BPOL2015-007678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tjht. 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPOL2015-0076
Property Address: 56176 PLATINUM WAY
APN: 775370016
Application Description: RREF II CWC LAQ LLC POOL &WALL
Property Zoning:
Application Valuation: $14,000.00
Applicant:
TESERRA
PO BOX 1280
COACHELLA, CA 92236
APR y 7 2015 L
CIN IJgOF QUINtA
In- PMENTDEPARTMENT
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, C10, C29, C53 License N62 656128
'r
Date:' 7-15- Contractor:' C Y (A
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 Na
Lender's Add
I/
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/27/2015
Owner:
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 92008
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 r which this permit is issued.
Oave 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. I
Date: / —27- )-5- Applicant: Q b
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 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 cit Pon the o e•
mentioned property for inspection purposes. /
Date: 7 — Signature (Applicant or Ager'
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
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forFENCE OR FREESTANDING WALL $108.77 $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:0t
Description: RREF II CWC LAQ LLC POOL &WALL
Type: POOL Subtype: Status: APPROVED
Applied: 4/22/2015 PJU
Approved: 4/23/2015 KKI
Parcel No: 775370016 Site Address: 56176 PLATINUM WAYLA QUINTA,CA 92253
Subdivision: TR 29421 Block: Lot: 2
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $14,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites:.O
NOTES
Details: POOL, WITH 10 LF AT 5 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT
DOES NOT INCLUDE FIRE PIT OR BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS.
ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
Printed: Monday, April 27, 2015 10:17:06 AM 1 of 2 ;
s
ADDITIONAL
CHRONOLOGY TYPE
STAFF NAME
CHRONOLOGY
ACTION DATE
COMPLETION DATE
NOTES
NOTE
PHILIP JUAREZ
4/23/2015
sent to philip
CONDITIONS
NAME TYPE
NAME
ADDRESSS
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
TESERRA
PO BOX 1280
COACHELLA
CA
92236-
(760)918-6768
CONTRACTOR
TESERRA
PO BOX 1280
COACHELLA
CA
92236
(760)918-6768
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
110
CARLSBAD
CA
92008
(760)918-6768
Printed: Monday, April 27, 2015 10:17:06 AM 1 of 2 ;
s
BOND INFORMATION
Printed: Monday, April 27, 2015 10:17:06 AM 2 of 2 C ,
CLTD
DESCRIPTIONACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY •
BY
BSAS SB1473 FEE
1 101-0000-20306
0
7 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL
$108.77
$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 RESULT REMARKS NOTES
DATE
DATE
FINAL*" BLD
PARENT PROJECTS
RETURNED
REVIEWS
STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
DATE
NOTES
KIRK 4/23/2015 4/23/2015 4/23/2015
APPROVED
NON-STRUCTURAL
KIRKLAND
BOND INFORMATION
Printed: Monday, April 27, 2015 10:17:06 AM 2 of 2 C ,
r
liiri # City ®f La Quinta
Building u Safety Division
Permit # n P.O. Box 1504, 78-495 Calle "Tampico
La Quinta, CA 92253 - (760) 777-7012 zRff
` Building Permit Application and Trackin Sheet
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Project Address: o % Oaf I: V1 t Im Owner's Name: V
A. P. Number: �. Address: — ? a
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Legal Description: 5` Cl �f -
City, ST, Zip: "
Contractor: 72 P—i4Telephone:
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Address: �(�_ ( co AMC S'2 -
Project Description:
City, ST, Zip: j - : �_Lut CA- 77-Z36
Telephone: if ZLZ
City Lic. #:
V 7 1
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #: "
Name of Contact Person:
Construction .Type: Occupancy:
P c7':
Project type (circle one): New" Add'n Alter Repair Demo
Sq. Ft :
#Stories:
#Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACIMG PERMIT FEES
Plan Sets
;
Plan Check submitted
tem
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Electrical
Gradingplan
2W Review, ready for correctio issue
Subcontactor List
I
Called Contact Person
Plumbing
S.M.I.
Grant Deed
t
Plans picked up
H.O.A. Approval.
Plans resubmitted
Grading
IN HOUSE:-
'`" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
i
Date of permit issue
School Fees
i
Total Permit Fees