BPOL2019-00694 0"ZI
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. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C-�10, CZ9, C53. C27.012 _ License No.: 656128 of far which this permit is issued.
have and will maintain workers' compensation insurance, as required by
ion 700 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: BE C M RK NCE COMPANY Policy Number:�0.14959
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 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 t ose provisions.
Date Applican
WARNING: FAILURE TO SECURE WORKERS' COM TION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIENA{ TIES A
iV PAND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
78 495 CALLE TAMPICO c&t1t D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/8/2019
Permit Type/Subtype: POOL/PRIVATE Owner:
Application Number: BPOL2019 0069 LENNAR HOMES OF CALIFORNIA INC
Property Address: 81670 WAR ADMIRAL 25 ENTERPRISE y
APN: 767800035 ATTN KIMBERLY CURTIS G)
Application Description: GRIFFIN RANCH /POOL AND ASPA AT FRONT YARD ALISO VIEJO, CA 92656 Z
Property Zoning: RD
C
Application Valuation: $20,000.00
Applicant:
Date:
OWNER -BUILDER DETION
I hereby affirm under penalty of perjury that I a 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 Name:
Lender's
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 men Toned property for Inspection purposes.
Oate. Signature (Applicant a A
ontractor:
O
� �
TESERRA
co
P O BOX 1280
P O BOX 1280
O
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
-------------------------------
�
Date:
OWNER -BUILDER DETION
I hereby affirm under penalty of perjury that I a 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 Name:
Lender's
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 men Toned property for Inspection purposes.
Oate. Signature (Applicant a A
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
BPOL2019-0069
81670 WAR ADMIRAL
767800035
GRIFFIN RANCH / POOL AND ASPA AT FRONT YARD
$20,000.00
Date:' 4/8/2019
Owner:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ATTN KIMBERLY CURTIS
ALISO VIEJO, CA 92656
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
Detail: POOL, SPA, BBQ, AND FIRE PIT AT FRONT YARD, WITH 6 LF OF EQUIPMENT SCREEN WALL (CITY STANDARD] AT SIDE YARD. [DOUGLAS FERRELL
ENGINEERING]. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
ACCOUNT
qTY
DESCRIPTION ACCOUNT
CITY
AMOUNT
WALL/FENCE - FIRST 100 LF 101-0000-42404
0
$53.37
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WALL/FENCE -FIRST 100 LF PC
101-0000-42600
0
$66.71
Total Paid for BLOCK WALL: $120.08
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
i
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
qTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.68
DESCRIPTION
DEVICES, FIRST 20 PC
ACCOUNT
101-0000-42600
CITY
0
AMOUNT
$26.68
Total Paid for ELECTRICAL: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
DESCRIPTION
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42401
ACCOUNT
101-0000-42600
0
CITY
0
$13.34
AMOUNT
$26.68
Total Paid for PLUMRING FFFS- tan m
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
DESCRIPTION
Total Paid for POOL / SPA:
ACCOUNT CITY
$308.99
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
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
$5.00
ta
PERMIT # y
PLAN LOCATION:
Project Address: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:.�
Property Owner's Name:, New Commercial / Tenant Improvements:
Address: Total Building SF
City, ST, Zip Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
me:
NEmaiot
l
r
Valuation of Project $ c2 - U
tractor Name: 7
New SFD Construction:
[Address:r.
Conditioned SpaceSF
, St, Zip
Garage
7
SF
. t.
Telephone:C? 0
Patio/Porch
SF
Email:
Fire Sprinklers
SF
State Lic: A 117\'t City Bus Lic:
Arch/Eng Name:
Construction Type:
Occupancy:
P Y:
[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 Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
NO EXISTING LANDSCAPE UGHTING IN REAR YARD - - - - - - _ - +sr aG.Pr POLIP®MPUlCEC9PING MlOG1P6
No EXISTING OVERHEAD UTILITY LINES IN REAR YAG - - - - __-nsrsiLFr vAYERotcweGaromEBs'-
I
`PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY:
PAVER DECKING BY OTHERS
PAVER DECK DRAINS BY OTHERS - - -
PL
1w' PL
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
1'$ C MPLIANC,E/
1 DATEBY�/
1 POOL EQUIPMENT BLINDWALL AT IW WITH STUCCO
AND PAINT EXTERIOR TO MATCH ARCHITECTURE
LENNAR TO SUPPLY `MAI
GAS,. ELECTRIC AND WATER
--- -- POOL EQUIPMENT TO WATER CONNECTIONS AT POOL
_— — -- Y =1
I BONDED AT THIS LOCATION EQUIPMENT AREA
-- ----------
F , POOL EQUIPMENT. 400.000 BTU HEATER
'ALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED
POOL EQUIPMENT 50 AMP SUBPANEL
WITH 36x CLEARANCE AT FRONT AND SIDE
1 0' II I I I i 1 0'
1 I I IN HOUSE RS6 1
7-6Y4' HARD TROWELED AND SEALED SMOOTH- I I I LOCATION ---� I -
COLORCONCRETECOUNTERTOP:AT+36", I -------.----- 8'x3'FIRE PITAT+18"WITH POURED IN PLACE LIGHT BROOM
ALFRESCO ALXE-36 36° BARBECUE, OLC36 -- -- FINISH COLORED CONCRETE CAP, 2"4" BLACK LAVA ROCK
36° STAINLESS STEEL ACCESS DOORIDRAWER - MEDIA, GAS VALVE AND KEY. BURNER ASSEMBLY, STUCCO
COMBO, STUCCO AND PAINTEXTERIORTO AND PAINT EXTERIOR TO MATCH ARCHITECTURE
MATCH ARCHITECTURE
+ae
PAVER DECKING BY OTHERS
2T- SB. MAIN HOUSE 200 AMP ELECTRICAL PANEL
PAVER DECK GRAINS BY OTHERS
POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART. 103!- 1 POLYPROPYLENE GAS PIPE
ANTI -COVERS 10° ASME (ANSI APPROVED a'
.a
rn we irwD _era—a =«n—.wows ,..
OS GAS VAL
POOL /SPA LIG T JUNCTION BO
POOL!SPAUG TON GROUND U T CIRCUIT INTERRUPTER
3'-4' -
PE 5'.0 -TRANSFORMER
SPAAIRLINE ,.
1rjS6 j` SAFETY FEATURES:
•NLMa4u^IiWPYMf4WEA@18RllAMw1®IXafLPPIN(6fNdWA.6KrxEiKR'll!(
5MEN FNiIEe+w3N0 W.lEPWSC0.MENd6iKN18(ICChpF1.ELWACKEX6NEFAa VSMEI
ELECTRICAL[
—: — � _._ _ _ HItIIPOTW+NL9g19@W xE9111PEMEN+9aWLLLBEwmI13EO T06@.IIINIEVMTPGE
PL cRAwR+rswrxEwal..nREAASPEnu-cinr ew.xe -
PL 2015 CALIFORNIA BUILDING COD£181aEDGNN ]M)
15" WIDE POURED IN PLACE LIGHT BROOM FINISH SPA SPLIT MAIN DRAIN SUCTION MINIMUM VAPART 015CALIFORNIA MECHANICAL CODE (9ASEaMx UM)
COLORED CONCRETE COPING ARO
LIND POOL ANTICOVERS IO° ASME IANSI APPROVED 2015 CALIFORNIA PLUMBING cDDE (a�sPnaxamEvrc )".:..».
O1 a CALIFORNIA ELECTRICAL GODE(fl19Ep GN 2NENEC)
TANNING SHELF AT I2"WATER DEPTH RAISED SPA AT+18"WITH POURED IN PLACE LIGHT BROOM 201E CALIFORNIA ENERGY EFFICIENCY STANDARDS
AND ONE UMBRELLA SLEEVE FINISH COLORED CONCRETE CAP, STACKED STONE SPILLWAY mvPnxlnHarcao�sEcxoxazlez vo�®FlxexFMPRGRiCY,MlYPEPCON-
AND TILE VENEER EXTERIOR, (6) HYDRO THERAPY JETS AT RaamNcrocoHulcr urcExuvA ouRWLCIXiTAmTHEAPPRCPRUlEREOCNAL
ALTERNATE HEIGHTS xonFlwnoxcPxlG+, ArlusrrnowGuaxGOAYs.surxm NORErxanwcntExoAx
MYaPflxW CIXAMRIGNGTI.V IXGVpTMy IFn& EXCAVATIgI WILLBECIXiOUCiFD
INAl1aARFA THAT I61wONR{pi N6KGNIPLYSXgRD PE IUW WN TOGNirRw BN&SIIRFACE
+N 8lPLATIONSOTEATN.W TXEUICERVA4 FACLLII*US NEDOROFE MWORIE
IX VALIXtNtl.IF n1EEYUVARMEStWLC£xNE+E NHRNH1rEPNMOR
OTXEfl SVRA&EMViI(1� f1G }XEM ICISBIYNA+B1
CONSTRUCTION AUTHORIZATION
INSTALLATION. OF POOL SYSTEN
-SECTION 114 - MANDATORY REQ
:EXIT ALARMS TO BE INSTALLED
—1.CO .
ALL DECKING EXPANSION JOINTS FOR
+MENT WILL COMPLY WITH
I
WAR ADMIRAL DRIVE
_ SALES- FIELD
DIG:
ZS WITH DIRECT ACCESS -
m -
NDE GROUND
EINSTALLED PER MANU FACTURERE
OITH LOCAL. REGULATIONS
MASONRY
DECK
SENTAION ONLY,
PRE-PEBBL
90. Fr QNQ
uGN1aROCM
EYPANSICN Cal.
naaEEwe- 't:
-oapalE m-.
SE F_
NEc.a
£OIXPO+EIA+LL WHgXG �s
'W�9pEV WIREME
V)
w
1@1MVE.REJLW
ES "
MISCELLANEOUS L`
ElE - NGINa
•+6•SPA
SPONSISILtTIES. r77
A CUSTOM PROJECT FOR:
GRIFFIN RANCH LOT 110
LLE 'GATE DESIGNED BY PROJECTMG C ECI�Duj
g
03/26/39 ,JT. DrWHI. H.
REVIE3101 p,,,E,
B ELECT113NS
iE CHEROKEE i
' ie
LAPPIESNO 6 PIEDRA ROMA
-RS 13. PIECE CATALINA BELLA
CRETEADOBE-COPING_
(BOWLS GROUT: ALABASTER #333 SY CUSTOM
UPLAS PEBBLE SHEEN: WHITE DIAMONDS
[PERS -
C
INAGENOTE: DremagE wpinRbrptenOwaand pole,b/ottlwa,
umaw olbEMiSanoleE
-. SPErIFIQATIONS
�N.:-
m -
6UNf1E : $17F M{f 9'JY
NNP
a,q
:EPAEAOF POOLONLY :bra 90FT
iEFt +Oa LN FT nEPTHS MIN3-�—MAX.-
- �°+n
SPACOMeINED +�
O.
I t o-
iii
{PECIFICATION$
90. Fr QNQ
uGN1aROCM
EYPANSICN Cal.
naaEEwe- 't:
-oapalE m-.
SE F_
NEc.a
£OIXPO+EIA+LL WHgXG �s
'W�9pEV WIREME
V)
w
1@1MVE.REJLW
ES "
MISCELLANEOUS L`
ElE - NGINa
•+6•SPA
SPONSISILtTIES. r77
A CUSTOM PROJECT FOR:
GRIFFIN RANCH LOT 110
LLE 'GATE DESIGNED BY PROJECTMG C ECI�Duj
g
03/26/39 ,JT. DrWHI. H.
REVIE3101 p,,,E,
B ELECT113NS
iE CHEROKEE i
' ie
LAPPIESNO 6 PIEDRA ROMA
-RS 13. PIECE CATALINA BELLA
CRETEADOBE-COPING_
(BOWLS GROUT: ALABASTER #333 SY CUSTOM
UPLAS PEBBLE SHEEN: WHITE DIAMONDS
[PERS -
C
INAGENOTE: DremagE wpinRbrptenOwaand pole,b/ottlwa,
umaw olbEMiSanoleE