BWFE2017-002911''JW
`.:
78-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0029
Property Address: 50655 CALLE GUAYMAS
APN: 770094007
Application Description: LAKES /CITY STANDARD WALL
Property Zoning:
Application Valuation: $10,000.00
Applicant:
WILLIAM LAKES
79840 MEMORAIL PLACE
LA QUINTA, CA 92247
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 ($500).:
'tLtpL,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.).
bias 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.).
am exempt under Sec. . B.&P.C. for this reason
Date: 2-24-20 1 Owner: W_ Ili
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
" Date:. 2/24/2017
Owner:
WILLIAM LAKES
79840 MEMOF:AIL PLACE
LA QUINTA, CA 92247
Contractor:
OWNER BUILDER
Llc. No.
0
N
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Gil
m
W
LL_
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 3770 of the Labor Code, for the performance
of the work for which this permit is issued.
_ I have and will maintain workers' •:ompensation 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 insurancB carrier and policy number ate:
Carri Policy Number: _
I certify that in the performance oa_ the work for which this permit is issued, 1
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: 2.0 t —JApplicant
WARNING: FAILURE TO SECURE WORKERS' CDMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMNAL 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 -tate that the above information is correct.
I agree to comply with all city and county ord nances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
( Date: 2 —N-200 Signature (Applican9 or Agent):
'
Date: 10/30/2017
Application Number: BWFE2017-0029
Owner:
Property -Address: - '<% b55aA1LE GUAYMAS
WILLIAM LAKES
APN: 770094007
79840 MEMORAIL PLACE
Application Description: LAKES / CITY STANDARD WALL
LA QUINTA, CA 92247
Property Zoning:
Application Valuation: $10,000.00
Applicant:
Contractor:
WILLIAM LAKES ('
OWNER BUILDER
79840 MEMORAIL PLACE .
LA QUI NTA, CA 92247
LIc. No.:
Detail: 220LFOF 6' t3ARDEN AT SOUTH AND WEST PROPERTY LINES]CITY SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO; PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2016 CALIFORNIA BUILDING CODES.
ADDED 35 LF BLOCKWALL 10/27/17
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$45.60
DESCRIPTION
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:
$159.60
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
. 1 . {a.
Bin #
Permit #
Project Address:�®. 6
City of La Q uin t a .
Building 8t Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
V Owner's Name: (;� ` `.�a Ws a
A. P. Number:
Address: _71_1i4o Q C e
Legal Description:
Contractor: ct
o
Address:
City, ST, zip: v a CA 612.2-5
n
TelePhoe 23
Project Description: C
City, ST, Zip:
'A t . .
el h e
T e on .
P
>' 2 G
State Lie. # :
Arch.,`Engr., Designer:
City Lie.
Address:
City, ST, Zip:
Telephone:
Lie. #.
Name of Contact Person: Wi`1 M
Constructiontraction Type: O ecu aneY
Repairair Demow Add'n AlterStote
Project (circle one): Ne
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: -1GO
4 13 712 T_7 JeEstimated Value of Project: 1010,00 — l 2 O b
APPLICANT: DO. NOT WRITE BELOW. THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balanre.
Title 24 Cates.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical ,
Subcontacl'or List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SMA.
MO.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. Ms. Appr
Date of permit issue
SCI1001?CCS,
.
Total Permit Fees
TWY-4.41'alul&Z
P.O. BOX 1504
LA QUINTA, CALIFORNIA -92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT -
PROPERTY OWNER'S PACKAGE
- (760)777-7012
AX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER - r
Dear Property Owner:
An application fora building permit.has been submitted in our name listing yourself as the builder of the property
improvements:specifred at _ u
We are providing you with an Owner -Builder. Acknowledgment and Inforination Verification Form to rimke 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 carrot 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 signer you understand or verify this info rmatior_..
I. understand a frequent practice of unlicensed persons is to have the property owner obtair. an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and r tenial 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 --or injuries to workers
on nmy property.
LA:K2_ I understand building permits are not required to be signed :by property owners unless they aie responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
—Le—L. I understand as an "Owner-B6ilder" 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.
[4R�_4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
..t45_ I understand if I employ or otherwise engage any persons, other than California licensed Contractor acid thetotal
-._
--- of--my-construction-is-at-least-five hundred d611ars ($500),—i
under state and federal law. ncluding labor and materials, I may be cons iered_ an "employer"
U_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.
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.
�. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be field 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.
iti. 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-
8..0,,0--��321-CSLB.(2752) or www.cslb.ca.gov for more information about licensed contractors.
Wp )w. 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 fi cially. responsible for proposed construction activity at the - following address:
�. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as.well as employers.
2. 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 onlyremedy against unlicensed Contractors may beth 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 . C� _� �-Q-� 'Date: 214 — `
Note: The followingAuthorization Form'is required lobe 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 agents) to apply for, sign; and file_ the documents necessary to obtain_ an Owner -Builder
Permif for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
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 listed above and I personal}y filled outthe above
information and certify its accuracy. Note.- A copy of the.owner's driver's license, form notarization, or o' Ger verification
acceptable to the agency is required to bepresented when the permit is issued to verify theproperty owners signature.
Property Owner's Signature: Date:
!
•+^tsar a^� .i. ' . � � .�,. E:.�F3. - .. �. �
Q DD
CA
BOTH CO'RNERS.TO BE NOTCHED 1
FOR EXISTING GTE EQUIPMENT BOXES
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'ATIO. t �"
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{ . • • . , . ��' 40 meq•'' � ,
F F RESIDENCE
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- �, -: .: _.. _ :.. •fig z -
GARAGEaw
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' f
CITY OF
BUILDING & S'
LA QUINTA
AFETY DEPT.
0V
/
FOR .CoItis "RUI
.�TIv '
t'
DA���
O
FOOTING OPTION "A"
i
H..
HEIGHT FROM TOP
OF FOOTING
i
s;
12". 1
F'OOTINQ OPTIO. "B"
#1;4 HORIZONTAL REBAR
(USE BOND BEAM BLOCW
6" OR 8" BLOCK
#4 HOR20NTAL AT 32" MAX. O.C.
(USE BOND BEAM BLOCK)
SEE TABLE "A" SEE TABLE "B"
FOR REBAR SIZE FOR REBAR SIZE—
AND SPACING AND SPACING
It.acA7z RECMR IN cztn -n or'coi. O.O.'..A'/E RLJ�A17 IN CENT E!/ OF CCUL)
REVERSE 111!111
DIRECTION OF "W"
HOOK ON EVERY 1 (`FOOTING WIDTH) I
OTHER REBAR SEE TABLE "A"
TABLEI"A ss
H"
VERTICAL
"W' REINFORCEMENT
H
W..
VERTICAL
22" #4 @ 4811 O.C.
5'
REINFORCEMENT
3'
17"
#4 @ 48" O -C.:
4'
20"
#4 @ 48" O.C.
5'
F6'
23"
#4 @ 48" O.C.
29"
#4 @ 24" O.C:
FINISH GRADE
(1) - #4 REBAR
(2) - #4 REBAR:_'
CONTINUOUS 11
ALL FOOTINGS ADJACENT TO
SLOPES TO BE AT LEAST 5' TO
DAYI_IG14T AS SHOWN BELOW.
a.
s'a
BOTi
OF S' !.SIN.
FOOTING .
NOTES:
1) THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF
MORE THAN 6" ON OPPOSING SIDES OF THE WALL. THIS IS
NOTA RETAINING WALL.
2) FENCE HFJGHTS ARE REGULATED - CONSULT ZONING
REGULATIONS BEFORE BEGINNING CONSTRUCTION.
3) NO WATERCOURSE OR NATURAL DRAINAGE SHALL BE
OBSTRUCTED.
4) GROUT ONLY THE CELLS CONTAINING REBAR. THiS WALL
1S NOT DESIGNED FOR ALL CELLS TO BE GROUTED.
J) ALL REBAR TO BE ASTM SPEC. A61 5, 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 WITI-I AN ENGINEERED
ANALYSIS. USE OF THIS STANDARD DESIGN
IS AT. THE USER'S RISK AND CARRIES ),10
IMPLIED OR INFERRED GUARANTEE AGAINST
FAILURE OR DEFECTS.
_ .,W..lop
.(FOOTING WIDTH)
SEE TABLE "B"
s
i
II
H..
HEIGHT FROM TOP
OF FOOTING
f1f:
i
r
12"
.GHECK_NYITH_TIJE B,UI.I_DING.DEPARTMENTTO
VERIFY IF,A.SUILDiNG.F?ERMIT IS..REQU[RED.
WHEN A PERMIT IS REQUIRED. THE FOLLOWING
INSPECTIONS ARZ 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 RIVE
c/• ik
��'v oi, ria'•`',
PHONE (760) 777712,,-
I, -AX (760) 777-7011
DE COUNTY
"ORMITY PROGRAM
4v a9ba,
FREESTANDING BLOCK WALL
7$-195 CALL)•""'I'ArliIa1GU
1.A QUIN''A. CiM,]FOKNIA 922.53
1(!/)/2019 cumM UNI'lYPEVELUI'FI F iIr 1JE 111CF.1 U1,_I
H"
VERTICAL
"W' REINFORCEMENT
3'
19" #4 -Ca 48" O.C.
41'
22" #4 @ 4811 O.C.
5'
29" #4 @ 48" O.C.
6'
34" #4 9 24" O.C..
.GHECK_NYITH_TIJE B,UI.I_DING.DEPARTMENTTO
VERIFY IF,A.SUILDiNG.F?ERMIT IS..REQU[RED.
WHEN A PERMIT IS REQUIRED. THE FOLLOWING
INSPECTIONS ARZ 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 RIVE
c/• ik
��'v oi, ria'•`',
PHONE (760) 777712,,-
I, -AX (760) 777-7011
DE COUNTY
"ORMITY PROGRAM
4v a9ba,
FREESTANDING BLOCK WALL
7$-195 CALL)•""'I'ArliIa1GU
1.A QUIN''A. CiM,]FOKNIA 922.53
1(!/)/2019 cumM UNI'lYPEVELUI'FI F iIr 1JE 111CF.1 U1,_I