The URL can be used to link to this page

BPOL2016-0086_ - K 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 . D Application Number: BPOL2016-0086 Property Address: 54290 EISENHOWER DR APN: 774253002 Application Description: BLUME RESIDENCE . ELECTR Property Zoning: Application Valuation: $12,000.00 Applicant: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 V aNtiMCl/ VOICE (760) 777-7125 UU FAX (760) 777-7011 Omu TY P T DEPARTMENT INSPECTIONS (760) 777-7153 aB.UILD'ING IT Date: 6/9/2016 JAN Owner: DEANE BLUME G,�EVE10PMr�10 54290 EISENHOWER DR 3PtbN LA QUINTA, CA 92253 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, C10, C29, C53, C27, D12 License No.: 656128 Date: _ l �� .—Contractor: OWNER -BU .*DER 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'l 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 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 0 Contractor: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 (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' 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: �— L Applicant: WARNING: FAILURE TO SECURE WORKERS' COM ENSATION 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: Signature (Applicant or Agent l DESCRIPTION,' FINANCIAL INFORMATION ACCOUNT, QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 f 0 $1.00 $1.00 6/9/16 PAID BY- METHOD RECEIPT # CHECK # CLTD BY 'TESERRA CHECK R16124 134741 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DETACHED SPA/OTHER 101-0000-42404 0 $181.29 $181.29 6/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TESERRA CHECK R16124 134741 MFA DESCRIPTION ACCOUNT QTY • AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $98.62 6/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TESERRA CHECK R16124 134741 MFA Total Paid for POOL/ SPA: TOTALS::0$280.91 $279.91. $279.91 Description: BLUME RESIDENCE . ELECTRIC SPA ONLY Type: POOL Subtype: Status: ISSUED Applied: 6/9/2016 MFA Approved: 6/9/2016 MFA Parcel No: 774253002 Site Address: 54290 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 300 Lot: 22 Issued: 6/9/2016 MFA UNIT 27 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $12,000.00 Occupancy Type: Construction Type: Expired: 12/6/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ELECTRIC SPA ONLY. ELECTRICAL CONDUIT TO BE INSPECTED. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. Printed: Thursday, June 09, 2016 2:08:57 PM 1 of 2 SYSTEMS ADDITIONAL CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA P 0 BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA P 0 BOX 1280 COACHELLA CA 92236 OWNER DEANE BLUME 54290 EISENHOWER DR LA QUINTA CA 92253 Printed: Thursday, June 09, 2016 2:08:57 PM 1 of 2 SYSTEMS INSPECTIONS BOND INFORMATION Printed: Thursday, lune 09, 2016 2:08:57 PM 2 of 2 ' SYSTEiv1S CLTD ,. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAIDZY BY. DETACHED SPA/OTHER 101-0000-42404 0 $181.29 $181.29 6/9/16 R16124 134741 CHECK TESERRA MFA., SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $98.62 6/9/16 R16124 134741 CHECK TESERRA MFA PC. - Total Paid for POOL / SPA: $279.91 $279.91 TOTALS::0$280.91 INSPECTIONS BOND INFORMATION Printed: Thursday, lune 09, 2016 2:08:57 PM 2 of 2 ' SYSTEiv1S Iain # City of La Quin ta* Building 81: Safety Division Permit #{ 78-495 Calle Tampico lQ La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: `j �"' 'f--'-5ej 1D w Owner's Name: A. P. Number: Address: Li , Legal Description: City, ST, Zip: (� Contractor: ld r� �? P Address: �—(�� Project Description: g e City, ST, Zip: Telephone: e: (po a 3ON State Lic. # : City Lic. #.: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: e. xx n Co tructi s on Type: Occupancy: P Y: State Lic. # ' ect hPa (circle on ePr J e Add'n Alter Repair Demo Name of Contact Person: �%�y� CG` 4�_ Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Vlf PtO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. 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 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, Total Permit Fees DE A d S`t2,�o CIS OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION N DATE �O,b gy J 1