BPOL2016-009578-495 CALLE TAMPIrO
LA QUINTA, CALIFORNIA 92253
Application Number:
BPOL2016-0095
Property Address:
80450 PLATINUM WY
APN:
775220021
Application Description:
PARKER LARKIN / POOL
Property Zoning:
Application Valuation:
$21,000.00
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
c&t,, 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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, C27. D12 License No.: 656128
no
Date: ContractorL'��
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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
PARKER LARKIN
80450 PLATINUM WAY
LA QUINTA, CA 92253
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
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
are r 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 of a Labor Code, I shall forthwith
comply with those provisions. _
Date:tp ,?? I& 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 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 ente upon the
aboovve-mentioned property for inspection purposes.
Date:6-&--16 Signature (Applicant or Agent
v .
FINANCIAL ,• 1
DESCRIPTION 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 for. FENCE 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:$0.00
Description: PARKER LARKIN / POOL
Type: POOL Subtype: Status: APPROVED
Applied: 6/24/2016 RSE
Approved: 6/27/2016 DCL
Parcel No: 775220021 Site Address: 80450 PLATINUM WY LA QUINTA,CA 92253
Subdivision: PM 20426 Block: Lot: 36
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $21,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STAFF NAME
Details: POOL AT REAR YARD AND 12 LF OF ACCESS WALL. [DOUGLAS FERRELL ENGINEERING] ALARMS AND BARRIERS REQUIRED TO BE
INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
7 FINANCIAL INFORMATION
Printed: Tuesday, lune 28, 2016 8:40:02 AM 1 of 2
sysreivts
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
TELEPHONE CALL
DUANE CLAYTON
6/27/2016
6/27/2016
CONTACTED FERNANDO GONZALEZ AND INFORMED HIM
PLANS WERE APPROVED AND READY FOR PICK UP.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
. CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT
TESERRA
P 0 BOX 1280
COACHELLA CA
92236
CONTRACTOR
TESERRA
P 0 BOX 1280
COACHELLA CA
92236
OWNER
PARKER LARKIN
80450 PLATINUM WAY
LA QUINTA CA
92253
7 FINANCIAL INFORMATION
Printed: Tuesday, lune 28, 2016 8:40:02 AM 1 of 2
sysreivts
Permit Details PERMIT NUMBER
City of La Quints BPOL�201&- 95
BOND
INFORMATION
ATTACHMENTS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
INSPECTIONS
PARENT PROJECTS
RETURNED
REVIEWS
STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
NOTES
DATE
1ST BLDG NS (1 DUANE 6/24/2016 6/27/2016 6/27/2016
APPROVED
DAY) CLAYTON
BOND
INFORMATION
ATTACHMENTS
Printed: Tuesday, June 28, 2016 8:40:02 AM 2 of 2
SYSTEMS
f
— -
gg of �
II Quo
Building SF Safety Division
"J�
P-®. Box 1504, 78-495 Ca16e lampico
La Quinta, CA 92253 - (760) 777-7012
Building
Permit Application and Tracking Sleet
Owner's Name:
A. P. Number:
Address: _
Legal Description:
t
City, ST, Zip: `� V
Contractor:
Telephone:
Address: g_ 1 V =
Project Description: �
City, ST, Zip:
Telephone: {/� /y
r �t
State Lic. #It
:
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
P cY=
State Lic. #:
Project type (circle one): New- Add'n Alter Repair Demo
Name of Contact Person.
S
tr!% q. Ft:
# Stories:
# Units:
Telephone # of Contact Person:
6a
' �— '��y Estimated Value of Project
APPLICANT: Do NOT WHITE BELOW TOMS LINE
#
Submittal
Req'd
Recd HRtACE1G
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Structural Calcs.
Reviewed, ready for corrections
Amount
Plan Check Deposit
'Truss Calcs.
Called Contact Person
Plan Check Balance
F,nergy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
.
2°d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.H.
IN HOUSE: 3rd Review, ready for corrections/issue
Planning Approval Called Contact Person
Pub. Wks. Appr .. Date of permit issue
School Fees
Developer Hmpact Fee
A.II.P.P.
Total Permit Fees