BWFE2017-0092f M �
78-495 CALLE TAMPICO D �NMUCIJ
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0092
Property Address: 52120 AVENIDA CARRANZA
APN: 773221005
Application Description: LOPEZ / 60 LF CITY STANDARD GARDEN WALL
Property Zoning:
Application Valuation: $3,600.00
FIN
Applicant: 990
FROYLAN LOPEZ
52120 AVENIDA CARRANZA MAY 2 4 2017
LA QUINTA, CA 92253 DD
CITY OF LA, QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
. 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 -BUILDS 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
Ke'cts 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
ensation, 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.).
"(pl, 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 contractors) licensed pursuant to the
Cgptractors' State License Law.).
1 am exempt under Sec. . B.&P.C. for this reason
Date: D / eL / / / 'r Owner:
CONSTRUCT113N 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/24/2017
Owner:
FROYLAN LOPEZ
52120 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:.
OWNER BUILDER
Uc. 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 policy number are:
Carr' _ • Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall of 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 Section3200 of the Labor Code, I shall forthwith
comply with those provisions. �� I "
WAKNINb: FAILURE I U SECURE WORKEILS' 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. I
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 groperV for inspection purposes.
Date: J o Signature (Applicant or Agent):"t
Application Number:
BWFE2017-0092
Property Address:
52120 AVENIDA CARRANZA
APN:
773221005
Application Description:
LOPEZ / 60 LF CITY STANDARD GARDEN WALL
Property Zoning:
Application Valuation:
$.3,600.00
Applicant:
FROYLAN LOPEZ
52120 AVENIDA CARRANZA
LA QUINTA, CA 92253
Owner:
FROYLAN LOPEZ
52120 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
Date: 5/24/2017
Detail: 60LF OF 6' GARDEN WALL AT NORTH PROPERTY LINE [CITY AND ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND ANY FENCING
SHALL BE LANDSCAPED, HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 0
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCK WALL:
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
0
JI
J
zr
3
2.
PL
�1 oak
Li AL,
ci
� o
3—
n c�
v
Bin #
CitOf La Quinta
Building 8r Safety Division
78-495 Calle Tampico.
La Quinta, CA 92253 - (760),777-7012
Building Permit Application and Tracking Sheet -
Permit #
Project 0
Project Address: I�V v(�� Q�
Owner's Name:
A. P. Number:
Address: �� Ioc lJ� CX rr(cl
Legal Description:
Contractor:Te �-
ui `
City, ST, Zip: �a Ow nA—n C
��'� `"�`
le P h one:
Address:
Project Description:
City, ST, Zip:
b\O �C� l
Telephone:
ele h
Po .
State Lic. # : City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction on TYP e: Occup an
P c1':
State Lic. #:_
Project
ect type (circle one)•New Add'n* n Alter Repair Demo
Name of Contact Person:ez
Sq. Ft:
# Stories:
#Units:
Telephone # of Contact Person• — j
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req>d
Rec>d
TRACKING
PERMTr FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
T4hf, 4 4 a"
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-l'504
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 in our name listing g yourself as the builder of the property
improvements specified at I � 0 U ' ►� j �S q .2D P N - A -
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.
'C 1. 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 anOwner-Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
k2. I understand building permits are not required to be signed by property owners unless they are responsible for the
co truction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I mayprotect
m self from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
p 'ts and contracts.
5. 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.
Lveent,
understand if I am considered an "employer" under state and federal law, I must register with the state and federal
g 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
r7.
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:
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 I-
800-32 (2752) or www.cslb.ca.gov for more information about licensed contractors'.
10. I 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:
�Q;A]ID
11. I agree that, as the party legally and fuiancially responsible for this proposed construction activity, I will abide by all
applicable laws'and requirements thatgovern Owner -Builders as.well as employers.
A12. 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 fain 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 perinit 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 progeny 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 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.
AUTHORIZATIONOF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the ekecution of which I understand is my personal responsibility, I hereby authorize
the following persons) 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: 5) �/L0 A ve
Name of Authorized Agent; Tel No
Address of Authorized Agent:
I. declare under penalty of:perjury that I am the property owner.for the address listedabove 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 resented when the permii.is issued to verify the property owner's signature.
Property Owner's Signature: /% Date: V I
FOOTING OPTION "A"
i
f
i
H'
HEIGHT FROM TOP
OF FOOTING
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)
HEIGHT FROM TOP
OF FOOTING
SEE TABLE "A" SEE TABLE "B"
— FOR REBAR SIZE FOR REBAR SIZE—
AND SPACING AND SPACING
(LOCAIk FIWAR IN C'N1YR OF CI:I,1I (f.00A'1 . RWANIN C}_Nf Elt OF CIELD
REVERSE LLL�_
H
DIRECTION OF
"W"
HOOK ON EVERY
I (FOOTING WIDTH) I
OTHER REE3AR
SEE TABLE_ "A'*
FINISH GRADE
(1) - #4 REBAR
—CONTINUOUS
(2) - #4 REBAF
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
a.
W
f1OTTOM (.
OF'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 ONLY THE CELLS CONTAINING REBAR. THLS 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.
SEE PAGE 2 FOR ADDITIONAL INFORMATION'
DISCLAIMER:
ALTERNATE DESIGNS MAY BE POSSIBLE
WHEN PROVIDED WITH AN ENGINEERED
ANALYSIS. USE OF THIS STANDARD DESIGN
IS AT THE USER'S RISK AND CARRIES NO
IMPLIED OR INFERRED GUARANTEE AGAINST
FAILURE OR DEFECTS.
„W..
((FOOTING WIDTH)
SEE l -ABLE "B"
TA
H
W..
VERTICAL
REINFORCEMENT
3'
17"
1#4@48"O.C.
#4 @ 48" O.C..
4`'
20"
#4 @ 48" O.C.
5'
23"
#4 @ 48" O.C.
6' 1
29" 1
#4 @ 24" O.C.
FINISH GRADE
(1) - #4 REBAR
—CONTINUOUS
(2) - #4 REBAF
CONTINUOUS
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYLIGHT AS SHOWN BELOW.
a.
W
f1OTTOM (.
OF'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 ONLY THE CELLS CONTAINING REBAR. THLS 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.
SEE PAGE 2 FOR ADDITIONAL INFORMATION'
DISCLAIMER:
ALTERNATE DESIGNS MAY BE POSSIBLE
WHEN PROVIDED WITH AN ENGINEERED
ANALYSIS. USE OF THIS STANDARD DESIGN
IS AT THE USER'S RISK AND CARRIES NO
IMPLIED OR INFERRED GUARANTEE AGAINST
FAILURE OR DEFECTS.
„W..
((FOOTING WIDTH)
SEE l -ABLE "B"
TA
H"
w'.
VERTICAL
REINFORCEMENT
3'
19"
#4 @ 48" O.C.
4'.
22"
#4 @ 48" O.C.
5'
29"
#4 @ 48" O.C.
6'
34"
#Q•`@ 24" O.C.
CHECK WITH..T,HE BUILDING..DEPARTMENTTO
VERIFY_IF A BUI4DING,PE!3K IS..REPUIRED.
WHEN A PERMIT IS REQUIRED, THE FOLLOWING
INSPECTIONS ARE REQUIRED:
1) FOOTING.; EXCAVATION TRENCH CLEAN WITH
STEEL IN PLACE AND SUPPORTED 3" ABOVE AND
AWAY FROM THE SURROUNDING EARTH/DIRT.
2) REBAR/PRE-GROUT: 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
FREESTANDING BLOCK WALL
PHONE (760) 777-7,1.2:1 '78-495 CAL Ll 9'AMPICO
LA Otfltfl'A, C.!AIAFORNLA.92253
FAX (760) 777-7011 1U/9/2U111 ICOMMUNITY DL•'VELOPMF.Dff Di -.7 PACE I Oil
FOC
DESIGN„ PARAMETERS;
ACTIVE SOIL PRESSURE (PSF-
=30
PASSIVE SOIL SEARING (PSF)
=150
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
May/24/2017 1:22:41 PM County of Riverside, DPSS 951-000-0000 111
05/24/2017
I Edgar Montes de Oca the owner of property located on 52100 Avenida Carranza La Quinta 92253, give
permission to Froylan Lopez, to access the property in the area where the Cinder Block Wall is being
built for the duration of the time the wall is being built.
x
i
r
r