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BPOL2014-1111r Qumro T0 � 4 4 VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/17/2014 Application Number: BPOL2014-1111 Owner: Property Address: 81347 COLUMBUS WAY DESERT RINGS APN: 767690004 725 S FIGUEROA ST NO 3085, Application Description: POOL, SPA, BBQ, AND FIRE PLACE LOS ANGELES, CA 0 Property Zoning: Application Valuation: $34,000.00 w Applicant: Contractor: Qw D N o TESERRA TESERRA its a PO BOX 1280 PO BOX 1280 g o COACHELLA, CA 92236 COACHELLA, CA 92236 o (760)398-9222 O � o Z z Llc. No.: :LIC -000035S --------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed IYAer provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus' ess and Professions Code, and my License is in full force and effect. License Class: Lic nse No.::LIC-0000355 Date: "y 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.). U 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 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 polity 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 sub' to the workers' compensation laws of California, and agree that, if I should r—rcc e subject to the workers' compensation provisions of Section 3700 of the Lade,I shall forthwith comply with tho prod ions. Date: y 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 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 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. I certify that I have read this application and state that the above informatio ' orrect. I agree to comply with all city and county ordinances and state laws relati building construction, and hereby authorize representatives of this city to enter n the above- mentioned prop y for'nspection purposes. Date: // /� Signature (Applicant or Agent): 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 for BUILDING 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 i 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 forPLUMBING 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 for POOL / SPA: $279.91 $0.00 TOTALS:•• Description: POOL, SPA, BBQ, AND FIRE PLACE Type: POOL Subtype: Status: APPROVED Applied: 11/12/2014 SKH Approved: 11/13/2014 JFU Parcel No: 767690004 Site Address: 81347 COLUMBUS WAY,CA Subdivision: TR 33076-2 Block: Lot: 12 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $34,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL, SPA, BBQ, AND FIREPIT. PERMIT NOT TO INCLUDE POND WATER FEATURE AT COURTYARD. GAS LINE TO BE SLEEVED UNDER SLAB/PAVERS. PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. Printed: Monday, November 17, 2014 3:01:21 PM 1 of 3 0 sysrrnns CHRONOLOGY CHRONOLOGY TYPE STAFF NAME, ACTION DATE COMPLETION DATE NOTES TELEPHONE CALL JAKE FUSON 11/13/2014 11/13/2014 NOTIFIED JULIO WITH TESERRA VIA TELPEHONE THAT THE PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE' ZIP PHONE FAX EMAIL . APPLICANT TESERRA PO BOX 1280 COACHELLA CA 92236 ( 3085 Printed: Monday, November 17, 2014 3:01:21 PM 1 of 3 0 sysrrnns DESCRIPTION ACCOUNT QTY- AMOUNT PAID PAID DATE- RECEIPT # CHECK # ' METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: 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 forPLUMBING 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 $0.00 PC Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:• 0• INSPECTIONS SEQID INSPECTION TYPE : INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BOND INFORMATION Printed: Monday, November 17, 2014 3:01:21 PM 2 of 3 i ' SYSTfti1S # Qty Of La Quintd Building 8L 5afety Division P.O. Box 1504,•78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # j� ProjectAddress:8 Y� Owner's Name:. A. P. Number. Address: 3 C-10 &UAU A Legal Description: Contractor. City, ST, Zip: U I.� r Z Telephone• Project Description: S Address: Q C A16-5 S City, ST, Zip: 9e 2-3 C z Telephone: C"< ? ;fi: . ems;✓ -''`� ,� � . O j' � nl WO State Lic. # : G Z g City Lic. fk- Arch., Eng., Designer. Address: City., ST, Zip: Telephone: State Lic. #:A ;w ": '":y Name of Contact Person: Construction Type Occupancy: Project type (circle on New) Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units. Telephone # of Contact Person: . 6 _ Estimated Value of Project: •0 O APPLICANT: DO NOT WRITE BELOW THIS UNE 9 Submittal Req'd 'Rec'd TRACMG PERMPFFEIS Plan Sets Plan Check submitted l l Item Amount Stmcturaa Cafes. Reviewed, ready for i V15/ �� Plan Check Deposit. . 'Nass Cates. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Giading plan 2" Review, ready for correctionsrissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IPI HOUSE.- '"` Review; ready for torrectiouslissue Developer Impact Fee Planning Approval. Called Contact Person A.LP-P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees