BPLB2015-0133Applicant:
MARK STONE
53725 AVENIDA VILLA
LA QUINTA, CA 92253
c&tN' °(' 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
37
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/17/2015
n Owner:
MARK STONE
�� (I 53725 AVENIDA VILLA
A'0 V
q 7 LA QUINTA, CA 92253
C17i o� 15
Y�F[0p Qn /,,
NTpEpgHTAfFNi Contractor:
OWNER/BUILDER
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: _ License No.: _
Date:
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
0)
wrier 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
h r she did not build or improve for the purpose of sale.).
I, s`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
-,yaf Contractors' State License Law.).
"!qI 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
Lender's
Llc. No.:
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 polity 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' 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.
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
rWMfor 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 property for inspection purposes.
Date: r Y J Signature (Applicant or Agent):
1
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BPLB2015-0133
Property Address:
53725 AVENIDA VILLA
APN:
774133026
Application Description:
STONE RESIDENCE
Property Zoning:
Application Valuation:
$600.00
Applicant:
MARK STONE
53725 AVENIDA VILLA
LA QUINTA, CA 92253
c&tN' °(' 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
37
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/17/2015
n Owner:
MARK STONE
�� (I 53725 AVENIDA VILLA
A'0 V
q 7 LA QUINTA, CA 92253
C17i o� 15
Y�F[0p Qn /,,
NTpEpgHTAfFNi Contractor:
OWNER/BUILDER
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: _ License No.: _
Date:
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
0)
wrier 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
h r she did not build or improve for the purpose of sale.).
I, s`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
-,yaf Contractors' State License Law.).
"!qI 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
Lender's
Llc. No.:
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 polity 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' 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.
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
rWMfor 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 property for inspection purposes.
Date: r Y J Signature (Applicant or Agent):
i
FIN ION ANCIALINFORIVIAT
V g MM
0ESCAIRTWN'Tul HIS Of
I A, effie MY 1h
BSAS SB147,3 FEE 101-0000-20306
0 $1.00
$1.00 11/17/15
1I m g-upg
03yl,
RECEIPT#m
mwaN
O
, jXN
Z
"JM4W'z C.; W�
MARK STONE CHECK
1110902
nso AZA
Total Paid .for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
wv M 5 -g. I—
A, -,,mg ,
a
51111,
, 11
V,; - - LIM. K
AMOUNT
MM"
0,415, =
PAID. w
MAIMDATEa
AMC
01-4.
Rvl
a
WALL/FENCE FIRST 100 LF
101-0000-42404
0
$41.86
$47.86
11/17/15
AID'BY
�jg
. . .......
4'
� 4: MI.
Wil"I- !,TWO�w
MARK STONE
CHECK
'1110902
1350
AZA
_K 1*0
"j� FZESCRIPTIOW
V� vt
t,
- --% -- -
N T;051 01,1;
i# ;n
!1,
�pp& ww..qllv,"xfq
;PAIQZAt
Xb
n
WALL/FENCE FIRST 100 LF PC
V 101-0000-42600
0
$60.91
$60.91
11/17/15
, , .4, 0 n
76
'fPAIDBY�_,-
RECEIPT
n•
:';WNNW $V AIM
AR
qg]CLTD';BY41_:f.
MARK STONE
CHECK
R10902
1350
AZA
Total Paid for, FENCE OR FREESTANDING WALL: $108.77 $108.77
0N Pi
gp.0p. g, Qiffi' M
In _=,,
AMOUNTS
P`AjXID'
PA10*1ATV
�
3i"
PERMIT ISSUANCE
101-0000-42404
0
$91.85
'01:85
11/17/15
FuCr
c+,—,s,
p
0a
Rm
"Ab
BY
pRECEIPTW5m_
t x rz -
la�PAIMBYo
xF
tCL?D
MARK STONE
CHECK.
R10902
1350
=AZA
(',Total Paid for;PERMIT ISSUANCE: $91.85 5, $91.85
!j 44n�,:vqoiik WJAE
VrW4=.%
I OU fl
140"
AW A TE
.,--i��;%RDESCR Z y
N
GAS SYSTEM, 1-4 OUTLETS
0
$12.09
$12.09
11/17/15
Yw MPAI d d
h ��METTHIOT4-
u,
t!0& , WME E I PT #" tTE'lgml,
,Cl,'
1�57%CHECK,0�,k&
�A'QTD%y_X1f
7:;Z.
V. tii�.Om- Ksnf'm,.�LR
�i , WE!
MARK.STONE
CHECK
1110902
AZA
.13510
!1��DESI ZRIPTION ggm�mmg -f
gi 4A
m g 1�': "41101
1,0
MM
VAIJ`
MAID",bkft
A�
1,
1, �
MAIM 01
GAS SYSTEM, i-4 OUTLETS -PC
101-0000-42600 -42600
0.
$24.17
'$24.17
11/17/15
v-, t,.wgg-
Or
ON
NMT�"w
%WM
MARK STONE
-CHECK
R10902
1350
AZA
Total Paid for PLUMBING FEES: $36.26 $36.26
0 TAL S
237.88
Description: STONE RESIDENCE
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED
Applied: 11/17/2015 SGU
Approved: 11/17/2015 AZA
Parcel No: 774133026 Site Address: 53725 AVENIDA VILLA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 242 Lot: 12
Issued: 11/17/2015 AZA
UNIT 23
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $600.00 Occupancy Type: Construction Type:
Expired: 5/15/2016 AZA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: INSTALL APPROX. 172 GALLON PROPANE TANK IN FRONT YARD BEHIND BLOCK WALL NEAR ENTRY GATE (TO BE SCREENED BY BLOCK
WALL FROM PUBLIC VIEW). 3 FT. OF 4 FT. HIGH BLOCK WALL (PER CITY STANDARD) INSTALL APPROX. 100 L.F. OF 1 INCH GAS LINE
FROM PROPANE TANK TO BBQ AND OUTDOOR COOK TOP AND APPROX 12.L.F. OF 1 INCH GAS LINE (STUBBED OUT) FOR FUTURE
FIRE PIT. 2013 CALIFORNIA BUILDING CODE.
Printed: Tuesday, November 17, 2015 1:05:24 PM 1 of 2'
B?w1Y5TEh1S
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI CITY
STATE ZIP PHONE FAX EMAIL
APPLICANT
MARK STONE
53725 AVENIDA VILLA LA QUINTA
CA 92253 (760)992-6275
CONTRACTOR
OWNER/BUILDER
(760)992-6275
OWNER
MARK STONE
53725 AVENIDA VILLA LA QUINTA
CA 922S3 (760)992-6275
Printed: Tuesday, November 17, 2015 1:05:24 PM 1 of 2'
B?w1Y5TEh1S
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
WALL/FENCE -FIRST
101-0000-42404
0
$47.86
$47.86
11/17/15
R10902
1350
CHECK
MARK STONE
AZA
100 Lf
WALL/FENCE -FIRST
*PC
101-0000-42600
0
$60.91
$60.91
11/17/15
R10902
1350
CHECK
MARK STONE
AZA
100 LF
Total Paid for FENCE OR FREESTANDING WALL: $108.77 • $108.77
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
11/17/15
R10902
1350
CHECK
MARK STONE
AZA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$12.09
11/17/15
R10902
1350
CHECK
MARK STONE
AZA
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$24.17
11/17/15
R10902
1350
CHECK
MARK STONE
AZA
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $36.26
TOTALS:
INSPECTIONS
PARENT PROJECTS
Printed: Tuesday, November 17, 2015 1:05:24 PM 2 of 2 C7�
SYSTEMS
seer.#
Cit}/ Of Quints
Bullding 8T Safety Di&6n
P.O. Box 1504,78-495 Calle Tampico
La.Qufita, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: sv)t • U i .
Owner's Name:.
A. P. Number.
Address: 1 G
Legal Description:
Contractor•
City, ST, Zip:
Telephone:
Address: —3� 1 {1 a&
Project Description:
City, ST, Zip: fZ%4�•ts e
Telephone:
lrlJ�
/ A19W ! /r s clan e.
State Lia 0: City Lie. #:
Arch., Bug, Designer.
� 970 (44
Address:
City., ST. Zip:
Telephone:
State Lia #:
Name of Contact Person•Sq.
Construction Type:. Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
FL: # Stories: # Unit$:
Telephone # of Contact Person: . —
Estimated Value of Project: I ��-
APPLICANT: OO NOT WRITE BELOW THIS UNE
p
Submittal
Req'd
Reed
TRACILIIHG
PERMIT FEES
Pine Sets
Plan Check submitted
Item Amount
Structural Cake.
Reviewed, ready for corrections
Plan.Check Deposit. .
11russ Cale$.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Pians resubmttted,' .
Mecharilcal
Grading plan
2' Review, ready for correctionsfrssue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S3LL
HAA. Approval
Plans resubmitted
Grading
Iid ROUSE:-
''• Reylew, ready for correctlons/issae
Developer Impact Fee
Planning Approval.
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Taf 4 4Q*1a
P.O. Box 1504
LA QU.INTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING.& SAFETY DEPARTMENT•
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted our na a li ting y self the builder of the property
improvements specified at �3 —7 Z S x r- C,?_dez (/� / ( (Cc
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
/Tcz1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder".
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
2. I understand building permits are not required .to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
�. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
46. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
�. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
#2� 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee:" I also understand my failure to abide by these laws may subject me to serious financial
risk.
11Z57. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential,
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
/K-8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
/�9. I understand I may obtain more. information regarding my obligations'as an "employer" from.the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
,O%�10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
d
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
ap icable laws and requirements that govern Owner -Builders as well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner 7�//L Date:
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder. .
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
4
I
a
-CITY. Of LA QUINTA
LIST
JOB ADDRESS 4_)oA lJ�
�
PERMIT.NUMBER
.SUB-CONTRACTOR
OWNER S�) �— BUILDER
This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this-job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or th•e voidance. .
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response:
: :... Classificati .....
Trade.l.. on.....................................Contac.
: ......:><:::::` - s:;:<:::;;;::::;::<;:;;>:::::::z::::::>.;::a::.-
oc..........................................................State.Contractor..s.License...........:..........
_..............................................
....:
R.
it >Bilsiries
.0 s.l
Y:..........:..........................._...,....
e s ...........
Company Name
Classification
LicenseNumber
Exp. Date
CarriererName
Number
PoIisYNumbe
Exp. Date
License Number
Exp.. Date
(e.9
. A B C-81�
(xxxx x
xx/ x x
e.9 State C ICo mP
Format Varies) es
x / xx/xx)
(xxxx)
(xx/xx / xx )
NC :NX,
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PPO,O.L ::(.C: 53 );:>: -::'- :`.::> i
FOC
DESIGN PARAMETERS:
ACTIVE SOIL PRESSURE (PSF) = 30
PASSIVE SOIL BEARING (PSF) =1.50
COEFFICIENT OF FRICTION = 0.25
ALLOWABLE SOIL BEARING (PSF) =1500
WIND = 80 MPH, EXPOSURE C
SEISMIC:
NA= 1.3, Nv=1 .6. Z=0.4, SOIL PROFILE=SD
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
C
o°
c
,i
FREESTANDING BLOCK WALL.
OF...�
PHONE (760) 777-7125 78-995 CALLE TAMPICO
LA OUINTA. CALIFORNIA 92253
FOOTING .OPTION "A"
i
i
H,.
HEIGHT FROM TOP
OF FOOTING
12" 10°
FOOTING OPTION. "B"
#4 HORIZONTAL REBAR
(USE BOND BEAM BLOCK)
6" OR 8" BLOCK
#4 HORIZONTAL AT 32" MAX. O.C.
(USE BOND BEAM BLOCK)
SEE TABLE "A"•
— FOR REBAR SIZE
AND SPACING
(LOCATE REBAR IN CENTER OF CELL)
REVERSE=III�III�
DIRECTION OF
HOOK ON EVERY (FI OOTING WIDTH)
OTHER REBAR .
SEETABLE"A"
___.
•?�}7�F
H..
.,Wrr
VERTICAL
REINFORCEMENT
3'
17"
#4 @ 48" O.C.
4'
20"
#4 9 48" O.C.
5'
23"
#4 @ 48" O.C.
6'
29"
#4 @ 24" O.C.
i•
1
..H..
HEIGHT FROM TOP
OF FOOTING
SEE TABLE "B"
FOR REBAR SIZE—
AND SPACING
(LOCATE REBAR IN CENTER OF CEU.)
FINISH GRADE
(1) - #4 REBAR
CONTINUOUS
_ (2) - #4 REBAR
FIT, CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
a.
BOTTOM °F
OF 5' MIN.
FOOTING
NOTES:
1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF
MORE THAN 6" ON OPPOSING SIDES OF THE WALL. THIS IS
NOT A RETAINING WALL.
2) FENCE HEIGHTS ARE REGULATED — CONSULT ZONING
REGULATIONS BEFORE BEGINNING CONSTRUCTION.
3) NO WATER COURSE OR NATURAL DRAINAGE SHALL -BE
OBSTRUCTED.
4) GROUT ONLYTHE CELLS CONTAINING REBAR. THIS WALL
IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED.
5) ALL REBAR TO BE ASTM SPEC. A615, GRADE 40 MINIMUM.
6) ALL REBAR LAP SPLICES TO BE 24" MINIMUM.
7) ALL MASONRY UNITS TO BE ASTM C-90 GRADE N.
8) REBAR TO BE CENTERED IN MASONRY CELLS.
I
10" 12"
!14 .,W.
!(FOOTING WIDTH)
SEE TABLE "B"
C HECK, WITF f_!H E, _BUILD(NQ.QFPARTMENT TO
VERIFY_IF A BUILDINGIT
_PERM.IS REQUIRED.
WHEN A PERMIT 1S REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) FOQTING: EXCAVATION TRENCH CLEAN WITH
STEEL IN PLACE AND SUPPORTED 3" ABOVE AND
AWAY FROM THE SURROUNDING EARTH/DIRT.
2) REBAR/PEZE-GRQUT. BOND BEAM REBAR AND
VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO
PLACING GROUT.
3) FINAL: AFTER GROUT IS PLACED - PRIOR TO ANY
DECORATIVE CAP PLACEMENT.
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
'SEE PAGE 2 FOR ADDITIONAL INFORMATION' o� w�o
DISCLAIMER:
ALTERNATE DESIGNS MAY BE POSSIBLE
WHEN PROVIDED WITH AN ENGINEERED 'c "'� FREESTANDING BLOCK WALL
ANALYSIS. USE OF THIS STANDARD DESIGN. r'�0F'f%N �
IS AT THE USER'S RISK AND CARRIES NO
IMPLIED OR INFERRED GUARANTEE AGAINST PHONE (760) 777-71.25 7UINT CALLS TAM 92
FAILURE OR DEFECTS. LA Q(1INTA, CALIFORNIA1:N[A 92253
FAX (760) 777-70.11 COMMunnv DEVEwvm(Errr D1>fT. PAGE 10112
<.H,.
rW„
VERTICAL
REINFORCEMENT
3'
19"
#4 @ 48" O.C.
4'
22"
#4 9 48" O.C.
5'
29"
#4 @ 48" O.C.
6'
34"
1 #4 9 24" O.C.
C HECK, WITF f_!H E, _BUILD(NQ.QFPARTMENT TO
VERIFY_IF A BUILDINGIT
_PERM.IS REQUIRED.
WHEN A PERMIT 1S REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) FOQTING: EXCAVATION TRENCH CLEAN WITH
STEEL IN PLACE AND SUPPORTED 3" ABOVE AND
AWAY FROM THE SURROUNDING EARTH/DIRT.
2) REBAR/PEZE-GRQUT. BOND BEAM REBAR AND
VERTICAL REBAR IN PLACE - INSPECTION PRIOR TO
PLACING GROUT.
3) FINAL: AFTER GROUT IS PLACED - PRIOR TO ANY
DECORATIVE CAP PLACEMENT.
WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM
'SEE PAGE 2 FOR ADDITIONAL INFORMATION' o� w�o
DISCLAIMER:
ALTERNATE DESIGNS MAY BE POSSIBLE
WHEN PROVIDED WITH AN ENGINEERED 'c "'� FREESTANDING BLOCK WALL
ANALYSIS. USE OF THIS STANDARD DESIGN. r'�0F'f%N �
IS AT THE USER'S RISK AND CARRIES NO
IMPLIED OR INFERRED GUARANTEE AGAINST PHONE (760) 777-71.25 7UINT CALLS TAM 92
FAILURE OR DEFECTS. LA Q(1INTA, CALIFORNIA1:N[A 92253
FAX (760) 777-70.11 COMMunnv DEVEwvm(Errr D1>fT. PAGE 10112
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