BPOL2017-014678-49S CALLS TAMP ICO,; -•r
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: 8POL2017-0146
Property Address: 43641 MESSINA CT
APN: 609552018
Application Description: MCCOMAS RESIDENCE / POOL & SPA
Property Zoning:
Application Valuation: $25,000.00
Applicant: <a
MARK MCCOMAS
43641 MESSINA CT
LA QUINTA, CA 92253 O
PCO
OCOQ
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 ofthe 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 fora
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.).
I ) 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
ABat"e: � —1 — 117 .sow'ne
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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/1/2017
Owner:
MARK MCCOMA.i
43641 MESSINA -7.
LA QUINTA, CA 92253
Contractor:
OWNER / BUILD13R
Llc. No.:
WORKER'S COMPENSA70N DECLARATION
I hereby affirm under penalty of perjury one o the following declarations:
I have and will maintain a certificat,� 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' ccmpensation 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 are:
Carrier: _ Policy Number: _
I certify that in the performance of :he 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.
��s
~ I � 11. ,AppWt a—h,
WARNING: FAILURE TO SECURE WORKERS' COLA PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00)). 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 perform ?d 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 :ity 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 applia,tion 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 willsubject permit to cancellation.
I certify that I have read this application and staxe that the above information is correct.
I agree to comply with all city and county ordirances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. / _ n _
Da�4-1—I- ZignattMr k7 ppiicani!r'Agent)
Date: 9/1/2017
Application Number: ..
,,BPOL2017-0146"
Owner:
Property Address:
"43641 MESSINA CT
MARK MCCOMAo
APN:
609552018
43641 MESSINA .T
Application Description:
MCCOMAS RESIDENCE /POOL & SPA
LA QUINTA, CA 52253
Property Zoning:
Application Valuation:
$25,000.00
" Applicant:
Contractor:
MARK MCCOMAS
OWNER / BUILDER
43641 MESSINA CT
LA QUINTA, CA 92253
---------------------------------------------------------------------------------------------
Llc. No.:
Detail: POOL AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT INCLUDES 40 LF AT 3,
FT HIGH OF RETAINING WALL. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
INFORMATIONFINANCIAL
DESCRIPTION . ACCOUNT QTY AMOUNT
RETAINING/COMBINATION WALL EA SOLF
101-0000-42400 .0 $15.20
Total Paid for BLOCK'WALL: $15.20
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
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
' AMOUNT
SWIMMING POOL/SPA PC,
101-0000-42600
0
$103.36
Total Paid for POOL/ SPA: $293.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY.ENHANCEMENTFEE
502-0000-43611
Total Paid for TECHNOLOGYfNHANCEMEnT FEE: $5.00•
TOTALS:
t
Bin#
City of La Quinta
Building & Safety Division
t�78-495 Calle Tan7pico
b1l La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit-#
j
Project Address:
4(1 G 01'J t
Owner's Name:
cr\<
CS
A.P. Number 5 Z
Address:
Legal Description: S� ��
y i d cti
City, ST, Zip: z6%
Contractor:
Telephone:
Address:
Project Descrdeo� P"
City, ST, Zip:
Telephone:
State Lic. #:
City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type:
Proj. Type New Add'n
Occupancy:
Alter Repair Demo
State Lic. #:
Name of Contact:
SgFt:.
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
W2 3' • 2 _ --
APPLICANT: DO NOT WRITE BELOW THIS. LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT 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
2nd Rev, Ready for corrections!
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
d4BL0CK*�Ca,1NC.
ANGELUS BLOCK MASONRY FENCE WALL SYSTEM
DESIGN CRITERIA: j
1. DESIGN CRITERIA PER 2016 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, I m = 1500psi. SPECIAL INSPECTION
NOT REQUIRED PER CBC SECTION 1704.2, EXCEPTION 2, 'U' OCCUPANC
7. USER TO VERIFY APPLICABILITY OF THE DEFINED DESIGN CRITERIA FOR
PROJECT SPECIFIC SITE.
NOTES:
1. REINFORCING STEEL SHALL BE DEFORMED AND CONFORM TO ASTM A615
GRADE 60. PROVIDE SPLICES (LAPS) OF 48 BAR DIAMETERS OR 24
INCHES, WHICHEVER IS GREATER. CENTER VERTICAL BARS IN CELLS.
2. NOT USED
2' to 6' High Retaining Wall.
Level Backfill
8' Wide CMU
CITY OF LA QUINTA
BUILDING & SAFETY DEPT
APPROVED
FOR CONSTRUCTION
IE
DATEA61�UABY
OPTIONAL WALL CAP
'H' + 12"
DISTANCE TO EDGE OF
NEAREST ADJACENT
FOUNDATION
BACKFILL -
WELL GRADED, CLEAN
SANDS OR GRAVEL OR
COMBINATION
USC= GW,GP OR SW,SP
3. STRENGTH OF CONCRETE FOR FOOTINGS = 2500psi ® 28 DAYS, UNLESS �T
OTHERWISE REQUIRED BY SOILS REPORT. #4 HORIZ. ®24"o.c.
4. CONCRETE MASONRY UNITS SHALL CONFORM TO ASTM C90. ANGELUS
BLOCK PRECISION, SPLIT FACE, BURNISHED, OR SHOTBLAST, WITH OR g" WIDE (NOM.) CMU
WITHOUT MORTARLESS HEAD JOINTS (TONGUE -AND -GROOVE), OR FULLY GROUTED
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 'X' BARS PER Lj
REQUIREMENTS OF ASTM C270, OR SPEC MIX IWR MASONRY MORTAR AS SCHEDULE ZZ o
MANUFACTURED BY E -Z MIX INC., CONFORMING TO PROPERTY w
REQUIREMENTS OF ASTM C270. 'X' BARS PER = C)
6. GROUT SHALL CONFORM TO ASTM C476, WITH AN 8-11 INCH SLUMP, SCHEDULE �
AND SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH AT 28 DAYS OF LAP 24" MIN. u,
a
2000psi.
4"0 SDR 35 PERF. PIPE w/
(FIRST COURSE MAY BE WET -SET 1 1/2 INCHES MAX. WHILE CONCRETE Ic.f. 3/4" GRAVEL WRAPPED IN 21- OUTSIDE FACE
IS PLASTIC. MIRAFI 140N FILTER FABRIC- OF BLOCK TO
SLOPE TO DRAIN. WATERPROOF Q OF VERT, TYP.
8. CONCRETE BLOCK SHALL BE LAID IN RUNNING BOND PATTERN WITH BACKSIDE OF RETAINING WALL
VERTICAL CONTINUITY OF THE CELLS.
F.G. z
9. VERTICAL CONTROL JOINTS SHALL BE SPACED AT A MAXIMUM OF t
40'-O"o.c. OR 20'-0"o.c. IF WALL IS TO BE STUCCO COATED OR WET -SET FIRST.MORTAR WASHED COURSE
10. NOT USED #4 CONT: @12"o.c—:
r
11. INSPECTIONS: A. AFTER FOOTING IS READY FOR CONCRETE AND ALL 2—#4 CONT.
FOOTING REINFORCING IS TIED IN PLACE. B. AFTER VERTICAL
REINFORCEMENT IS IN PLACE AND CELLS ARE READY FOR GROUT. CONT. CONC. FTG.
12. FOR TYPICAL FOOTING STEP AND DRAINAGE BLOCK-OUT DETAILS Y BARS PER " CLR. 3" p.
SEE DETAIL SHEET S-5.1. SCHEDULE
TYP. TYP.
13. DO NOT PLACE FOOTING WITHIN 5'-0" OF A SLOPE CONC. KEY
MASONRY RETAINING WALL SCHEDULE ALIGN WITH D' 12"
FACE OF WALL
,H, 'X' BARS ,Y BARS 'B' MIN. 'C' MIN. 'D'
16" LONC CMU 'B' MIN.
2'-0" 4@32"o.c: N/A 1'-5" N/A N/A PER SCHEDULE
2'-8" 4032"o.c. N/A V-10" 0'-3" 0'-6" QRpFESS/pNq
S-4" 4032"o.c. NIA 1'-11" 0'-6" ;, 0'z9' LA QUINTA N
4'-0" 4®32"o.c. N/A 2'-5" 0'-8" a�0'"-.gra &SAFETY DEPT. y m
A ti LOADI' lw � ED NO. 85681 m
�
4'-8" 4032"6.c. NIA 2'-11" O'-9" 0'=9`' ° T (�(�j �C EXP. 9=30-18
PSIT
{- o O�NIPRJG ® 1 S COND
5'-4" #4@24"o.c. NIA 1 3'-3" 1'-1" 1'-0" ACCELERI N Gs=0.33Wt. S� C' / V
1 ��Q
P 0�
6'1-0" 4®16"o.c. 4@8"o.c. 4"-0" 1'-3" -0' 29( Y OF CP��F
./ r I DATE SIGNED 4-12-17
R. INC.
AS-1 •7LQ
:',.:I-il-!:TLA': • �Ni:;IN_:F..k(ivi.i S-1.7LQ
228 East Badillo Street Covina, CA 91723
626.938.1595- #16_77
F: 626.938.0485'
w. w.ghl-ce.co-
T4hf. 4 4 a"
P:•O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING.&: SAFETY DEPARTMENT
(760)777-7012
FAX (760) 777-7011
PROPERTY OWNER'S PACKAGE,
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 your name listing yourself as the builder of the property
improvements specified at
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 ci amot 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 sign fy you understand or verify this informat on.
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 prcvide 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.
3. 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.
4. I understand Contractors are required by law to be licensed and bonded in California and to list heir license numbers on
permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contra tors, 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.
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.
7. I understand under California Contractors' State License Law, an Owner -Builder who builds jingle -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 1-
800-321-CSLB (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:
11. 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.
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 U !' (.l C—/JI l�iDate:
Note: The following Authorization 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 agent(s) to applyfor, 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 Aiithorized 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:
T
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CITY OF LA QUINTA
BUILDING & SAFE (Y DEPT'.
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