BPOL2019-026578-495 CALLE TAMPICO Tjbt D '"`��AJ
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2019-0265
Property Address: 54195 ARDENNAIS DR
APN: 767800011
Application Description: GRIFFIN RANCH / POOL,SPA, [2] GAS OUTLETS
Property Zoning:
Application Valuation: $25,000.00
Applicant: D
TESERRA
COACHELLA,0CA92236 JAN 03 2020
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: - ce �`e No.: _
Date: I� 0 ContractsL
OWNER-BUILDERDECY
TION
I hereby affirm under penalty of perjury that I am empt 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/3/2020
Owner:
IOTA GRIFFIN
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
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 e a for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
echo 00 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 tN5QRANCEM A Y 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 wi those provisions. �
Date: 19 Applicain
WARNING: FAILURE TO SECURE WORKERS' COMP ATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI 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 ofthis 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 properI for inspection purposes.
Date: Signature (Applicant or Age
Date: 1/3/2020
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
TESERRA
POBOX 1280
COACHELLA, CA 92236
BPOL2019-0265
54195 ARDENNAIS DR
767800011
GRIFFIN RANCH / POOL,SPA, [2] GAS OUTLETS
$25,000.00
Owner:
IOTA GRIFFIN
4675
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
LIc. No.: 656128
Detail: POOL AND SPA AT SOUTH SIDEYARD AND [2] GAS OUTLETS [DOUGLAS FERRELL POOL 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
FINANCIAL INFORMATION
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
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.42
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.83
Total Paid for PLUMBING 2019: $40.25
DESCRIPTION
ACCOUNT
QTY
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
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 .� a
62
PERMIT # 13 o ok
PLAN LOCATION:
Project Address: SY `' Kr{/J�J vNAtS
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN
ilkd
Applicant Name:V;,q
6, 4a /y-)
Address:
City, ST, Zip:
Telephoner .may
%
Email:
/
Valuation of Project 42a
Contractor Name:
New SFD Construction:
Address: ��
Conditioned Space SF
City, St, Zip &,
Garage SF
Telephone: r)
l
Patio/Porch SF
Email:
Fire Sprinklers _ SF
State Lic: 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:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
F
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD
PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY
POURED IN
SPECIFICATIO
TYPE GUNITE SIZE_
BURFACEAAFAOFPDOLONLr aI. so.FT.
PERIMETER IN LN.".. DEPTHS
PoGL B SPA COMBINED 5NSO.FT I190 LN.f
9'X3' SMOOTH FINISH AND SEALED CONCRETE COUNTERTOP AT
+36', ALFRESCO A -XE-36 36' BARBECUE, OLC36 36' STAINLESS
STEEL ACCESS DOORS, LED TASK FLEX LIGHT, STUCCO AND
PAINT EXTERIOR TO MATCH ARCHITECTURE
RAISED SPA AT+18- WITH POURED IN PLACE LIGHT BROOM
FINISH COLORED CONCRETE CAP, STACKED STONE SPILLWAY
AND TILE VENEER EXTERIOR, 6' TILE WATERLINE, PEBBLE
SHEEN INTERIOR FINISH, (6) HYDRO THERAPY JETS AT
ALTERNATE HEIGHTS
SPA SPLIT MAIN DRAIN SUCTION MINIMUM T APART.
ANTI -COVERS 10' ASME I ANSI APPROVED
TANNING SHELF AT 12' WATER DEPTI
AND ONE UMBRELLA SLEEVE
15- WIDE POURED IN PLACE LIGHT BROOM FINIE
COLORED CONCRETE COPING AROUND POOL
POOL SPLIT MAIN DRAIN SUCTION MINIMUM 3' APA
ANTI -COVERS 10' ASMEI ANSI APPROVED
PAVER DECK DRAINS BY 01
PAVER DECKING BY O
5'AF FIRE PIT AT t18' WITH POURED IN PLACE LIGHT BI
FINISH COLORED CONCRETE CAP, 2'4' BLACK LAVA R
MEDIA, GAS VALVE AND KEY, BURNER ASSEMBLY, STL
AND PAINT EXTERIOR TO MATCH ARCHITECTURE
GA
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 - MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
TO THE POOL
POOL HEATERS I PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FA
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,.
FIELD LAYOUT WILL VARY
ARDENNAIS DRIVE
CITY OF LA QUIN?
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATEI7l
218' - 2' POLYPROPYLENE GAS PIPE
LENNAR TO SUPPLY MAIN
GAS, ELECTRIC AND WATER
CONNECTIONS AT POOL
EQUIPMENT AREA
IOL EQUIPMENT TO BE WATER
INDED AT THIS LOCATION
IOL EQUIPMENT: 400,000 BTU HEATER
LL EQUIPMENT SHALL BE SEISMICALLY A
IOL EQUIPMENT 50 AMP SUBPANEL
TH 36' CLEARANCE AT FRONT AND SIDE
AVER DECKING
I HOUSE 2D0 AMP ELECTRICAL PANEL
0
2016 CALIFORNIA BUILDING DOD (BFeE00NIDM WG)
20 6 CALIFORNIA MECHANICAL ODE(9ISB)IXI IDl61I I
2016 CALIFORNIA PLUMBING 1 CO E(d^&EoaR2Wd1ACp.....-.
206 CAL FO RNIA ELECTRICAL C DE(scSE00N3�xE0)
201 6 CALIFORNIA ENERGY EFFICI NCY 9TAN DARDB
N 5TRU CTION. AUTHORIZATION
11 SALES 11 FIELD
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MB# DRX#
�nnnn I REVISIONS
DATE.
SELECTIONS
GOLD RUSH - SPA SPILLWAY ONLY
1GROlR (STANDARD WHITE 931-TE¢
PEBBIPLAS SHEEN: WHITE DIAMONDS
DRAINAGE NOTE:
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