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BPOL2019-0005c&t1t 44Oz ----------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 {commencing with Section 70001 of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compen Ion, as provided for by Section 3700 of the Labor Code, for the performance License Class: C-8 1 29 C53 7 D12 i nse No.: 612 y or which this permit is issued. have and will maintain workers' compensation insurance, as required by CJat Contract Secl io 00 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: OWNER- ILDER DEC ATION Carrier: BENCHMARK INSURANCE COMPANY Policy Number: CST5014959 I hereby affirm under penalty of perjury that la exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 703 .5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply_ with those rovisions. 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 Date:' Appllca 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 WARNING: F ILURE TO SECURE WORKERS' COMP ATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO () 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose () I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). Following issuance of this permit. (_) I am exempt under Sec. B.&P.C. for this reason 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. 78-495 CALLE TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/17/2019 Permit Type/Subtype: POOL/PRIVATE Owner: Application Number: BPOL2019 0005 GRIFFIN RANCH - LENNAR HOMES Property Address: 81715 WAR ADMIRAL 981 MONTECITO DR STE �^ APN: 767800042 CORONA, CA 92879 f` Application Description: GRIFFIN RANCH /POOL, SPA, EQUIP, BBQ, AND FIRE PIT Property Zoning: r Application Valuation: $25,000.00 Cam. Applicant: Contractor: [� � TESERRA TESERRA a P 0 BOX 1280 P 0 BOX 1280 COACHELLA, CA 92236 COACHELLA, CA 92236 Q L` (760)389-9222 LIc. No.: 656128 M ---------------------------------- 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 Lender's Address: 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 relatirj�to building construction, and hereby authorize representatives of this city to enter upon the above -men ion}pe, y ed roperty for inspection purposes. Dat 7 1 1+S%nafure (Applicant or A Date: 1/17/2019 Application Number: BPOL2019-0005 Property Address: 81715 WAR ADMIRAL APN: 767800042 Application Description: GRIFFIN RANCH / POOL, SPA, EQUIP, BBCI., AND FIRE PIT Property Zoning: Application Valuation: $25,000.00 Applicant: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 Owner: GRIFFIN RANCH - LENNAR HOMES 981 MONTECITO DR STE 302 CORONA, CA 92879 Contractor: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 (760)389-9222 Llc. No.: 656128 Detail: POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD [POOL ENGINEERING]. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. RSAS SR1473 FFF Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 Total Paid for ELECTRICAL: $53.36 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.34 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.68 Total Paid for PLUMBING FEES: $40.02 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $200.12 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $108.87 Total Paid for POOL / SPA: $308.99 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 tom! _ Q"Kra PERMIT # PLAN LOCATION: Project Address:'_ eta / Project Description: Pool, Remodel, Add't, Elect, Plumb, Mecb APN Applicant Name Address: City, ST, Zip: TelephonLE 2 2 Email: a_ . t, /, Contractor Name: Address: f _, City, St, zip Telephone: Email: State Lic:'v��� Ir Property Owner's Name: Address: City, ST, Zip Telephone: Email: Valuation of Projects ��� D, Q 0 New SFD Construction: C'.nnditinni-d QnnnP Garage Patio/Porch Fire Sprinklers Bus Lic: SF SF SF SF New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 `NO EXISTING LANDSCAPE LIGHTING IN REAR YARD SPECIFICATIONS w� _ iBt SOFT FWRED iNPLACE CDPINGANDCAPS n = m 'NO EXISTING OVERHEAD UTILITY LINES IN REAR YARDP. tszs sG.Fr. PAVBeDEeitiNG eroTHERs T1•PE GUNDE - SIM <s'm x t• nm: - • PATIO FURNITURE FOR ILLUSTRATION PURPOSE SONLY ISG ARIceL a N SURFACE AREdoF POOLONLv440 sD Fr. mm q NAE UI A PU... PERIMETER 1021N.FT DEPTHS MIN ._3_� MAX Qmm 10 TOTAL pMLBSPA COMBINED-5G63Q.Ff]928 W.FT. amN SPA SPECIFICATIONS TILE TANNING SHELF AT I2'WATER DEPTH ' MS if MK rn,.. SO,". U W.Fr Assn ix'^. AND TWO UMBRELLA SLEEVES: wntnue°4i. aPa°RMwAu`M 75"WIDE POURED IN PLACE BROOM xaoF S Ran p w RAISED SPA AT RED CONCRETE WITH POURED IN PLACE LIGHT BROOM COLORED CONCRETE COPINGAROUND POOL ucRr t IAIaCSVi50 C H m FINISH EVENE RETEIOR CAP, STACKED STONE JETS ' C fl016E°ua"T• � I°N,w AND tPOOL SPLIT MAIN DRAIN SUCTION MINIMUM 3'APART sRuwnr ALTERNATE HEIGHTS R10R,{6)HYDROTHERAPY JETS AT ANTI -COVERS IO° ASME /ANSI APPROVED WEC�N°G DECKING 6mn O, G q EXCAV /STEEL HIM. UGWSROOM ano SPA SPLIT MAIN SUCTION MINIMUM3 APART. ' " a 1p.. 1 -15 15D < PL C 4'o5!g ENI'.AaslCNrol on ANTI -COVERS IO°ASME/ANSI APPROVED CI 0 -tsG 95 - ci mAMli cAunlEVEa - 'C q 10 _I i GAS VALVE wvsswTR'xPNo tlwmF cwr In° O GAa i q -15G BS& 11 CONLPETER6hNO N0. s 16 6-0 B. &A4 FIRE PIT AT+18° WITH POURED IN PLACE LIGHT BROOM. � µg. _ Sltpr PL °. 9'-7 FINISH COLORED CONCRETE CAP, 2°-0°BLACK LAVA ROCK IRRleanonRENovuav— mE vsE SB. MEDIA, GAS VALVE AND KEY, BURNER ASSEMBLY, STUCCO IRwaanox PEPAW sArloMovtsouE AND PAINT EXTERIOR TO MATCH ARCHITECTURE NRB'& 801 110' 1I POLYPROPYLENE GAS PIPE Us Us ta- Ras wwsmlP YES A m•Rs:SPA sa'wv PAVER DECKING BY OTHERS: N.Ra..... RBB fliNEECUELWH1RLtGP tzwo aa'wD PAVER DECK DRAINS BY OTHERS TM SHSLF tz'� MUM,O,S CONC SPA AIR LINE 1'10"SB ROCK CO�G^� :ta' 0' U• cvilERS a°BFALING THE POOL! SPA LIGHT JUNCTION BOX' " Qy W HARD TROWELED AND SEALED SMOOTH COLOR CONCRETE sPluwarTeP@ srACHmsroNE 81=e4r POOL/ SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER 7'-1 SB. /"� COUNTERTOP AT+36`. ALFRESCO ALXE3636°11ARBECUE, PLUMBING - -a+s m—A+—a.s—rases TRANSFORMER OLC3636"STAINLESS STEEL ACCESS DOOR/DRAWER COMBO; Flppp gjxp JLNOYE s s2 v P)MIP — STUCCO AND PAINT EXTERIOR TO MATCH ARCHITECTURE eoaslER wlu+ s� RErxwxs W POOL EQUIPMENT 60 AMP SUSPANEL 17' SB, sb aMr.FRpRfE1rtRIMP�m}E EGUPw JJJ WITH 36" CLEARANCE AT FRONT AND SIDE : r AopL RO —.— ma: FIRG T PER PIAN- NEATER JP'Y , a iWAm BTU WSHCUS PER PIAN POOL EQUIPMENT: 400,000 BTU HEATER caHpypLs RES IN HOUSE s O.PA "ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED PLCt400APUPE TBARBEWE cTuc POOL EQUIPMENT TO BE WATER. MIPOR Purr_ '3ARBEcuE BONDED AT THIS LOCATION i Flurc� MP PROOucT3Al1TOFlu Bfi r — 1 r _ — —— l GASURE xe`_SNe40wF I I IIN HOUSE R56 r wF. ATrAcxmTOPoo ucyTa �A I -7 (LOCATION ' omsawF ESC,Mow rN IAs:. LENNARTO SUPPLY MA IN 1 , WG IH n JL=12W1W pFEFHSkT GAS, ELECTRIC AND WATER 4' P SB. I jl I O �".� UG INSP NIA Jlu4cewso aRm fAo H. CONNECTIONS AT POOL I II I \ `srmil Eroouw. YEs PENaNr� EQUIPMENT AREA T� rl� II. I .IXlxc s swAswa °naxtrs•RETURn, WA - avE II _ 1 I 1 L_____ _ \� Eq.IPEE pRV YE$ WTE REVFA6LL Lc—J. L =—J PEAUYEa RENWG I —11 I I i 1 1 1 ol GUNITE a.. ... Lj oEEp Exo RPLw I LovssEAT M15 C E L LAN EO US I y (���A LOaIxR cowFue glsnx°srs ^{ .sp�ry�(( �O YAip 9Ffe R°B-sEE STEF4 18-WA 1 0' J I V' 1 I V OWNER REfi PON61 BILITIES BUILDING DIVISION OW ER O _ _ Itl OEIEPM EINENNWNWAIE aEV TWO CP 6P4 i WIPY ¢LYOFIXGVAIgn REVIEWED FOR PI wEi ww M nsevFR rsuiEnslwlsxsrwFn. [Ell CODE IIMn MTpLHPACUSICEWNI34NFYFMPYbx>OnIFAWIHTEOR:634AE/� OI In Xmn °�1G ex>Os�E CCItrIPUANCE � �o Mn 1 WDW Pw W ...... RImBFA N mrm exPww as mw�x w� �w MAIN HOUSE 200 AMP ELECTRICAL PANEL # Ito "/'J� p V V/� smNAn s xon r.,s�ow �� .,mxm�s ., n...T JI Vim__ ,,,f�, r.•Y A CUSTOM PROJECT FOR: NAME GRIFFIN RANCH LOT 117 I I COMMUNITY GRIFFIN RANCH JOB ADDRESS 81-715 VAR ADMIRAL DRIVE ICITY LA OUINTA I HOMEOWNERMOBILE HOMEOWNER EMAIL 1 I 1 PROJECT MANAGER MOBILE R6@2 1410 i y PROJECTMANAGEREMAIL aann®cesenaolnaoore aXn I _ I .. SCALE DATE DESIGNED BY PROJECTMG. CHECl4EDAAf O JO�Bu.0 1' 12/11/18 1--1 JT.`, DANIELH. 1 .. _.:1 , R E• V I S I O N S DATE: 1 I SAFETY FEATURES: 1 _ '. auPM1Etl1MgMMsvrrouExwBiwwnW UE£newawneRsrui Are-FT-EeAFlucw E.J r samErcroR rESTwsum w.TERwsmrxEnvawwr wsouerraFLrrxrix.v.s�u swlasNw LF f ELECTRICAL: 3 ' 1N,HE WCLAEWIPoTFNIIP, INGREWIR@aEN1S91V31BEBSi/QLmraFLMIWTE VMTAGE 1, WUNENI9RFA RS PERCECMI 890.ffi 1t 2016 CALIFORNIA BUILDING CODE(BPSm ONM81BC) SID16 CALWORN1AMECHANICAL CODE HB OHg UMCI. 5 7$'-B 01 6. CALIFORNIA PLUMBING CODE(WW.X1 .lA...e 5 2016-CALIFORNIA ELECTRICAL CODEHB E)ONAMNEC) - �_� 2016 CALIFORNIA ENERGY EFFICIENCY STANDARDS - fi.71 G PNNSMENTCODE SEcnON aat63.blglExcwrmall.EAEPC£tiCr. rNrPERsoN Q �. L x"Aa° wx�x Ar rAs orow weo wm+Ram Rr p LL4YSPRC0.COMMENCIXaTINT E%LAVATXIH.IFTHEEXGVATK}Y WIIL.pEIX#NIICIE➢ r - - IN ANON+EATrurl3lwowK aRaEesGwaLrsxolu.o G6lppwx TocaxrAwsussuRFMs -.. w VATUH° HUITHERTXiNTfEux°HiGR°IIN°FALIUNESOWM OR°r9+I.Tm°rS ��� ADMIRAL �� I ��: ��'�� - E%CAVATORANn IFPRALTGV..,HEE%G4VRTtN{SIHLL�.LWEA1EwRRwHII£PAIMOR SELECTIONS o .. OT RSUFT EMNWNGTNEMEH)SRIX VAH8 _f INSTALLATION OF POOL SYSTEMS AND EQUIPMENTWILL COMPLY WITH CONSTRUCTION AUTHORIZATION STONE Z TILE U SECTION 114- MANDATORY REQUIREMENTS SALES FIELD pavERs EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS DIG CONCRETE - ct� TO THE POOL - PRE-GUNIT POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURERS UNDERGROUND - POTB/BOWLS Z RECOMMENDATIONS AND IN ACCORDANCE WITH LOCALREGULATIONS - _ MASONRY PEBB/PLAS ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, DECK BOULDERS FIELD LAYOUT WILL VARY - DRaNAGE NOTe Dmimo as Inigabon rlmplwam em pots; byomm. PRE -PEBBLE uHlaasU erwi9a.Xoma: - PERMIT INSPECTION HISTORY REPORT (BPOL2019-0005) FOR CITY OF LA QUINTA Pool 01/07/2019Application Date:Permit Type:767800042Parcel Pool Construction (Private)01/17/2019Work Class:Issue Date:81715 WAR ADMIRAL LA QUINTA, CA 92253 Address: Expired 10/14/2019Expiration Date:Status:Description:GRIFFIN RANCH / POOL, SPA, EQUIP, BBQ, AND FIRE PIT *** POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD [POOL ENGINEERING]. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE-PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. Owner:Contractor:Applicant:GRIFFIN RANCH - LENNAR HOMES TESERRA TESERRA TESERRA TESERRA Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Required?CompleteActual Start Date 01/18/2019 Pre-Gunite JAN:190117052313 3010 Approved Duane Clayton No Complete 02/12/2019 Deck Bond JAN:190211051418 2909 Approved Jake Fuson No Complete 02/19/2019 Underground Electrical DCL:190219065438 0015 Approved Duane Clayton No Complete Underground Gas DCL:190219065438 0016 Approved Duane Clayton No Complete Underground Plumbing DCL:190219065438 0017 Approved Duane Clayton No Complete 04/03/2019 Pre-Plaster JAN:190402052041 3035 Approved Duane Clayton No Complete NOTES Created By TEXT Created Date Duane Clayton 04/03/2019 04/16/2019 Final Building DCL:190415032849 1826 Disapproved Duane Clayton No Complete NOTES Created By TEXT Created Date Duane Clayton - POLL AND SPA LIGHT NOT FUNCTIONAL. - SECONDARY DROWNING SAFETY FEATURE NOT FUNCTIONAL. - EAST SIDE-YARD GATE DIES NOT SELF CLOSE. 04/16/2019 04/17/2019 Final Building JAN:190416050518 3278 Canceled Duane Clayton No Complete 78-495 Calle Tampico Page 1 of 1October 11, 2024