0011-077 (BLCK)11LLICENSED CONTRACTOR DECLARATION
ffirm under penalty of perjury that I am licensed under provisions of
H Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
CN W Professionals Code, and my License is in full force and effect.
ch License # Lic. Class Exp. Date
dU-)
IDA 112(
Z r Date' ' Signature of Co rr a1f cto
CD 0
r- U OWNER -BUILDER DECLARAON
Ha I hereby affirm under penalty of perjury that I am exempt from the Contractor's
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).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
c'') () I am exempt under Section B&P.C. for this reason
Ln
N Date Signature of'Owner
O N
0- z WORKER'S COMPENSATION DECLARATION
O cc: I hereby affirm under penalty of perjury one of the following declarations:
Lo � O () 1 have and will maintain a certificate of consent to self -insure for workers'
X w �= 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.
CD Q U ( V°have and will maintain workers' compensation insurance, as required by
OQ Section 3700 of the Labor Code, for the performance of the work for which this
,It Z permit is issued. My workers' compensation insurance carrier & policy no. are:
Cartier Policy No.
ob O OC11, am mou i2+f r:
J (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 •oJJJvisions of Section 3700 of the Labor Code, I shal(forth ith comply W"If thoseFj'iro'v;sions
,,.
Date: t .Applicant:? • .' 7
' Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penaltie"s and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
k IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
44 . application.
1. Each person upon whose behalf this application is made & each person at,
Whose request and for whose benefit work is performed under or pursuant toi
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
• correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned properrtp�f„q�r inspeption purposes. �,
S ghature (Owner/Ag"ent) -^ '""` Date
BUILDING PERMIT PERMIT#
DATE VALUATION LOT TRACT
JOB SITE
APN
ADDRESS
OWNER
CONTRACTOR / DESIGNER / ENGINEER
�y,��l'���ayy%�.��CR��yyOgqz��d,���ELL
T`€y��'Y C�'Rttyyt7"p�6TJyyEi�qq.L CCYM ;(7NI�:MS
�Cpp1.�0MIMy'{k�2T17A
up, -D'- s11`•,S:xt. 43-5me 00
tea
1535 SC>. "Do 31 .d+'aS,��6. r..3l,J.•s, 4.2..00
.l5�;i5
SAW BAIMMARl )NO CA 92408
5W BERMP"3Yt:; CA 92A O8
(900)381-6007 03MAl€ 2120
USE OF PERMIT
.701:;F X 4' P.WrAIMINO NVALL A5 PFR .APPRI( eD K.AX - LOT fa, 7
4 ?Ta WALL 260.00 L.F+
ENTMA ED CCAS' OF CO,"s"MUC"TIC3N
4,1 60.(0
MEMCI, FEE MARY
MMITPIRUCTION FEE 101 -000-41 MOO
r1 ,
r S'�B -7 OTAT'., CC3�`3'tIL� C, t ECf i N C°ffil� f$'72.00
n .
LE33 PRE -PAID FMS
Moo
TOTAL :PMYHrM.SDTArTQNV
$72.00
INOV. 13200®
-
. #ITg Ve LA QUA
RECEIPT
DATE )
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
a
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms &Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Footings
Bond Beam
_
A'��"``—
(ZI o� �`—
Electric Bond
Main Drain
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)r
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
L..c� ce
Ibsk S Cg ---1
eJ'3 (—"7 _8 av- tZ\ �� c
J:rr(e V0-1- 3y Z/, Ov
Q
CITY OF LA QUINTA
BUILDING R SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
RETAINING WALLS
DATE 1 NBY Cantilever Retaining Wall with Footing Away from Fill
Max. 2
j1 slope Gradc sloping
or level
*4 Cont Max.
slope 2 Grade
I 2'Clr 'S sloping or
1 I level
se Conc. filk -
-4 Gild$" p,ct Y bars%_ *4 Cont.
continuouY
H 2" Cit.
0410 48" O.C.
2" Cit. • 1 continuous Y bars
X bars H 8" Conc. Wk.
Omit head 6"
joints \ 12 Cone- blit. Omit head I •X.bars
\ ji
onts
� a4 Cont. 2" L
H, 2" , f
2" Cir.
04 fie 24"
c" *4 @ 24" _ — _ Omit if no key
Omit if'no key 12_ t
*4 Cont. *4 Ccnt.
6" Hook '4 Cont. p ( if Cont. Omit
D 3" Cit. •l J Omit if no key T—j \— if no key
�T I J 3" Cit. 6" Hook
*4 r i" C1r. • 12" ■4 12" 2"
Cont 2" QAOFtSSfO�c� Cont
co
Section A x'0.24669 , Section B
EXE? 121-2009 x
CMI. �P k4'
O1:
TABLE 3.6A DESIGN DETAILS AND STEEL REQUIREMENTS
*Lap splice may be omitted and reinforcing trade one piece front footing to top of wall.
l
Section
H
H,
B
D
X bars
Y bars
L
A
8'0"
2'8"
510"
1' 9"
45 @ 8"
=5 @ 16"
—
A
7'4"
2'0"
4'8"
1' 6"
-94 @ 8"
_=5_@ 16"
—
A
6'8"
1'4"
4'2"
1' 3"
w5 @ 16"
=5 @ 16"
—
Grade sloping
maximum 2:1
A
6'0"
1'4"
31"
1' 0"
•z4 @ 16"
=4 @ 16"
—
behind wall
B''
5'4"
—
3'6"
9"
x5 @ 16"
.94 @ 16"
2'6"
B
418"
—
3'0"
6"
44 @ 16"
4-4 @ 16"
2'0"*
B
-410"
—
2'6"
3"
x4 @ 24"
#4 @ 24"
2'0"*
B
3'4"
—
2'2"
—
44 @ 32"
z4 @ 32"
2'0"*
A
810"
2'0"
4'2"
10"
#5 @ 16"
45 @ 16"
—
A
7'4"
114"
3'8"
7"
-14 @ 16"
=5 @ 16"
—
Grzde level
A
6'8"
1'4"
3'3"
4"
.04 @ 16"
04 @ 16"
—
B 6'0" — 3'2" 4" 4-5 @ 16" X-5 @ 16"
2'0"*
behind wail
B
5'4"
—
2'9"
—
14 @ 16"
#4 @ 16"
2'0"*
B'
4'8"
—
2'6"
—
44 @ 24"
�t4 @ 24"
2'0"*
B
4'0"
—
2'2"
—
-14 @ 32"
$4 @ 32"
2'0"*
B
3'4".
—
119"
—=
94 @ 32"
z4 @ 32"
2'0"*
*Lap splice may be omitted and reinforcing trade one piece front footing to top of wall.
l
CITY OF LA QUINTA '
BUILDING & SAFETY DEPT.
APPROVED RETAINING WALLS
FOR CONSTRUCTION
Cantilever Retaining Wall with Footing Under Fill
DATE aBY
az.
slope 2
114
Cont. 1 Grade sloping
' or level
Max.
■4 « 48" 2" Cir_ slope
Cont. 14 2 Grade sloping
Y bar Cont. t F, or level
8" Conc. blk.
v 2' Or.—
1
-4 uo 48" 2" Clr.
L Cont. 8" Conc. blk.
X bars Y bars
Omit -4 Cont H
head Omit X bars
H, joints 12' Conc. b(k. head
s\hart I joints r Z bars t
2" `r
2" Or. 2' Or. 2" 2' Cirl
t t
2 v4
Cont.
6" Hook J ok 3" Or. Cont; rES 6" Hook 3" Cl r.
04 Cont.. QPO S/L.
ti9 �''J\� 2" 4 Cont.
6 (
sloping B �lvQ J c✓/\ ;c; \ �B�
2 --Grade y
level C7 No. 24069 r
Section A s EXP. 12-31-20G;° Section R
TABLE 3.6B DESIGN DETAILS AND STEEL REQUIREb1ENTS
• Lap splice maybe omitted and reinforcing made one piece from footing to top of wall.
Section
H
H.
B
X bars
Y bars
Z bars
L
Soil
Press.
A
8'0"
2'8"
6' 6"
»5 @ 8"
=5 @ 16"
-95 @ 4"
—
2040
A
7'4"
2'0"
5' 9"
Z5 Q. 16"
-:t5 @ 16"
-05 @ 4"
—
1930
A
6'8"
1'4"
4' 9"
#5 & 16"
f5 @ 16"
-95 @ 8"
—
1910
Grade sloping
A
6'0".
1'4"
4' 3"
»4 fid, 16"
•Z4 @ 16"
a5 @ 16"
—
1750
maximum
behind walll
B
5'4",
—
3'10"
�5 C• 16"
z4 @ 16"
»5 @ 16"
2'6"
1790
B
418"
—
3' 6"
=4 C 16"
r4 @ 16"
-r4 C• 16"
210"*
1550
B
4'0"
—
3'.0"
=4 @ 24"
-94 @ 24"
-:t4 Ca` 24"
2'0"*
1380
B
3'4„_
—
2' 6”
44 32"
=4 C' 32"
=4 & 32"
2'0"*
1220
A
8`0"
2'0"
5' 3"
=5 Ca! 16"
=5 @1 16"
-z5 C,, 16"
—
1520
A 7'4" 1'4" 4' 9" 44 @ 16" -95 @ 16" z5 C1 16" —
1480
A
6'8"
1'4"
4' 0"
-;r4 @ 16"
TM4 (a' 16"
-=4 C' 16"
—
1460
Grade level
B
6'0"
—
3' 6"
45 @ 16"
=5 L 16"
-=4 @ 16"
216"
1390
behind wall
B
5'4"
—
3' 0"
-r4 @ 16"
=4 @' 16"
r4 Cv 32"
1 2'0"
1350
B
4'8"
—
2' 6"
44 C' 24"
4F4 .C:• 24"
x3 & 24"
2'0"*
1300
B 4'0" — 2' 2" -;:4 (Q 32" =4 (a' 32" =3 Ca` 32" 2'0"*
1160
B 3'4" — 1110" =4 @ 32" -=4 L' 32" =3 C@ 32" 2'0"*
1040
• Lap splice maybe omitted and reinforcing made one piece from footing to top of wall.
1 'i
CITY OF LA Q YI TA
BUILDING & SAFET
APPROVE®
FORCONSTRUCTION
DATE i
SECTION AA
SECTION BB
SECTION CC
SECTION DD
0
o'
26 rF g°� STEP PROP. 6" C & G
�G l89 $161
L==50.25' FOOTING
32.00' _ _ pot
0.59— \ \ 2 �lg9N.-
` pc� / 90 f6
pc6 g �� 00 �� 6 9 FGg2
8.00' / /�h ® L oo s 92 90
6 � �
EC) I ���\ \ 93 G
8 nI /
20.00' Pad = 91 .3 25 50' STEP FOOTING _
F.F.=91 .80 WITH SLOPE �1=35_69'
II
5d- PLAN 3B
o I g595
6.319 CL. DWY. I FL,
cn Gll
W=17.00' I 96 FG
co
ro 9 gp• G0 X19 0 5� �n L�loo
O
9 F� SF 9 0.59 I pti�61
' 00 `y� ` gy•
G F 30 ----- —-- -- 9?. F
g % _ 92. FG STEP FOOTING 3.6' 86,42 9
FG Pad=97.1
g�G i 7.759 gX(b
0/'o 0 0.59 QQ.QQ' TVA,
966�p T 9S 00 F.F.=97.60
w I F 9�. PLAN 41,
0 < I o TF' �9� 67 I B O I STEP FOOTING B
D I I 67 I 7 O 9
D I rn CL. DWY. I O) F
I 7F-51—' 16+7¢.86 I Pad = 9 3.0 2o.so' ;
- W=28.17' i F.F.=93.50
�6 N d0 Ci y
G �F j1N°
PLAN 4LB(R) ® F Sj�P F00
` -----J 00 \
,.
rl.
TFN00'31'20"W 66.82'�1393F6S c
W° 0' 16 0 N b \
rn M
00
0 0.59 __
STEPC14 —o — 93.00 C11 9g. \
FOOTING = (6 N FG 7yy107.67 \
gh TF 99.00 \
G °60Z'L %09'0 co Ch �V—
�a` xt
^ Z
1p
U) �- O • o�
3' P.L.. o rn N � $ •o
3773 �I 34 � 1
Pad=101.8
Pad=95.7 N F.F.=102.30
s� 5'
tn °mss F.F.=96.20 D3F(R)
.
22.50, PLAN 4L(R)
U
o
rn
2
to
o
n o• 9�Sy W i o O -
6
hIN 100'0Z VWj O c� W m 'n C n
gFG M� Q _ 0�0�
Lz---o� � 0.509 tiA A° 60 �� LA o m 0
c' 0 _ _ A
S� p _ O
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to < m^
99.67 —1 c:
0
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