BPOL2019-005878-495 CALLE;TAMPICO Tit�t D 4V096&
LA QUINTA, IrALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2019-0058
Property Address: 54925 AVENIDA ALVARADO
APN: 774292022
Application Description: SEARS / POOL AT FRONT COURTYARD
Property Zoning:
Application Valuation: $30,000.00
Applicant: D
/& aSCOTTRANBORNE
51321 AVENIDA BERMUDAS JUL 2 2 2019
LA QUINTA, CA 92253
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: License No.:
Contractor:
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
s ects the applicant to a civil penalty of not more than five hundred dollars ($500).:
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.).
'
nj 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.Jl)this reason
Date: L ` 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/22/2019
Owner:
Sears Joyce A / Arnold G & Joyce A Sears Family
Trust
54925 AVE ALVARADO
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
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.
I 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 y w ers' compensation Insurance carrier and policy number are:
Car r Po[icy Nurn ber:_
I certify that in the performance of the work for which this permit is issued, I
sh not employ any person in any manner sa a become subject to the workers'
compensation laws of California, and agree t t, if should become subject to the
workers' compensation provisions ofSectio 3700 ,f the Labor Code, I shall forthwith
comply with those ovvis;ons.
Date: l `f Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND 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.
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 t armation is correct.
I agree to comply with all city and county ordinances a d state laws r lating to building
construction, and hereby authorize representatives of his city to nt upon the above -
mentioned roperty ar inspection purposes.
Date: Signature (Applicant or
Date: ' 7/22/2019
Application Number:
BPOL2019-0058
Property Address:
54925 AVENIDA ALVARADO
APN:
774292022
Application Description.
SEARS / POOL AT FRONT COURTYARD
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
SCOTTRANBORNE
51321 AVENIDA BERMUDAS
LA QUINTA, CA 92253
Owner:
Sears Joyce A / Arnold G & Joyce A Sears Family
Trust
54925 AVE ALVARADO
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
Detail: POOL AND [1] GAS FIXTURE FOR FREE STANDING FIRE BOWL AT FRONT YARD [DENISE POELTLER ENGINEERING.] NEW EQUIPMENT MUST BE
LOCATED IN AN APPROVED LOCATION EITHER WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L--FIELD VERIFY. THIS PERMIT DOES
NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. SPECIAL INSPECTION
REPORT REQUIRED AT PRE PLASTER. 2016 CALIFORNIA BUILDING CODE
DESCRIPTION ACCOUNT CITY AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.25 $40.00
Total Paid for BLDG CITY STAFF - PER HOUR: $40.00
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
j Total Paid for BLOCK WALL: $120.08
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
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
CITY OF LA QUINTA SUB -CONTRACTOR, LIST
JOB ADDRESS 54225 14L\J Pf"Or> PERMIT NUMBER -6PG�2C [ 1 -G1D `� OWNER I �1I� �� �, �_� S '2-S --BUILDER
Ibis form shall be pDat@d an the job with the Building Ins fiction Card at all times in a conspicuous 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 buildina hermit. For each aDDlicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Tra[{e. 1 Classification
Ca:n.tractar
or's License
Workers Compensation lnsurance �e•f�se
Company Name
Classification
A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
Carrier Name
(e.g. State Fund, CalComp)
Policy Number Exp. Date License Number
(Format Varies) (xx/xx/xx) (xxxx)
:Exp. Date(e.g.
x/xx/xx)
EARTHWORK (C-12):
�
&
`f
Al ZD
(p 2 7Ys3
CONCRETE (C-8)
lA'� IPA �c aNt
FSi�! c� rr 9"
G�G-� >a 2SZ
3�J,/q
( C)
.FRAMING (C-5.)
STRUCT. STEEL (G=51):
MASONRY (C-29)
PLUMBING (C-3.6.)
LATH', :PLASTER (0-35)
DRYWALL (C-9)
HVAC (C-20)
ELECTRICAL (C-Tp)
ROOFING (C-39•)
SHEET METAL (C43.)
FLOORING (C-15)
GLAZING (C-17)
INSULATION IC-2.
SEWAGE DISP. (C-42)
PAINTING (C•33)
CERAMIC TILE (:C754:)
CABINETS (C_-%
FENCING (C-93)
LANDSCAPING (C-27)
POOL (C=53) .•
Qwkra
ta
CAL IFORNI A
PERMIT # 9POLU) I
PLAN LOCATION:
Project Address: S ` �J Irlr�,�}�%
Project Description:
APN #:
Applicant Name:
Address:,
City, ST, Zip:
Telephone: - _
Email: '+
_
Valuation of Project $
Contractor Name:
New SFD Construction:
Address: 44../7 � �� �'y
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Architect/Engineer Name:
Construction Occupancy:
Address;
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: /� �� `�:' ;
New Commercial / Tenant Improvements:
Address: "9
Total Building SF
City, ST, Zip �; `d, 7� ;,�� .�
t
ConstructionType: Occupancy:
P Y
Telephune:
Email:
78495 CALLE TAM PICO
LA QUINTA, CA 92253
760-777-7000
it y ,;��+ ►. fir.
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
Titf 4 4 a"
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building rm as bq submitted in your name list' yourself as the builder of the property
improvements specified at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
401. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
�2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
m self from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
r 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
pets and contracts.
045. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
o r construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
,,��]��6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
r11, �-nment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
-SiRctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
I understand as an Owner -Builder if I sell the property For which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
nworkmanship or materials.
I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California.
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
p le ally and ncialk responsib)c for proposed construction activity at the folloyving address:
11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
ap licable laws and requirements that govern Owner -Builders as well as employers.
�� 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
nave provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will, be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature. I
Signature of property owner Lf Date: 6
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project. �aC� �b
Scope of Construction Project (or Description of
Work):
Project Location or Address: q � �ij 6'/�
I��A✓y dam' ['
Name of Authorized Agent: V 1' n Vt Tel No
Address of Authorized Agent: jAn1Lpr
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature:A. Date: C/
f
Avenida Alvarado ( Not to Scale )
26' 2" 1 16' 6" —�
6' x 28' Existing Retaining Wall P I L 12' 9.5" Set back for 27" footing
Driveway
84" 120" � 110"
jjjj 13 F
72.5" —.� -' .--. 51.5'---• �_ 97.5" •-- 9.5'
t 8' x t 6' Setback
J i
23r
J
Seat
12
c
m
LL
c
o
�
-
m
m
d
4W 36,
m
is
tz
N
a
m
4' vm
3'
�— 56'
Flaser Blocxlale
18' Pals (2)
32 Wide
5' Deep 24" High
24" Deep
Water Feature Wall #1 Bond Beam
56' Wide
24' High 1.5'
6" Block Seat
12' center
4' Deep
i
16" Deep
— 7'
24'
Si]
C
C
n
m
m
n
v
48'�
a
Cn
n
ami
v
m
42'
Concrete Yard Gate
® NO-IP-ropane Fire Bowl 11' High
0 Ground Level i
35' Round Concrete Bawl
6 Center 3' Behind Bond Beam
35' � �
Ptanter �22'
3
10' 6' - v
Master
Pentair -
Variable
Speed
Pool Pump
Pentair
Cartridge f
Filter
88" 1
11
BUILDING DIVISION
REVIEWED FOR
CODE
rCfOMPLIANCE
DATE �h12=1 BY
a
1 QUO
J
WD Qr
Mr
0
�,,c/ op
Tube Size %`
24" r
ecorative Metal Panel
24" x 72"
Proposed North East Pilaster
to follow Footing Detail as
outlined
6
Decorative Metal Panel
24" x 96"
3' Retaining Wall
8" Block
110v Switched Outlet
Privacy Panel
Concrete Block
Apex 6"
Plaster Detail
Pilasters and Retaining Wall
to follow City Standard
10' 4x4 Posts for Future Wind Sail
Footing to follow City Standards
18" Pier Cap 1 0 1 3.5-
16 x 16 Column Block / I
Ground
11
All other Pilasters to follow -All construction must comply with the 2016 California Building,
City Standard Electrical, Mechanical, Plumbing, and Energy Codes and the La
Footing Detail Quinta Municipal Code
-Continuous special inspection required for shotcrete placement
per CBC Section 1705, Table 1705.3 & Chapter 19
-Construction must comply with the California Swimming Pool
Safety Act and SB 442 including (2) drowning prevention safety
features
1
4" 1
PROPOSED
North East ONLY
Cement Footing Detail
Clear
13"
40" 36"
I-
4' Existing Footing
3
4„ I 6» 12"
3' Existing Retaining Wall
Detail - Neighbor Side
Property
9„ 11 4„
Ground
16" 25" 41"
t
PROPOSED 16"
FOOTING
25.5"
29.5"
40" 36"
4-
1 4„ 1
Clear
Imo-- 13"
4"
PROPOSED
North Iron Fence ONLY
Cement Footing Detail
62"
4" 129" 41 "
f
12"
3" i
6" �-- 12" --►I 8" 14»
�12"
4x4 Post 38" Below
Ground
41" Deep Footing
12" wide
pA4E 3 of `i
Proposed
North Iron Fence
Posts to Follow
Footing Detail as
Outlined
Proposed
South Iron Fence
Posts to Follow City
Standard Footing
Detail
100" Fence post-
14 GA
4x4
Ground
83" Fence Post-
14 GA
4x4
Ground
eAjF Ll of 7