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BPOL2014-1059
78-495 CALLE TAMPICO D VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/29/2014 Application Number: BPOL2014-1059 Owner: Property Address: 79310 W W MISSION DR GUYJANSEN APN: 602250010 `---�EU Property Zoning: iF Application Valuation: $6,000.00 c� o cV z o Applicant: Contractor:S z O w o TESERRA TESERRA c� o PO BOX 1280 PO BOX 1280 Q W s o COACHELLA, CA 92236 COACHELLA, CA 92236 cn z (760)398-9222• �==, Llc. No.: 656128 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: C-8, C27, C10, C29, C53 License No.: 656128 Date % 2 9 _ 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).: (_) 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! 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 work for which this permit is issued. I 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: _ Policy Number: 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 those provisions. Date;-/ ZApplicant: 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 ($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 property for inspection purposes. Date,f7 y Signature (Applicant or Agent)1/f//e/fFy %�l'Y'N //� Ez: DESCRIPTION FINANCIAL INFORMATION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WATER FEATURE ONLY 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WATER FEATURE ONLY PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $279.91 $0.00 TOTALS::0 0.00 Description: WATER FEATURE AND FIRE BOWL Type: POOL Subtype: Status: SUBMITTED Applied: 9/22/2014 SKH Approved: Parcel No: 602250010 Site Address: 79310 W W MISSION DR LA QUINTA CA 92253 Subdivision: Block: Lot: 47 Issued: ' Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $6,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CA Details: COURTYARD BASALT COLUMN FOUNTAIN WITH FIRE BOWL IN THE MIDDLE, 72LF OF11/2 POLYPROPYLENE GAS LINE. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CHRONOLOGY CONDITIONS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Monday, September 29, 2014 2:22:37 PM 1 of 2 cl?ff"SYSTEMS PHONE FAX EMAIL - NAME TYPE CONTACTS NAME ADDRESSI CITY STATE ZIP APPLICANT TESERRA PO BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA PO BOX 1280 COACHELLA CA 92236 OWNER GUY JANSEN 6161 BIRCH POINT RD BLAINE WA 92253 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Monday, September 29, 2014 2:22:37 PM 1 of 2 cl?ff"SYSTEMS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Monday, September 29, 2014 2:22:37 PM 2 of 2 V?srs TEMS _ w CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY WATER FEATURE ONLY 101-0000-42404 0 $181.29 $0.00 WATER FEATURE ONLY 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Monday, September 29, 2014 2:22:37 PM 2 of 2 V?srs TEMS Bin # (D'Sn, City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 131— 2014-1 Project Address: 3 O / p� A v WAS Owner's Name: S A. P. Number: Address: 93 / 0 t' SS n) 1 � S Legal Description: City, ST, Zip: tA Q),31,14TI'Ar (2& 912 Lsl Contractor: r• o . Address: Project Description: V City, ST, Zip: Z A/ ;T Telephone. 3 5/22 Z W l_ State Lie. #: 1 2 City Lie. #c l q D/ 2 L O Arch., Engr., Designer: y A/ Address: City., ST, Zip: Telephone: ;;.<.:::<:<:. . ;.:::.:r <;;>y;:;z• := j.'':��>:v ;«:.::::;:;::::v; Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: u Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person:2Srj Estimated Value of Project: ©Q 0 # Submittal Req'd APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACMG PERMIT FEES Plan Sets 3 Plan Check submitted Item Amount Structural Cates. 1 Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2wd Review, ready for corrcctions/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Reyiew, ready for correctionkissu—d Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fccs cSEP 2 2 2014 C17Y OF LA QUINTA COMMUNITY OeVEL(jPnryENi I I . 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'. . , L _; _ ,- ,;:,� , - - , , "", -""t",� _, � i� � , 11 , � ', i _ , - , " , , , - - , � I � r? - "-4""". , ,_ L ,---- , . , ',,,, - , , ': �'.:�".,: ", -- L'�,�'-,.-4 � 7 - -, " _,�;i ,��,.�L'� .� '.�� -w"', " -��j" , 1L. � :" � I I � ` ".. � r , "' � _ , _ , .�,',�.T -1 I 1, - - I , � I � � ", �- -; -- - . , �,,, � -f"', -,�,`,-�',�'��Z I ;�� I - " (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF �,"�� :�,-"" , . I , ��,�L_ .." , ' � 4 � ,��i�,�.; . ,,�,� -- - , i�,� , I �; , """ . i � , i, � , - , - " L " , e _ , - - 'k , I - , ,� , -1 '� , , ': , " � �� �j, �,��',�% � , ,� `� ,��'��.��Lir-,-�:r] , -,-, - I" � �, . I 11 - I I "I � `�, �,, I �' � - -', - �- ---:::: : " , V��,''� -1 1, 1:,�,,l L: �-:;" -L I , �,�, '� -j � " � �"L'�" ' LOCAL BUILDING DEPARTMENT AT THE TIME OF ISSUANCE OF PERMIT.,-,,..,-,- ,��, ,,, ' L L - , ... . ....L ......... I .......... ......% , I " "' * , I % .1-11, 11 : .-:-*.�..�l*...,,.'.."..,:.":."..*.,:', V-14.�XI.. :��:.,.:..,��ll,�.%,.":�:,....!.".;.�.-....,.6...�.�..-."',:�":.".*..,.:.."".'..-...K..-..".",.:.*.*.".,:.:;,.,.,�FA%-I :'i',,-,"�- ��.,-,�Z ,��:'71,,�,� �, �., , . -, - , 'k _ -,Z,�,' - ��' '4,��','�"'��.,, , , -, . , � L �-.� - ",,-,, .; , �f - , ,;-L ' "� _, .,:, ""',;�4"-�'4 I- ' ";' " ' ""' � - �'!";',� "- - -:� -, �� ' � '�, ";'� '".";L"�`�:'� " �,�f,�- ,�, �L � � I I . '' � '� - . -,."-, ., - !,: -� "�"'�, , _ , i'-', L ��, - ";, 7, , " e � � ", - � ' L�', (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYSAFTER SHELL 16 ........ L - , , - ............ � , _ � ""� ,�� - 1. . " � , � �,' , " � I ��'- "'* - ,4 L, - , " - , " � -'A � �--.-,"'4-,',: "" , "', , � ., , � --I '' � - " , t, 'I jL ��, _-", �-, ,� S�, -�?", .� --,�y INSTALLED.' , I - . . � ........... I .............. .Y.I.I.I.I.I.I.I., ...... X�t'-'-'-*-.-'-.,.,',*,*,*.,.,-,,*., --..'1111'�", .1"'v"'Y ...... - '...............o........ I ........... ......".,...,...................... - ...... , , 1. -, , �,,-�:,,,,��-,�,�,- ,,,�4'� � , � "r-�77`4,�, ,�'�,",`�g'� "�,�'. "', �� " � I 11 �-" , , "' , ' :' -, ,��;., - -�"; , I I � '- __��', -'-,_�'�'j L -� ,` * L, 'L ��-,o�, ,4i,- ,� i:�� � ,�,�; �� 1, - � -11-1 , ,- ,�,�,-;",��,��' -�,I�':L , , " . . �, ,�� �'% I I ," -7- J " I � , . � - I � "I �� : I � I `�-� , , .f , ., -,�, ", �":� I �,��,,,, I I I . - , , ; L j,`� �L�'�'�,, " i4; �-�, I i L - , '��,�j' - ' � (4) AGREE THAT TESERRA IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, ,'� �',,�-� 'AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, .. .. ... . .. ... ... .... . . I . .. . - . I I , , , : " : ,'-� '�"-ef" 7 --- �" " ';'5',� - - -"� --' � �'L I . , 1. I � �� " - _ _ . ,, ��". ,,r I "� , , 11 _ , L:'. . L , LAWNS, OR OfHER ITEMS IN THE ACCESS ARIi 111,111* 1*1 - , , , -' - - � ��_ 71111- - .....".., ..................... ,t,-'. I I I .. . . ".. � ,� r �., � ,; ", . I " . , , - � ......... ..... 111- . , . r - 11, I , ��zl �� "', � ,!",�`,', - �, , ' - r ' , . I ,�,�O . :`�-*� ^�'- -'�,", �:'�','�-'� -i`r-,�,',:',, �, ,�7 ,-' a�.,.�,��`. �-,-� ,',�� --, - ';k , ..... I.... . .. .. 1. . 0 �N'-,,,, #1r,,,- I - I w '!�-%,�K<,''�,,,,,�: OW g FOR A POOL ENCLOS011i "' - "*.��'� _"', r'r'r �'r,� -�, , , " ,,, �:,:.r " I I � 'r' . I 1. � 11 � I I I , " , � (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL Ili . 11 '4-74`1;�,� 1� 11, - - , I � I 0 , �,." c- �, ,.,, - , , - ,� 1, �] I - ', �' " � ,1. PRIOR TO PREPLASTER INSPECTi ' '' "' -� -,� _r. r 7.1-1, ," r . :"., ,Ip�l- , -,%�., I '' 10 I , " I ,;�' , , "" - ,11-- '-�, ,:'�':j,��,', ''r%'- -,,,,r ' " ,Z.,,��?-,�,,�,,,`,`, , �' , �. , _�"�,'� � ,�, � '�I� �r: I ,� - I '' r I I I " I 11, . . . " � � �t - _ - _ - - , , , q 1 I— * � ,,,, �, ,� :', ..".. . 1. I - , , L; --,- -1.1'. ., . ,,%'"'� '' " - " . - L; �,-'�,".,��, �, ''?- ".'��""` �r�-�,r'.,���:','-':�-1.�-14�'.,�---' ..... r �,,, �,�,�,��,.: � , , I ,. � �:.�,�,� � (6) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS - DO NOT USE RU13EIER HOSE) , r " , .,;,-�`, "': 11 �. - � `�,,�,�;`�� -'�,� I �, ,� , I , `,� 1 1 �, , �".,..*....-'..*.'..'..-I.,.'.,.*.14.1.1.11�..., , - , 111--1 � � �.: ',%�,,',`�- 1��-,;�. *1 , *,�-� - !�`,, � t�, , 1, - � ' - "' ' - " ' � - r, e I- , ` � ' ' '. , 1 -7 - -r ��,� . " - , ,�-,�''�,,�,,�,-�-&��,,.�','�o',�-,.,��,:��,'- -, ':,�' ��N- -1 - ` .... , .,", . r, � %, � �, � " -,,;, � I �, ,�4� - '�� � " "Z' -0 � "..*.,.,.,".,".*.,.",".*.*.".'-'-*-F,.',�.? 0 : � I � � -11-�' �":`�',,,'�,,'- ' I . I � � " ":� .�r IT) TAKE NOTICE THAT THIS DRAWING IS THE SOLIE PROPERTY OF TESERRA AND THAT ANY USE YM06 -'11 ��'�'� 1�,-, r;-.',",�.t,-�, - -,I I 1� , , �r I �, , -, _:� -�, ,$. 1 ... .. , -7, � , ,�, �, I - - 11 11 ��,T �� ,11,�,,, � 1� -'r , ,;, _� ,,,� �, : ' . � , ', ' , '-, ' �, 1�,.� 17�,07�� � - r . , r �, � � �'w �,; '' , ".,o 11"11. I ... I I - 1�� f -1-1 11 - I '�;:,�,'V`i: I - -" . ". r ,,WRITTEN PERMISSION OF TESERRA IS PROHIBITED BYLAW �` , �, , 11 I �, �,� " , C��. , ,4,�,,, . r, ,,_, , . - .... .... I" , , I r - ,�', " -, '' -- , 1 '-,� , r, I . r 0 , - -, - - "� , , �� ,;�-�� -7�- . ,:. . ...- ,� - I , - " - � r , , , ' ,,�, ' -r �:�,""�4 " � - - � -- .- 1�'�f,�'��A�,'-,'A, t,- I ', - ,�,4-, ..� , � , V :1111, ,'',_,,.,-r,,"�,,,,,, _ .. * "I'll -1 .... - .. I I -� I- �� � , - - �,�t , I- .1 :";�,,-,V ,,, �� ,�, " ��-- "' " , _" , :� I . 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