BWFE2015-0060-----------------------
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- B C10 C29• License'No.: 439904
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 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.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date: 1 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.).
Lende'r's Name:
Lender's Address:.
(760)578-0201.
Llc. No.: 439904
--------------------------------------
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. rkers' compensation insurance carrier and policy number are:
Carri Policy Number: _
ertify that in the performance of the work for which this permit is issued, I
spOnot 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.
Dater G° �� 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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.
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 u ove-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent
'
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D "
LA QUINTA, CALIFORNIA 92253
FAX (760)777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/26/2015
Application Number: BWFE2015-0060
Owner:
Property Address: 78575 VIA CORRIDO
JOHN SPOLARICH
APN: 646290038
78575 VIA CORRIDO
Application Description: SUPOLARICH/70 FEET OF 6 FOOT BLOCK WALL AT BACKYARD
LA QUINTA, CA 92253
i
Property Zoning:
u
o o F El
Application Valuation: $4,000.00
N
Applicant:
Contractor:
r o
EDWARD J STRZELCZYK
EDWARD J STRZELCZYK
Q v
PO BOX 7114
P0BOX 7114
_C
Z
z
LA QUINTA, CA 92248-7114
LA QUINTA, CA 92248-7114
s
-----------------------
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- B C10 C29• License'No.: 439904
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 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.).
(_) I am exempt under Sec. B.&P.C. for this reason
Date: 1 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.).
Lende'r's Name:
Lender's Address:.
(760)578-0201.
Llc. No.: 439904
--------------------------------------
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. rkers' compensation insurance carrier and policy number are:
Carri Policy Number: _
ertify that in the performance of the work for which this permit is issued, I
spOnot 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.
Dater G° �� 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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.
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 u ove-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent
DESCRIPTION Fs, ``,,, A000UNT :' ,'` QTY; '' 'ANIOUNTtp;;•,: •"Pi41D • xr PAIDrDATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
,
a r:
PAIDBYti x� i•
r
METHOD+�;
4
�Y RECEIPT#�
CHECK#yfi
BY '
�.;,
„CLTD
Total Paid for'BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
} DESCRIPTION � `'
-ACCOUNT ".
QTY.
', ' AMOUNT:."p
PAID _t
PAID;DATE
r
WALL/FENCE - FIRST 100 LF
101-0000-42404 "
0
$47.86
$0.00
PAID BYz`.METHOD
¢ ' F
RECEIPT#�"
CHECK#
CLTD BY
. .
..
.
• f
i
x° 'DESCRIPTION' x
°`ACCOUNT:'.
;QTY
'AMOUNT=
`: = PAID
,PAIDhDATE
WALL/FENCE - FIRST 100 LF PC .- +
101-0000-42600
0
$60.91
$0.00
r 4, PAID BY
: METHOD
' RECEIPT # -
CHECK #
CLTD BY a.
„'_f
P
Total Paid forFENCE OR FREESTANDING WALL $108.77 $0.00
• �• ��
4
•
Description: SUPOLARICH/70 FEET OF 6 FOOT BLOCK WALL AT BACKYARD
Type: WALL/FENCE Subtype: Status: UNDER REVIEW
Applied: 3/26/2015 SKH
Approved:
Parcel No: 646290038 Site Address: 78575 VIA CORRIDO LA QUINTA,CA 92253
Subdivision: TR 21555 Block: Lot: 7
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,000.00 Occupancy Type: Construction Type:
Expired: J
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE
Details: 70LF OF 6' GARDEN WALL AT WEST SIDE OF PROPERTY. [ANGELUS SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED
WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
y M A FINANCIAL INFORMATION- 3 -
Printed: Thursday, March 26, 2015 4:14:02 PM 1 of 2
- - w SYSTEMS
CONTACTS
r,s NAaM,
NAME,A..
.'iadte
DDR
'tiSESS1s
STATE
ZI•Prf
,�.,:,q• 2g�;
neFAX'
.�HO'-,:—N.•E a-
zITY AXw I,L
E'+Ma
APPLICANT
EDWARD J STRZELCZYK
P O BOX 7114
LA QUINTA
CA
92248-
(760)564-2150
.7114
CONTRACTOR
- EDWARD J STRZELCZYK
P O BOX 7114
LA QUINTA
CA
92248-
(760)564-2150
_
7114
OWNER
-JOHN SPOLARICH
78575 VIA CORRIDO
LA QUINTA
CA
92253
(760)564-2150
y M A FINANCIAL INFORMATION- 3 -
Printed: Thursday, March 26, 2015 4:14:02 PM 1 of 2
- - w SYSTEMS
„,-
;,
;ACCOUNT
INSPECTIONS
mr
SEQID INSPECTION TYPE
w
SCHEDULEDA
COMPLETED RESULT-
w
CLTD
DESCRIPTION
>QTY
QIVIOUNT
PAID
PAID DATERECEIPT-#
� Wry a
CHECK # >`
:METHOD
PAID BY.;'
:.DATE
BOND BEAM
BLD
FINAL”
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
FOOTINGS
BLD
Total Paid forBUILDING 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 forFENCE OR FREESTANDING WALL $108.77. $0.00
TOTALS:0• •0
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, March 26, 2015 4:14:02 PM = 2 of 2 srsTenas
INSPECTIONS
SEQID INSPECTION TYPE
INSPECTOR
SCHEDULEDA
COMPLETED RESULT-
REMARKS
"D
DATE'-
� Wry a
,
:.DATE
BOND BEAM
BLD
FINAL”
BLD
FOOTINGS
BLD
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, March 26, 2015 4:14:02 PM = 2 of 2 srsTenas
Iain #
Qty of La Qui! I is
Building 8T Safety. Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address: �— S') S Gbd ,
0wner's Name: t vo„ '
A. P. Number:
Address: s' y�
Legal Description:
City, ST, Zip:/
Contractor: a
Telephone:hone:
.............................
Address: �, �j
Project Description:
City, ST, Zip:
Tel en h <J
State Lie. # :
City Lie. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: e one:
P
Con structi n Type: P-
e: PaneY:
Occupancy:
State Lie. #:
roJect hPa circle one): New AddPn Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Sto ies: Units:
Telephone # of Contact Person:
'Estimated Value of Projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
k
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Chec6 Balance
Title 24 Cates.,
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanica'
Grading plan
2°" Review, ready for corrections/iisue '
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
7r' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
BOCK C041NC.
tine 1946,
I ANGELUS BLOCK MASONRY FENCE WALL SYSTEM
6' to 8' H i
Trench Footing
Risk
6 •i
DESIGN CRITERIA:
1. DESIGN CRITERIA PER 2013 CBC
2. ALLOWABLE SOIL BEARING PRESSURE - 1500psf
OPTIONAL WALL CAP -
3. ALLOWABLE SOIL PASSIVE PRESSURE - 150pcf
4. COEFFICIENT OF FRICTION - 0.25, COHESION - Opsf
5. CANTILEVER ACTIVE - 30pcf
6. MASONRY COMPRESSIVE STRENGTH, f'm - 1500psl. SPECIAL INSPECTION
NOT REQUIRED PER CBC SECTION 1704.2, EXCEPTION 2, 'U' OCCUPANCY,
7. USER TO VERIFY APPLICABILITY OF THE DEFINED DESIGN CRITERIA FOR THE
PROJECT SPECIFIC SITE.
#6 STD'( LADDER TYPE
NOTES:
(65 STD.":FOR SLUMPSTC
JOINT REINF: AT. TOP C(
1. REINFORCING STEEL SHALL BE DEFORMED AND CONFORM TO ASTM A615
AT FIRST COURSE, AND
GRADE 60. PROVIDE SPLICES (LAPS) OF 48 BAR DIAMETERS OR 24
INCHES, WHICHEVER IS GREATER, CENTER VERTICAL BARS IN CELLS.
2. JOINT REINFORCEMENT ("LADDER' TYPE) SHALL BE COLD -DRAWN STEEL
WIRE CONFORMING TO ASTM A951. PROVIDE MINIMUM 6 INCH LAP SPLICES.
6- WIDE (NOM.) CMU
3. STRENGTH OF CONCRETE FOR FOOTINGS = 2500psl ® 28 DAYS, UNLESS
GROUT CELLS .
w/ REINF.
OTHERWISE REQUIRED BY SOILS REPORT.
4. CONCRETE MASONRY.UNITS SHALL CONFORM TO ASTM C90. ANGELUS
BLOCK PRECISION, SPLIT FACE, BURNISHED, OR SHOTBLAST, VATH OR
WITHOUT MORTARLESS HEAD JOINTS (TONGUE -AND -GROOVE), OR
ANGELUS BLOCK SLUMPSTONE SHALL BE USED.
5.'MORTAR SHALL BE SPEC MIX TYPE S PREBLENDED MASONRY MORTAR AS
'X' BARS PER
MANUFACTURED BY E -Z MIX INC., CONFORMING TO PROPORTIONS AND
SCHEDULE
REQUIREMENTS OF ASTM C270, OR SPEC MIX IWR MASONRY MORTAR AS
CTR. OF WALL
MANUFACTURED BY E -Z MIX INC., CONFORMING TO PROPERTY
REQUIREMENTS OF ASTM C270.
6. GROUT SHALL CONFORM TO ASTM C476, WITH AN 8-11 INCH SLUMP,
AND SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH AT 28 DAYS OF
'OOpsl. O 00 _5 Ir
1 P
'Y' BARS PER
7. a iRST COURSE MAY BE WET -SET 1 1/2 INCHES MAX. -WHILE CONCRETE
SCHEDULE LAP
IS PLASTIC.
PER 'L'
8. CONCRETE BLOCK SHALL BE LAID IN RUNNING BOND PATTERN WITH
VERTICAL CONTINUITY OF THE CELLS.
F.G.
9. VERTICAL CONTROL JOINTS SHALL BE SPACED AT A MAXIMUM OF
40'-0"o,c. OR 20'-0"o.c, IF WALL IS TO BE STUCCO COATED OR
WET -SET FIRST
MORTAR WASHED
_
COURSE
10. GROUT ALL CELLS WITH REINFORCEMENT.
11. INSPECTIONS: A. AFTER FOOTING IS READY FOR CONCRETE AND ALL
FOOTING REINFORCING IS TIED IN PLACE. B. AFTER VERTICAL
2-#4 CONT.
REINFORCEMENT IS IN PLACE AND CELLS ARE READY FOR GROUT.
12. FOR TYPICAL FOOTING STEP AND DRAINAGE BLOCK-OUT DETAILS -
SEE DETAIL SHEET S75,1,
MINIMUM' DEPTH D- ® SLOPE
SLOPESETBACK.
01=011 - 1. =0
2 :1 2'=6 2.-A
CONT. CONC, FTG.--
3 :1 2=0:
MASONRY 'FENCE WALL SCHEDULE
X BARS•. REINF.WALL'iSTEIA' Y'•B'ARS
H' MAX.
L' STEM D' MIN.
18' LONG CMU 18" CONG CMU. TYPE PER S''=20 18" LONG CMU .18' LONG CMU _
/J4ID48°o.c.4054"o.c,
A' 4®24"o.c. 4®27"o.c.
2-0 2 -10
B'4048"o.c. 4054'o.c.
2'-0"
'A 4016'o.c.
2'-O" 3'-O'
6'=8" 04®48"o.c.
.4®18"o,c.
X14®45"o.c.
B' 4®48"o,c, 4054"o.c.
2'-0- 2'.-4"
A' 4016'o.c. 4®18"ox'.
3.'-0" <3.-2'1
7'=4" #4048 6.c.'
_
#4®45"o.c.
'B' @4048"o.c. #4045"o.c.
2'-0" 2'-5"
ac®5 O.C.
#4040"o.c. #4036"o.c. B. 4®40"o.0 4036"o.c.
ANDERSON DESIGN GROUP
Structural Engineering • Building Design
228 East Badillo Street • Covina • CA . 91723-21 iS
(626) 938-1595 • Facsimile (626) 938.0485
• "englne•/Ynp excellence since 7957"
h Site Wall
_UY] T f Jvi w!! 'QZ711 !1 A
a ®gor\Ya . SAFETY DEPT.
d'e .C,MulROVED
FOR CONSTRUCTION
DATEI��l L f3Y C
9'
SETBACK
PER
SCHED.
?Ia
RF9
N
c
8" [ 5,-0" MIN."
CONT. TO DAYLIGHT
?F:
DATE SIGNED 6-25-14
S--1.2LQ
#6255
8' High Max. Site Wall
C ® loomph
BLOCK CO, INC. Risk Category I
Since 1948
ANGELUS BLOCK MASONRY FENCE WALL SYSTEM 6" Wide CMU
END; OF WALL
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TYPICAL REINFORCED WALL, STEM TYPES PLAN
WALL TYPES O & O
��.. TOTAL WALL LENGTH
zz
5 x HF MIN.
5x HF MIN,
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#6255