BPOL2019-013678-495 CALLE TAMPICO U 4 Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number:
BPOL2019-0136
Property Address:
53125 AVENIDA RAMIREZ
APN:
774051016
Application Description:
MARQUEZ / POOL /SPA
Property Zoning:
Application Valuation:
$30,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ADRIANA MARQUEZ
53145 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Date: 8/6/2019
Applicant: ,p Contractor:
CHRISTOPHER GRIFFITH STATEWIDE SERVICES INC DBA STATE WIDE PL
78120 CALLE ESTADO #203 D 73700 DINAH SHORE STE 405
LA QUINTA, CA 92253 SUITE 405
AUG 0 6 2019
PALM DESERT, CA 92211
(760)699-5434
CITY OF LAQUINTA Llc. No.: 936147
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 N
40 /7ontr:
OWNER -BUILDER DE 4ATI
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 Name;
,Lender's Ad
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 k for which this permit is issued.
I have and wlII maintain workers' compensation insurance, as required by
Se n 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: &ENCH MARK INSU8ANCE COMPANY Policy Number: CST5015156
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% bar Code, I shall forthwith
comply with thgse provisions.
WARNING: FAILURE TO SECURE WORKERS' CONIP*NSAD4FhfrCOVERAGE 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 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 toent upon the above-
mentionedpr rty for inspection purposes.
Sig ature (Applicant or Agent • *"
Date: 8/6/2019
Application Number:
BPOL2019-0136
Property Address:
53125 AVENIDA RAMIREZ
APN:
774051016
Application Description:
MARQUEZ / POOL /SPA
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
CHRISTOPHER GRIFFITH
78120 CALLE ESTADO #203
LA QUINTA, CA 92253
Owner:
ADRIANA MARQUEZ
53145 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
STATEWIDE SERVICES INC DBA STATE WIDE PL
73700 DINAH SHORE STE 405
SUITE 405
PALM DESERT, CA 92211
(760)699-5434
Llc. No.: 936147
Detail: POOL AND SPA AT FRONT YARD WITH 10 LF OF CMU EQUIPMENT SCREEN [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. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. SPECIAL INSPECTION REPORT REQUIRED AT PRE PLASTER. 2016 CALIFORNIA
BUILDING CODE
FINANCIAL INFORMATION
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
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
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
,,. i
—
PERMIT#
PLAN LOCATION:
Project Address: CZ-11J rn
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN#:
Applicant Name:
Address:
City, ST, Zip: I iN LA, C�3
Telephone:
Email: ` Z
Valuation of Project $r��
Contractor Name: ���;a L C -�U �_ 1
rNew SFD Construction:
Address: � 1 � ��
Conditioned Space SF
City, St, Zip Ili ` q
Garage SF
Telephone: -� (,z J �02 5)9 c-
Patio/Porch SF
Email: W T . �
Fire Sprinklers SF
State Lic:D\Jf, \V\J City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: i 0 t�
New Commercial / Tenant Improvements:
Address: 3 �� �flc� _
Total Building SF
City, ST, Zip a
Construction Type: Occupancy:
Telephone: o
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtee Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
I
r
Site Plan
5 125 Avenida Ramirez
Po0I I r stallation
11
6-0" HIGH'
BLOCK '.^ALL
(E) 6-0" HIGH
BLOCK WALL
31-OlIX V'-01
M-1, GATE
6'-f3"HIGH
BLOCK WALL -
BLOCK WALL-
1 50 GALLON
PROPANE TANK
60- LEG SRACING
3fi" DIAMETER
E? a�
T-10" LENGTH
T-3" HEIGHT
u
Wf HOOD!
314 LBS_'-HEIGHT
T-6" HIGH
FLOCK WALL
(E) 5-00- HIGH
BLOCKWALIZ
(1) 24" B05;
C'ERCI W0
FLOR IUM (BLUE
PA,L , VERDE)
TXT CONC-
�;PAD
1%
`41tc�s`E
GARA.GE/NIECVi
461 SQ-FT-
Fj. .. ....
I1
II
I
RESIDENCE
1,854 SQ.FT_
II
Ir
!I
-----------------I
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j `dUMBERS VIS1BLE APAID �
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(1) 24„ oov, CERCIDIUM9
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FLORIDIUM (BLUE PA.LO
'
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IVA"MINOIDES "MYSTERv`;I=
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DRI'� E'A'A1` r;PPROACH I
REQUIRES A SEPERATE I
Pr;
INSPECTION F'• f�T_* I =, 0C�
OF L.A. QUINTA PUBLIC
WORKS DEPARTMENT
IPA
PA.
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BLOCK
1%I.F6'-3'HIGH
VNIALL
(E) 6'-0"
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1°Ea.
BLOCK
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pp BLOCK
LNALL
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4 - `—PROVIDE
12"x12"
n„ CUTOUT AT
AC BOTTC:'M FOR
Ca.'".iNAGE r
PA
EXISTING DATUM (1) 24" BOA: ACACIA
CURB AND POINT STENOPHLI.A
a GUFTTER (SHOESTEIRINc_ A.CAC:IA)
RESIDENCE 5'-L3"' HI+C�F%
ONNECTED TO BLC_X K V,IALL
IT` SE'A'ER SEE ENTRY ELEVATION
�� LQ"`C, • �6, 616 FOR MORE INFORMATION
RECEIVED
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JUL 3 0 2019 AVENIDA RAN11REZ
CITY OF LA QUINTA �6 s ON
DESIGN AND DEVELOPMENT DEPARTMENT S L 5 P")l A PA" 0/v-M
CITY ®F LA QUINTA
1 BUILDING DIVISION
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REVIEWED FOR
CODE
COMPLIANCE
DATE BYr jam!
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