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BRES2014-1148Applicant: TESERRA PO 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. C27, C10, C29, C53 Licen a No.: 656128 Da e: Contrac 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).: (__j 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 Ad Contractor:, TESERRA PO 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 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. Datey1(/ —112`1 `E�Applicant: 4 ::�2 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: — Signature (Applicant or Agent): I VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011COMMUNITY LA QUINTA, CALIFORNIA 92253 DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT � Q D ate�l 10/2 014 Application Number: BRES2014-1148 Owner: OCT T l 4 ?. C Property Address: 79690 BAYA ST ST CRAIG JOHNSON 14� APN: 776250019 79690 BAYA STR ET Application Description: GAS & ELECTRIC FOR FUTURE BBQ LA QUINTA, CA CITY OF LA QUINTA � IUN[TYDEVELOPMENTDEPARTMENT Property Zoning: Application Valuation: $300.00 Applicant: TESERRA PO 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. C27, C10, C29, C53 Licen a No.: 656128 Da e: Contrac 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).: (__j 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 Ad Contractor:, TESERRA PO 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 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. Datey1(/ —112`1 `E�Applicant: 4 ::�2 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: — Signature (Applicant or Agent): I QTY AMOUNT PAID PAID DATE DESCRIPTION FINANCIAL INFORMATION ACCOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/24/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TESERRA CHECK R2381 125594 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 10/24/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TESERRA CHECK R2381 125594 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 10/24/14 PAID BY METHOD. RECEIPT # CHECK # CLTD BY TESERRA CHECK R2381 125594 MFA Total Paid forELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 10/24/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TESERRA CHECK R2381 125594 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $24.17 10/24/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY TESERRA CHECK R2381 125594 MFA Total Paid for PLUMBING FEES: $36.26 $36.26 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 10/24/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY' TESERRA CHECK R2381 125594 MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.50 • Description: GAS & ELECTRIC FOR FUTURE BBQ Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: ISSUED Applied: 10/24/2014 KHE Approved: 10/24/2014 MFA Parcel No: 776250019 Site Address: 79690 BAYA ST STLA QUINTA,CA 92253 Subdivision: TR 28719 Block: Lot: 19 Issued: 10/24/2014 MFA Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $300.00 Occupancy Type: Construction Type: Expired: 4/22/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 ZIP PHONE FAX EMAIL Details: INSTALL 120 L.F. 1.5" GAS LINE AND ELECTRICAL FOR FUTURE BBQ. 2013 CBC PO BOX 1280 Applied to Approved Approved to Issued Printed: Friday, October 24, 2014 11:35:11 AM 1 of 2 ADDITIONAL CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA PO BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA PO BOX 1280 COACHELLA CA 92236 OWNER CRAIG JOHNSON 79690 BAYA STREET LA QUINTA CA 92253 Printed: Friday, October 24, 2014 11:35:11 AM 1 of 2 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY kY DEVICES, FIRST 20 101-0000-42403 0 $24.17 $24.17 10/24/14 R2381 125594 CHECK TESERRA MFA DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 10/24/14 R2381 125594 CHECK TESERRA MFA Total Paid for ELECTRICAL: $48.34 $48.34 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $12.09 10/24/14 R2381 125594 CHECK TESERRA MFA OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $24.17 10/24/14 R2381 125594 CHECK TESERRA MFA OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $36.26 SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.50 10/24/14 R2381 125594 CHECK TESERRA MFA Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.50 $0.50 TOTALS: INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" Printed: Friday, October 24, 2014 11:35:11 AM 2 of 2 __ Lain # City of La Quinta Building &r Safety Division P.O. Box 1504, 78 -495 Calle Tampico. La Quinta, CA 92253 -.(760) 777-7012. Building Permit Application and Tracking Sheet ' Permit # �j Project Address: , 61 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: bC. V t Y,�Lz�71 Contractor: YVP Telephone: <: Address: 5— Project Description: City, ST, Zip: Telephone: — 2Z : r L StateLic. # : City Lie. Arch., Engr., Designer: 2 • L _ • r Address: City., ST, Zip: Telephone:17 Construction Type: Occupancy: State Lic. #: Repairair Project c rc a one): New Add'n Alter Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit fissuc School Fees Total Permit Fees N D EXISTIFIG LANDSCAPE LIGHTING IN REAR YARD ' N D EXISTING OVERHEAD UTILITY LINES IN REAR YARD WRCIUGNi IRGN GATE ' PATIO FURNITURE FOR ILLUSIAAltow PURPOSE13 ONLY 38 x99- WITH GATE IX- - - I}r-74 — EL DOIiADO STONE, 9ANTA BA"ARA ASHLAR COURS613 ROOF -It E TO MATCH 4X12 WD.9MII ex t2 INO.BM �7 STONE MANTLE � TV STUCCO TO ImT♦ H 14OUSE HEAT AND GI-0 MODEL RH-42 THICK STONE 14E FTH D�EG( OF SEL"kD VEWA-ARBEL SLAB 9%lM, VICTIDALLAN CABANA FRONT VIEW 10" MAIN HOLJSE 200 AMP Et ECTRICAL PANFI � DEMO OONCRETE SJDEWAL AS REQUIRED FOR ACCESS. REPAIR MISICRETE VMEN FINISH Lot 19 of TrW No 26719 n Me ctly of Lo Rurt%- codnl'a' of Rrverllide. emte of Cal.&mia, as pw mep record.d an July J, 1998 in Book 271. Paper 9S RI'Td 99 of maps IA thaolilCa of tta county racordar of sold codnfy [spel Lk+Rcripfion 158 .2' POLYPROPYLENE GASP IPE ELECTRIC CONDUIT INSTALLATION OF POOL 5YSTZM5 ANO EQUIPMENT "ILL COMPLY VGTH 9ECT10N 114 - MANDATORY REQUIREMENTS EXIT ALARMS TO BE INSTALL-M ON ALL DOORS VffH DIRECT AGCE3$ TO THE POOL PDX HEATERS 1 PUMP EQUIPMENT SHALL BE I1467ALLEO PER MANv FACTu RER's REC4MMENbAiIONS ANC IN ACC[]RDANCE VYt H LOCAL REGULATIONS ALL Dr=CKING UXPANSION JbINT'S FUR REPRESENTAJON ONLY, F115L0 LAYOUT VWILL VARY 0VMltH TQ MMUTAIN STPPP - K PER HOA WROUGHT IRON FEMCEAT+39' UARX Rit�Vh4I PAINT MATH FLEUR REL€S PER FGUT FJTUgF- PATIO DECK R+JTURE BBC AT +28 AND +42^ V41TH 71LE COURNTERTOP NOT $1ARt OF THIS JOL9 n BAYA �lSc.G1LwJ�`i" ixISTTM3 nE€r T6 RELIiIH w��CpPdoF },� 04P� o ifl7yr f 72.1' SPE0PFlCAT 101:® OPEN BEM. CATHEORALI:EIUNG 4VITl4 T-11TSGWOOD PAN'EUNGALL STAINED: TYRE 9LMTE.S1EE � x^�q TILE ROOF i0 MATCH EXISTING HOUSE SIIRFnGEdflEAOF at10L ONLY- Al3AV.PF. � _ rMM ETER Dow r-a. _VEFTM IaM r! IllLA -r4v 1°i�4ISH, FINIS}f FRAIAINC3 MATIL AROUND POOL a SPACOa1B1NCp_ ere90 rr,.o 11ay[{ ff. OlLJ1ANS WITH STt1GG4ANd PAINT TO PA 9PMWICA�i$Fa�` e L RAATCr HCmJsE; 'IWO IR I CRr41116 PAN L-ickfrS PRQVIGEGBYDWNERMOUNTED? WIRED BY aT�4aT-Earr34rL3r.r*u��i 001rTRACTORAND SVYITCHEC ATCOLLIMN. �' �La"p rm IV qb" EIGMT 18) SPOT�FLOOD LIGHTS PRMICED Rm BYOVMERMOUNTED AMP ED9YCONTRACTOR: aus®ararT�b"- — PR1]t1 VAON FOR T.V. AND CA6LE ASWE. apL wtvktr4PrAgF --__.2REPLACIrAND YLAREFOR TVM HEATERS PECl[I1�� Rl eEE alrn>< E->KOAvJW STEEL rEe1i,d7LG4G.4ARli. -._-- mom MfgC&FREMITIn$ - uFrra eaaxlm DE"L YES oEMOmLwe FP � I�vE e;.T,_ aEdCCrrR4W �- N� .-m [uF■rd■ CGYi-.fMTE REEN34IM _ ........ W YEe IWBLOAD 13WO >fAIG. 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Dow awc}-.,,. aD 1 3 CALrFi3RN1A 41LRVTIa1c0.4 CORE :4aeE6 nRr�aE4E 301 3 IaALWE]RNIA C'HEARY EFRIG1Cr+6Y eYANVAItae CON 3sUwm Q1e2 Awv1panN CONSTRILICTION AUTHORIZATION I S-1 Paz RE -GUN I i PENCE AND f,AIIE =ATION - EllccFilL,A�x[?ilSAND RtVg - C1tECRfi} os-c9.14 05.11-14 X,1.14 W11,1+ SELECTIONS QUARTZ GOLD RUSH NPT CERAWC "S. 202-SAND PICTRA TAf,WSAl14 IWRY R$A VY11H I40111k KK pEK Pl ►S ILPEBBLE SHEEN -DESERT GOLD ORAL WAE NOTE: �+ raltl mvlaFn b€ FEarR11wI an# oa4. br itls•rK -Wualwkm need. LLI LL_€ W