BWFE2016-0133LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License
t/Class; License No:::CONV:140 2810 8
Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that.l 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: - 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 Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
.I have and will maintain a =ertificate 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 tie performance of the work for which this permit
is issued: My workers' compensatior insurance carrier and policy number are: '
Carrier: _ Policy Number: _
'_'I certify that in the perfor•nance 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 ollSection 3700 of the Labor Code, I shall forthwith
comply with those provisions.- -
Date: - Appliont.
WARNING: FAILURE TO SECURE WOtKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER -0 CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLAR ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PRO-JIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby nade to the Building Official for a permit subject to
the conditions and restrictions set fcrth on this application.
1. Each person upon whose behalo 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 ha:mless 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 ofthis application becomes null and void if work is
not commenced within 180 days frau date of issuance of such permit, or cessation of
work for 180 days will subject perm'[ 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 -epresentatives of his city t , n -r on the
above-mentioned property for inspect ion' purposes_.
Date:-, Signature (Applicant or A
'78-495
TiiQv Q�i
VOICE (760) 777-7125 '
CALLE TAMPICO
D
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
.—INSPECTLONS (760) 777=7153 .
BUILDING PERMIT
jj
Application Number:
BWFE2016-0133
Dzitet 16
Owner: U
JUN 1 U
6 2016
�1
Property Address:
78870 WAKEFIELD.CIR CIR'
JON FOSTER
APN:
604423012
78870 WAKEFIE D CITYOFU%QU;NTA
Application Description:'
JON FOSTER / BLOCK WALL
LA QUINTA, CA 215f310TYOEVE' PMENTDEI"ARTh ENT
Property Zoning:
Application Valuation:
$1,000.00 .
Applicant:
Contractcr:
JON FOSTER
JON FOSTER
78870 WAKEFIELD
78870 WAKEFIELD
LA QUINTA, CA 92253
LA QUINA, CA 92253
(760)275-5189
LIC. No.: �ONV:140528101254104608
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License
t/Class; License No:::CONV:140 2810 8
Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that.l 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: - 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 Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
.I have and will maintain a =ertificate 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 tie performance of the work for which this permit
is issued: My workers' compensatior insurance carrier and policy number are: '
Carrier: _ Policy Number: _
'_'I certify that in the perfor•nance 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 ollSection 3700 of the Labor Code, I shall forthwith
comply with those provisions.- -
Date: - Appliont.
WARNING: FAILURE TO SECURE WOtKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER -0 CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLAR ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PRO-JIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby nade to the Building Official for a permit subject to
the conditions and restrictions set fcrth on this application.
1. Each person upon whose behalo this application is made, each person at whose'
request and for whose benefit work is performed under, or pursuant to any permit
issued as a result of this application the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold ha:mless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result ofthis application becomes null and void if work is
not commenced within 180 days frau date of issuance of such permit, or cessation of
work for 180 days will subject perm'[ to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize -epresentatives of his city t , n -r on the
above-mentioned property for inspect ion' purposes_.
Date:-, Signature (Applicant or A
•• o
�'" DESCRIPTION ` ACCOUNT" ' TY>'xAMOUNT PAID
,gPAID_D'ATEw
F b +ffi" �� .rte. z.; 1a c✓t'Rr'$' ^' k•,. ya.
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00
6/16/16
"PAID, METHOD
�.�`,�
#'x CHECK
CLTD BY
BYk r ev
RECEIPT #s
JON FOSTER DEBIT
R16406
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
t>-.
:ACCOUNT,,
A�I�D
PAID DATE
;
RET WALL <=12 - FIRST 100 LF,
101-0000-42404
0
$47.86
$47.86
6/16/16
3.'
BY'
'r' i'1 "Pps'y'rF-:.
�; RECEIPT #
tCHECK #
CLTD BY
•;PAID �4METIOD
a.,
,: ,. v„ .-
a
JON FOSTER
DEBIT
R16406 ,
RSE
,� .� d'rn, s6% H}£,�i�'�$.Q •j:,�.'z't f
� DESCRIPTIONS
hr.i?_.;:, 'Y n'i i^ i'l ftY,:`^•�.Y+`;
1
"% A000UNT
;E bP.iSti,x�a}#,
w`Z ^..ywaa�
W
R. kY.ct1 4
`PAID °"
`h 'x+:jN�.v
`PAID
; ,®
t , ..�
_QTY
-AMOUNT '
,
;DATE
RET WALL <=12 - FIRST 100 LF PC
101-0000-42600.
0
$60.91
$60.91.
6/16/16
AIDB
�
RECEIPT
K#
CLTD BYuP
All;:
M{
g
JON FOSTER
DEBIT
R16406
RSE
Total Paid for RETAINING WALL: $108.77 $108.77
• rLS-.. $109.77 $109.77
Description: JON FOSTER / BLOCK WALL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE-, Status: APPROVED
Applied: 6/16/2016 RSE .
- APPROVED
Approved: 6/16/2016 RSE
Parcel No: 604423012 Site Address: 78870 WAKEFIELD CIR CIR LA.gUINTA,CA 92253
Subdivision: TR 23995-8 Block: Lot: 79
Issued:
Lot Sq Ft:.O Building Sq Ft: 0 Zoning:
y
Finaled:
Valuation: $1,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 30LF OF 6' GARDEN WALL [CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, June 16, 2016 2:14:34 PM 1 of 2 srsireMs
` Printed: Thursday, June 16, 2016.2:14:34 PM 2 of 2 SYSTEMS
FOOTING OPTION "A"
t
# 4 1-10R=NTAL REBAR
(USE BOND BEAM BLOCK)
_+ Fi1151i
d
�Mp 12'
161
4 «---16 -4-
#4 #4 REBAR
AT 24" SPACING --
(W1T1.16•' MIN: HOOKS AT ENDS FOR OPTION -01
FOOTING OPTION "B"
6' MAX
IJ 12"
THE FOLLOWING INSPECTIONS
, RFjj fR� I �TINGS ADJACENT TO
#4 VERTICAL REBAR AT 24"
E INYPLAC O L E TO BE AT LEAST 5' TO
MAX. SPACING ..........
') LONG & SAFETY DEPrLIGNT'AS SHOWN BELOW.
2) REBAR/PRE-,GROUT; BOND BEAM REBAR AN
VERTIC IAft�IF9 '� a
(REBAR IN CENTER OF CELL)
RMED
#4 HORIZONTAL REBAR CONTINUOUS
3) FINAL: AFTER GROUT IS PLACED - PRIOR TO AN.
DECOWQ4Z 'C� w=Tj0N
V'Y
AT 32" MAX. ABOVE TOP OF RETAINING WALL
NOTES:
1) FENCE HEIGHTS ARE REGULATED — CONSULT
�y>;
9E I BY BOTro
{ (USE BOND BEAM BLOCK)
8• NIAX
2) NO WATER COURSE OR NATURAL DRAINAGE SHALL
NON -RETAINING PORTION OF WALL
OBSTRUCTED.
ANALYSIS. USE OF THIS STANDARD DESIGN
8" BLOCK _....�
(GROUT ONLY CEL LS,WITN.REB'RR)
ATOP 2' RETAINING WALL
IS AT THE . USER'S RISK AND CARRISS NO
I°I IUNL 760) 777-712.'.
78-1 L(AII I ".FAM PICU
IMPLIED OR INFERRED GUARANTEE AGAINST
(2)-#4 HORIZONTAL REBARS
FAILURE OR DEFECTS.
PAX (760) 777-7011.
-�, - AT TOP OFRETAININGWALL
(USE BOND BEAM BLOCK)
#.
RETAINING PORTION OF WALL
FINISH GRADE
;,✓� 8" BLOCK
(SOI ID.GRQUTAL L,SELLS)
I RETAINCD D.
EARTH
OMIT. HEAD JOINTS
2' MAX
-- FOR DRAINAGE --- K--��
% (FIRST COURSE ONLY)
(3) - #4 HORIZONTAL REBARS
_+ Fi1151i
d
�Mp 12'
161
4 «---16 -4-
#4 #4 REBAR
AT 24" SPACING --
(W1T1.16•' MIN: HOOKS AT ENDS FOR OPTION -01
FOOTING OPTION "B"
6' MAX
IJ 12"
THE FOLLOWING INSPECTIONS
, RFjj fR� I �TINGS ADJACENT TO
1),FQQTIN.G; EXCAVATION TRENCH CLEAN WITH
E INYPLAC O L E TO BE AT LEAST 5' TO
3" ABOVE AND AWAY FROM THE SURROUNDING
') LONG & SAFETY DEPrLIGNT'AS SHOWN BELOW.
2) REBAR/PRE-,GROUT; BOND BEAM REBAR AN
VERTIC IAft�IF9 '� a
INSPECTION PRIOR TO PLACING* GROUT.
RMED
3) FINAL: AFTER GROUT IS PLACED - PRIOR TO AN.
DECOWQ4Z 'C� w=Tj0N
V'Y
ALTERNATE DESIGNS MAY BE POSSIBLE
NOTES:
1) FENCE HEIGHTS ARE REGULATED — CONSULT
�y>;
9E I BY BOTro
. BEFORE BEGINNING CONSTRUCTION.
-
2) NO WATER COURSE OR NATURAL DRAINAGE SHALL
BE
OBSTRUCTED.
ANALYSIS. USE OF THIS STANDARD DESIGN
3) ALL REBAR TO BE ASTM SPEC. A615, GRADE 40 MINIMUM.
'SEE PAGE 2 FOR ADDITIONAL INFORMATION'
4) ALL REBAR LAP SPLICES TO BE 24" MINIMUM.
5) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N
WESTERN RIVERSIDE -COUNTY CODE UNIFORMITY PROGRAM
6) NOT DESIGNED FOR SURCHARGE LOADS FROM
VEHICLES OR STRUCTURES.
rpi1
T
ALTERNATE DESIGNS MAY BE POSSIBLE
f
BLOCK WALL
WHEN PROVIDED WITH AN ENGINEERED
ANALYSIS. USE OF THIS STANDARD DESIGN
�0`+L ti-,'
ATOP 2' RETAINING WALL
IS AT THE . USER'S RISK AND CARRISS NO
I°I IUNL 760) 777-712.'.
78-1 L(AII I ".FAM PICU
IMPLIED OR INFERRED GUARANTEE AGAINST
n. .�)l!I>, _A, CA1.11,!O.R1'1A.922 3
FAILURE OR DEFECTS.
PAX (760) 777-7011.
Lo/9/2u1n ronrnctNrly uF.vhLvrnc F.nr oGLT, PAGE 1 UPY
REBAR PLACEMENT
ILLUSTRATION '- FOOTING OPTION B
(SEE PAGE 1 FOR SPECIFIC REQUIREMENTS)
(TYPICAL)
w�
FOR THE RETAINING PORTION OF WALL
ALL CELLS TO BE GROUTED
(TYPICAL),
FOR NON-RETAINING PORTION OF WALL
ONLY CELLS AND BOND BEAM COURSES
WITH REBAR TO BE GROUTED
(USE GROUT STOP MESH AS APPROPRIATE)
♦
s
h
w
� (TYPICAL
J ALL REBAR SPLICES
24" MIN. OVERLAP
(TYPICAL)
FOOTING OPTION A
ALL REBAR SHALL HAVE A
1 MINIMUM OF 3" CONCRETE COVER
I AT FOOTINGS
f
DESIGN PARAMETERS. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
;;
ACTIVE SOIL PRESSURE (PSF) = 30
PASSIVE SOIL BEARING (PSF) =150 '� �` !
ot
COEFFICIENT OF FRICTION = 0.25 r
ALLOWABLE SOIL BEARING (PSF) =1500 BLOCK WALL
WIND = 80 MPH, EXPOSURE C
SEISMIC: �� ATOP 2' RETAINING WALL
NA= t .3. NV= 1 .6. Z=0.4, SOIL PROFILE=SD 78-45)5 CALLS TAMPICO
I'11ON13 (7fi(1J 777-7125
Ln pulN'1'A. C.AI,IFORNIA 92258
FAX(760)777-7011 CohaMNl'1TDFVFL0V',fWro.:rr, r•ACF2OF2