Loading...
08-1099 (BLCK)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 .LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: -,,,6/27/08 Application Number: 08-00001099 Owner. �^b•; Property Address: 49395 VISTA LUNA T D DESERT DEV APN: 602-180-999-1 -294574- P O BOX 1716 /'. Application description: WALL/FENCE LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL `' ' a. .,�. Application valuation: 5250 ��iffJ Contractor: Applicant: Architect or Engineer. BARAJAS MASONRY INC i 42901 LIMA HALL ROAD BERMUDA DUNES, CA 92203 (760)345-3912 LiC. No.:'863760 LICENSED CONTRACTOR'S DECLARATION - - .WORKER'S COMPENSATION. DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and. ofes �ICand my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided,License C ss:• 29 o.`. 863760 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 'f//1� issued. Date/ ntractor: /`1 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 OWNER-BUIL DECLARATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - - Carrier ZENITH INS Policy Number Z069532601 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit. is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the , person in any manner so as to become subject to the workers' compensation laws of California, .' permit to file a signedstatement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should bec su a s' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or �0 of the or Code, I Ifo ith om wn s rovisions. .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).: _ ate: , � pplicant:. - (_ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000): IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale.. If,'however, the building or improvement is sold within SECTION 3706, OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). 'APPLICANT ACKNOWLEDGEMENT (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec... IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). _ whose benefit work is. performed under or pursuant to any permit issued as a result of this application, (_ 1 .I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certif hat I have read this app ication and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). cit nd county ordinances an, n state laws relating to building constructio nd h orize representatives _. this co ty toenter fna above-mentioned property for inspecti ur s. Lender's Name: Date: J o o Sie (Applicant or Agent): .Lender's Address: - LQPERMIT Application Number . . . . 08-00001099 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 81.00 Plan Check Fee .00 Issue Date . . . . Valuation 5250 Expiration Date 12/24/08 Qty Unit Charge Per Extension BASE FEE 45.00 4..00 9.0000 THOU BLDG 2,001-25,000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 210 L.F.. 6' GARDEN WALL, PROTO II SYSTEM Fee summary Charged Paid Credited Due Permit Fee Total 81.00 .00 .00, 81.00 Plan Check Total .00 .00. .00 .00 Grand Total 81.00 .00 .00. 81.00 0 • PROTO IITm WALL SYSTEMS IIIS Q loll .,-SPECIAL DEPUTY INSPECTION FORM Date of Deputy Inspection: As an accredited and certified Special Deputy Inspector of Proto-IITM Wall Systems, I, Tim-Youn;, hereby witnessed and certified the torquing of the post -tension rods to 6,000 lbs. by: visual inspection of the DTI verifying collapse of the tabs (no light leaks between DTI tabs and bottom of %z" nut) Witnessing and certifying the torquing of the rods to 6,000 lbs. via a calibrated torque wrench set to 55 ft/lbs.' A. Installer: jb+ a i., 1 P RA 9 M ASu,,2 Builder/Owner: "�1� �S�'�- ` v. 97-90(- b^,A ►AA*«. Ro' po x -716 C.4 *% n CA (IZZ53 B. Project Name/Location:- LG. Lot(s) inspected: I �. �� � &Ortwermit No.' Og -- 00001 O G c Wall locations: .L LJGAk Ss.. -4. cX 1A 'mei �tc1'c a� �e cl;"it s C. Block Sizing: ��II D. Visual inspection of mortar integrity. Acceptable �NfYes ❑ No E ' Height: Length: 76 LF Rods @ 3 w y O.C. Height: % .- O Length: 6 Z-. - LF Rods @ Z - O.C. . ti Height: 7-6- Length: - -70 ,' LF , Rods @ , Z O.C. Height: Length: LF ` Rods @ 6, O.C. Is rod spacing and locatioii per the PDS for this project? Yes ❑ No F. Are threads, plates, lubricated and plates bearing on -three block surfaces?, "ares ❑ No Wall approved by Special Deputy Inspector Tim YoungCX�— C 5278047-84, 66145 Calle Cerrito Desert Hot Springs, CA 92240 (760) 427-8869.