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04-7477 (BLCK)
F otNOV 2 9 2004 yBUILDING 8L SAFETY DEPARTMENT Y C1"�fr Im`1 a ., �u. k� -Pj©��B63Cil�5.04— (760).777-7012 sof 78-495 CALLE,TAMPICO. FAX (760) 777-7011 LA. QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04_0000_7_47--)tL Date 11/24/04 Property Address 783.90 VIA _TUSCANY ~1 APN: 604-032-999-51 -395-2'12- Application description WALL/FENCE Property Zoning LOW -DENSITY -RESIDENTIAL Application valuation 1120 Owner Contractor M/M RODRIGUES SABOR MASONRY 78390 VIA TUSCANY 41625 ECLECTIC STREET,_ #M-1 LA QUINTA,.CA PALM DESERT CA 92260 LA QUINTA CA 92253 (760) 674-0666 WCC: STATE FUND WC: 2290026187 04/01/05 CSLB: 649905 07/31/06 CCC: C29 ------------------------------------------------------------------------------- Permit . . . . WALL/FENCE PERMIT Additional desc Permit Fee 29.00 Plan Check Fee .00 Issue Date Valuation . . 1120 Qty Unit Charge Per Extension BASE FEE 15.00 7.00 2.0000 HND BLDG -501-2,000 14.00 -----------------.---------------------------------------------------- Special Notes and Comments 70 LF 4' RETAINING WALL PER CITY STND. Fee summary Charged Paid Credited Due Permit Fee Total 29.00 .00 .00 29.00 Plan Check Total .00 .00 .00 .00 Grand Total 29.00 .00 .00 29.00 r P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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�y full force and effect: License Class—C- 2 / License No. 0 ��� c/ Date OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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. M)�yorker ' compensation insurance carrier and policy number re Carrier sw&M f rte,,( Policy Number Z-2. r 1 _ I certify that, in the performance of the work for which this permit is issued, I shall n t 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. `d I -!—o 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. 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 Address 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date - Signature (Applicant or Agent): c Lj-a :OUINTA DEQ C:. sic TRACT N O.. 3Q521 CITY OF LA QUINTA C,'0NSMC7l0N PHAsE'2 BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION zoo f CA- A RE -INSPECTION FE WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARD ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION. NO EXCEPTIONS! ,PLOT PLAN NQtKfR E 6INEERlh6; INC 78-390 VIA 7718 ANY BUII.DIN0 AND ToPARTMEENT. :BETA MNG, WALL : STANDARD i " 'RETAINING ,WALL SPECIFICATIONS ALL., WALLS, SMALL BE' COmsTrit COED OF THE MIGMEST OUAtmr .. WORKMANSHIP, N _ ACCORDANCE WITH. TME 1591 v.O.0 AIS -THE a • _ arlTlusa.a. FOLLOWING SPECSICATIONS: "`•'r"'•"r•� t. CONCRETE - r e s200p PN AT 2S DAYS PER ASTM CISO . �""r' ��•u� r� ...:...�...... _ ....,.2.. v 2: MASONRY r gig . 1 SOO PSI GRADE Rt PER ASTM CiSO ' X01• rm ammo." • _ • • • • .. an.e w, ; -3. GROUT • 2000 PSI AT 28 DAYS PER U.B.C:TAM 2" �!`� _ — •• s, r — .;4.! MORTAR ' 2006 PS AT 2A DAYS PER UJW. TABU. 24-A AMS. r t '- — .► .�. a r w �r.r.:.:: T ASTM C270 . to _ at...•�. 5: a RESIFORCOuG,•_OfFORMED:WIS CONFORMIN6'TO ASTM; A61S, GRADE 40:?STM LAPS SMALL- SE #O SAR W/UrIETERSOR MORE., BEND HORIZONTAL OARS:AROUND CORNERS.A hOOKWU OF, 24%, ' • i • . w — - - — t' _ ;� . VERTICALSTEEL SMALL SE MELD IN PLACE • DY ,VM TMS AT THE TOP,ANO BOTTOIM OF THE BARS BUT NOT EXCEEDING S FT. IN, — $PAC/NO;PRIOR TO 7 SPACING PRIOR TO GROUTING: STEEL;— PLACUMTISCRITICALAT THE 11ASEOfWALLOANOATCHAN41E5' IN SIOCr SSE:, ADHERE STRMY TO TME NSMM SMOWDI oN • p 4: — — •- 6. ALL FOOTING TO BE POURED ON UNDISTMUD NATIMALGROUND' OR ON CCMPACTEO FILL WITH A`MRNSAW DENSITY OF 'i0%' Mi��.��,•..;tr .�...r.�/Yttw�wwYtw RELATIVE COMPACTION l: DRAINAGE SMALL BE ACCOMFLISHED BY, PLACING A r DIAMETER ` PERFORATED ABS OR PVC DRAIN LINE BEHIND THE WALL AT TME' TOP OF-THE FOOTWO AND COVER WITH 1 CUBIC FOOT. PER LINEAL ' FOOT OF- Itr PEA GRAVEL. AT LEAST M OVER THE TOP OF.TNE 'MM "M TME OMtN LINE OUTSIDE THE WALL AT A LOCATION , WHERE THE Dmcp"RGEOF WATER WILL NOT BE OMMUCTFA AND' , '• AS APPROVED BY. THE BUnDING OFFICIAL, MAWTAIN AT LEAST. a ' 1 X GRAOEc ' : I •' - 8. PROVIDE VERTICALEXPANSEONJOINT$PERDETALNERE0N3PACE uTwum QO FT: AND 200 FT. APART: PLACE EXPAMSNN TONT AT. a I r `GM► 'iL( FOOTING STEPS UNLESS NO STEP IS PRESENT __ 8 <GROUTUFT SMALL NOT' EXCEE0,8 ,iT:. WNEN GROUTING_ IS' ' PERFORIIIED N MOREL THAN ONE UFT. STOP TME INTERMEDIATE GROUT LIFT 1�Y2; BELOW THE TO► OF•TId BLOCK TO PROVIDE A' - KEY FOIL TKE NEXT LIFT ^ TF►o-z: 10. BACKFU NG SMALL NOT OCCUR'UNTiLATLEAST t1 DAYS AFTER GROUTING Is COLVLLr • GROUT ALL CELLS soup. ' � • _ _ — - h , <� µpp, uAi IST S rte• .C1' �� a t24� 6»3' : a7 6�si"v'r�'•' *ms's !� �-a..t��J.. �FOF:i tea -� � t$: R�S� • r t • l+C<" OAO KMfT,� �a. p��y,,�y TQ �:Tryrii U0 r3..t fyy} ` + 3 ftbe rWj3.0 41 =0 iO -ht=4 Trio_ q -07 Aet i:l'r`4iniC4 R7 ��- ca t t id.C:Rae�urrk� v 'Ylc�'���..����'���_--';i'�'1� _�fiF'r`-_ ?5f7'Ji,:t-rIC'F►r�' t^� 1:�1.�` cila � nar �°l1 k��' c,�.i'�1 �Ra. Y•,-?�)�iii�33'rt'_'"•�.i�wll'`��r'J� ('f 4''d-�-ti1�t?;t'Fav�iYisffll,'J •f,�.,,,,r""'�'�..^.1' ;F'�. '+ i