINING WALL & 54 L.F.
2'
RETAINING WALL); ALL CITY STANDARD.
Fee summary Charged
Paid
Credited
--------------------
Due
-------------------------------------
Permit Fee Total 90.00
.00
.00
90.00
P1an.Check Total .00
.00
.00
.00
Grand Total 90.00
.00
.00
90.00
LQPERMIT
CITY OF LA Q U LN -I'A
BUILDING AND SAFETY DEPARTMENT
RETAINING WALL. STANDARD
RETAINING WALL SPECIFICATIONS
ALL WALLS SHALL BE CONSTRUCTED OF THE HIGHEST OUALMY
WORKMANSHIP IN ACCORDANCE WITH THE 1991 U.B.C.. AND THE
FOLLOWING SPECIFICATIONS:
1. CONCRETE . I' e.2000 PSI AT 28 DAYS PEA ASIA C150
2. MASONRY - T m. 1500 PSI GRADE IN PER ASTM C150
3. GROUT 2000 PSI AT 28 DAYS PER U.B.C. TABLE 24-B
4. MORTAR - 2000 PSI AT 28 DAYS PER U.B.C. TABLE 24-A AMB
ASTM C270
S. REINFORCING - DEFORMED BARS CONFORMING TO ASTM, A61S
GRADE 40. STEEL LAPS SHALL BE 40 BAR DIAMETERS OR MORE.
BEND HORIZONTAL BARS AROUND CORNERS A MINIMUM OF 24'.
VERTICAL STEEL SHALL BE HELD IN PLACE BY WIRE TIES AT THE
TOP AND BOTTOM OF THE BARS BUT NOT EXCEEDING 8 FT. IN
SPACING PRIOR TO SPACING PRIOR TO GROUTING. STEEL
PLACEMENT IS CRITICAL AT THE BASE OF WALLS AND AT CHANGES
IN BLOCK SIZE. ADHERE STRICTLY TO THE DIMENSIONS SHOWN ON
THE PLANS.
8. ALL FOOTING TO BE POURED ON UNDISTURBED NATURAL GROUND
OR ON COMPACTED FILL WITH A MINIMUM DENSITY OF 90%
RELATIVE COMPACTION.
7. DRAINAGE SHALL BE ACCOMPLISHED BY PLACING A 3• DIAMETER
PERFO ATEO ABS OR PVC DRAIN LINE BEHIND THE WALL AT THE
TOP OPTHE FOOTING AND COVER WITH 1 CUBIC FOOT PER LINEAL
FOOT OF 112' PEA GRAVEL, AT LEAST'li' OVER THE TOP OF THE
PIPE. EXIT :THE DRAIN LINE OUTSIDE THE WALL AT A LOCATION
WHERE T,Ht DISCHARGEOF WATER WILL NOT BE OBSTRUCTED AND
As APPROVED BY THESOLOINGOFFICIAL. MAINTAIN AT LEAST
S. PROVIDE VERTICAL EXPANSION JOINTS PER DETAIL HEREON SPACE
+ gETW EN 50'FT. AND.200 FT. APART. PLACE EXPANSION JOINT AT
F.00P4;TE!'S;l Ri z5 NO STEP IS PRESENT.
��. .
5. •'GROa0b'-h':tHA "kT •EXCEED 8 FT. WHEN GROUTING IS
PERFORMED IN MORE THAN ONE LIFT. STOP THE INTERMEDIATE
•'e_ WbVTTF'' T i�ELOW* TOF OF Y1iE BLOCK TO PROVIDE A
+�
KEY 'F,OR' THE NEXT LIFT -r
10. _',9A'CKFILLING SHALL NOT OCCUR UNTIL AT LEAST 14 DAYS AFTER
GROUTING IS COMPLETE.
11. GROUT ALL CELLS SOLIDI..
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�/ CITY OF LA QUINTA"SUB-CONTRACTOR LIST
JOB ADDRESS S�- 341 >.+coN DA. lel PERMIT NUMBER DS ql6 D OWNER -7-7,o ILDER-JJ
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing o s li or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all intormation requested below must be completed by applicant. "On File" is not an acceptable response.
Trade / Classification Contractor ;':::::::;State:iContractor's. License.: Workes.Compersatior ,Irsu�ance`:'`:'.' ,;:;:... _ _ City. Business License:>.
Company Name
Classification
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
1
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK 1C -12I.
CONCRETE (C-8) `
FRAMING :(C-51
STRUCT.:STEEL (C-51)
MASONRY (C-29)
/2- Y 1� o� �b►�jfo^'
�Z
3 , 3
2 a�'
/` /�
s/��1'% L'lii✓Oi
2
7 i'�
Z
:Y'06
PLUMBING (C-36)*
.ATH; PLASTER (C.=35)
DRYWALL (C-9)
HVAC. (C-20)':::; ,. .
ELECTRICAL. (C=10)'
.:SHEET -METAL (C'431'
FLOORING (C=.16);
GLAZING (C-17).. .
INSULATION'(C-2) .
SEWAGE DISP (C-42)'
PAINTING (C=33)
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
LANDSCAPING (C=27)
POOL (C-53)