BPOL2016-013778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: . BPOL2016-0137
Property Address:
79344 LIGA ST
APN:
776130012
Application Description:
MON HELLOW / POOL
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
lr
T4t!t °F 4 Qu&rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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 Clas : License No.: 656128
Date:.--/ Contractor. r �
OWNER -BUILDER DECLARAT
I hereby affirm under penalty of perjury that I am exe t 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.).
L___) 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/2016
Owner:
JOHN HELLOW =� w
— cv I ti
C, U
5 :L
Contractor: !_ U
TESERRA p ! g
P 0 BOX 1280-
COACHELLA, CA 92236 o
(760)389-9222
Llc. No.: 656128
WORKER'S COMPENSATION DECLARATION
1 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'
Chmpensation, as provided for by Section 3700 of the Labor Code, for the performance
oM370
for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
ectio 0 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity number are:
Carrier: STARSTONE NATIONAL INSURANCE COMPANY 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 W�ith those rovisions.
Date: 3 Applicant: L
WARNING: FAILURE TO SECURE WORKERS'COMP COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P LTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). 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- meintion7l property for inspection purposes.
Date: Signature (Applicant or Agent
Date: 9/23/2016
Application Number:
BPOL2016-0137
Owner:
Property Address:
79344 LIGA ST
JOHN HELLOW
APN:
776130012
Property Zoning:
Application Valuation:
$15;000.00 .
Applicant:
Contractor:
TESERRA
TESERRA
P 0 BOX -1280
P 0 BOX 1280
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)389-9222
s
—--------------
--------------------------------------
LIc. No.: 656128
Detail: RESURFACE POOL
--------
AND SPA, SPLIT MAIN DRAIN SUCTION. 2013 CALIFORNIA BUILDING CODES.
--------------------------------
DESCRIPTION
FINANCIAL INFORMATION
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
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
Total Paid for POOL / SPA: $279.91
11
q Bin #.. .
Permit #
Project Address:
A. P. Number:
Legal Description:
Contractor:
Address: �(�-1 co V
City, ST, Zip:,
Telephone:
State Lic. # : s
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
Cid of La QuInta
Building 81 Safety Division
P.Q. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:Ao—
Address: :/ I
Project Description:
Lic. #:
Construction Type: Occupancy-
a'
F Project type (circle one): New'Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Estimated Value of Project: D®
APPLICANT: DO NOT WRtTG RCA ntm ruie o enic
#
Submittal
Plan Sets
Req'd
RecdTRACKING
- - – – - —.— ■ .. - Gu�G
Plan Check submitted
amnwam-
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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 corrections/issue
Developer'Impact Fee
Planning Approval
Called Contact Person
A.I,p.p.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
`COURSh„HOMEOWNERS ASSOCIATION'
NOTICE OF APPROVAL
August 30, 2016
John and Denise Hellow
300 Rocky Point Rd
Palos Verdes Estates, CA 90274
RE: 79344 Liga
Dear John and Denise Hellow:
Your Request for an architectural change has been approved. Specifically, you have approval to proceed
with the following:
Hardscape improvements (install new pool/spa decking and coping, pavers, wate Hine tile,
quartzite) and landscape modifications (plant ten little johns, re -sod three specific areas in rear
yard and leave with grass), per submitted application.
We reserve the right to make a final inspection of the change to make sure it matches the Request you
submitted for Approval. Please follow the plan you submitted or submit an additional Request form if
you cannot follow the original plan.
Your approval is conditional with the stipulation of the following: No Stipulations.
You must follow all local building codes, CCRs, Architectural/Landscape Rules Standards and
Guidelines, and setback requirements when making this change. A Building Permit may be needed. This
can be applied for at the City offices.
Our approval here is only based on the aesthetics of your proposed change. This approval should not be
taken as any certification as to the construction worthiness or structural integrity of the change you
propose. If applicable, please be aware that you are responsible for contacting the appropriate utility
companies before digging.
Thank you for submitting your application and we look forward to receiving your notice of completion
upon commencement of completed work. For your convenience a "notice of completion” document has
been attached.
We appreciate your cooperation in submitting this Request for Approval. An attractive Community helps
all of us get the full value from our homes when we decide to sell.
Sincerely,
Troy Reis, CCAM
Community Association Manager
Enc 1. 1
P.O. Box 12920 Palm Desert, CA 92255 * 41-865 Boardwalk, Suite 101, Palm Desert, California
760.346.9000. *FAX 760.346.9997 * www.citruscoursehoa.com