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BPOL2014-105878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Quite c&tt 4 L COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2014-1058 Property Address: 54010 CANANERCIR APN: 767780066 Application Description: NEW POOL SPA BBQ AND FIRE PIT Property Zoning: workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Application Valuation: $35,000.00 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 656128 Date: E o2 !t—_L Contractor: ✓ !/ VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/24%2014 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH, CA 0 Contractor: TESERRA PO BOX 1280 COACHELLA, CA 92236 (760)398-9222 Llc. 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: OWNER -BUILDER DECLARATION Carrier: Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: / �r�C y a' LI Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ( ) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose ( ) 1, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 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. 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 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: 1-d1, 1 v / 7 Signature (Applicant or Agent):. , // FINANCIAL •• l. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 • $24.17 $0.00 PAID BY ` METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT . PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $.0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPOOL / SPA: $279.91 $0.00 • 1 00 Description: NEW POOL SPA BBQ AND FIRE PIT Type: POOL Subtype: Status: APPROVED Applied: 9/22/2014 MFA Approved: 9/22/2014 KHE Parcel No: 767780066 Site Address: 54010 CANANERO CIR LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 289 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: POOL, SPA, AND FIRE PIT [D. FERRELL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. __j Applied to Approved CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA PO BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA PO BOX 1280 COACHELLA CA 92236 OWNER IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH CA 0 Printed: Wednesday, September 24, 2014 12:32:59 PM 1 of 2 �V L/ (w�/-v/' SYS7Eti1S DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY CLTD BY 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 I $0.00 PC Total Paid for POOL / SPA. $279.91 $0.00 TOTALS: $366.51 $0.00 I INSPECTIONS SEQID INSPECTION TYPE I . NSPECTOR SCHEDULED COMPLETED DATE DATE RESULT. REMARKS NOTES FINAL" . BOND INFORMATION Printed: Wednesday, September 24, 201412:32:59 PM 2 of 2 rp"fSYSTEMS r,U Bin # City ®f La Qwfnta Building &r Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 L f La Building Permit Application and Tracking Sheet Project Address: Owner's Name: A. P. Number: Address: 6)1R/JA-owe-t20 6t2Ct.1- Legal Description: - - City, ST, Zip: IA;:).- lAi i n rrta- / W 927 �Z Contractor: -TF5 e7e p A -C Telephone: ' j> s%`• h€>> ''.0 r.:::< fi , Address: �6 l �� Project Description: City, ST, Zip: 60gAr Lam- C 2236 % Telephone: State Lic. # : �p S4 Z g City Lic. Arch., Engr., Designer: Address: City., ST, Zip: Telephone State Lic. #: 7;`;3`?wk? ``:<''"t'':`' `i>u`>v<<?< Construction Type Occupancy Project type (circle bne):taE5-u> Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: Sg E5 1 # Stories: # Units: Telephone #,of Contact Person: 7 6 U -2 - % L/ Estimated 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 Calcs. 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 HOUSE: '"' Reyiew, ready for correction issu Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Sci1061 Fees J Total Permit Fees NO EiUSTING LANDSCAPE LtCH-1NG IN REAR YARD • NO FK G-T14G OVERHEAD UTILITY LIN€S IN REARYA ) r PATIO FURNITURE FOR ILLUST1RATiO414 PURnSE5 ONLY POOL SFI MIHIMUM 10' ASME FIREPIT AT+1g" MrN L GH7 R' COLORED CONCRETE CAP. 7', FACE AND i-AVA ROCK MEDIA 3 PIECE CATALINA BF-LdARD PAVER DE 1MTH iJLBtIT BROOh1 FI NISH CCLCRFZ CONCRETE COPING AROIJN6 POOL ONI 164' - I? POLYPROPYkENE GAS wPE - POUL i SPA LIGHT JUNCTION BOX PUOLI SPA LIGHT ON GROUND FAULT CIRCUIT INTERRUPTER POOL EQUIPMENT 50 AMP SUSPANEL — VV" 9T CLEARANCE AT F RAT AND SICE POOL EQUIPMENT; 400.000 BTU HEATER 'ALL EO W PMF NT SHALL BE SEIMiCALLY ANCHORED ELEGTRIG 3 PIECE CATAUNA BELGAPI] PAVER TRASI CITY OF LA QU gIStiLDIN jotp� �� E pA � r Fi 6-e c,014"/ INSTALLATION OF PO4L SYSTEMS AND ELIUIPMl NT VYILL COMPLY WITH SECTION 114 - W MDATORY REQUIREMENTS $-:uT Aim V$ TO ME WST u LFo ON ALL DGQRS WFT14 d1RECT ACCESS TO THE POOL r POOL HEATERS r PUMP EQUIPMENT SHALL BE INSTALLS) PER MMU FACTURER'S i1EComMENDATIONS AND IN ACCORDANCE WITH LOCAL HEGULATIONS ALL DECKfNG EXPANSION JOINTS FOR RFPFknE`NTkDN OkLY. FIELD LAYOUT %ROLL VARY CANANERO CIRCLE Ir I.i I '4x 94 FT r rrasllcrALlwi �EL•31LRi=hV4FJr pfitalN[i PDLISHED COLOR CONCRM MUNTERT�)P AT-,W'% M3F ALFRFSCOALX2WREGIJE. S AINLESE &EEL ACCESS DOORS. tE4] FLEX LIGHT UMBRELLA SLEEVE. 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