BPOL2018-016678-495•LALLE.TAMPICO
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/5/2018
Permit Type/Subtype:
POOL/PRIVATE
Owner:
p
Application Number:
BPOL2018-0166
MICHAEL BERMAN M
Property Address:
52355 ROSS AVE
297 PILGRIMDR
Z
M
APN:
767670027
EDWARDS, CA 8163&
Application Description:
BERMAN RESIDENCE / POOL,SPA AND FIRE PIT AT BACKYARD
Property Zoning:
M
Application Valuation:
$56,700.00
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r4 C-n
Applicant:
Contractor:
ry
DESERT MIRAGE POOLS & SPAS
DESERT MIRAGE PL&
SI
P 0 BOX 10050
P 0 BOX 10050 .
INDIO, CA 92202
INDIO, CA 92202
(760)702-9222
Llc. No.: 999928
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: C53 License No.: 999928
r
Date: 09 o .1/d' 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.).
(_) 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 Nan
Lender's Add
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:
Carrier: EXEMPT _ Policy Number:
J A.g I certifythat 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: C� 9�oJf /.6 Applicant:Ji9-
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 3706OF 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.
Date:O O.f Signature (ApplicantorAgent):,4} ,� L4 t3+
AppliCation.Numb xi:
BPOV018-0166
Property Address:
52355 ROSS AVE
APN:
767670027
Application Description:
BERMAN RESIDENCE / POOL,SPA AND FIRE PIT AT BACKYARD
Property Zoning:
Application Valuation:
$56,700.00
Applicant:
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
Owner: '
MICHAEL BERMAN
297 PILGRIMDR
EDWARDS, CA 81632
Contractor:
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
(760)702-9222
Llc. No.: 999928
Date: 9/5/2018
Detail: POOL,SPA AND [1]GAS OUTLET AT RtAR YARD [DENISE POELTLER ENGINEERING]. NEW EQUIPMENT MUST 13E LOCATED IN AN APPROVED LOCATION
EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L--FIELD VERIFY.THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE.
ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $3.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$195.05
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$106.11 I
Total Paid for POOL / SPA: $301.16
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
�*
PERMIT # � � � V t D v L
PLAN LOCATION:
Project Address: �r] _ r
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
•
� % � 'I C f7 ' Ej
4-e
re 5 LIli Y i
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $ j r, lao
Contractor Name:
New SFD Construction:
Address:
j
7 1
Conditioned Space SF
City, St, Zip
�i
f r
Garage SF
Telephone:
-
7-
I
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 0
'q
City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address: ►� — �,
Total Building SF
City, ST, Zip s
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Ree'd
Plan Sets
Structural Calcs ++
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CITY OF LAC
BUILDING D11
REVIEWED
CODE
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DATE9i 5 -ZONY
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Inspection Note: Per Section 1705.3 and Table 1705.3 of the 2016 CBC
Pneumatically Placed Shotcrete requires Speciai Inspection for C'onstruction,
Test Reports will be required from an ap;7roved agency oetnihng the follewing:
tg08.10 Strenglh tests. Strength tests for shotcrete shall be nude by an approved
agency on specimens :hat are representative of the work and which have been water
soaked lot at least 24 hours prior to testing.
1908.1 GA Sampling Specimens shall be taken from the In -place work or from test
panels, and shall be taken at least once each shift, but not less than one for each 50
cubic yards of shotcrete.
1908.10.2 Panj cnWrta. Wrien the maximum -size aggregate Is larger than 3/8 inch,
the test panels shall haveTrmimum dimensions of 18 inches by 18 inches. When the
maximum -size aggregate is 3/8 in or smaller, the test panels shall have minimum
dimensions of 12 inches by 12 inches.
1908.10.3 Acceptance criteria. The average compressive strength of three cubes
taken from the il4•olace waz or a single test panel shall equal or exceed Pwith no
individual cube less than 0.88 f',. To check accuracy, locations represented by
erratic core or cube slreigth shall be retested.
T w.d r%
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WNST"TIOH NOTES
-`•� +.� ^.fir' I, REFER TO PMISN ORADINS PLM19 Pdi CATCH "N LXATIOh6
NG ^ 2. ALL CORM TO BE 95 SACK MIX TO OBTAIN A MM.M
OFPRg9rvE NI
�,4p ��+ �"�:661--'�--•--r- ' C9T`RXWH OF 2900 PSI AT OD DAYS
'6AVO •�-`_��_� �_"~[oWi-_,. pt¢{::= • S. ALL LOMST"T10N TO DE FL" AND T" ULeW OT ®ai E
]pf.E. INDICATED
4, VERIFY HITH THE PROJECT SOILS 8440R Te NEW MR
� •t' -�'-.�-•`"-__�iee -- ALµ REVORUTAS, BASE H4ATMAL, PReSATIRAnON, M FOKKALKS,
STAIRS KALL POOYT4% ETC
_ eml
- - S, ALL MA AL9 AND COFBTRIe TO TO GAD
__ •-----• si�� TCRI T10M COr4FORM APPLI LC
.Frei
60V3WI AND ORDNCd IHA �••• ••T2�M�EK �?�V+�.r :':��_�419C1}.- _ .�ry4p�.'.•.L•.�" .• NO fiODES
-���� •-{co0j} �{? rt+-- pp _ 6. ALL CONCRETE PAVRH6 TO BE A MINIHM OP 9 112 THIfA( COLORED
`� .' '-�.�•- v---_A i Tj„' r• ,rr•••• ,- ATEfiAL •'•'• •'•' CONCRETE -INTEGRAL COLOR DPA1&Oh JOINS.. AT
�••'",'•'-••••'-••'- O.G•wY_eDD OI}ERH:9e IHOIGATf9
ti--��Y�'-'-_{rml}.• •• 'ate`-w._ G ...•.'.'.'.•._.'.
•� '' - •: ...� 1. ALLOh FOR AD-IOINNS CONST"T1004
-M1`_
-_'��L_��r _ ��- U.:•�''.•, 5. PAVNS A10 CONCR7E SL5WHTACTOR9 ARE TO COORDINAn:MD
,„___ Y M� IRRAATE KTHION Te -ECT' 0R FOR 114 Li �N6, P51.D 4NTRACTOR
_-.�__.M. �. {m01}.__�••�- -y __mod.. _ _� k TiArAL ��� _ IRNS AMP
COH IPVT IMDRR ALL PAVING
IA1rL: urN FM5I 6RAD'N5 NOTES
r _
J ti 1. SLQE ALL DRAIN LINES AT A MNrKM OF f X
1 PA ■ i�ru TA } 3 ALL MR LIE JMTOW AND CM4tl OF DR1'LTOF6 TO EE KACE NTH
45' OR s1mP TTrE E'
PA i • 3. I`Wzr'OMS Faa YOSPR& ORARAM OF ALL A@A9 TO TMxt
�:} ! PR5 n- RSA HWPTh A6 WAdMA�t-0 ON 6RAOINS FLAW
PA 4. HOLD "RIM GRADE I h' SON FIMM smote
5. SILM ALL EARTICK AREAS AT A HNM1M OF Ik To MAIN - 2% PRErT.¢RED
6 SLOPE ALL PITH% SMACe5 AT A MMPIM OF I% To DRAM
I LATAN
i"LiRTO 7. ALL AND WON?OAHtlIIIF IS TO cOHlFORM To 60JBLNIN! CODAS
6. SLOPE IN LAM AREAS 13 NOT TO EX&M B
R. HOLD FINISH 6RAICE A MINMM OF 4' MAPN TOP OF KALI A 6' ®.Oh TFN5H
PA -{ FLOM OF SLAM AND O' DELOW FINSN P1,07110 ON OONJeRIOML MOOD
FLOORING
PA rA } 10. PROJIDE DRANLIIE OL EANOM AAKR LATCH BASM AT A KNRLM OF 917
LOT 7A V,4""'" v'�nr= ae. OR AT EMW CRON OF DAEOTM
_ r f I II. PoLD Iwerm ON DRAIN _mS A MWTW. OF 5' BLON FIN15N ONA'Y_
FEE=1007.1
'' { SUKAG
PE=1006.5 HfR •,� 17. RMTDIWO91ILDNN5NOT TOPXMAYA-EOFIi13ORe3%6WMi
M
B. PROJECT WALKS NOT TO M= A ROPE OF 1,20 OR S% 60,AD
f Vf 1
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- I1® PA MASOW MALL HUM
rrgq PA
H{ PA 1 BUNT A L P1S P1 TM 5TM $MO - r IQTAMM, WAIT AJ. CaLS SOLD
• g�} LOT 6A 2 PARTS 6 w , rA�ii3� �T YM A RATIO OF (6 PART C&4M 0)
PF :11 as .
S. MORTM SIWL I , NW PA LDq-' K TT, W2) PAO 1,NO N M MTIO
PE=1 5 N N PART ORM TO oAv PART L6e F r , r4 n PATHS M D AM
51W.L ecN'e7eM m A6.rx e7+o
A A, y 4. f0fC 06 STEB_'%IALL Be I$,aCO BARS, CON'CR!" TO A9.TH. A"
GRACE 40
S. O4A67ROT IlA1.L5 F11M AID TAD, 5TS FOOTSNS M EIBI BLGYX IKlmOffS
@ I 6. ALLOPI FOR ADJOIHW L0l5TACT,OH
- 1, ALL TOItl0l4E1PP AMP NATMALS TO COIFOIIM TO 60VBNltl OWES AN
i M "AN(19
A 6. ALL 51=0 OR .1. K L.L9 TO MVE OM MAD Xr,(M AT SS' OL,
AT FIST OOLR'! AVVE GRAPE Rae OM%VE
R ALL FOC TNtl6 LW.L BB Pal® ON L"TILIRim RAVIAL WC. OR ta11"WiD
PILL (0 RE.Anw
10, ALL FRES,TAWM MALLS TO MV9 A M11.M OF 40 BAR OLAIETan aA3 LAP
AT xm AL RETA006 KILL SPLkU% TO It A HR+66AI OF 46 IVA
_ -- nAItTFRS
II, OC4'GS SIVLL BE AT LE06T 511AL RI SIZE AD OW" TO VERTICAL BARS
Y PA li K16O W LIFTS 90" IN &KALE N-I WIVOW" TO A.STN.O-Ra ,ND
PA KW1I4TLR® CIm IN ACOAW2 PITH cs wmm ILA%PR7 A'bPfA = 911A1DA4mS
4 Q FOtiLMO [L•dT'JV1.L l.ONP TO AS.T" 100
y MCQIORETE SPILL NAVE A MNMSI GOWPelb" STI06TH OF MW PSJ. AT m OATS
D. PROIIR BPAISIM .L•,IT6 IN M.1-5 AT 251W Of Kkt
.. • PA M. FOLPGA7r 6 TO R O0•*IH=15 PDR M,TE LPE41116
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ROSS AVE
Safety Features - New pools or spas shall be equipped with at
least two of the following drowning prevention safety features.
(H&S §115922 - SB No. 442)
• Enclosure that isolates the pool or spa from Dwelling,
• Removable mesh fencing, a gate that is self4atching and
closing and can accommodate a key lockable device.
■ Safety Pool Cover.
t ■ Exft alarms on doors that provide direct access to pool or spa.
• A self -closing, self -latching device placed on doors providing
direct access to pool or spa.
• An alarm that when places in a pool or spa, will sound upon
detection. (Surface Motion. Pressure, sonar, Laser)
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CITY OF LA UINTA SUB -CONTRACTOR, LIST
JOB ADDRESS�PERMIT NUMBER QWNER S „BUILDEI� ,lJl � gg1i
This farm small be pasted on the jab with the B�iiding Inspection Card at. all _times_ in cansp Ctaofrs 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 the voidance
of building permit. For each applicable trade, all information requested below must be competed by applicant. "On File" is not an acceptable response.
Trade) G-Josst'r f.catio.n Co[+1ra.c;ar State.C.gntraCtarL.i .'s MMSe WorLrrs. rni,.pensation.Insurance .. City Busi.n� License=
Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date License Number Exp. Date
(e.g. A, B, C-8) (xxxxxx) (xx/).x/xx) (e.g. State Fund, CalComp) (Format Varies) (xx! x/ x) DID
(xlxx/xx)
RTHW4RK (C•1.2) L TC?j[ { ` }'v? V V- i
12
FRAMING..(G-51 -
TRUCT. S'Fs=EL (C-51) 1 l/ l 4 [ �� ^� Tntu 0
AS.ONRY (C-29)
UMBING (C-3S)
DRYWALL (C-9I.
HV-AC (C-20)
r
LECTRICAL (C 10.1
140r FING (C-3S)
SHEE r .METAL. (C-.43) —
FLO09ING (C-15)
GLAZING (C-171
INSULATION (C-2)
SEWAGE DISP, (G-42)
PAINTIN(j. ['C-33)
CERAMIC TILE: (C-54:) —�
CABINETS (C-•5)
• FENCING (C.-13)
LANDSCAPING (C.27)
0OOL (C-53) _— .�