BPOL2015-0077V,
78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QLIINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/27/2015
Application Number: BPOL2015-0077 Owner:
Property Address: 56189 PLATINUM WAY RREF II CWC LAQ LLC
APN: 775370016 [� ti5927 PRIESTLY DR STE 110
Application Description: THE SIGNATURE POOL SPA BLOCK WAL D CARLSBAD, CA 92008
Property Zoning:
Application Valuation: $15,000.00 APR 2 7 2015
Applicant:
TESERRA
PO BOX 1280
COACHELLA, CA 92236
CITY OF LA OUINTP
IT�0EVELOPMEN'OEPARTMENT
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 No.: 656128
Date: / oC 7— 1� Contra11 ��5r'I.—y(k
V \,
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 Professicns 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 Gude) 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 ) 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 contractors) 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
Lender's Address:
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 t�ia wfor which this permit is issued.
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 o the Labor Code, I shall forthwith
comply with those provisions.
Date: `1Applicant. f1
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 city to enter pon the above
mentioned property for inspection purposes. -f IZ-n
Date,/ Signature (Applicant or Agent)
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 forBUILDING 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
101-0000-02404
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:00
Description: THE SIGNATURE POOL SPA BLOCK WALL
Type: POOL Subtype: Status: APPROVED
Applied: 4/22/2015 PIU
Approved:
Parcel No: 775370016 Site Address: 56189 PLATINUM WAYLA QUINTA,CA 92253
Subdivision: TR 29421 Block: Lot: 2
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: POOL, WITH 15 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.
CHRONOLOGY TYPE
STAFF NAME
ADDITIONAL
CHRONOLOGY
ACTION DATE
COMPLETION DATE
NOTES
NOTE
PHILIP JUAREZ
4/23/2015
4/23/2015
sent to Philp
CONDITIONS
NAME TYPE
NAME
ADDRESSI
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
FINANCIAL INFORMATION
Printed: Monday, April 27, 2015 10:20:37 AM 1 of 2 c,
s
Printed: Monday, April 27, 2015.10:20:37 AM 2 of 2UU s
INSPECTIONS
SEQID INSPECTION TYPE
INSPECTOR
'CHECK
RESULT REMARKS NOTES
FINAL"
BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
#
METHOD
PAID BY
NON-STRUCTURAL KIRK
KIRKLAND
4/23/2015 5/7/2015
4/23/2015 APPROVED
BY
BSAS SB1473 FEE
1 101-0000-20306
0
$1.00
$0.00
Total Paid forBU1LDING 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 forPOOL / SPA: $279.91 $0.00
TOTALS:00
Printed: Monday, April 27, 2015.10:20:37 AM 2 of 2UU s
INSPECTIONS
SEQID INSPECTION TYPE
INSPECTOR
SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL"
BLD
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER
SENT DATE DUE DATE
RETURNED STATUS REMARKS NOTES
DATE
NON-STRUCTURAL KIRK
KIRKLAND
4/23/2015 5/7/2015
4/23/2015 APPROVED
Printed: Monday, April 27, 2015.10:20:37 AM 2 of 2UU s
Permit #
Project Address:
A. P. Number:
Legal Description:
City of La Quanta #6 V;,� bjti1
Building U Safety Division
f
b6l' P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: - .
Y
A dress:
City, ST, Zip: 22
Contractor:
.�pzai4 Telephone:
Address: G
AVE S'� Project Description: L/ C1
City, ST, Zip: CO - =
Telephone: a tQ i.
State Lic. #: y City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip: ;
Telephone:
win
Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: #Stories:
# Units.
Telephone # of Contact Person. �L2 1l� EJ`Estimated Value of Projec
APPLICANT: DO NOT WRITE THI'S LINE
I
# Submittal Req'd Recd TRACKING
Plan Sets
Plan Check submitted
Structural Calcs.
Reviewed, ready for corrections
Truss Calcs.
Called Contact Person
)Energy Calcs.
Plans picked up
Flood plain plan
Plans resubmitted
Grading plan
2°" Review, ready for correctissue
Subcontactor List
Called Contact Person
Grant Deed
Plans picked up
H.O.A. Approval ,
Plans resubmitted
IN HOUSE:-
3m Review, ready for corrections/issue
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
PERMIT FEES
Item Amount
Plan Check Deposit
Plan Check Balance
Construction
Mechanical
Electrical
Plumbing
S.M.I.
Grading
Developer Impact Fee
A.I.P.P.
MI