13-1684 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00001684
81747 BRITTLEBUSH LN
764-270-999-126 -300232-
POOL - RESIDENTIAL
MEDIUM HIGH DENSITY RES
.13000
Tiht 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------efessionals
--------------------------
UCCoCTOR'S DECLARATION
I hereby affirm and penalty of perjury that I er provisions of Chapter 9 (commencing with
Section 7000) ob vis' 3 of the Business aCode, and my License is in full force and effect.
Licens/e Class- 8 .27 2ense No.: 656128
,at S: l` 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).:
(_ 1 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.).
(_ 1 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 Address:
LQPERMIT
Owner:
ARNETT, JERRY & DONNA
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/13/14
-----------------------------------------------
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.
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 EVEREST NATL IN Policy Nuu4 7600006481131
I certify that, in the performance of thew r which this permit is issued, I shall not employ any
person in any manner so as to becom bject to the workers' compensation laws of California,
and agree that, if I should become lett to the workers' compensation provisions of Section
370 of the Labor Code, I shall hew comply with those provisions.
DAiel
Applicant:
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 Director of Building and Safety 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 ull and void if work is not commenced
within 180 days from date of issuance of such per cessation of work for 180 days will subject
permit to cancellation.'
I certify that I have read this application and state that the.abov nformation is correct. I agree to comply with all
city a d county divan s and state laws relating to buildi onstruction, and hereby authorize representatives
o is count o an
uponyte above-mentioned prop for inspection purposes.
Date: / Signature (Applicant or Agent):
A
Application Number . . . . . 13-00001684
Permit . . .
POOL 2013
Extension
1.00 11.9200 LS PLBG GAS SYS,
Additional desc . .
11.92
----------------------------------------------------------------------------
Special Notes and" Comments
Permit Fee . . . .
178.75
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/12/14
ENCLOSURE. ALARMS AND BARRIERS REQUIRED
Qty' Unit Charge
Per
Extension
1.00 178.7500
----------------------------------------------------------------------------
EA MISC
POOL/SPA
178.75
Permit . .
Additional desc .
Permit Fee- . .
Issue Date . . .
Expiration Date .
PLUMBING 2013
FIRE PIT
11.92.
7/12/14
Q
Plan Check Fee .00
Valuation . . . . 0
Qty Unit Charge- Per
Extension
1.00 11.9200 LS PLBG GAS SYS,
1-4 OUTLETS
11.92
----------------------------------------------------------------------------
Special Notes and" Comments
POOL, SPA 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. 2010 CALIFORNIA BUILDING
CODE.
January 2, 2014 12:43:51 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK,
POOL
97.24
PLAN CHECK,
PLUMBING
23.83
Fee summary Charged Paid
-------------------------------------
Credited
Due '
Permit °Fee Total 190.67 .00
--------------------
.00
190.67
Plan Check Total .00 .00
.00
.00
Other Fee Total 122.07 .00
.00
122.07
Grand Total 312.74 .00
.00
312.74
LQPERD1IT
Un
i utrett
Engineering Group, Inc.
751 Sunny Grove Lane • Glendora, CA 91741 Phone: (626) 335-4362 - Fax: (626) 963-4612
1/13/14
MEMO TO: Mr. Joe Matheny
Teserra
PO Box 1280
Coachella, CA 92236
MEMO FROM: Douglas R. Ferrell P.E.
Patrell Engineering Group, Inc.
Glendora, CA
RE: Standard Structural Pool Plan
2013 CBC Code Adoption
Riverside_ County
Dear Mr. Matheny,
By means of the following I will confirm that the Standard Structural Plan prepared by this
office for Teserra is valid for the recent code adoption of the 2013 CBC.
All new plans sent to you by this office in the future will reflect this change. If the Building and
Safety office is willing to accept this letter for your current project with the 2010 CBC
designation, it would be appreciated.
If there are any questions feel free to contact me.
L ENGINEERING GROUP, INC.
QROFESS' _`ql
Doug as R. Ferrell P.E.
Principal 994 . X
Ev. 6"/30/14
A% CNIL
S OF CALXf
Bin #
yw,�R Permit #
Project Address:
A. P. Number:
Legal Description:
Contractor,7—
Address: �p 0
City, ST, Zip:
Telephon(l0 `/� 94,
State Lie. #
Arch., Engr., Designer:
Address:
City., ST, Zip:
r
Telephone:
State Lie. #:
Name of Contact Person:
Telephone # of Contact Person:
Z
City of La Quinta 06-C '.9,
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Building Safety Division Cp 7),
P.O. Box 1504, 78-495 Calle Tampico MMCI(l/� OF44
La Quinta, CA 92253 - (760) 777-7012 Q� pi
Building Permit Application and Tracking Sheet
Owner's Name:
Address: 7' Le S-1
City, ST, Zip:
Telephone:•:.,:r...;.•::::.,.•...i;.;�.:4'•>,:.:.,.::
S Y Project Description: Aje<,J pey) I p
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::::.;:;<->i;;>:;;;:•:;;::;:;<..:;::::.:_:>;::: Construction Type• Occupancy.
"'x zv ?'::z::'<';'"`•'>%"'% <'%<,. `< Project type circle on NewAdd'n Alter Repair Demo
AM Sq. Ft.: # Stories: # Units:
�Q7ZEstimated Value of Project: !�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Cluck Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcctionstissue
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 correctioissue
Developer Impact Fee
Planning Approval
Called Contact Person %
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
or*tq %0 itssu*`6 W*11mumiriiiia