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
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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
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License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
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city or county that requires a permit to construct, alter, improve, demolish, or repair
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any structure, prior to its issuance, also requires the applicant for the permit to file a
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signed statement that he or she is licensed pursuant to the provisions of the
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Contractor's State license Law (Chapter 9 (commencing with Section 7000) of Division 3
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of the Business and Professions Code) or that he or she is exempt therefrom and the
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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
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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. #:
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.................................................
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
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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 _
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POOL ! SPA LIGHT JVNGTION"
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FAULT CIRCUIT INTERRUPTER
SPA AIR LINE
POOL 1=WPMENT ¢oAMP SIL&PANEL —
v4T" w CLEARAWEAT FRONT AND SIDE
PopL EWPMENT- 400,400 M HEATER
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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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