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BPOL2014-103678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: TESERRA PO BOX 1280 COACHELLA, CA 92236 V Titlr 444u;«rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPOL2014-1036 54090 CANANERO CIR 767780068 POOL, SPA, BBQ AND FIRE PIT $35,000.00 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 License No.: 656128 Date: O b Contractor: �ESE�Z/ZAa- VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO NEWPORT BEACH, CA 0 Contractor: TESERRA PO BOX 1280 COACHELLA, CA 92236 (760)398-9222 Llc. No.: 656128 Date: 8/15/2014 155 Carrier: Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 3 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any c Z cnC-) 0 D city or county that requires a permit to construct, alter, improve, demolish, or repair cC� 0 any structure, prior to its issuance, also requires the applicant for the permit to file a r0 T h1 �S € signed statement that he or she is licensed pursuant to the provisions of the �, o m � O Contractor's State license Law (Chapter 9 (commencing with Section 7000) of Division 3 r of the Business and Professions Code) or that he or she is exempt therefrom and the H m z � H 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 r of the Business and Professions Code) or that he or she is exempt therefrom and the Date: o / 2 dI Applicant: /vL D/f Er JC /9ilr//2� Z 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 (_) 1, 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 (_) I, 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. (__j 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 Addre: 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: �S Signature (Applicant orAgent):,4-/4/fJ-7 /0- 6: FINANCIAL INFORMATION 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 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $47.66 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $11.92 $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 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $35.75 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $178.75 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $97.24 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPOOL / SPA: $275.99 $0.00 TOTALS:• $0.00 Description: POOL, SPA, BBQ AND FIRE PIT Type: POOL Subtype: Status: SUBMITTED Applied: 8/15/2014 SKH Approved: Parcel No: 767780068 Site Address: 54090 CANANERO CIR LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 291 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: POOL, SPA, FIRE PIT, AND BBQ [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE. 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: Friday, August 15, 2014 9:33:01 AM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY DEVICES, FIRST 20 101-0000-42403 0 $23.83 $0.00 DEVICES, FIRST 20 PC 101-0000-42600 0 $23.83 $0.00 Total Paid forELECTRICAL: $47.66 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $11.92 $0.00 OUTLETS GAS SYSTEM, 1-4 101-0000-42600 0 $23.83 $0.00 OUTLETS PC Total Paid for PLUMBING FEES: $35.75 $0.00 SWIMMING POOL/SPA 101-0000-42404 0 $178.75 $0.00 SWIMMING POOL/SPA 101-0000-42600 0 $97.24 $0.00 PC Total Paid for POOL/ SPA: $275.99 $0.00 TOTALS:• $0.00 I INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" Printed: Friday, August 15, 2014 9:33:01 AM 2 of 2 RWYSifMS Bin # City of La Q uin to Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: •e t,� N P, A. P. Number: Address: S p N P� N FPZQ Legal Description: GCl?-CLE,— City, ST, Zip: �� v N { 12Z 5-3 Contractor: Te SE Telephone: Address: Project Description: 001. ` ( City, ST, Zip: CO -P4 IE -L1, KN CjZ23(o l 2C Telephone: State Lic. # : S(p 2 e City Lie. #.. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lie. #: ? n ....•>: , % <f.>> :::<':1::::::;::':::;: ;;:?::<:::::< >:: ................................................. Construction Type: Occupancy: Project type (circle one)• New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: 3Z # Stories: # Units: Telephone # of Contact Person: 6 t7 Z Q qq Estimated Value of Project: i 3r , 000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. 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:- 3d Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �r I'l 'NO FJUgTING LANDSCAPE LIGFITING IN rmam YARD ND EXISTING OVER�LAD UTILITY LINES IN REAR YARD ` PATIO FURNITURE "ILLUSTRATION PURPOSES ONLY RAISED BOND REAM AT Or 94FW BROOM FINISH CONCRETE CAP AND RANDOM STONE FACE VENEER PUNTiiS AT +24" WITH BROOM FINISH — OONCRET> W AM RANDOM STONE FACE VENEER TANNrN,G SHELF AT IZ' WATER DEPTH WITH- ONE UMBRELLA SLEEVE GRANITE COUNTERTOP AT +3W yyl'IH 36' A I fRESCO _ .ALX2 BARBECUE. 8TAlNLEss UEEL ACCErs Qppf;s, UW FLEX LIGHT. 3IJUSRELLA SLEEVES. 12'GANTILEVER. AND RANDOM STONE VENr3ER FACE 3 PIECE CATALINA I3ELG+IRD PAVER DECELING POOL ! SPA LIGHT JVNGTION" POOL r SPA LIGHT ON GROWD FAULT CIRCUIT INTERRUPTER SPA AIR LINE POOL 1=WPMENT ¢oAMP SIL&PANEL — v4T" w CLEARAWEAT FRONT AND SIDE PopL EWPMENT- 400,400 M HEATER *ALL I=QUIPMENT SHALL BE SEISMICALLY AWHOArlp r I I e J I L— — — — — — — — — — J I il' -1� POLYPROPYLENE GAS pIPf I ELECTRIC C+7NQvrT CITY OF LA ()Ulp DUJL DJ Nl.] & SAFETY DE:PT. APPROVED FOR CONSTRUCMN ac�� Irnp� ooReaEr>: cti,ti.� s ays +--� iD17 9GFT rRi[# GAr,Ury, I7601iPq pk'A46 1 RAISED BOND BEAM AT +24- VWT+i BROOM FINN3H CONCRETE CALF, ONE a -13' WIDE SHEER VESCEriT WATER FEATURE AND RANDOM STONE FACE VENEER. MCCO AND PAINT B.AGKS*E TO MATCH HOUSE RAISED BOND BEAM AT+iV WFTH BROOM FRNISH CONCRETE: CAP AND RAtmom STONE FAO F VENEER PLINTHRAT+24" WITH RROOV faNrSH COW-AETE CAP AND RANDOM STONE FACE VENEER Nr ' --RAISIro PLANTER BED AT ,18- w1TH BROOM FINISH CONCRETE CAP ANO RANDOM STONL P• FACE VENIEER I ° POOL SPLIT Mwh MAIN sUCTiON ` V4D _ WNIMLIM 3' APART ANTtCADVERB HT ALSMEIANM APPROVED • 5'�°1ND FIREQIT AT +18' WITH RA,NLXW STONE GAP LAVA ROCK MEDIAgNp RANtKm STONE FACE: VENEER 18" VVFDE BROOM FINISH CONCRETE COPOW; r br-mow-- I[� r I a aLRIwEr! -- INSTALLATION OF POOL SYSTEMS AMID EQUIPMENT VALt COMPLY WITH 9ECTION 114 -MANDATORY REQUIREMENTS MTALARMS MOIL INSTALLED ON ALL DOORS WTH DPRfCTACCM9 to THE FLOCL POOL HEATERS 1 PIJMP EULAIRMENT SHALL BE INSTALLED PEA AIANU FACTLrRER'S REGOINMr1ENDATIONS AND IN ACCORDANCE WITH LOCAL REC,"TiONS ALL DECK MG EXPAMSIOH JOINTS FOR REefRESENTAION ONLY. 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