BPOL2020-002878-495 CALLE TAMPICO C� D "11i�f�4!
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number: BPOL2020-0028
Property Address: 53285 HUMBOLDT BLVD
APN: 767700012
Application Description: DOAN / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation: $30,000.00
Applicant:
KEVIN GILLINGHAM - TESERRA D
P 0 BOX 1280 FEB 2 4 2020 D1D
COACHELLA, CA 92236
CITY OF LAQUINTA
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: C--8, C10, C29, C53, C27,
`D2 Ce to No.: 6561Z8
Contract oOWNER-BUILDER DECLAR ON.
I hereby affirm under penalty of perjury that I am a 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 Ad
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/24/2020
Owner:
RICHARD DOAN
53285 HUMBOLDT BLVD
LA QUINTA, CA 92253
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
❑j•• w for which this permit is issued.
���� I have and will maintain workers' compensation insurance, as required by
5ectlo 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:5TRR5T_ ONE NAT107VAL INSI�RANCE COMPANY Policy Number:
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
complywl h lhos provisions.
oat A IL71N. Applica r
WARNING: FAILURE TO SECURE WORKERS'COMPSP09TION 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 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 me lions property for inspection purposes.
Dat [.�[� Signature (Applicant or Agent . _ L
Date: 2/24/2020
Application Number:
BPOL2020-0028
Property Address:
53285 HUMBOLDT BLVD
APN:
767700012
Application Description:
DOAN / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
KEVIN GILLINGHAM - TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
Owner:
RICHARD DOAN
53285 HUMBOLDT BLVD
LA QUINTA, CA 92253
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
Detail: POOL AND SPA AT REAR YARD [DENISE POELTLER ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2019 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
QTY
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 �,_t�
— CP. M .,Id,,DFSFR_r —
PERMIT # ��� L 2-O Zd 002.
PLAN LOCATION:
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name: Xe If;,,,? j' �y7
Address:
City, ST, Zip:
Telephone: 1?- 27 51 /2 x
Email:/}Iy[`/% 1 1////�' (� ,/ p`l/
Valuation of Project $2,
Contractor Name:
New SFD Construction:
Address: _ ��
Conditioned Space SF
City, St, Zip a 6
Garage SF
Telephone:
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: 5 -j Z uM��6 a Jp.
Total Building SF
City, ST, Zip LA, Q J i WrA ca 1z 5-3
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
'. NO EXISTING LANDSCAPE LIGHTING IN REAR YARD - INFINITY EDGE LOWER BASIN AT-12" WITH 16"X24" 3=aTRAVERTINE -
• NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD _ CAP TILE WATERLINE AS REQUIRED, PEBBLE TEC INTERIOR
`. PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY Es POOL SPLIT MAIN DRAIN SUCTION MINIMUM V APART., / - SURF
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A INFINITY EDGE SECTION - _ _ - COPING, WATERPROOF GUTTER WITH AQURON spDRE
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VAC LINE WITH VAC - - SPA SPLIT MAIN DRAIN SUCTION MINIMUM 3' APART.
IIIIII-IIIIII LOCK COVER - ANTI -COVERS 40"ASME /ANSI APPROVED
WATERLINE TLE
/ n IIIIII—IIIIII , - 38"WD `11 / ROCKP
`IIIIII I COMPAC71) 12" TILE DAM WALL _ STEP DOWN SPAT AT 0", 9'x9' INTERIOR WITH 12"TILE. DAM cEenti
SUSGRADE WALL, 6" TILE WATERLINE DETAIL, PEBBLE TEC INTERIOR
PLUM TEC - FINISH,(8) FLUSH MOUNT HYDRO THERAPY JETS WITH PLu
- DEDICATED BOOSTER PUMP PoDL
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(2)POOL EQUIPMENT: 400000 BTU HEATERS 1. NIP CATION text xxxx (ql d °PiNP
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° CONSTRUCTION AUTHORIZATION Cop'.
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH E r - I TILE
8
SECTION 114-MANDATORY REQUIREMENTS DIG - SALES FIELD PAM
EXIT ALARMS TO. BE INSTALLED ON ALL. DOORS WITH DIRECT ACCESS
TO THE POOL U i Y s ¢h ( PRE-GUNIT CON
POOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S 6 I - zifi)t2' DxD - v UNDERGROUND
PEBf
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS - - '� J MASONRY _ PEBI
LOI
I.
CUSTOM PROJECT MADISONCLUBLOT 60B
F DATE I DESIGNED BY PROJECT MGR C
1' 62/16/2020 JT GRAHAM B.
DRs;nF I REVISIONS
SELECTIONS
)BE SUPPLIED BY GENERAL CONTRACTOR
) BE SUPPLIED BY GENERAL CONTRACTOR
EBBLE TEC COLOR T.B.S.
BY
- I
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY, ------ 'x MIRED DECK
FIELD LAYOUT WILL VARY — ------ n'Sxt2 TRY-if6x12'. 2.11 X - DRAINAGE NOTE:
PRE -PEBBLE