0012-002 (BLCK)LICENSED CONTRACTOR 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 my License is in full force and effect.
License # Lic. Class Exp. Date
Signaturb•of-Co;Tr act--�-
OWNER -BUILDER DECL�A ATION
I hereby affirm'under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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).
() I am exempt under Section B&P.C. for this reason
Date Signature of Owner.
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 & policy no. are:
Carrier Policy No.
(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�he wo ers' compensation provisions of SCti rt 3r700 of the Labor
Code I s I ort �jd .comply with se�provfisio s/
Dale �� �v�ApplicantPIK
eve
Warning: Failure to secure Workers' Compens�t o coverage is unlawful and
shall subject an employer to criminal penaltiesand�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.
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
& 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 isnot 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 repres�Intatives of this City to enter upon
the above-mentioned pY,rope .��foo insp�tri n purposes.
Signature (OwnerdRgen. t)^^ tf 9p • Date r v
BUILDING PERMIT PERMITr#sDATE
�/`rVALUATION, LOT 00
14/�12-002
JOB SITE
ADDRESS
(3tMAX f DMVE & "If',I�.Ifhtl C,C.1T3'Si''t'
APN
OWNER
CONTRACTOR / DESIGNER / ENGINEER
C11M'i lith' t"ItC):ii1•' . L'f)iaidviLIYdMKS
c09TUtY CRQV JL Vin. akJi"CFS
1535 so. qy �` RT•. .i% Errz 41,00
153590, "DO f3'.f."lMM, rill 0200
xAR lri�i�,�1.F2DWO CA 9 .408
ut�v" FF31! A��ir40 CA 92409
(905)-3$1.6007 f:BIR
USE OF PERMIT
'1118 >!X OF T TO 4' .RMT,A941140 W,A1. ,
LtlT0 3A-44'fl3ACK 2:171W
QALAXY' DRIVE &T1}►fFRUS COURT ;
4 rf. i'iAM, 706,00 IS
ESTMATM) COST OF CONSTRUMON
111296.00
CONSTRUC2 014 FEE 101.000.41 8-000 5'1 {3,dH9
l
N
PAID
DEC 112000
I
.=1rY ut.; LA r
M
Q:
iJ}3-T%fi f1C. C �.4�'M1.f UCr13%1.%2d, d14`D P%ANPWC K
;
tv 5.00 P
*=W PRE -PAM I
$0,00
r�4'.�d�.� JC'�.�S.L 3t°! ����..��%�
!
��.)}i'1vt.+'k;•
RECEIPT
DATES
BY /
DATE FINALED
INSPECTOR
IN
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
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
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)--
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
Utility Notice (Perm)
COMMENTS:
f=qlzN-t %F.
alt f ?A?ue(420
i��( e I_aTS –Ne c)-*—'
12—N 2000 Cdr—lf-
P-11126 L� 3 $ 0( (ea
("cnS 3c� – 33 V2& 014 1 ( 3 1 cx cef:7�
kS La(S 3� �r�
Ley( v 0- I I ( $
1 �18I C
l�S 133 ��
t'1Y�S (� 2 FBF 11u4 S d ( G
lits 3� T� � 2 u3 +U1 �v�Final 2C
5 2��- 21�
� y F3 96 oIL G20 t
U y y o<< 2A2-0
Q?V��
N 89'28'40" E - - 376.86' -
12+00g11"
o STA. 12+23.26 GALAXY DRIVE= 13+00 GALAX )
STA. +50.00 POLARIS WAY
6" C & G
R9
7909.66 X99
��`'c ? FG /
80.50' -- �� �� 0 3' P.U.E.— 100.00,
-------- ——
gg.
I
• O a � �, 0 � O 67
N .r ^ry' 998Go N TF g9.00
o
I F�
0
Q I FS 101.20 10 FS 100.40
M o
Ol 0 Ia oa, n I g
�5
61 - FLG9 l I �N 3 UN 3 I ,p g�;
O I 0
—J
�. -- �1 0
1 0
0 44 ��� a 9 ��`� Pad= 100.4
to
o 43Lno
cs Pad= 101.2 F.F.=100.90 �` o
F. F. =101. 70 :oo
PLAN 3C 30.00'
28.00• PLAN 3B(R) ,00�Q B
0 A
1g 0• 9 sj ,<.6A .
,0 �Q F� 0.50.2' 9
0.50 -
r 71y I
TW 106STEP.33 �Oy
FOOTING FOOTING STEP TF 99.67 STEP TF 99, ��
FOOTING N
'� 100.04' � 2 1 \
100.04' 1. 2 1 STEP
82.76' 6�
117.31'
OTING
SEE SHEET NO. 6 OF 7
N
2ND_ SUBSTITI JTF MVI AR
0 F.F.=100.60 ! I
o _._........ F' L A 1N 4L(R) ! I
xE7.00,,, 18.00
.I I
RETAINING WALL I I I I
(BY SEPARATE PERMIT) I I
e ,
�jy I 10 1
----------------- S� o0_...... _.._.. -- _
�,� ,p8'pp i__...__.. _ _._..... �_. .................. ..............�,p IF�T� _ 1 I 60 I Ok
-coTF 9 �� rdE gg. 00 ( g�:FG i g�G
7
100.00'
---j STEP �1 0.50% 14.6% 10
'k FOOTING 1 1��y �� 1 �o?'o gg'F('
TW 108.23 I
TW 114.33 TF 102.23 30" WALL
IW
TF 107.67 j
ATw 115.00 N !ou l a
TF 108.33 m 41 �s s 20.00' I Q
1J N Pad= 103.1 I I O
:108.8 TW 115.00 1 I
109.30 TF 108.33 ; F•F.=103.6 0 ho
( ,
J 2OR) PLAN 4A(R)12
og I
0.50'; I �'
3 I CL. DWY.
O I
1+74.67
o I W=17.00'
Cb
O 1 N I 1 -!8r
1 1 uI Q
I
}
o ?
o
TW 110.00 `�G+ s►� 1 I N
0
TW 1 12.00 0.50% TF 104.00
TF 106.00 N-----r--�---- --r--- ------ ----- 1 ,oZ90
1 4.4' ------
10.0_.00'
0.50% 3.07% 0
FOOTING. � i 1�
0
U
U)
I I I
�. "' I CL. DWY.
)9.6 1B p 1 2+30.20
0.10 v W=28.17' cn ��
21.7' 4,0
o
:
Q
Pad= 104.8 L-----
I F.F.=105.30 i it
PLAN 4L
� lu
I
_.._ ..._.? co o _�Ze
N
}
• � s
.00 ,
s.
Op
20'00
p g6
0
Or
F\550 �\ 1p f54
-_ --_-., TF 106. 00
r
i
i
�
_0:50% V
STEP
I
FOOTING
STEP.
FOOTING
1 ! N
�i
'
105.49
FL
IB
_ _
3.10
s
_ -
91.64' A 2:1-
21.7'
r'k ,
�
352.00'
_ ..
U
_... _._.,
N
10.00'
r
;
TW (118.4
•.i 00
II
t
TF (111.7)
'ad=(111.9)
,150ps
Pad=(112.2)
Sf�
�>>,
AJ
-.F.=(112.4)
}
F.F.=(112.7)
p
STEP
II r✓
/�
t FOOTING
r-. n .- -r
/
TW 115.00
TF 108.33
;
J
o
N
o
�
r
C 00
cp
r--J---------------------Lr-------`'
4.4'
100.00'
0.50% 713.079 �
,05 FG
o
CL. GWY. in
B 2+30_20
W=28.17' N 1�
40 I L'
Pad= 104.8 L-----
F.F.=105.30 I I
PLAN 4L
I I'�
fs 20.00
�0 6%
T 10 O p 1 kAr-.
'6�% \ <'
3S
0� G TW111.67
0 5 S1N FC 05.00 104,14
Fpo
S1EP 3 50 \ f s ,
'o- 50% /O \ 00
3 6 FC ca �
0.
`50.1
70
�N 105. � � ,Osss / oIr
067
00 39 4 7
6,
Pad= 106.1 .00 c
F.F.=106.60
C PLAN 3(R) s°°'
a�
WO
DEEPEN
_ FOOTING 4.5
r
i
�
_0:50% V
STEP.
FOOTING
STEP
Ln FOOTING
105.49
FL
1.86'
_ _
_ -
91.64' A 2:1-
N89'35' 10 "E ; of
r'k ,
�
352.00'
N00'24'50 "W
',.
1,�$
I
A
10.00'
v
TW (118.4
J J
II
J2
TF (111.7)
'ad=(111.9)
II
Pad=(112.2)
�>>,
AJ
-.F.=(112.4)
II
F.F.=(112.7)
p
II r✓
� i i ��
-r i � i .- -r
r-. n .- -r
y y \ 0 1'L O64\ 0. 509, 1
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104. O0 alt 0.� 61� \`� �? CO)
0� ,�
7W 111.67 \s 0. 1 1, 4 . / 104.21 0 04.36
050�o fOOTF 105. "0705.50 \� 1o45b \� / FS / h 1fLG8
IEP /u 3•\ f /
3• 0 fps \ lb
3 �53j F�� 'k �(40co
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f N Bio
O S V
los
O� U�/p phi so 5 19 tO �\
•. v
39 � � 3 FS 106.20. FL,o� ,GO \
14-
Pad=106.1 op I 5.00' o �2 0 / 3%
F.F.-106.60 o DEEPEN SQA ?o
FOOTING , / Pad= 10,'
F.L 0' /
PLAN 3(R) s°°' WZO 0I3 �ss� 1.5 -10 �. 09�// F.F.=1 06
PLAN
DEEPEN �` N 38 t
D FOOTING 4.5"Pad =1 0 6.2
T
,°S39 F. F. =106.70 w so
PLAN 2
0.50%
-- --- ----- ?39? E .mss 00
STEP9� h'
U) FOOTING 10F� 9 10��Q T11133 S
f• � 11Y7 --- --- --- 1046 ----
91.64' .l 2:1.l TF1ps00 po
STEP
N00'24 50"W
111833 04,
_'1,8 FOOTING
10.00' _ 2 1 E—
TW (118.4
TF (111.7) N89'35' 10"E 149.23'
2) 1 3F 10
7) D J Pad=(111.9) E C
F.F.=(112.4)
1 Lf .
r> 1\1 r J J\ A r 1 2 3 f f 3 lPad=(111.5)
F.F.=(112.0)
SEAL
QRQFESS/o
APPROVED BY:
LOT 49
Pod= 108.8
SWALE
�F
5.5' WALL
(4.5' RET.)
FG
SWALE
PG -7 SECTION AA
LOT 41
Pad=103.1
LOT 50
Pod= 109.6
0/
SWALE
5'
3.9' WALL
(3.2' RET.)
f
!3
PG -7 SECTION BB
SWALE
LOT 40
Pod= 104.8
LOT 51
,o
Pod= 109.3 9`��J 6
SWALE ?'� 016 2.5' WALL
�� M9 % (1.5' RET.)
FG 106.1
• I rF
PG -7 SECTION CC
SWALE
LOT 39
Pod= 106.1
(LO T 12)
(Pad= 112.2)
A0 '
s
SWALE
LP
L t J
j 5.0' WALL
I(4.4' RET.)
VG 06.1
SWALE
T,n
SOS
43
PG -7 SECTION DD
LOT 39
Pod=106.1
(LO T 13)
(Pad=111.9)
SWALE
L,
LtJ
I .
k
4.4' WALL3.7' RET.
)
fG SWALE
PG -7 SECTION EE
LOT 38
Pad= 106.2
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE By
RETAINING WALLS
Cantilever Retaining Wall with Footing Away from Fill
Max. -\ 2
slope Grade sloping
1 or level
114 Cont.
I 2-C16
1. 8Q Conc. qlk
L _...
an4 Cont.
4 Q 48" o.c; Y bars ,- • -
continuous
H
I 44 rg 48" o.c.
2" Clr. • 1 continuous
Omit head 6" X bars H
joints \ Omit head
12 Conc. blk.
\ I joints
2 u4 Cont.
H, 2" Clr.
-•i i #4 Q 24"
12" Omit if no key 12"
•...... #4 Cont. ,
D .6" Hook ~• #4 Cont. D
3" Clr. Omit if no key I 3" Clr.
Max.
slope 2 Grade
sloping or
1 level
u4 3" Cir. • 12"u4 12"
Cont. 2 Cont.
B B
Section A ection B
1�
a' 1,2°0O
TABLE 3.6A DESIGN DETAILS AND STEEL REQUIREMENTS
2" Cir.
Y bars
�- 8" Conc. Wk.
X bars
L
1 #4 @y 24"
Omit if no key
#4 Cont.
— a4 Cont. Omit
if no key
�- 6" Hook
2"
G�
�q N0.24069
s
QP12-1 CML�CFC3AU
,
*Lap splice may be omitted and. reinforcing made one piece from footing to top of wall.
Section
H
H,
B
D
X bars
Y bars
: L
A
8'0"
2'8"
5'0"
1' 9"
#5 @ 8"
#5 @ 16"
—
A 7'4" 210'• 4,8" 1' 6" -#4@ 8" #5 @ 16"
—
A
6'8"
1'4"
4'2"
1' 3"
45 @ 16"
#5 @ 16"
—
msloping
maxi
maximum 2:1
behind wall
A
6'0"
1'4"
3'8"
1' 04
"
# @ 16"
44 @ 16"
—
B 5'4" — 3'6" 9" #5 @ 16" #4 @ 16"
2'6"
B
4'8"
—
3'0"
6"
44 @ 16"
#4 @ 16"
2'0" *
B
4'0"
—
2'6"
3"
4#4 @ 24"
#4 @ 24"
2'0"*
B
3'4"
—
2,2„
—
#4 @ 32"
#4 @ 32"
2'0"*
A
8'0"
2'0"
4'2"
10"
45 @ 16"
4-5 @ 16"
—
A
7'4"
1'4"
3'8"
7"
#4 @ 16"
f5 @ 16"
—
A
6'8"
1'4"
3'3"
4"
114 @16"
#4 @ 16"
—
Grade level
B
6'0"
—
312"
4"
#5 @ 16"
#5 @ 16"
2'0"*
behind wall
B
5'40'
—
2'9"
—
#4 @ 16"
#4 @ 16"
210"*
B
418"
—
216"
—
#4 @ 24"
#4 @ 24"
2'0"*
B
4'0"
—
2'2"
—
#4 @ 32"
#4 @ 32"
2'0"*
B
3'4"
—
1'9"
—
44 @ 32"
1 #4 @ 32"
2.'0"*
*Lap splice may be omitted and. reinforcing made one piece from footing to top of wall.