09-1259 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00001259
Property Address: 80825 VIA MONTECITO
APN: 777-410-016- -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2975
T4bt 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
ZUCCHERO J G FAMILY TRUST
80-825 MONTECITO
LA QUINTA, CA 92253
Fro
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/10/09
Contractor:
Appppllii`c-�ant:14_-4r�
Architect or Engineer: PIERCE CORPORATION,A^�1. ��/ P.O. BOX 3420 1 V 4009 ;:.
//ice Y PALM DESERT, CA 92261 3420C#7 -ropy
(760) 346-3228
LiC. No.: 671203 >^�c►7
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 my License is in full force and effect.
License Class: B License No.: 671203
Date: 1 /® Contractor:"1..�7! . ��4,(r,Jn,L.,,,,, '
OWNER -BUILDER DECLARATION
1 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, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ ) 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.).
Leuuei s weme. _
Lender's Address:
LQPERMIT
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 DELOS INS CO Policy Number 02DKRM12003819
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 Co I sh I forthwith comply with those provisions.
Date: (_ /� •04 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 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.
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 buildin nstruction, and hereby authorize representatives
of this county to enter upon the above-mentioned grope or in;�on purposes.
Date: 2 U t Signature (Applicant or Agent): C�C�
Application Number . . . . . 09-00001259
Permit .
. WALL/FENCE-PERMIT
Additional desc .
.
Permit Fee . . .
. 54.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 2975
Expiration Date
6/08/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
1.00 9.0000
THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and
Comments
119 LN FT X 6 FT
HT GARDEN BLOCK WALL
PER ORCO STANDARD
& APPROVED PLANS.
----------------------------------------------------------------------------
Other Fees . . .
. . . . ... BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid
--------------------
Credited
---------------_----
Due
'
-----------------
Permit Fee Total
54.00
.00
.00
54.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
55.00
.00
.00
55.00
LQPERMIT
Bin #
Qty Of La Quints
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Q.�
Project Address:
Owner's Name: Z G #7-0_
A. P. Number:
Address: — f
Legal Description:
City, ST, Zip: {
Contractor:
Telephone: �;�����>�:�;::::r;•n;:
Address:Y
Project Description:
City, ST, Zip: q.2 sZ 91
Telephone:
��c;;�;3t•r':�CrtpiiS:';�:1:;?:ei\t.;s:;:y:;f:
a,:'F
City Lie. #;
•r
State Lic. # : V'79.1,YO
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
P
t<>s:J°!' • i� 5: `>x .fi
K �•s• < .;: :.
Construction Type: p cy:
Occu an
Project type (circle one): New Add'n Alter Repair Demo
State Lie. #:
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amouat
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Coles.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zed Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. App r
Date of permit issue
School Fees
Total Permit Fees
A
CA I I
flDCO
%.,Oft% STANDARD 6'TO 8'CMU SITE WALLS
Q--
OPTIONAL FLAT C4P
DEM OUTERM: PER THE 2007 CRC
1. ALLOWABLE SOIL BEARING PRESSLAW = 15W PSF
Z ALLOWABLE LATERAL PASSIVE PRESSURE = 150 PCF
3. GXOU7sTR5W7H = 2OW PSI @ 28 A4YS.
4. REDWRORCYNG51 : GRACE 60,
S. 15W PSI MASONRY CONFRESSION STRENGTH.
6816 6616, OR 6618 C04U
GROUTED Offt Y @ VERT
NOTES.
STEEL
1. COME)ZElF &DIX 9LALL CONFORM TO AS7M C 90
1/
Ir CROP -IN BAR
2. CONCRETE FOR FOOTING StMLL BE I PART CEMENT TO 2-112
PARTS SWD TO 3-112 PARTS GR4 VEL WITH A K4)amUM OF 1-112
X
CE
G4UOAlS` OF WA TER PER SACK PORTLAND CEM&ff SFiKLL CONFORM
70 ASTM C 150 TYPE ffIV. Fc - 2500 PST
#6 STO JOJNT
I REINFORCING = ShALL BE D&ORKED AND CONFORM TO
RElNFORCEMENr @ 24"01C
AS7M A 615 6RADE 60. PROWDE 46 a4R DIAMETER LAP.
(3 REACEY - 4 PLACES FOR 7
& 8'WAUS). USE,05 S7D.
4. RESAR SHAU BE CENTERED IN THE CONOWTE BLOCK CELL IN
FOR SLUMP BLOOC
WHIC)f ITIS LOCATED.
W
W
fiO7E-'fROVME-#4 DOIM
S. COACRETE & OCK SHALL BE LA YED IN A RUNNING BOND
04 DROFLAV BM ATEACY
sw OF awma Jop"S.
PATrB?N wrTH VER7701L CON7ZNUr7Y OF THEM I UNO
BVW OF WALLSAAD @ WALL
HOGW OVAGS
6.ALLBLOCKCRJ CONTAnVLWVER77C4LREW-9i4LLBESOLZD
Z USE TM 5 MORTAR PROPOR77ONED LOWA57M C27V PART
CEF48VT TO 112 PART LINE TO 4-112 PAR75 DAMP, LOOSE 54ND.
T DOWEL @ a9WER Of
Cmu.
8. GROUT FOR CONCRETE BLOCK PER ASTM C 476 TO BE I PART
CEMENT TO 3 PAR 73 SWD (GROUT -144 r CONTAIN 2 PAR TS 318
FFA GRAVEL IF WEAThl-R CONOMONSARE FAVORABLEAND BLOCK
L)NOBSTRUCTED CELL 5ZZF 5 SUFFICIENT TO ALLOW GOOD GROUT
FLOK9. WATER 51WI BEADOSD TO PRODUCEGOOD GROUTRDW
KTTHOlff SEGqErA 77ON OF THE O0A(ST7lJBV75.
SEE alART
9. BLOCK S704 M Y BE WET-SEr 1-112"INTO THE F0077NG WHTLE
THE CQM3?b7f IS ALA5TIC. BLOCK STEM 144Y HE ALAaD TO
ETTHER EDGE OF THE TR&KN TYPE FUMNG
10 F0077NG MLST BE POVRED ON OR NTO UNOB-TURBED
AATURAL SOJL OR ON COMPACTED FILL KTTH A M904UM
COMPAC77ON OF 90
MAX
11. FIRSTDWPEC77ON TOBEAFTER P0077NG 7RENCHESARE
RLWYFOR CONCRMANDALL RMBRED57EEL IS 77EDIN RACE.
SEMYDINSPECYlONTOSEWHEN THEREQMED VER77CALZIN
PLACEAND THEOLOCKWALL ISREADYTO G?OUT.
j2. m4xwLw caNntot joiNT spAam. 4o- o1c 2cr o1c FOR
#4 HORZ COST.
WALLS TO BE MOR TAR WASHED OR 57UCM 024 TED.
YTO OAYL[GHT
0—
MIN F0077NG DF -PTH FOR 5' TO DAYLIGHT
WALL 0 WALL @ WALL 0
SEDW
70P I Fr. SFra4a 2 Fr. SET94CX
2 -TV 1
---r 2--0-
SEE OMR
T FOR REQULRED REBA R
AND F007TNG DIMENHONS.
3 TO i
2w F E S S I OA,
4�
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