BPOL2015-0078t
.t
'VOICE (760) 777-7125
78 95 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/27/2015
Application Number: BPOL2015-0078 Owner:
Property Address: 56190 PLATINUM WY RREF II CWC LAQ LLC z
APN: 775220021 5927 PRIESTLY DR STE 1 0
Application Description: S'GNATURE SPA BLOCK WALL GAS LINE CARLSBAD, CA 92008 F ¢ a
Property Zoning: C—, CZ N 1
Application Valuation: $12,000.00 j o
all )
Applicant: Contractor: lal 0'" f
TESERRA TESERRA
PO BOX 1280 PO BOX 1280 _; . ?
COACHELLA, CA 92236 COACHELLA, CA 92236
(760)398-9222
Llc. No.: 656128
LICENSED_ CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
nsation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C-8. C10, C29, C53 License No.: 656128
ffor which this permit is issued.
F
�w
� ' have and will maintain workers' compensation insurance, as required by
Date: C3ntractor: If S �/IrY'G
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:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number: _
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions cf the
comply with those provisions.
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
Date:' 7- Applicant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
L -
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
.(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. . B.&P.C. for this reason
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.
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
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 toe r upon the above•
mentioned property for inspection purposes.
Date: 1 dpr/ 15 Signature (Applicant or Agent):
•• •
..DESCRIPTION „"" _' ACCOUNTCITY 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
101-0000-42404
0
$181.29
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAdD DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT # '
CHECK #
CLTD BY
f
Total Paid for POOL / SPA $279.91 $0.00
TOTALS:00
Description: SIGNATURE SPA BLOCK WALL GAS LINE
Type: POOL Subtype: Status: APPROVED
Applied: 4/22/2015 PJU
Approved: 4/23/2015 MFA
Parcel No: 775220021 Site Address: 56190 PLATINUM WY LA QUINTA,CA 92253
Subdivision: PM 20426 Block: Lot: 58
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $12,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PHILIP JUAREZ
Details: SPA WITH 12 LF AT 5 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOE'_
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.
__j Applied to Approved
FINANCIAL INFORMATION
Printed: Monday, April 27, 2015 10:25:31 AM 1 of 2
s
ADDITIONAL
CHRONOLOGY
CHRONOLOGY -TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE - NOTES
NOTE
PHILIP JUAREZ
4/23/2015
sent to Philip
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
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
110
CARLSBAD
CA
92008
FINANCIAL INFORMATION
Printed: Monday, April 27, 2015 10:25:31 AM 1 of 2
s
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY ,
ICID
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING 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: $0,00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL" BLD
BOND INFORMATION
Printed: Monday, April 27, 2015 10:25:31 AM 2 of 2 C
s
Bin #
Permit # ,
a _,
Project Address: i
City ®f La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking- Sheet
Owner's Name:
A. P. Number:
Address: 576—/go Ofi
Legal Description:
City, ST, Zip:
42
Contractor: Q- i24
Telephone:
Project Description:
Address: 9(-_ 120 A V6-
City, ST, Zip: - _ Z C1`I' z7-3 �
I
Telephone:
State Lic. # z z
Arch., Engr., Designer:
City Lic. #:
i
Brie ,� c
Address:
City, ST, Zip:
Telephone:
.
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy: .
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person:
76 912 1 r6—cj Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs'
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctio s/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked op
SMI
H.O.A. Approval •
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning. Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees