BPOL2019-0005c&t1t 44Oz
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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
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PEAUYEa RENWG
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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 ......
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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