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13-1300 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO, LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001300 Property Address: 54555 SEATTLE SLEW WY APN: 767-770-068-40 -32879 - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 29000 Applicant: Architect or Engineer: VOICE (760) 777-7012 4'4 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/10/13 Owner: GRIFFIN RANCH LOT 40/LENNAR 54555 SEATTLE SLEW WAY LA QUINTA, CA 92253 ---------------------- ---------------------- LICENSE NTRACTOR'S DECLARATION d I hereby affirm under penalty of perjury that I am nsed under provisions of Chapter 9 (commencing with S, ction 7000) of D' ision 3 of the Business and rofessionals Code,'and my License is in full force and effect. U is 10,27,2 License No.: 656128 can _a Clas Contri6�r 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the itructure 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, 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 am exempt under Sec. BAP.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: LQPERNIIT Contractor: TESERRA P.O. B6x 1280 COACHELLA, CA 92236 OCT 112013 (760)398-9222 Lic. No.: 656128 �9� LA QUINT) C '�Tly.. .0 F LA 0 U I N TA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7 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 wh insurance carrier and policy num bar are. >1 this permit is issued. My workers' compensation 0' 'cy N r lic r Carrier EVEREST NATL IN - ' Zo 7600006481131 - P y I certify that, in the performance of the w or which this permit is issued, I shall not employ any person in any manner so as to beco a bject to the workers' compensation laws of California, and ar a mat, if I should become ject to the workers' compensation provisions of Section q t' ' 70 of the Labor Code, I shall hwith comply with those provisions. 0 "'picant. 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. I . 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 becom n 'Pe u and void if work is not commenced sz within 180 days from date of issuance of such p t, of ;e'.sation of work for 180 days will subject permit to cancellation; I certify that I have read this application and state that the ab&e ormation is correct. I agree to comply with all city i!nd r ,��Kces and state laws relating to building nstruction, and hereby authorize representatives 's C=y t / of th n the above-mentioned prop; inspection purposes. g Data'. Signature (Applicant or Ag 0: Application Number . . . . . 13-00001300 Permit . . . . . ELECTRICAL 2013 Additional desc Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . valuation 0 Expiration Date 4/08/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, FIRST 20 ----------------------------------------------- ----------------------- 23.83 7 ---- Permit POOL 2013 Additional desc Permit Fee . . . . 178.75 Plan Check.Fee Issue Date . . . . Valuation . . . . 0 Expiration. Date Qty Unit Charge Per Extension 1.00 178.7500 EA MISC POOL/SPA --------- --------------- 7-7 ------------------------------------------------ 178.75 Permit PLUMBING 2013 Additional desc ..Permit Fee 11.92 Plan Check Fee .00 Issue Date . . . Valuation 0 Expiration Date 4/08/14 Qty Unit Charge Per Extension 1.00 11.9200'LS PLBG GAS SYS, 1-4 OUTLETS- 11.92- ---------- --------------------------------- ------------------------------ Special Notes and Comments POOL, SPA, FIRE PIT, AND BBQ WITH 128LF 1 1/2 INCH GAS PIPING. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE-PLAStER INSPECTION. 2010 CALIFORNIA BUILDING CODE. -------------------------------------------------- -------------------- Other Fees BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 23.83 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, POOL 97.-24 PLAN CHECK, PLUMBING 23.83 Fee summary Charged Paid Credited ---------- ---------- ---------- Dub ----------------- ---------- Permit Fee Total 214.50 .00 .00 214.50 LQPERMIT p Application Number . . . . . �13-00001300 Plan Check Total .00 .00 .00 Other Fee Total 236.47 .00 .00 Grand Total 450.97 .00 .00 LQPERMIT .00 236.47 450.97 Bin # Qty of La Quinta -Building &r Safety'Division P.O. Box 1504, 78-495 Calle Tampico ---La-Ouinta,-C;A-92253---(7-60)- .777-70-12-- Building Permit Application and Tracking Sheet Permit. # Project Address: SS S Sy 'Owner's Name: A. P. Number: Address: s -y= veA-rrts s-Gsw PvA>oo, Legal Description: City, ST, Zip: oo+ Contractor­7Fsc--,g9+ Telephone: FIN Address: 8(a /00 06 Project Description: ME L4J 1, J, City, ST, Zip: C-10ACQeL4.1t Y2 V? 2 *9 f Telepbon( 76 99 3; 4 Z 7- 00, 0A L6AJJ State Lic. # C9 I City Lie.#, Called Contact Person Plan Check Balance Arch., Engr., Designer: Address: City., ST, Zip: Plans picked up Construction Telephone: .... ...... ... . ....... Construction Type: Occupancy: State Lic. #: Project type (circle on<. �ew Add'n Alter Repair Demo Na me of Contact Person: Sq. FL: # Stories: # Units: rie. kof Contact Person: Estimated Value of Project: / z?, 00 0 I APPLICANT: DO NOT WRITE BELOW THIS LINE I # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CaIcs. RevicNvcd, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Caics. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan .2" Review, ready for correctionsfissuc Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionsfissue Developer Impact Fee Planninp Approval Called ontattPerson "'XII.P.P. Pub. Wks. Appr School Fees Date of icr IftbING SAr= (Drzp Appp(,)\/P:n FOR CONSTRUG ION II Atal Permit Fees DATE�_BY