BPOL2016-009278-49... CALLE 11AMPIC0
LA QUINTA; CALIFORNIA 92253
Tit�t 4 4 Qumt
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPOL2016-0092
Property Address:
52235 AVENIDA JUAREZ
APN:
773242013
Application Description:
MANCHECO RESIDENCE / POOL / SPA
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
TESERRA
P 0 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: C-8. C10, C29, C53, C27, D12 License No.: 656128
—Date: Ar Contractor:
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).:
(_) I, 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 contractor(s) 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/22/2016
Owner:
MANCHECO
52235 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
TESERRA
P 0 BOX 1280 ,
COACHELLA, CA9U
2236 �-N 2 2016
(760)389-9222 CO'A.Af_NiT ITY OF rLA(kiN7TA
OPa—tVTOcPARA4ENT
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:
Carrier: 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 wi those provisions. —
Date: Applicant:
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 hcld 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.
1 certify that 1 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 -m tion, d property for inspection purposes.
Date Signature (Applicant or gent
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT. =
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # .
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$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 for POOL / SPA:
TOTALS::0
$279.91
$0.00
••
Description: MANCHECO RESIDENCE / POOL / SPA
Type: POOL Subtype: Status: APPROVED
Applied: 6/22/2016 MFA
Approved: 6/22/2016 MFA
Parcel No: 773242013 Site Address: 52235 AVENIDA JUAREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 7 Lot: 2
Issued:
UNIT 1
PHONE
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $20,000.00 Occupancy Type:. Construction Type:
Expired:
No.. Buildings: 0 No. Stories: 0 No. Unites: 0
92236
Details: POOL & SPA. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. PER 2013 CALIFORNIA BUILDING CODE.
CHRONOLOGY
i •
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY STATE
ZIP
PHONE
FAX EMAIL
APPLICANT
TESERRA
P 0 BOX 1280
COACHELLA CA
92236
CONTRACTOR
TESERRA
P O BOX 1280
COACHELLA CA
92236
OWNER
MANCHECO
52235 AVENIDA
JUAREZ
LA QUINTA CA
92253
Printed: Wednesday, June 22, 2016 3:04:45 PM 1 of 2
SYSTEMS
s
' PePI'Yllt �et�al�5 PERMIT NUMBER
Cit of L=Quinta
BPOl2B16-8092
INSPECTIONS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
CLTD
DESCRIPTION
ACCOUNT'
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
INSPECTIONS
IiUNU INFORMATIQi
ATTACHMENTS
Printed: Wednesday, June 22, 2016 3:04:45 PM 2 A2. ORS%(..;/ SYSTEMS
Mum
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
1ST BLDG NS (1
DAY)
JIM JOHNSON
6/22/2016
6/23/2016
6/22/2016
APPROVED
JIMMY APPROVED
IiUNU INFORMATIQi
ATTACHMENTS
Printed: Wednesday, June 22, 2016 3:04:45 PM 2 A2. ORS%(..;/ SYSTEMS
Iain # .
City of La Quin to
Building &r Safety Division
78-495' Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
r
roject Address:
Owner's Name:A14 4 C44 Cco
A. P. Number:
Address: SZ 2-75' A I%'t• i 1
City, ST, Zip: J T 22S
Legal Description:
Contractor: / 2
Tele h one:
P
MMME
Address: C loo
Project Description:
City, ST, Zip: 23
Telephone:
.
l'2
�' Z2
State Lie. # :c5cZ 8
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
n
Co structi on Type:. u
P• Occupancy:
P Y:
State to Lic. #
Project type (circle onNe Alter Repair r De
mow°•Add'n
Name of Contact Person:U,4 L Z'
Sq. Ft.:
# Stories:
—# units:
Telephone # of Contact Person: 260 2—S -C) 21L9
Estimated Value of Project: Zio, O Q o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Ittm
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correclionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"!. Review, ready for corrections/issue
Developer Impact tee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees