13-1287 (RPL)54540 Alysheba Dr
IIIIIIIIIIIIIIIIIIIIIIIII 1
P.O. BOX 1504 E
- 1
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00001287
Property Address: 54540 ALYSHEBA DR
APN: 767-770-069-41 -32879 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000
Applicant: Architect or Engineer:
LIC/rofessionals
ACTOR'S DECLARATION
I hereby affirm under penalty of perjury that er provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business Code, and my License is in full force and effect.
License Class: 8 0, 27, 2cense No.: 656128
Date: O !r 7 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
1 _) 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.).
1 _) 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 Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/09/13
Owner:
LENNAR HOMES OF CALIFORNI N A
980 MONTECITO DR. SUITE 3
CORONA, CA 92879 11
OCT 112013
LContractor: CITY OF LA QUINTA TESERRA FINANCE DEPT.
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. 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
'111/for by Section 3700 of the Labor Code, for the performance of the work for which.this permit is
issued.
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. My workers' compensation
insurance carrier and policy number are:
Carrier EVEREST NATL IN Policy ber 7600006481131
I certify that, in the perforyshallrthwith
for which this permit is issued, I shall not employ any
person in any manner subject to the workers' compensation laws of California,
and agree that, if I shout to the workers' compensation provisions of Section
370 of the Labor Codcomply with those provisions.
Date: ft / 7 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 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of Zinfr
t.
2. Any permit issued as a result of this applimes null a id if work is not commenced
within 180 days from date of issuance oit, or c s on of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that inf r tion is correct. I agree to comply with all
city and county ordinances and state laws relating to ns ction, and hereby authorize representatives
of thisthe above-mentioned proaction purposes.
Date: %$tgnature IApplicant or Agent):
Application Number . . . . 13-00001287
Permit . . . POOL 2013
Additional desc . .
Permit Fee . . . . 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 4/07/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
----------------------------------------------------------------------------
178.75
Permit ELECTRICAL 2013
'Additional desc . .
Permit Fee . . . . 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 4/07/14
Qty Unit Charge Per
Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20
----------------------------------------------------------------------------
23.83
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . Valuation
0
Expiration Date .' 4/07/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, BBQ AND FIRE PIT AT REAR YARD
[DOUGLAS FERRELL ENGINEERING] THIS
PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
October 9, 2013 4:07:13 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . .'. . . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, ELECTRICAL
23.83
.PLAN CHECK, POOL
97.24
PLAN CHECK, PLUMBING
23.83
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 214.50 .00 .00
214.50
LQPERMIT
Application Number . . . . 13-00001287
Plan Check Total .00 .00 .00
Other Fee Total 146.90 .00 .00
Grand Total 361.40 .00 .00
LQPERP1IT
.00
146.90
361.40
6
Bin #
. 0ty of La QuIntd
Building &r Safety Division 0 C I 0 8
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 CITY OF LA QUI •
Building Permit Application and Tracking S&ggMUNITY EL I
Permit #
Project Address: s y 0 LY r tic
Owner's Name: f qf;� YIZC.e.VN
A. P. Number:
Address: SYI V2144-Y'Spa,
Legal Description:
City, ST, Zip: 6A QUI,4T-A 25.3
Contractor: '
Telephone:
p
....: •v:,4.'�i!:ii:l y: �fv:}{4;{i•ri:i
s�rr k>:<,::.•«:':s>r`^> <;>
Address: 26 /00�tc S,
Project Description: tt/ OOL 1' Z1
City, ST, Zip: 2� J:
L t
Telephone:/0 �%8 2 2
%"'::srt:>s3,LAS
4- W15
State Lic. # : CIS 6. l Z 8
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:,::.::..,;:;.::•:Y....::;•:::.:,.;.......:.
�.,:;,:...:;:,,;«.>.:.»»>: �;l:;;;<::.:;•:;;;;;:,..
State Lic. # :;''<'s:n:i>;s>?:>«> ::;:r:z:<:a •<>:::
.............
V O
Name of Contact Person: tilt
Construction Type: Occupancy:
Project type (circle one) ew Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone #,of Contact Person: p P ro ZJ jig
Estimated Value of Project: "?0100 O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
�%
�J
Plan Check submitted I l&I (3
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'^'Review, ready for correction su %*{Developer
Impact Fee
Planning Approval
Called Contact Person OPORA.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees
1614%11-
�'+�0►K to ISRu.v W (�� i 1 oi�i -
M
rA
'MENT
L
✓C