BWFE2016-0043I II'lll IIII IIII IIII
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78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/25/2016
Application Number:
BWFE2016-0043
Owner: .
Property Address:
55121 SUMMER LYNN CT
MONTERRA PROP
APN:
767860028
55075 MONROE ST
Application Description:
MONTERRA / 32742 / BLOCK WALL
LA QUINTA, CA 0
Property Zoning:roa�
ApplicationValuation:
$10,368.75
IsiApplicant:
Contractor:WOODBRIDGE
PACIFIC GROUP LLC
WOODBRIDGE PACIFIC GRO27271
LAS RAMBLAS SUITE
#100
27271 LAS RAMBLAS SUITE'
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MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691�LJ
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(949)348-8162
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Llc. No.: 963887 tN
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 License No.: 963887
Date: I Contractor:
OWNER -BUILDER DECLARATION(/
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).:
(_) 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 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
oft r for which this permit is issued.
ve 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:- Policy Number: _
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 Code, I shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATICOVERAGE 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 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. , A
Date: ? / Signature (Applicant or Agent)
-J.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
PAID
PAID.DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$29.00
$0.00
.PAID BY
METHOD
RECEIPT If
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:
TOTALS:••
$137.77
$0.00
a � .
t ee
OF'M�'
Description: MONTERRA / 32742 / BLOCK WALL
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW
Applied: 2/23/2016 SKH
APPROVED
Approved:
Parcel No: 767860028 Site Address: 55121 SUMMER LYNN CT LA QUINTA,CA 92253
Subdivision: TR 32742 Block: Lot: 28
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,368.75 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 175LF OF 6' GARDEN WALL AT NORTH, AND WEST PROPERTY LINES [PROTO II SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL
BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE.
FINANCIAL.INFOR TION
LY,. sem,
Printed: Thursday, February 25, 2016 3:56:26 PM 1 of 2
VLJ L.1 L/ L -J SYSTEMS
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Printed: Thursday, February 25, 2016 3:56:26 PM 2 of 2 CR
SYS7EM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$29.00
$0.00
ADDITIONAL 50 LF
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: $137.77 $0.00
=lei
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Printed: Thursday, February 25, 2016 3:56:26 PM 2 of 2 CR
SYS7EM5
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED SCALE: 1"=30'
FOR CONSTRUCTION
DATE l l
By
0
0 0 0
1 LOT 28 Y
PLAN 2R
55-121 SUMMERLYNN COURT ' ' ' Z)
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LEGEND NOTE: SOME ITEMS MAY NOT BE APPLICABLE FOR THE LOT SHOWN HEREON.
Egg ELECTRIC -MANHOLE FENCE -- a AREA DRAIN & DRAIN LINE
0 ELECTRIC -TRANSFORMER BLOCK WALL - SWALES
® ELECTRIC-PULLBOX RETAINING WALL ■ BUBBLER BOX
® TELEPHONE -PEDESTAL IR PILASTER CURB & GUTTER
' POWER, TELCO, CAN & GAS O FLATWORK CATCH BASIN
METER LOCATION PROPERTY LINE STREET/STOP SIGN
00 AIR CONDITIONING UNITS ---- RIGHT-OF-WAY O H.O.A. MAINTAINED LANDSCAPE
--- PUBLIC UTILITY EASEMENT — — STREET CENTERLINE pa POOL EQUIPMENT
4D—S— SEWER MAIN & MANHOLE —w— WATER MAIN
�— SEWER CONNECTION WATER SERVICE METER POOL/SPA
SLOPE SOI FIRE HYDRANT
Wpg 27271 Las Ramblas Suite 100 MONTERR LOT EXHIBIT LOT 28
Mission Viejo n TRACT 32742
W PACIFIC
GRDGEOUP
Tel: 1fornia 92691949 348-8162 v PGA WEST LA )UINTA, CALIFORNIA 55-121 SUMMERLYNN COURT
PACIFIC GROUP
WOODBRIDGE PACIFIC GROUP RESERVES THE RIGHT TO MAKE MODIFICATIONS AND CHANGES TO ITEMS INCLUDING BUT NOT LIMITED TO LOT GRADING AND
DRAINAGE, LOT LINES, FENCE LOCATIONS, PAD ELEVATIONS, TOP AND TOES OF SLOPES, RETAINING WALLS, UTILITIES LOCATION, MAILBOXES, DRIVEWAYS,
SIDEWALKS AND SETBACKS. ALL UTILITIES, SIGNS, FENCES AND DIMENSIONS ARE SHOWN AS APPROXIMATE. LOCATIONS AND DIMENSIONS MAY VARY
DEPENDING UPON CONSTRUCTION CONDITIONS. THIS LOT EXHIBIT WILL NOT BE UPDATED TO REFLECT ANY MODIFICATION, CHANGES OR REVISIONS THAT
HAVE BEEN MADE AS A PART OF THE CONSTRUCTION OF THIS LOT. BUYER IS EXPRESSLY ADVISED NOT TO ALTER THE DRAINAGE OF THE LOT.
6" (6,-V t,0 V-81 PROTO it - EXPOSURE C -.DIP FOOTING
DESIGN CRITERIA (PER 2013 CBC):
1. ALLOWABLE SOIL BEARING PRESSURE PROTO II FENCE WALL
= 1000 PSF MIN.
2. ALLOWABLE SOIL PASSIVE PRESSURE
= 150 PCF MIN.
3. SEE SHEET B,. C. & D PRIOR TO 6" STD. HOOK
START OF CONSTRUCTION.
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THESE DRAWINGS/CALCULATIONS ARE CONSIDERED PRELIMINARY -NOT FOR CONSTRUCTION OR RECORDING UNLESS THE STRUCTURAL ENGINEER OF RECORD'S SEAL IS AFFIXEO WITH WRITTEN SIGNATURE
GENERAL STRUCTURAL NOTES
I. SOIL SHALL BE FIRM AND COMPACTED PRIOR TO PLACEMENT OF CONCRETE. PRIOR TO FOUNDATION EXCAVATION, USER SHALL
VERIFY THAT SITE SOILS CONDITIONS MEET OR EXCEED AN ALLOWABLE PASSIVE BEARING PRESSURE OF 150 PSF/FT (SOIL
CLASS 4 OR BETTER AS DEFINED BY THE CBC) STARTING AT THE TOP OF GRADE(I.E. NO TOP SOILS ARE NEGLECTED FOR
PASSIVE) AND A MINIMUM ALLOWABLE BEARING PRESSURE OF 1000 PSF,
2. FOOTINGS TO BE LEVEL. IF GROUND SLOPES THE FOOTING SHALL BE STEPPED. EACH STEP SHOULD BE PROPER HEIGHT TO FIT
BLOCK TYPE USED. ALL EXCAVATIONS SHOULD BE CLEAN AND CONTAIN NO LOOSE EARTH OR FOREIGN MATTER.
3. SEE SHEET A FOR EXPOSURE, WIND SPEED, POST TENSIONED ROD SPACING, FOOTING SIZES, ETC. USER IS RESPONSIBLE TO
VERIFY REQUIREMENTS WITH BUILDING DEPARTMENT AND OWNER. ALL WORK IS TO BE PERFORMED IN ACCORDANCE WITH THE
APPROVED SITE PLAN AND APPLICABLE CODE OR JURISDICTION REQUIREMENTS.
4. SOIL BELOW FOUNDATIONS SHALL BE WELL DRAINED AND NON -EXPANSIVE. USE CONCRETE WITH A MIN. STRENGTH OF 2,500 PSI
- TYPE II CEMENT (TYPE V WHERE REQUIRED BY OWNER, SOILS ENGINEER OR JURISDICTION). CONCRETE SHALL BE A MIN. OF
48 HOURS OLD PRIOR TO FINAL TENSIONING ALL. ALL CONCRETE SHALL BE THOROUGHLY CONSOLIDATED BY SUITABLE MEANS
DURING PLACEMENT.
5. LAP REINFORCING STEEL: LAP = 32" FOR #4 BARS IN CONCRETE.
6. CONCRETE MASONRY UNITS SHALL COMPLY WITH ASTM C-90 AND BE 2,000 PSI MIN. (F -M DESIGN CRITERIA FOR BLOCK IS
BASED ON 2000 PSI). BLOCK SHALL BE A MIN OF 7 DAYS OLD PRIOR TO ROD TENSIONING. STANDARD HEAD AND BED JOINT
BLOCKS WITH MORTAR MAY BE USED OR INTERLOCKING BLOCKS MAY BE USED. BLOCKS SHALL BE LAID IN RUNNING BOND.
7. MORTAR SHALL BE TYPE S, 2000 PSI MIN. MORTAR MUST BE A MIN. OF 4 HOURS OLD PRIOR TO INITIAL TENSIONING AND 24
HOURS OLD PRIOR TO FINAL TENSIONING.
8. FIRST MASONRY COURSE MAY BE SET IN FRESH CONCRETE FOOTING.
9. REINFORCING REBAR SHALL CONFORM TO ASTM A641; Fy = 60,000 PSI.
10. PROTO-II HARDWARE IS DEFINED AS: TENSION RODS, BEARING PLATES, COUPLERS, NUTS, ALL THREADS, DIRECT TENSION
INDICATORS (A DIRECT TENSION INDICATOR (DTI) IS A COMPRESSIBLE WASHER) AND PLASTIC SADDLES. ALL OF THIS HARDWARE
SHALL BE SUPPLIED BY ONLY AN APPROVED PROTO-II LICENSEE TO THE CERTIFIED INSTALLER. POST TENSION RODS SHALL BE
7/16" DIAMETER WITH 1/2" ROLL THREADS CONFORMING TO ASTM A641 (FY = 60000 PSI) AND HAVE STEEL CHEMISTRY SO
THAT BENDING AND THREADING CAN BE ACCOMPLISHED WITHOUT DAMAGE TO THE POST TENSION ROD. AREA OF POST TENSION
ROD = .1503 SQUARE INCHES. BEARING PLATES ARE 1/4" THICK (Fy=50 KSI) SEE SHEET C FOR DIMENSIONS. 1/2" COUPLERS
PER ASTM A563 GRADE A, AND THE COUPLER MUST FULLY ENGAGE THE UPPER AND LOWER ROD, FULLY ENGAGED IS DEFINED
AS 1/2" MIN. INTO COUPLER. 1/2" NUTS ARE TO BE GRADE 8, PER ASTM A325. 1/2" ALL THREADS PER ASTM A307, GRADE
60. DIRECT TENSION INDICATOR (DTI - COMPRESSIBLE WASHER) IS MANUFACTURED PER ASTM F959. PLASTIC REBAR SADDLES
ARE NON-STRUCTURAL.
11. HORIZONTAL JOINT REINFORCING SHALL BE 9 GAGE DIAMETER WIRE AND PLACED PER SHEET A AND CONFORM TO ASTM A82
LADDER TYPE, 9 GAGE DIAMETER. LAP JOINT REINFORCING ONE FULL CROSS SQUARE (6" MINIMUM LAP).
12. IN LIEU OF FULL HEIGHT RODS, CONTRACTOR MAY USE SHORTER RODS, 1/2" COUPLERS AND STRAIGHT RODS THREADED BOTH
ENDS FOR ADDITIONAL LIFTS. RODS SHALL HAVE A MIN. OF 3" 'L' HOOK, WITH 1/2" NUT AT END OF TENSION ROD WHERE
EMBEDDED IN FOOTING.
13. VERTICAL CONTROL JOINTS TO BE PLACED AT MAX. 36' O.C. IN ALL NON -STUCCOED WALLS AND 20' ON CENTER IN STUCCOED
WALLS WITH CLEAN VERTICAL BREAK OF ALL MATERIALS. POST TENSION ROD SHALL OCCUR WITHIN 12" OF END OF WALL AND
12" EACH SIDE OF CONTROL JOINT,
14. NO COUPLERS MAY OCCUR DIRECTLY BELOW AND IN CONTACT WITH THE BEARING PLATE. NO BOND BEAM BLOCK MAY BE USED
AT PLATE/TENSION LOCATION.
15. TENSION RODS MAY BE STABBED INTO WET CONCRETE OR TIED IN PLACE AT CONTRACTOR OPTION; AT CONTRACTOR OPTION,
VERTICAL REBAR MAY BE STABBED DOWN INTO THE DIP.
16. A PROTO-II DTI (COMPRESSIBLE WASHER) SHALL BE INSTALLED AT EVERY TENSION ROD BETWEEN THE BEARING PLATE AND NUT
WITH THE DTI "TABS" FACING UP AGAINST THE BOTTOM OF THE NUT. THE SPECIAL DEPUTY INSPECTION REQUIRED AT TIME OF
FINAL TENSIONING BY A DEPUTY INSPECTOR SHALL VERIFY FINAL TENSIONING TO 6,000 POUNDS BY 1 OF 2 METHODS; METHOD
1; VISUAL INSPECTION OF DIRECT TENSION INDICATOR (DTI), TABS FACING UP AND COLLAPSED AGAINST NUT WITH NO LIGHT
LEAKAGE BETWEEN THE PROTO-II DTI AND BOTTOM OF NUT. METHOD 2: USE OF A CALIBRATED TORQUE WRENCH TORQUED TO
55 FT -LBS. (DTI MUST STILL BE PLACED WITH METHOD 2. NO VISUAL INSPECTION OF DTI REQUIRED WHEN USING METHOD 2).
INSPECTOR SHALL OBSERVE THE USE OF THREAD LUBRICANT, THE POSITION OF PLATE ON BLOCK, AND INTEGRITY OF MORTAR
JOINTS, AND PROVIDE A SIGNED REPORT TO ALL REQUIRED PARTIES. PROTO II MASONRY DESIGN IS BASED ON THIS SPECIAL
INSPECTION.
17. POST TENSION ROD SPACING IS INDEPENDENT OF DIP SPACING. TOLERANCE FOR DIP SPACING IS ±12" BUT THE NUMBER OF
FOOTINGS MUST REMAIN THE SAME FOR A GIVEN LENGTH OF WALL. RDSLTEIJS.L'. FOOD-aSPA;4-N6—T{E3kHR*NCE S t8" BUT
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18. SEISMIC DESIGN CRITERIA: Ss=2.0, S1=0.749 SOIL CLASS=D (ASSUMED) RISK A fG RY I,
19. FOUNDATION INSPECTION PRIOR TO PLACEMENT OF CONCRETE INCLUDE ft94J��1�1E~l0`C1�fT0� fT•A SIZE/DEPTH
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THESE DRAWINGS/CALCULATIONS ARE CONSIDERED PRELIMINARY -NOT FOR CONSTRUCTION OR RECORDING UNLESS THE STRUCTURAL ENGINEER OF RECORD'S SEAL
TOP OF PROTO II WALL
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1. POST TENSION ROD.
2. NUT.
3. DIRECT TENSION INDICATOR (DTI).
4. BEARING TOP PLATE.
5. COLLAPSIBLE TABS.
6. MINIMUM TENSION TO BE 6,000 LBS LOAD AND
CONFIRMED BY ONE OF TWO METHODS PER
NOTES "B" & "C" BELOW.
7. FILL CAP BLOCK WITH MORTAR. IMMEDIATELY
"FLIP" ONTO ROD. COMPLETELY COVER NUT, ROD
AND PLATE WITH MORTAR.
B. CAP BLOCK OF SUFFICIENT SIZE TO COVER
PLATE AND ROD.
9. CONTINUOUS HORIZONTAL JOINT REINFORCING.
10. CENTER WEB OR END FACE SHELL BELOW.
11. STEEL PLATE SIZES:
A. 4" PROTO 11: 1/4%3"W
B. 4" SLUMP PROTO 11:1/4"x2 1/2"x6"
C. 6" PROTO 11:1/4"x4 1/2"x6"
D. 6" SLUMP PROTO 11:1/4"x4"x6"
STEEL PLATES TO BE PLACED AT THE EDGE OF
THE CELL SO THAT THE PLATE BEARS FULLY ON
THREE SIDES.
12. DO NOT USE BOND BEAM BLOCK AT BEARING
PLATE LOCATIONS.
NOTES:
A. PROTO II DTI TO BE USED AT EACH TENSION ROD.
TABS FOR DTI SHOULD FACE UP AGAINST BOTTOM
OF NUT. TABS WILL COLLAPSE (NO LIGHT PASSES
BETWEEN BOTTOM OF NUT AND DTI) WHEN PROPER
TORQUE OF NUT HAS BEEN ACHIEVED.
B. AS ALTERNATE TO VISUAL INSPECTION OF TABS,
INSPECTION OF NUT TORQUE MAY BE ACHIEVED BY
USE OF A CALIBRATED TORQUE WRENCH. TORQUE
NUTS TO 55 FT—LBS. DTI STILL MUST BE PLACED ON
ROD IF USING TORQUE WRENCH METHOD. SEE
GENERAL NOTE ON SHEET 8.
C. SPECIAL DEPUTY INSPECTOR WILL PERFORM A
VISUAL INSPECTION WHEN USING THE DTI METHOD TO
CONFIRM THE DTI IS COLLAPSED WITH NO LIGHT
LEAKS BETWEEN THE TABS AND BOTTOM OF NUT.
IF USING TORQUE WRENCH METHOD, DEPUTY
INSPECTOR WILL CONFIRM WALL IS TORQUED TO 55
FT -LBS. NO VISUAL INSPECTION OF DTI IS REQUIRED,
D. INSTALLER MUST HAVE SPECIAL DEPUTY INSPECTION
OF TENSIONING PERFORMED BY ONE OF THE TWO
METHODS NOTED ABOVE. SPECIAL DEPUTY INSPECTOR
TO PROVIDE. A 'COMP ,ED.-R6B.OR4--TO^LMS'TCD
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Permit #
City of La Quinta
Bullding 8r Safety Dlvlslon
P.4. Box 1504, 78-495 Calle Tarnplco
u Quinta, CA 92253 - (760) 777-7012
7/01 -'
Building Permit Application and Tracking Sheet
Project Address: • j •- d? yJ .
A. P. Number:
/n h -n
Owner's Name: Z Gig
Address: 7
Legal Description: %i� . ✓,'%v�
Contractor • Iz✓' % / yC i'!.U. 4' ;
5u i 1'
X 2�
City, ST, Zip: /q//5!I'o17 111�Y,4 C
Telephone:
Address:
Project Description:
City, ST, Zip:
f ��
Telephone:
State Lie. #:
City Lic. k
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic
�+
....Project
Construction Type: P cY:
type circle one): New Addn Alter Repar Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Un
Telephonq #,of Contact Person:
Estimated Value of Project 1 S
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Req'd
Recd
TRACMG
PERMIT nES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
'A•uss Cates.
Called Contact Person
Plan Check Balance.
Title 14 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Granl Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7n0 Review, ready for correctionsfissue
Developer Impact Fee
Vlannlns.Arpror4r
---- _--
_
_Called.ConlactP.erson—
.
_
.A•I.P.P.
_
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees