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BPOL2014-113578-495-C,ALLE TAMPICO LA QUIN TA, CALIFORNIA 92253 `moi 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2014-1135 Property Address: 81347 COLUMBUS WAY APN: 767690004 Application Description: COURTYARD WATER FOUNTAIN Property Zoning: Application Valuation: $15,000.00 Applicant: TESERRA PO BOX 1280 COACHELLA, CA 92236 JAN 0 8 2015 CITY OF LA OUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: 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).: ( 11, 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/8/2015 Owner: DESERT RINGS 725 S FIGUEROA ST NO 3085 LOS ANGELES, CA 0 Contractor: TESERRA PO BOX 1280 COACHELLA, CA 92236 (760)398-9222 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 with 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 applicatiod 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 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: Signature (Applicant or Agent): DESCRIPTION :: FINANCIAL INFORMATION ACCOUNT QTY. :' AMOUNT PAID PAID DATE i BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/8/15 PAID BY METHOD RECEIPT #. CHECK # CLTD BY TESERRA CHECK R3347 126870 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PATO PAID DATE WATER FEATURE ONLY 101-0000-42404 0 $181.29 $181.29 1/8/15 PAID BY .. METHOD ' RECEIPT # CHECK # CLTD BY TESERRA CHECK R3347 126870 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER FEATURE ONLY PC 101-0000-42600 0 $98.62 $98.62 1/8/15 PAID BY. METHOD RECEIPT # - CHECK # CLTD BY TESERRA CHECK R3347 126870 MFA Total Paid forPOOL / SPA: $279.91 $279.91 TOTALS::0$280.91 Description: COURTYARD WATER FOUNTAIN Type: POOL Subtype: Status: UNDER REVIEW Applied: 12/29/2014 SKH Approved: 1/8/2015 MFA 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: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: FOUNTAIN WATER FEATURE AT FRONT COURTYARD [DOUGLAS FERREL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE OR PROPOSED "BRIDGE WALL" OVER WATER FEATURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE - PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE _,,.p Applied to Approved Printed: Thursday, January 08, 2015 2:16:45 PM 1 of 2 r?T"I SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 12/29/2014 12/29/2014 RECEIVED NOTIFIED JULIO W/ TESERRA PLAN REVIEW WAS COMPLETE TELEPHONE CALL JAKE FUSON 12/29/2014 12/29/2014 AND PERMIT READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA Pb BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA PO BOX 1280 COACHELLA CA 92236 OWNER DESERT RINGS 725 S FIGUEROA ST NO LOS ANGELES CA 0 3085 Printed: Thursday, January 08, 2015 2:16:45 PM 1 of 2 r?T"I SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE FINANCIAL •1• REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY DOES NOT INCLUDE PROPOSED "BRIDGE WALL" OVER WATER FEATURE. SEPARATE ENGINEERING REQUIRED. • BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/8/15 R3347 126870 CHECK TESERRA MFA Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: WATER FEATURE ONLY 101-0000-42404 0 $181.29 $181.29 1/8/15 R3347 126870 CHECK TESERRA MFA WATER FEATURE ONLY 101-0000-42600 0$98.62 $98.62 1/8/15 R3347 126870 CHECK TESERRA MFA PC Total Paid for POOL / SPA: $279.91 $279.91 TOTALS::0$280.91 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL*" PARENT .. • REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES NON-STRUCTt1RAL BUILDING BUCKET 12/29/2014 12/30/2014 12/29/2014 APPROVED W/CONDITIONS DOES NOT INCLUDE PROPOSED "BRIDGE WALL" OVER WATER FEATURE. SEPARATE ENGINEERING REQUIRED. Printed: Thursday, January 08, 2015 2:16:45 PM 2 of 2 SYSTEMS Description: COURTYARD WATER FOUNTAIN Type: POOL Subtype: Status: UNDER REVIEW Applied: 12/29/2014 SKH Approved: 1/8/2015 MFA 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: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 COMPLETION DATE Details: FOUNTAIN WATER FEATURE AT FRONT COURTYARD [DOUGLAS FERREL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE OR PROPOSED "BRIDGE WALL" OVER WATER FEATURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE - PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE __j Applied to Approved Printed: Thursday, January 08, 2015 2:16:45 PM 1 of 2 SYS 7C•MS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL RECEIVED STEPHANIE KHATAMI 12/29/2014 12/29/2014 TELEPHONE CALL JAKE FUSON 12/29/2014 12/29/2014 NOTIFIED JULIO W/ TESERRA PLAN REVIEW WAS COMPLETE AND PERMIT READY TO ISSUE. CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA PO BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA PO BOX 1280 COACHELLA CA 92236 OWNER DESERT RINGS 725 S FIGUEROA ST NO 3085 LOS ANGELES CA 0 Printed: Thursday, January 08, 2015 2:16:45 PM 1 of 2 SYS 7C•MS Bin #City Permit # Project Address: of La QUinta. -Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet M Owner's Name: L A. P. Number: Address: 3 yC,CJL-JAA1S(1S IWAY Legal Description: City, ST, Zip: LA QIWTAr C Z ZS3 Contractor: Telephone: Address: /OD E .S Y Project. Description: AJ15YV C_Awer)��y City, ST, Zip: , Z c 603� ::2£�i:%•`.':^F::�i:�:i'%Cj' }iii :Rr" "`''+%} '- State Lic, # : as City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone:K :•:;:.:;. ::«:.: :.;:; :::;; ;:>:'%> Construction Type: Occupancy: State Lic. #: Project a circle o e ; New Add'n Alter Repair. Demo J type Name of Contact Person Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: O Estimated Value of Project: S 0o O # Submittal Rcq'd APPLICANT: DO NOT WRITE BELOW THIS LINE Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Clicck Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. II'.O.A. Approval Plans resubmitted Grading IN HOUSE:- Rcyiew, ready for eorrectionsrtssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees