BPOL2016-018578-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2016-0185
Property Address:
•54915 APOLLO CT
APN:
767790033
Application Description:
GRIFFIN RANCH / POOLSPA BBQAND FIRE PIT
Property Zoning:
Application Valuation:
$30,000.00
Applicant:
TESERRA
P O BOX 1280
COACHELLA, CA 92236
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 C30 C29. C53, Q7. 1)12Z,�Jj7qse No.: 656 28
OWNER -BUILDER DEC TION
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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/20/2016
Owner:
IOTA GRIFFIN
4675 MACARTHUR CT NO 1550
NEWPORT BEACH, CA 0
J
Contractor: /L�\
TESERRA D ►r "
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222 I �CITV OF LAaUINtA
Llc. No.: 656128 CAMMUNITIDMENTDEP---- '''
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: STARSTONE NATIONAL INSURANCE COMPANY Policy Number:
T10160317
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. / , _
WARNING: FAILURE TO SECURE WORKERS' COMPENSgKrN COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). fN 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. // 0 i
Application Number: BPOL2016-0185 -
Property Address: 54915 APOLLO CT
APN: 767790033
Application Description: GRIFFIN RANCH / POOL SPA BBQ AND FIRE PIT
Property Zoning:
Application Valuation: $30,000.00
Owner: .
IOTA GRIFFIN
4675 MACARTHUR CT NO 1550
NEWPORT BEACH, CA 0
Date: 12/20/2016
Applicant: Contractor:
TESERRA TESERRA
P 0 BOX 1280 P 0 BOX 1280
COACHELLA, CA 92236 COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
-----.----------------------------------------------------------------------------------------
Detail: 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. 2013 CALIFORNIA BUILDING CODE.
i
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FINANCIAL
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
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION }
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
Bin #
Permit #
Project Address: 5,44 / /S�
pity of La Quinta
Building 8T Safety Division
. _ 78-495 Calle Tampico
La Quinta, C.4 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Owner's Name: 6.
A. P. Number:
Address:.) _ i
Legal Description:
City, ST, Zip:
Contractor:
Q
Telephone:
hone:
Address:
Project Description: IRA a
City_ ST, Zip:
h ne
TeleP0
0�
State Lic. # : S
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
one:
C ontructi n
s o Type: ane
O
YP Y:
P
,
State .
Lic. #
Pro'ect e circle one New dd'n
e A Alter Repair- Dcmo
J h'P � )• 0
Name of Contact Person: O
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 3(9 OO
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Rcc'd
TRACKfNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Revicw, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
1{.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! 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,
I
Total Pcrmit Fccs
PERMIT INSPECTION HISTORY REPORT (BPOL2016-0185)
FOR CITY OF LA QUINTA
Pool 12/15/2016Application Date:Permit Type:767790033Parcel
Pool Construction (Private)12/21/2016Work Class:Issue Date:54915 APOLLO CT
LA QUINTA, CA 92253
Address:
Finaled Expiration Date:Status:Description:GRIFFIN RANCH / POOL SPA BBQ
AND FIRE PIT *** 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. 2013 CALIFORNIA
BUILDING CODE.
Owner:Contractor:Applicant:IOTA GRIFFIN TESERRA TESERRA TESERRA TESERRA
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection
Required?CompleteActual
Start Date
01/11/2017 Pre-Gunite AOR:17011107351
30028
Approved Duane Clayton No Complete
01/26/2017 Underground
Electrical
DCL:170125033803
2271
Approved Jake Fuson No Complete
Underground Gas DCL:170125033803
2272
Approved Jake Fuson No Complete
Underground
Plumbing
DCL:170125033803
2273
Approved Jake Fuson No Complete
02/14/2017 Deck Bond DCL:170214074036
0056
Approved Jake Fuson No Complete
03/10/2017 Pre-Plaster DCL:170309041408
2414
Approved Duane Clayton No Complete
03/17/2017 Final Building DCL:170317074859
0009
Approved Jake Fuson No Complete
78-495 Calle Tampico Page 1 of 1October 10, 2024