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BWFE2015-023678-495 CALLE TAMPICO 1A QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: RUBEN HERRERA 51300 AVENIDA HERRERA LA QUINTA, CA 92253 c&tv, 4 4 Qulhz COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BW FE2015-0236 S1300-AVENIDA HERRERA 773085002 CONSTRUCT 80 LF OF BLOCK WALL PER CITY STD. $3,500.00 A JUL 0 1 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT 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:140528101253027 577 Date:` /O/ 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 violatiorf 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 ) 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose I ) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. . B.&P.C. for this reason 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. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/1/2015 Owner: RUBEN HERRERA 51300 AVENIDA HERRERA LA QUINTA, CA 92253 Contractor: RUBEN HERRERA 51300 AVENIDA HERRERA LA QUINTA, CA 92253 (760)391-3245 Llc. No.::CONV:140528101253027577 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: _ 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 09' Applicant WARNING: FAILURE TO SECURE WORKERS' 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. 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 Addre I certify that I 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 building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date: o / Signature (Applicant or Agent): ��'�� TWy., at'so QUI&- P.O. BOX 1504 LA QUINTA, CALIFORNIA 9.2247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT PROPERTY OWNER'S PACKAGE (760).777-7012 FAX (760) 777-7011 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 51-3,00 Av. }iep¢_PRA It Gy"n4 rA SI 310 b✓ N Y, f +n c -CA We are providing you with an' Owner=Builder Acknowledgment 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. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 62.,At+ 1. I understand a frequent practice of unlicensed persons is .to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -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 injuries. 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. a.P+a__KS 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. Rp-b__L3. I understand as an "Owner -Builder" "I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. oz..N/ 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. rj,pl,t &5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction. is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. R.(?ti__&S6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' .compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide -by these laws .may subject me to. serious financial risk. 2.RIG _JE7. I understand under Califomia Contractors' State License Law, an Owner -Builder who builds single-family residential. structures cannot legally build them with the .intent to offer them for sale,. unless all work is performed by licensed subcontractors 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. Rip �� . I understand as an Owner -Builder if 1 sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects" in the workmanship or materials. �S 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the Califomia.Contractors' State License Board (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. SFW M710. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and—financially_responsible_for_proposed —construction lactivityatthe following address: .(Z -PA M11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. R,RI� r–L . I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the informationI 'h'ave provided on this form Licensed- contractors are regulated by laws designed to protect the public. If you contract with. someone 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 civ.Tcourt. 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. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued toverify the property owner's signature. y Signature of property ownera r�i�lJ— Date: –7' L 15 r Note: ThefollowingAuthorization 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 ACTON PROPERTY OWNER'S BEHALF Excluding the.Notice to Property Owner; the execution of which Tunderstand 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 th`e owner's driver's license, form notarization; or other verification acceptable to the agency is required to be presented when the permit is issued to verb the property owner's signature. Property Owner's Signature: Date: Bin # City Of La Quinta -Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. 02 S G Building Permit Application and Tracking Sheet ,.Permit # t3v�/�Ezo t 5 PiojeeCad&essr' I _ X00 %, v. toOwner's Name: 1' P. Number. Address: Legal Description: City, ST, Zip: l A , ( (—,9—�� Contractor: telephone: Address: Project Description: City, ST, Zip: lJ S 12-t C T i?> L OctL WA-t_ t— Telephone: fit -r-/ ST �j 0 r State Lic. # : City Lic. M.- :Arch., Arch.,Engr., Designer- esignerAddress: Address: City, ST, Zip: Telephone: �!%•?<;'�f�r' : '`; yt/"4�5:'f-ty';xY,ha:- State Lic. #: �4�:�;��,�;;wr:-;�,G��s�.,•�:;,.._. jName-of Contact person: D o Cnstruction Type: Occupancy: YP Project type (circle one): New Add'n Alter Repair Demo Sq. FL': # Stories: # Units: 'Telephone # of Contact Person: ' Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tt Submittal Req'd Rec'd TRACKING PERMIT FEES j i'lan Sets Plan Check submitted Item Amount Structural Calcs.. Reviewed, ready for corrections Plan Check Deposit Truss Caics. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 21d Review, ready for corrections/issue . Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: 3'd Reyiew, ready for correcdonsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Description: CONSTRUCT 80 LF OF BLOCK WALL PER CITY STD. Type: WALL/FENCE Subtype: Status: UNDER REVIEW Applied: 7/1/2015 EVA Approved: Parcel No: 773085002 Site Address: 51300 AVENIDA HERRERA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 64 Lot: 23 Issued: UNIT 6 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI' Details: 80 LF OF BLOCK WALL PER [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. SHARED RESPONSIBILITY BETWEEN 51300 AVENIDA HERRERA AND 51310 AVENIDA HERRERA CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI' CITY STATE ZIP PHONE FAX EMAIL APPLICANT RUBEN HERRERA 51300 AVENIDA HERRERA LA QUINTA CA 92253 ( FINANCIAL INFORMATION Printed: Wednesday, July 01, 2015 4:44:05 PM 1 of 2 r/T sys7enns DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BOND BEAM BLD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: WALL/FENCE - FIRST 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 TOTALS:0• 00 Printed: Wednesday, July 01, 2015 4:44:05 PM 2 of 2 SYSTEAAS INSPECTIONS SEQID. INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES BOND BEAM BLD FINAL"* BLD FOOTINGS BLD Printed: Wednesday, July 01, 2015 4:44:05 PM 2 of 2 SYSTEAAS 1 rCA �r d n 1 6.Lo.c.k ; walk �n n PM Pe_c ell t j FOOTING OPTION "A" H,. HEIGHT FROM TOP OF FOOTING 12" 16, I K r #4 HORIZONTAL REBAR (USE BOND BEAM BLOCK) 6" OR 8" BLOCK #4 HORIZONTAL AT 32" MAX. O.C. (USE BOND BEAM BLOCK) SEE TABLE "A" — FOR REBAR SIZE AND SPACING (LOCATEREBAR IN CENTER OF CELL) REVERSE TABLE "A" "H DIRECTION OF VERTICAL REINFORCEMENT HOOK ON EVERY (FI DOTING WIDTH) OTHER REBAR SEE TABLE -Al' SEE TABLE "B" FOR REBAR SIZE— AND SPACING (LOCATE REBAR IN CENTER OF CEIJJ FINISH GRADE (1) - #4 REBAR CONTINUOUS (2) - #4 REBAR CONTINUOUS ALL FOOTINGS ADJACENT TO SLOPES TO BE AT LEAST 5' TO DAYLIGHT AS SHOWN BELOW. a. 0 I DOTTOM AF OF 5' MIN. FOOTING NOTES: 1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF MORE THAN 6" ON OPPOSING SIDES OF THE WALL. THIS IS NOT A RETAINING WALL. 2) FENCE HEIGHTS ARE REGULATED — CONSULT ZONING REGULATIONS BEFORE BEGINNING CONSTRUCTION. 3) NO WATER COURSE OR NATURAL DRAINAGE SHALL BE OBSTRUCTED. 4) GROUT ONLY THE CELLS CONTAINING REBAR. THIS WALL IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED. 5) ALL REBAR TO BE ASTM SPEC, A615, GRADE 40 MINIMUM. 6) ALL REBAR LAP SPLICES TO BE 24" MINIMUM. 7) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. 8) REBAR TO BE CENTERED IN MASONRY CELLS. l TION "B" Wi�_ .,., 1(FOOTING WIDTL SEE TABLE "B" TABLE "A" "H W" VERTICAL REINFORCEMENT 3' 17" #4 @ 48" O.C. 4' 20" #4 @ 48" O.C. 5' 23" #4 @ 48" O.C. 6' 29" #4 @ 24" O.C. SEE TABLE "B" FOR REBAR SIZE— AND SPACING (LOCATE REBAR IN CENTER OF CEIJJ FINISH GRADE (1) - #4 REBAR CONTINUOUS (2) - #4 REBAR CONTINUOUS ALL FOOTINGS ADJACENT TO SLOPES TO BE AT LEAST 5' TO DAYLIGHT AS SHOWN BELOW. a. 0 I DOTTOM AF OF 5' MIN. FOOTING NOTES: 1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF MORE THAN 6" ON OPPOSING SIDES OF THE WALL. THIS IS NOT A RETAINING WALL. 2) FENCE HEIGHTS ARE REGULATED — CONSULT ZONING REGULATIONS BEFORE BEGINNING CONSTRUCTION. 3) NO WATER COURSE OR NATURAL DRAINAGE SHALL BE OBSTRUCTED. 4) GROUT ONLY THE CELLS CONTAINING REBAR. THIS WALL IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED. 5) ALL REBAR TO BE ASTM SPEC, A615, GRADE 40 MINIMUM. 6) ALL REBAR LAP SPLICES TO BE 24" MINIMUM. 7) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. 8) REBAR TO BE CENTERED IN MASONRY CELLS. l TION "B" Wi�_ .,., 1(FOOTING WIDTL SEE TABLE "B" CHECK._WI'fH._THE._BUJL_.DING. DEPARTMENTTO VERIFY IF A_BUILDING. PERMIT_IS.REQUIRED.. WHEN A PERMIT IS REQUIRED, THE FOLLOWING INSPECTIONS ARE REQUIRED: 1)E -Q-011 G; EXCAVATION TRENCH CLEAN WITH STEEL IN PLACE AND SUPPORTED 3" ABOVE AND AWAY FROM THE SURROUNDING EARTH/DIRT. 2) REBAR/PRE-GROUT: BOND BEAM REBAR AND VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO PLACING GROUT. 3) FINAL; AFTER GROUT IS PLACED - PRIOR TO ANY DECORATIVE CAP PLACEMENT. 'SEE PAGE 2 FOR ADDITIONAL INFORMATION' wI , DISCLAIMER: J ` ALTERNATE DESIGNS MAY BE POSSIBLE+' WHEN PROVIDED WITH AN ENGINEERED �-��•^ ANALYSIS. USE OF THIS STANDARD DESIGN F'�aer�r IS AT THE USER'S RISK AND CARRIES NO IMPLIED OR INFERRED GUARANTEE AGAINST PHONE (760) 777-71.25 FAILURE OR DEFECTS. FAX (760) 777-70] 1. COUNTY CODE UNIFORMITY PROGRAM T,vf4 4 aukrai FREESTANDING BLOCK WALL 78-495 CALLS TAMPICO LA QUWTA, CALIFORNIA 92253 10/9/201.1 COMMUNnY DEVELOPMEN'P DEPT. PAGE I OF2 TABLE "B" „H„ ,W,. VERTICAL REINFORCEMENT 3' 19" #4 @ 48" O.C. 4' 22" #4 @ 48" O.C. r6—� 29" #4 @ 48" O.C. 34" #4 @ 24" O.C. CHECK._WI'fH._THE._BUJL_.DING. DEPARTMENTTO VERIFY IF A_BUILDING. PERMIT_IS.REQUIRED.. WHEN A PERMIT IS REQUIRED, THE FOLLOWING INSPECTIONS ARE REQUIRED: 1)E -Q-011 G; EXCAVATION TRENCH CLEAN WITH STEEL IN PLACE AND SUPPORTED 3" ABOVE AND AWAY FROM THE SURROUNDING EARTH/DIRT. 2) REBAR/PRE-GROUT: BOND BEAM REBAR AND VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO PLACING GROUT. 3) FINAL; AFTER GROUT IS PLACED - PRIOR TO ANY DECORATIVE CAP PLACEMENT. 'SEE PAGE 2 FOR ADDITIONAL INFORMATION' wI , DISCLAIMER: J ` ALTERNATE DESIGNS MAY BE POSSIBLE+' WHEN PROVIDED WITH AN ENGINEERED �-��•^ ANALYSIS. USE OF THIS STANDARD DESIGN F'�aer�r IS AT THE USER'S RISK AND CARRIES NO IMPLIED OR INFERRED GUARANTEE AGAINST PHONE (760) 777-71.25 FAILURE OR DEFECTS. FAX (760) 777-70] 1. COUNTY CODE UNIFORMITY PROGRAM T,vf4 4 aukrai FREESTANDING BLOCK WALL 78-495 CALLS TAMPICO LA QUWTA, CALIFORNIA 92253 10/9/201.1 COMMUNnY DEVELOPMEN'P DEPT. PAGE I OF2 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 SEISMIC: NA= 1.3. Nv=1.6. Z=0.4, SOIL PROFILE=SD