BPOL2019-0080c&t!t D v(- QuIA
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 Cla C• 1 C29, C27 D12 License No.: 656128 of th rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Date: _`�`141�� Contractor: 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: CHMARK iNSURAN F MP NY Policy Number: CST5014959
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 thh if I should become subject to the
workers' compensation provisions of Se f the L bor Cod II forth h
comply with h e provisions.
Date: TT_Appl ca
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: 4/11/2019
Permit Type/Subtype: POOL/PRIVATE Owner: CD
Application Number: BPOL2019 0080 PRESIDIO FD CITRUS, LLC r) —
Property Address: 50810 CEREZA 50732 CEREZA �
APN: 776340006 LA QUINTA, CA 92253 C"
Application Description: PRESIDIO FD CITRUS, LLC/ POOL AND SPA AT COURTYARD a
Property Zoning: r
Application Valuation: $20,000.00 �.
Applicant: Contractor: d c o
TESERRA -JOHN
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 Na
Lender's Add
WARNING: FAILURE TO SECURE RK S' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOY T(/CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOL ARO$100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS IDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEE .
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 alcove information is correct.
I agree to comply with all city and county ordinances and state aws re ting tiding
construction, and hereby authorize representatives of s tit ent upon
above-men)faged property for inspection purposev k
Stgnature (Applicant or
HARDWICK
TESERRA
rrt
C®
P 0 BOX 1280
P O BOX 1280
COACHELLA, CA 92236
COACHELLA, CA 92236
M
M
z
(�90
(760)389-9222
Llc. No.: 656128
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 Na
Lender's Add
WARNING: FAILURE TO SECURE RK S' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOY T(/CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOL ARO$100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS IDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEE .
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 alcove information is correct.
I agree to comply with all city and county ordinances and state aws re ting tiding
construction, and hereby authorize representatives of s tit ent upon
above-men)faged property for inspection purposev k
Stgnature (Applicant or
Application Number:
BPOL2019-0080
Property Address:
50810 CEREZA
APN:
776340006
Application Description:
PRESIDIO FD CITRUS, LLC / POOL AND SPA AT COURTYARD
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
TESERRA-JOHN HARDWICK
P 0 BOX 1280
COACHELLA, CA 92236
Owner:
PRESIDIO FD CITRUS, LLC
50732 CEREZA
LA QUINTA, CA 92253
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
Date: 4/11/2019
Detail: POOL AND SPA AT COURTYARD [DOUGLAS R. FERRELL ENGINEERING]. POOL EQUIPMENT LOCATED AT REAR YARD. THIS PERMIT DOES NOT INCLUDE
EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL • .
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
SWIMMING POOL/SPA
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
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta Qw�tra
- CAL 11:0It;NIA ---- -
Project Address:
I APN #:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
# 0L2ot01 - Oo S
Project Description:'L_
Email: �� �� i�;���jT�,jI " Valuation of Project
Contractor Name: �5tftA-
Address: 6 `p,, m-1to AVwi ,a�
City, St, Zip CVAC, [�.�- CAI g92�36
Telephone: 7(re)._ 3
Email:
State Lic: (� ��' City Bus Lic:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
=mail:
Rate Lic: City Bus Lic:
)1roperty Owner's Name:
kddress:
;ity, ST, Zip 4A
elephone:
760--776,--
mail: —776, --mail:
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Occupancy:
Grading:
Bedrooms: I Stories: I # Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
. 0 (% -,PIC e-J�Vla`
OFFICE USE ONLY
## Submittal
Required
Received
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
'NO EXISTING LANDSCAPELIGHTINGIN REARYARD.
NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD - -
' PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
POOL EQUIPMENT: 400,000 BTU HEATER - LIGHT BROOM FINISH COLORED
FALL EQUIPMENT SHALL BE SEISMICALLY ANCHORED CONCRETE DECKING
PL ° PL
POOL EQUIPMENT 50 AMP SUBPANEL
WITH 38° CLEARANCE AT FRONT AND SIDE '-2" Bg ® ro
II
I
11
VI
' II
�I
x II
I
LIGHT BROOM FINISH COLORED iI
CONCRETE DECKING
y l)
SPAAIRLINE (
I
(1) PLANTER POT WITH DRAIN AND IRRIGATION SLEEVES -
X 61
TRANSFORMER 11
1+16"-7}"POLYPROPYLENE GAB PIPE
PB la
POOL / SPA LIGHT JUNCTION BOX
POOL/ SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER II
gi ELECTRICCONDUIT
RAISED SPA AT+78" WITH LIGHT BROOM FINISH COLORED CONCRETE CAP, II , 1 5
(2) 24" WIDE TILE LIP SPILLWAYS, TILE VENEER EXTERIOR, (6) HYDRO - iI
THERAPY JETS. AT ALTERNATE HEIGHTS '-g BE i
SPA SPLIT MAIN DRAIN SUCTION MINIMUM TAPART. as II
ANTI -COVERS IO"ASME/ANSI APPROVED
a-B'wD -17'3' SB. i'
PB I sl
I
' POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3'APART.
- ANTI -COVERS 10" ASME /ANSI APPROVED
I
MAIN HOUSE 200 AMP ELECTRICAL PANEL
•.SB I O• f q I SAFETY FEATURES. cuRAFMn
■�/� Auam.repwslmrt Fn nmauTwx MFF AxwmsortxFA".Fniuu
- - - - - 85-6SB. L 1 wANowTFnlMawtxFanFReulsoaFnasuFcxualw.vwwFExsls.R1
F ELECTRICAL'
EGUIPGT6YF W L BdIdHG RCd W ff MENR SHALL BE IN6TP1LEp TO EL W IRATE Vq.iAGF
a GRAOIEN1SWn1EPCOI.PREA A6 WRCEC ARr 89028
`1} I 2016CALIFORNIA BUILDING CODE(flOSF➢ON'd GB )
1
206 CALIFORNIA MECHANICAL CODE(RASE ONHI1MC)
I Recs's I 2016 CALIFORNIA PLUMBING CODE(845Eti GN2008UPC )�..�
29• SB, I A 2076 CALIFORNIA ELECTRICAL CCDE(P>SEGU\' NEC)
201 6 CALIFORNIA ENERGY EFFICIENCY STANDARDS
Gp48UWBR WpE 6ECTICN421flT e)(t)E%6EPF INAN EMERpENLY. NYYPERSCN
NLONWCTINYE%CAVA1[pNSW.L CCMACFn1EAPRROPNATEREGIGNPL
I GIIFIGngi LENTEN,ATIE/STiN9 WORYJXG pgY$BIRFpT ApRETXNi t4 GPIENpM
- 1 MYB. RiICRCgWENCM6TN4TIXGVATpN.IFiXE E%GVATKK1l11LL8ECW2WC1®
- - - I _ IXANpAPFATIV.i I6lpdpYM, OR RFA601Y$Y91CULp0ERKKNN. iOLONTNN 611BBUREPLE
DEAuwnox611` TlvNrxEMXpERwauxGFKALITIE6awxEooaarERATED XVTIE
E%LRWMNIG.f%WCiYX, TXSVATQVSA41MR TEWRITWNREMW`H
O pTXE0.gJRA&.6MVWWTNEAAETOBEFXGVATEJ
N CONSTRUCTION AUTHORIZATION
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH - P - p•. 1pt `,
SECTION 114 -MANDATORY REQUIREMENTS - - - - - - r-4 SALES FIELD
EXT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS _ _ _ _ �I� p� �� - �^ DIG
TO ENTAL Pool - - - \(`I� K � PRE-GUNIT..
Q -
POOLHEATERS/ PUMP EQUIPMENT SHALL BE INSTALLED PER -MANUFACTURER'S _ - U" UNDERGROUND
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS - - _ - - - ti .MASONRY
ALL DECKING EXPANSION JOINTS. FOR REPRESENTAION ONLY, - - +- £ ` DECK
FIELD LAYOUT WILL VARY - - - - - PRE -PEBBLE
SPECIFICATIONS ON
cuNITE- ' -
SIE T�arY$ X. 15 N a,'
,CE AREA OF POOL ONLY ABDR: ua
IETER ss LNFI. DEPms MIN__m_MAX 4-M
68PA COMBINED :4]fE Ff.I�L .FI: OeQN
SPECIFICATIONS TILE
YES
wx
EJI.Z�bp FI. �F�IH. Fr WTFWR
wALLWBn{�]T
Ras .n YES OwW n5
_ B
iJ OCOO Bx SV N
p
Nv�r r18' TRMn• arvz.
T LE LI Jmz ec a
x O
DECKING wm7
�E 6G.FT.
lo"SOF7.ama ?
.V �B/AD�NpEEL RNIBX LIGNT BRODM OOD C4M
E1PAN6pN.NM AB NEEDED pb
INAT04CAVATIM TEB 7C
(T
kT YES
WL9IECPNIA m-
E8 PERPLAN p
iE RH%]V SIEEyEg AB NEEDED
IOVOL L elFP9
MOVAL6Y 6rEPF
ox REEgva. RY n1E6A6
GN aEr sAxB,wpn
eAxos
awmRw
SPA EWIFOFBRIµ BONpWG YE8
�� WEIDFDWIREMWI
R�
'FpEym &NBEcuECOM1ERrcv
MASONRY
Cg9XGTYY
_ R6&FPGMG
9RLLWAY TYF£TILLIP E12E
Nim Y sre
JANOSRE aBB Bp FT PRpP EM.w
rp JRNDY Slg zmpV RNirER.W
2TIIMR_aa� PftANLIpW
EWIP. W
MP-6� £EATW
JMDYJA
AFIfEDp
.(ANDY JX &IIE gggpLC p
LSY $ 6L4p6ETPA `•F
NTGIi I
smlmlo� JAnry n�uW PUM
ITYP DwAt PORT
YES EBBL
SN
:�61VB6. L
na1FOTG� Lcxrs Sv
F EYE P.W. FRNNG
Vffi mwmcwGl4QLIiCLC N TFA x
TEWIR.ffM TE8 FENCING
AT Tt2'811CIICN8T1TfhltlRH FBKEME�
AT PACXAG HBGM
LWR�� pq
OPMNC� GgTPPFyH19gL
TIER' IElbT'EBPBIANG^
ITE m m e me
PRA v
�T YES
axastFs
L PIAN
MISCELLANEOUS
iF 61PEt
-IW SPAManNGB
ER RESPONSIBILITIES
[Ell
a
xFiv£AR9Wxu8MFFUN•nn Tu oxwr oFFxAVATwx
xmwF �PwanwcArwwa+EMalEaTOAmarxucPOP.
NHYI� CEPMIVE'fATTiET11@BI66WKEDFGEg1R
ca an+EvcualEimTmcFou. sP+•�N wvsAF�slaaslreTwm
EmtINT�FlF9ENM0.�fi4'ai9 NSOR WlFGl6.
EY/AI%6 [PNEW/Ys IAYMs.OReoOitl NF�eNTEMYAeARFA
Fwcxw TFa.Mmaw,se wR Ra1.wJM
Tom�pAxa� u9m.Mss.FRl MreeEa�ps61
'eW+n >F.��RNAmim �. BNMueE WfIXPrt
Poo,..sx6waMrr .iae xsrM.o.�xM>�«M.are�
A CUSTOM PROJECT FOR: -
COVE AT THE CITRUS LOT 6
JRIfY T VE AT THE COIWF
(DRESS 5G -SE CEREZA ICITY LA-DUINTA
)WNER MOBILE
NVNER EMAIL
CT MANAGER MOSILE (TPS Ez-71 T
LTMANAGEREMAIL Mn
LEDATE DESIGNE)SY PROJECTMGR EC
'435( REVISIONS°
ro
DATE:
* c
O
+� J
NJ SELECTIONS
E U *4
il �Y
RS H
RETE Q
3OWLS
'PLAS j A
DERS _ U �#
(AGE NOTE: DGul al)B inipation IDrpBE616 aM'IS CYNNB+,
.Mobs oltWrv�ise rnted.