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BPOL2019-0249Tityl D 4QK&M VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Permit Type/Subtype: POOL/PRIVATE Owner: Application Number: BPOL2019-0249 IOTA GRIFFIN Property Address: 54885 MADAGASCAR WY 4675 MACARTHUR CT NO 1550 APN: 767800081 NEWPORT BEACH, CA 0 Application Description: LENNAR / POOL, SPA, BARBECUE, AND FIREPIT Property Zoning: Application Valuation: $25,000.00 Applicant: --�Contractor: KEVIN GILLINGHAM - TESERRA TESERRA P O BOX 1280 P O BOX 1280 COACHELLA, CA 92236 D COACHELLA, CA 92236 DEC 0 2 20190 (760)389-9222 Llc. No.: 656128 CITY OF LA QUINTA DES)Cl�l&DM�QPME�kT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class; - Ic se No.: 656128 f G Date: Cantractar• OWNER -BUILDER DEC ATION I hereby affirm under penalty of perjury that I a xempt 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 Addre: Date: 12/2/2019 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 p ork for which this permit is issued. have and will maintain workers' compensation insurance, as required by ec 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: BENCHMARK INSURANCE COMPANY 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tthus�(pprovisions. ///f 0ate:,!'v,? !. ..[._ Applicant// " / � WARNING: FAILURE TO SECURE WORKERS' COMPENS ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES 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 to enter upon the above - mentioned 7property for inspection purposes. Date: oL Signature (Applicant orAg Date: 12/2/2019 Application Number: BPOL2019-0249 Property Address: 54885 MADAGASCAR WY APN: 767800081 Application Description: LENNAR / POOL, SPA, BARBECUE, AND FIREPIT Property Zoning: Application Valuation: $25,000.00 Applicant: KEVIN GILLINGHAM - TESERRA P 0 BOX 1280 COACHELLA, CA 92236 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH, CA 0 Contractor: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 (760)389-9222 Llc. No.: 656128 Detail: POOL, SPA, BARBECUE, AND FIRE PIT, AT WEST/ ENTRY COURTYARD [DOUGLAS R. FERRELL.ENGfNEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND HARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE. FINANCIAL DESCRIPTION INFORMATION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 j Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.83 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.83 Total Paid for ELECTRICAL 2019; $53.66 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $13.42 DESCRIPTION ACCOUNT CITY AMOUNT GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $26.83 Total Paid for PLUMBING 2019: $40.25 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $201.25 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $109.48 Total Paid for POOL / SPA 2019: $310.73 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 .4 ta Qmwtrru PERMIT # -bp 0 ao L 9 — � RO NT Gp u aT+�1ti PLAN LOCATION: Project AddressL /�� a Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: i Applicant Name: i / n Address: City, ST, Zip: Telephone: , 0, �r�y Email: � - / ✓ L7 Valuation of Project $r; 72 OZ;1, � Contractor Name: _ New SFD Construction: Ste. - Address: �119 Ave - Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: Q �� �' City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: n New Commercial / Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 "SPECTFIOAT'IO.NFS NRE 3� - arc - Y- 14W UOFPDOLONLV 4ia3D.FT.. DEPTHS mw Su' - 3FAX CWABWEBsm mn lraUiR.Fr:. -- CIFICATIONS 'TILE � q aoi`ae`mnmrf*in:sv,.lw.avwamucncn-volw.ue�xu.�nxxoeel ixwoMwwarr.eaewHwmm.Tamlar.Hw ruegmmlour iwceeiaeiw,aFrtemww.cema®nrnevuw. `'"� �,�, �mwHuniassE.ar,�a�s:,ow.ras A CUSTOt�USTO P OJM PROECT FOR: GRIFFIN RANCH LOT 165 II GRIFFM RANCH DANIEL K VISIONS DATE. 15 S 1 —� — 1 PL -- PL 12 C SPA SPLIT MAIN DRAIN SUCTION MINIMUM3'APART. n J ANTI -COVERS IU"ASME/AN.SIAPPRDVED 1� 15"WIDE POURED IN PLACE LIGHT BROOM FINISH COLORED CONCRETE COPING DOOLBPLIT MAIN DRAIN SUCTION MINIMUM TAPART, ANTI -COVERS I4"A$ME /ANSI APPROVED .I$ AROUND Pool .. SAFETY FEATURES: NLINI4ENTMPNFNfCO49iwaMIIPTW W119q atlgSrcrm TEf11NGNm w4TFPousoallEALFAM ea oµ6!P➢6C ImIwwf1H NECWIKXBW18A8(ISp Jtj . `. i Q �wr Lo 44 V�,.Lo Is �. O �: Z ELECTRICAL EUUICb1BRNLBG8MN3PF�UINENE1ffa8WLLlBE 161µ1E0TOELIWATE VpLLrGE 2016 CALIFORNIA BUILDING C 2D 16 CALIFORNIA MECHANICA 2016 CALIFORNIA PLUMBING c 201&CALIFORNIA ELECTRICAL 201 6 CALIFORNIA ENERGY EFF DE(6/iam...IBC) COOEIa45F0ON.UMC1 DE(.0NZFI? l—.— ODEI�aEOCI„ip6 NEC) IENCY STANDARDS U 6 wClrtaxelRlrmoEsee+wxn+ezto6l ExCwrIN purlwuorocaxwx:T.wrexrwvr.Tmxs IN iNl'Ih'MATNM441161 AT1£1 T T10NCRpNOwra. gara RLORfiMIHQLWGTIWTEILAwTRHLFTIE °�uxrcRrAouvwvec akCAV TWtPHO FPPALTG'K.TIE IXGVATOASIINI pL+mnExer u'vrmsoN mE;.rvaornwTERE¢IoeuL HOT M]RETNW I�(ALRa1M vA'OONrueEooxwx:lEO.-- a'm FATErdIRNH1IEPIHROH S E �.E �iT f O N S �1 M / ' —DA-G l C /�' R V / A(AY _ Y Y _ . O1 WMNIlEuwoH©TNa+aETOeEe(G\vnT® "I J Tt _ � Z Q J [If M if WW� (� L- 0 I n D CQN STRU CTI❑`N AU HQRIZATIQN STONE INSTALLATION OF POAND EQUIPMENT WILL COMPLY WITH SECTION 114, MANDATORY REQUIREMENTS _ SALES FIELD T1lE _ EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS TO THE POOL DIG PAVERS PRE-GUNIT CONCRETE POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU PACTURER'S RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS UNDERGROUND ��� MASONRY ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, FIELD LAYOUT WALVARN DECK BOULDERS BOULDERS PRE -PEBBLE oaRACE roIE . ,tAiwlaB. i�r°a�mmac