BPOL2018-019978-495 CALLE TAMPICO Tot . / D 4 - Qu4a
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
POOL/PRIVATE
Application Number:
BPOL2018-0199
Property Address:
52355 ROSS AVE
APN:
767670027
Application Description:
BERMAN RESIDENCE; WATER FEATURE
Property Zoning:
Application Valuation:
$17,500.00
Applicant:
DESERT MIRAGE POOLS & SPAS
P 0 BOX 10050
INDIO, CA 92202
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am liven under pr ! ons of Chapter
9 (commencing with Section 70001 of Division 3 of the siness an P ofessions Code,
and my License is in full force and effect.
License Class: C53 License No.: 999928 _
Datci:—IL 1 Contractor:
OWNER-BUIL ERC RATION
I hereby affirm under penalty of perjury at i a exempt from the Contractor's State
License Law for the following reason IS, 7031. , Business and Professions Code: Any
city or county that requires a permit to co tr t, alter, improve, demolish, or repair
any structure, prior to its issuance, also requ res 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 70001 of Division
3 of the Business and Professions Code) or that he or site Is exempt therefrom and the
basis for the alleged exemption. Any vlolatIon of Sectlon 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of nat 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 Lfcense 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 Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/15/2018
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
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.
! 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 KEMPT 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 su ject tof1hokrerscompensation laws of California, and agree that, if I should b ome suo theworkers' compensation provisions of Section 3700 of the La r Code orthwith
comply with those provisions.
Date: �1� - Applicant:
WARNING: FAILURE TO SECURE WORKERS'POMPENIATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI INAL P NALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100 ). N ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED 1`0114N 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 state that the above In'armat' n is
I agree to comply with all city and county ordinances and state laws rela ng to
construction, and hereby authorize representatives of this city to enter on tf�i
above -mentioned property for inspection purposes.
Date: ffi S"'Signature (Applicant or
Date: 10/15/2018
Application Number:
BPOL2018-0199
Property Address:
52355 ROSS AVE
APN:
767670027
Application Description:
BERMAN RESIDENCE; WATER FEATURE
Property Zoning:
Application Valuation:
$17,500.00
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
Detail: WATER FEATURE IN REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
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
Credit Card Fee
101-0000-43505 0
$5.83
Total Paid for Credit Card Fee:
$5.83
DESCRIPTION
ACCOUNT QTY
AMOUNT
DETACHED SPA/WATER FEATURE/OTHER 101-0000-42404 0
$200.12
DESCRIPTION
ACCOUNT QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600 0
$108.87
Total Paid for POOL / SPA:
$308.99
DESCRIPTION
ACCOUNT QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
DESCRIPTION
ACCOUNT QTY
ENHANCEMENT FEE
502-0000-43611 0
�AUNTTECHNOLOGY
0
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
PERMIT # 6-Pbj
- k Ilwxl DI �fH I- -
PLAN LOCATION:
Project Address:
2 _ l" 10S
U
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
f �c
Valuation of Project $ (]
Contractor Name: Uc��Cll
'L )f-CIAle
1 a�
New SFD Construction:
Address: P
Conditioned Space SF
City, St, Zip
�
��
Garage SF
Telephone: C 7C
702 _ Z Z
l
Patio/Porch SF
Email:
State Lic: q9clqz8
City Bus Lic:
Fire Sprinklers SF
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
[AWN
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MOE
PA
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I. REFBR TO FINISH MWINS PLANS FOR OATOH BASIN LOCATIONS
2. A�TO SE SS SACK RX TO OBTAIN A MINIMUM
yiAENSTH 00, 2SCO FSI AT 26 DAYS
5. ALL CONST"llON TO BE PLUM® AND TR12 UNLESS OTHERWISE
INDICATED
4. VM'Pr TOTH TIE PRC.EGT SOILS ENS I'M --f NEW FOR
flVWCRCIM. WSE MATERIAL, PRESATIIkAUX ETC "OR FµLKS,
STAIRS, WALL FOO'TINSS, ETC
5. ALL wAYIERIA6 Aho CONSTI4Y,710H TO CONFORM TO APPLICABLE
dOVi *W COVES- ACID O?OtlV.yL'LS
6. ALL CONLRE[E PAVft TO BE A YNIHN OP B 1/2' THICK COLORED
f,ONGRE1EdNTB6RAL COIM EFPArBION JOINTS, AT 9-0'
OL, Ndi5fi OTIYRAM 1MAr ATED
T. ALLOW FOR A0JOININ6 C'"TRUOTION
D. PAVM A40 CONCRETE 9AX'MACTOlk9 ARE TO CA RATE A'O
LOOpt'RATE F6TH 71C p$CWOT/D{ OR TADI LINE RB:LONTRWTOR
Aim IitlV6AT1ON SL10GWrIRALTY.R FOR VLE.EMN's. PEPIMS AIV
CONDUIT VNDER All PAYING
FIIOdH C.RADIIK Naas
I SLOPE ALL D"N LINES AT A MINIM,M OF K %
2 ALL GRAM LIE .LNCTION5 AND CHANGES OF DIRECTIONS TO BE MADE WITH
45. OR SWIG TYPE ELL5
3. FIWdTpf3 F PD'+TF1YE ARAEIM e OF KL LAl1086A cAREAS TO ARTO TAKE
oval HfoA q M6 AS 01AARAMED ON 61IADINS PLAN
4 HOLD FINISH 6RADE I W BELOA PINISH SWAGS
5 SLOPE ALL EARTHEN AREAS AT A MHIMA4 OF 1% TO DRAIN - 2% *'I1—JU+ED
6- SLOPE ALL FINISH SWALES AT A MININMI OF 1% TO DRAIN
T ALL MATERIALS AND NORKHWLSIIP IS TO CONFORM TO 60VE RNIN6 CODES
AND ORDINADICES
6 SLOPE IN LAM AREAS 19 NOT TO MED Nil
9. NOLO rDa$jH llPALA A MINPW OF 4•51 TOP OF MALLSL 6' BCTA/I FDA-'K
n.oORS OF RAO MID 12' 0!!LM PINSK FLAOAS ON C4Y0-5MOW.L A20P
FLOORING
10. PRphDE DRATLti Ls! ViPlq Alm(tAT LATCH BASINS AT A MINIMUM OF 90'
OC. W AT !4H7ti' CHANGE OP OTP�LTTOX
II HOLD INYeLTS ON DRAIN LINES A MINIMIM OF B• OMOV4 PIMSH 6RADE
SURFAOE
12. RAH4-9 INFO BUILOINSS NOT TO ENC® A SLOPE OF 1.12 OR 85% GRADIENT
IS, PRO.ELT WALKS NOT TO 1010® A SLOPE of I,20 OR 9% 6RADIBIT
16RT41ALww�
I. GROUT ALL CI LS NTH STEEL SOLID - IF ICTAM.'IOH BROAT ALL Call ° 50LID
2 6R71T SHAL BE PLUD CO1195n5IGY MIN A RATIO OF III PART CBAENT, IS)
PARTS SAND, (2) PARTS PEA GRAVEL
S. MORTM •JU.'1 R Yp.'i' T.Y FRP'AKD :W TM.KRLY w;D IN THE RATIO
cIN PRAT OaPT. AOI PART Nee EiIFTY. rair7l rAR15 SANo AND
SHALL CONFCPN TO AS.T.H, 6210
4 REHPOROIN4 STEEL SHALL BE OdCF. CD BARS CONFORM NS TO A9.TM' AGB
GRADE 10
S C "DI nqL5 •JNS Am TIC 5'B' N07;:s61N MEN ha" P4MVAT5
6. ALON MR ADJOINNS CON6TR1LnON
T ALL P01004ANMF AND MATMALS TO CONFORM TO 6OVERN!N6 WDP9 AND
ORDINANCES
6. M1 L STTL'4O LYL 5Jf PTLD:R lT,ti' S TO MW Ci't1+ MEAD JOINTS AT 02' O.C.
.' FRST W vm AaOR &KA99 FOR 7RA•LA7l
4 AL F00RN09 SNA L BE FOALED ON LTmOTNIPIM HAT4RAL SOIL OR COMPACTED
- NLL(PS% RB-,ATIVEI
ID. ALL fAEEI5TAA M '+TO HANT A MWMJH OF+ SCR OD %O'+LP-A'
Ar YIX46 ALL RIKka 5o ICQS TO BE A hmM OE• AO MA
DIAMETERS -
11. D0PW SHALL BE AT LEAST 524AL IN VIE AHED SPA6I146 TO VBfTIGA1 II
D ' 14ATOPW OM SIVLL BE MADB 1LI LOAPOPY.F0 22 AESH FHO A%
KWAGRM 04 K4009A LE NTH COSWMM KklAWXCIArL%STAmARD5
19. PORTLAI GB•tNT SHALL CONFORM TO AS.TM. CPO
14- COWAMM SHALL HAVE A MINKIM C.O'P E°I 6TREI OF SSW PSI, AT 26 DAYS
B FSV=III J WFU M WALLS AT 25'-0' 04 MAX
as7n�
Fa?nDw CA6rTkWj
Te4Ivemona%6
Fa17B7_
Via -,•."'sue . ; z;�;i���' � � � �1�� ��- K-�=
FIN15H MATERIAL a ULE
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TY OF LA A A
BUILDING
RIEVIEWED FOR
CODE _ _-
CITY OF LA UD INTA SUB -CONTRACTOR. LIST
JOB ADDRESSjf��35� i PERMIT NUMBER 0WNER --tY]F°>rxt . _ BUILDER
This forni shall be posted on the lob with the Suildinct Inspection Card at all times in onsa euous 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 compfeted by applicant. "On File" is not an acceptable response.
Trade.I Clvssif[c.ation -
Coritr�:ctar
State.C:ontract:ar's. License-.
VIrS`>'P`o Cams�ens3t'(on Insurance
Clty Bu,,ines,$.LkGeF]SL
—= _—
Company Name
Classification License Number
(e.g. A, B, C-8) (xxxxxx)
Exp. Date
[xxh.xlxx1
Carrier Name
(e.g. State Fund, CalComp)
Policy Number
(Format Varies)
Exp. Date
(xxl xl x)
License Number
(xxxx)
Exp. Date
(xlxx/xx)
ABTHWC}R#C {C•92)
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Ad
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FRAMING (C-5)
'
, 2
,, ff
1V
rI(� t ^�
I IG
I
TFiUCT..ST,£EL {C 51l
l
AS:QNRY (C-29)
PLUMBING (C-36)
DRYWALL (C-9)
KV,AC. (C-20)
. i.EGTRiCAL (GA Q)
r 06PING (C-33.)
-SHEEr METAL (C-43)
FLD0RING (C-151
GLAZING (C-17)
INSULAT.10W(C=4
SEWAGE DISP. (C-42)
PAINTING: (C- 33)
CERAMIC TILE (.C-541
CABINETS (C-6)
FENCING (C-13)
�-
L.A.ND:SCAP.ING (C-27)
POOL (C-531