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BPOL2016-01101 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2016-0110 Property Address: 54890 CAVALCADE CT APN: 767790037 Application Description: LENNAR / POOL Property Zoning: Application Valuation: $30,000.00 4 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 01 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: IOTA GRIFFIN Applicant: u JUL 2 9 2016 �J Contractor: TESERRA TESERRA P 0 BOX 1280 C1TY OF LA QUINTA P 0 BOX 1280 CO.ACHELIA,CA92?36 (OMMUNFfYDEVELOPM.ENTDEPARTMENT COACHELLA,CA92236. (760)389-9222 Llc. No.: 656128 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 Cdotracto�, 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 S permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( )1, 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 contractorls) 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 Na Lender's Date: 7/29/2016 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. /G1"_ ,, 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: 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. �A D� a 7 2GApplican_/ 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. Dare 114 0 Signature (Applicant or Agen0 v!0 IIF✓ JCI441 AZ %Z Date: 7/29/2016 Application Number: BPOL2016-0110 Owner: Property Address: 54890 CAVALCADE CT IOTA GRIFFIN APN: 767790037 Property Zoning: Application Valuation: $30,000.00 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 R. FERRELL ENGINEERING] TH(S"PERMIT DOLS`N6T INCLUDE PATIO COVER. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. , .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 20 101-0000742403 0 $24.17 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL: $48.34 DESCRIPTION ACCOUNT QTY AMOUNT GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 DESCRIPTION ACCOUNT QTY AMOUNT' GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 Total Paid for PLUMBING FEES: $36.26 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 Description: LENNAR / POOL ADDITIONAL Type: POOL Subtype: Status: APPROVED Applied: 7/28/2016 RSI Approved: 7/28/2016 DCL Parcel No: 767790037 Site Address: 54890 CAVALCADE CT LA QUINTA,CA 92253 Subdivision: TR 328.79 Block: Lot: 198 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $30,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 7/28/2016 Details: POOL,SPA, BBQ, AND FIRE PIT AT REAR YARD [DOUGLAS R. FERRELL ENGINEERING] THIS PERMIT DOES NOT INCLUDE PATIO COVER. ALARMS AND BARRIERS REQUIRED TO BE -INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. a . TE mppllcv w mppl vvcv Printed: Friday, July 29, 2016 8:16:38 AM 1 of 3 SYSTEti1S ADDITIONAL CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL RAMSES SEVILLA 7/28/2016 7/28/2016 RECEIVED TELEPHONE CALL DUANE CLAYTON 7/28/2016 7/28/2016 CALLED MOISES (760-250-1941) AND LET HIM KNOW PLANS ARE APPROVED AND READY TO PICK UP. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI 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 IOTA GRIFFIN 4675 MACARTHUR CT NEWPORT CA 0 NO 1550 BEACH Printed: Friday, July 29, 2016 8:16:38 AM 1 of 3 SYSTEti1S BOND INFORMATION Printed: Friday, July 29, 2016 8:16:38 AM 2 of 3 Jr SYSTEti1S FINANCIAL j INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD. PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $24.17 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $36.26 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $98.62 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:00 BOND INFORMATION Printed: Friday, July 29, 2016 8:16:38 AM 2 of 3 Jr SYSTEti1S Eli ATTACHMENTS Printed:. Friday, July 29, 2016 8:16:38 AM 3 of 3 SYS 7EMS Permit City of La QuInt'a "Building 8i' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building- Pprmif Annfiritinn anr4 Tr3,44Pfrr Project Address: Sy �j O 'C�tLVAC�1 Owner's Name: Req'd A. P. Number. -.-vua InIJ LME TRACIC.IIVG Address: 10'76 G.'3L 4i�Cl4 pF Gp vj2 T Legal Description: Plan Sets City, ST, Zip: �3 Contractor: 7iSc,erZ/� Address: i56/,90 ^vc-- Std telephone::f;�'..,:: Project Description: /0,00z_ "� :•.f,5.:{:.;',»> :; City, ST, Zip: CP,p.6,.1F4J-,v 92236 P1 7— Telephone:760 i22� ;}irvry.{•:}{•.{v'e'.:l..t n f.:'ry,�'ff'Ii%:-i, 2± s��.�r•:�NR:>vr#:'�'.,;�,;• �nf'? ::'f.•ti.JGf'ir.f%:'/.•.'S Y�:fi,�:J'riS.i i+!%i v: State Lic. # S6 / 2 f5 City Lie. & Called Contact Person Arch., Engr., Designer: Plan Check Balance Address: Construction Type: Occupancy: Project type circle one . New D Add'n Alter Repair Demo City., ST, Zip: Telephone: � State Lic. #: iY}l:%3Y1.✓•k.,'.''�!,[l.�'•"•ti J.?:l!.''J•jV�+f:•%?�? ;<,:.,,{x...:� •,: 50:?., ;q"y,. X. - K E s s $v :;rw , <s; Name of Contact Person: es p t� Sq. Ft.: S(� #Stories: # Units: rL lcNuullc rr,ut L.ontact rerson: /(y O LSU • / `7 `7 Estimated Value of Project• 3 U, 0.00 ADDI IfIANIr. nn a H Submittal Req'd Rec'd -.-vua InIJ LME TRACIC.IIVG " PERMIT (FEES Plan Sets Plan Check submitted Item Plan Check Deposit Amount Structural Cates. Reviewed, ready for corrections Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calm Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval 'Plans resubmitted Grading Dcveloper Impact Fee IN HOUSE:- 30 Reyiew, ready for correctionsrssue Planning Approval Called Contact Person" A.I.P.P. Pub. Wks.'Appr Date of permit issue _--- _----__-_ Sc11061Fees Total Permit Fees