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BWFE2016-0064LICENSED 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. CIO, CC29 License No.: 439904 Date: b Contractor: OWNER -BUILDER DEC TION 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).: (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 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 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 I 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 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: Car Policy Number: _ (,certify that in the performance of the work for which this permit is issued, I all 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 Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING. FAILURE TO SECURE WORKERS' C PENSATION 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 F09 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 upon the above-mentioned property for inspection purposes. i Date: � • 1 6 Signature (Applicant or Agent): 62 VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/7/2016 Application Number: BWFE2016-0064 Owner: Property Address: 78785 SANITA DR RUBEN KODR'I.G.DEZ APN: 604162017 78785 SANITI 11 c------ ! Application Description: RODRIGUEZ / 115LF OF 6' WALL INSIDE OF EAST PL LA QUINTA, CA 92253 -- Property Zoning: g I Application Valuation: FS {� Applicant: f D Contractor: -�- r• • ev r_1 p y 91 EDWARD 1 STRZELCZYK EDWARD J STRZELCZYK� P0BOX 7114 PO BOX 7114'��� rn LA QUINTA, CA 92248-7114 LA QUINTA, CA 922'4&711 (760)578-0201 Llc. No.: 439904 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. CIO, CC29 License No.: 439904 Date: b Contractor: OWNER -BUILDER DEC TION 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).: (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 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 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 I 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 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: Car Policy Number: _ (,certify that in the performance of the work for which this permit is issued, I all 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 Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING. FAILURE TO SECURE WORKERS' C PENSATION 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 F09 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 upon the above-mentioned property for inspection purposes. i Date: � • 1 6 Signature (Applicant or Agent): FINANCIAL • i. DESCRIPTION ACCOUNTQTY AMOUNT PAID 'PAID DATE. WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $14.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT, QTY. -AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL: $123.27 $0.00 TOTALS:00 Description: RODRIGUEZ / 115LF OF 6' WALL INSIDE OF EAST PL Type: WALL/FENCE Subtype:. CITY STANDARD/PRE- Status: APPROVED Applied: 3/7/2016 SKH APPROVED Approved: 3/7/2016 SKH Parcel No: 604162017 Site Address: 78785 SANITA DR LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 115LF OF 6' GARDEN WALL INSIDE EAST PROPERTY LINE [ANGELUS SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED. WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. Printed: Monday, March 07, 2016 9:19:26 AM 1 of 2 SYSTEMS ADDITIONAL CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY. STATE ZIP PHONE FAX EMAIL APPLICANT EDWARD J STRZELCZYK P O BOX 7114 LA QUINTA CA 92248- 7114 CONTRACTOR EDWARD J STRZELCZYK P 0 BOX 7114 LA QUINTA CA 92248- 7114 OWNER RUBEN RODRIGUEZ 78785 SANITA DR I LA QUINTA CA 92253 DESCRIPTION ACCOUNT. Egli', I-milorn QTY AMOUNT • • PAID • PAID DATE RECEIPT # CHECK # 'METHOD PAID $Y CLTD BY WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $14.50 $0.00 Printed: Monday, March 07, 2016 9:19:26 AM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD 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 for FENCE OR FREESTANDING WALL: $123.27 $0.00 PARENT PROJECTS PAID BY CLTD BY BY Printed: Monday, March 07, 2016 9:19:26 AM 2 of 2 • CffFsysrcnns Bin # Qty of La Q uin td - Building &r Safety Division 781495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # wr�2oth (i�� Project Address: �S �wr ��� Owner's Name: 41 6 ev n A. P. Number: Address: 295' Legal Description: City, ST, Zip- ip w Contractor: o. . Contract r V 11'r Telephone: . Address:/ V Project Description: ,City, ST, Zip: a.� i Telephone: v- -D Z�. G S State Lie. # : 3 o D City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Con traction Type: cY•• State Lie. #: air Demo ect hPe circle one : New Add nAlter R Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: •%60 - 5-10- Estimated Value of Project:' APPLICANT: DO NOT WRITE BELOW THIS LINE t; Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact.Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"! Reyiew, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees SMEYARD: 5 FEET REARYARD: 10 FEET MINIMUM EACH SIDE mmla um 1 1 t FRONTYARD; MEA TO"BE 20 FEET LARD S GAPED MINIMUM , I �--�- PROPERTY LINES CJTNt ®F.LA QUINT"A- BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATE!� ` Vq BY . Pj'-. CURB LINE *0L0C$fKnftC1?46 ANGELUS BLOCK MASONRY FENCE WALL SYSTEM DESIGN CRITERIA: 1. DESIGN CRITERIA PER 2013 CBC 2. ALLOWABLE SOIL BEARING PRESSURE - 1500psf 3. ALLOWABLE SOIL PASSIVE PRESSURE - 150pcf 4. COEFFICIENT OF FRICTION - 0.25, COHESION - Opsf 5. CANTILEVER ACTIVE = 30pcf 6. MASONRY COMPRESSIVE STRENGTH, f m - 1500ps1. 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. NOTES: 1. REINFORCING STEEL SHALL BE DEFORMED AND CONFORM TO ASTM A615 GRADE 60. PROVIDE SPLICES (LAPS) OF 48 BAR OIAMETERS OR 24 INCHES, WHICHEVER IS GREATER. CENTER VERTICAL BARS IN CELLS. 2. JOINT REINFORCEMENT ('LADDER" TYPE) SHALL BE COLO -DRAM STEEL WIRE CONFORMING TO ASTM A951. PROVIDE MINIMUM 6 INCH LAP SPLICES. 3. STRENGTH OF CONCRETE FOR FOOTINGS = 2500ps1 0 28 DAYS, UNLESS OTHERWISE REQUIRED BY SOILS REPORT. 4. CONCRETE. MASONRY UNITS SHALL CONFORM TO ASTM C90. ANGELUS BLOCK PRECISION, SPLIT FACE, BURNISHED, OR SHOTBLAST, WITH 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 MANUFACTURED BY E -Z MIX INC., CONFORMING TO PROPORTIONS AND REQUIREMENTS OF ASTM C270, OR SPEC MIX IWR MASONRY MORTAR AS 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. i� a tit? QS �• 7. , iRST COURSE MAY BE WET -SET 1 1/2 INCHES MAX. •WILE CONCRETE IS PLASTIC. 8. CONCRETE BLOCK SHALL BE LAID IN RUNNING BOND PATTERN WITH VERTICAL CONTINUITY OF THE CELLS. 9. VERTICAL CONTROL JOINTS SHALL BE SPACED AT A MAXIMUM OF 40'-0"o.c. OR 20'-O"o.c. IF WALL IS TO BE STUCCO COATED OR MORTAR WASHED 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 REINFORCEMENT IS IN PLACE AND CELLS ARE READY FOR GROUT. 12. FOR TYPICAL FOOTING STEP AND DRAINAGE BLOCK-OUT DETAILS - SEE DETAIL SHEET S-5.1. ♦,I,.I ILII 1. /1C071J A M, Cl Aef .. 6'to8'H Trench Footing Risk . 1 6" OPTIONAL WALL CAP Site Wall -UY1 Y Q7F` 'QZY1N%YTA WegQM - SAFETY DEPT. de JOWAYROVED FOR CONSTRUCTION 6STD: LADDER TYPE #5 SSD. ,FOR $LUMPSTONE).. . JOINT REINF:_ AT' TOP COURSE, AT FIRST COURSE, AND 24"o.c. 6" WIDE (NOM.) CMU GROUT CELLS w/ REINF. lo 'X' BARS PER SCHEDULE 0 CTR. OF WALL 'Y BARS PER SCHEDULE LAP PER 'L' F.G, WET -SET FIRST COURSE 2-#4 CONT. SLOPE 0-.O-.1.,1_0 CONT. CONC. FTG.— 2 :1 2'-6" 2'-W 3 :1 2-0" MASONRY FENCE WALL SCHEDULE 'H' MAX.X BARS RONEWALL STEM 'BARS 16' LONG CMU 18' LONG CMU TYPE PER S=2:0 16' LONG CMU 18' LONG CMU 'L' STEM V MIN. 6'-0" #4®48"o.c, #4054"o.c. A B' 4®24 o.c. 4027'o.c. 4048"o.c. 4054'o.c. 2'-0'-10 6'-8" #4048"o.c. #4045"o.c. A' B' 4016'o.c. 4018"o•c. 4048"o.c. 4054"0.0. 2'=0" 2'-0' 3'-D'' 2/-4" 7'-4" #4048"o.c, 04045"o.c. A' a` 4016'o.c. 4018'oXi Jldenan". " I AedhdS". , 3'-0" 9'—t1 1 }" #4040"o.c. #4036"o.c. A' 4®8"o.c. w'o.c. B' 4@40'o.c. . 4036"o.c. ANDERSON DESIGN GROUP Structural Engineering Building Design 228 East Badlllo Street • Covina • CA • 91723-2115 (626)1128-1595 • Facsimile (626) 938-0485 enB/neerfnp excel/coca slnca 1957' 311 7_14`..1 jjjM PER SCHED. rl i 8" � 5'-0" MIN. '1 CONT TO DAYLIGHT ivV, :: P 4t .. 1�� OF .C/ l I "� DATE SIGNED 6-25-14 S-1.2LQ #6255 pw w o. S *CCOX, qw Since 1946 ANGELUS BLOCK MASONRY FENCE WALL SYSTEM ENO OF WALL. x O SxHf. X o0 ( SxHF 5xHF (A 5 H TYPICAL REINFORCED WALL STEM TYPES PLAN WALL TYPES \,.-/ & TOTAL WALL LENGTH 8' High Max. Site Wall C o .100mph Risk Category I 6" Wide CMU 5.1 { ["PT. z �e(^�P A BY 16 4,03 I z 5 x HF. MIN. I 5 x HF MIN. 7 z_ z z _ z � F i LJ w ff �j TYPICALL REIN -FORCED WALL STEM TYPES ELEVATION I'} WALL TYPES H ANDERSON DESIGN GROUP Structural Engineering Building Design 22B East Badlllo Street • Covina • CA • 91723-2115 '(626)938-159S • Facsimile (626)9 1 38-046S "enD/ncoNnp exttllerCe .Ince 1957- ryn.Yl-S-'!+Yt�-wLl !!!V • �-tf.11 AWNED. 5-21-14 S-2.OLQ . #6255