BPOL2015-001178-49r,, CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: . BPOL2015-0011
4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
81675 MACBETH ST
APN:
767800065
Application Description:
POOL, SPA, BBQ AND FIRE PIT AT REAR YARD
Property Zoning:
'
Application Valuation:
$35,000.00
t
Applicant:
TESERRA
PO BOX 1280
i
COACHELLA, CA 92236
F-na�
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-8C2.7,C10. C29. C53 License No.: 656128
i T
Dat / /S /S Contract / iFfe/e%ZL')
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).: 1'
(_) 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 proje:ts 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:.
f '
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury fiat 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 Address: t
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/15/2015
Owner:
IOTA GRIFFIN
4675 MACARTHUR CT NO
1550
NEWPORT BEACH, CA 0
F-na�
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Contractor:TESERRA
►—
PO BOX 1280
m o
COACHELLA, CA 92236
o 0
0
MV
(760)398-9222
LI.:. No.: 656128
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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 Califor.iia, 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:._ S `�� AppIicaAVI' ,f-fe&E' f
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:Appjication 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 upon the above-
mentioned property for inspection purposes.
Date: / /S S Signature (Applicant or Agent);/�'r�/%/
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT PAID
PAID DATE.
BSAS SB1473 FEE
101-0000-20306
0
$2.00 $0.00
PAID.BY;
METHOD
RECEIPT•# ,.CHECK -#:
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
DESCRIPTION
'ACCOUNT
QTY
AMOUNT.' ' '
PAID,
t.PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY,;, :..
METHOD,, ...
RECEIPT.#
CHECK #,
CLTD BY
i
DESCRIPTION
ACCOUNT
QTY
": `AMOUNT
_':PAID '� 1
PAID DATE'
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
RAID BY.
. •- ,METHOD
RECEIPT;:#
CHECK # _ '
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION '.`
,. ACCOUNT:'.'.
QTY
AMOUNT ...'
PAID '.
' PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID: BY ... ""'
METHOD
RECEIPT'#.
CHECK #
CLTD BY
` < 0 SCRIP.TION .: :
ACCOUNT ,
QTY
AMOUNT `.
PAID :.
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID 'BY
-METHOD
.RECEIPT#
CHECK #
CLTD`BY
Total Paid for PLUMBING FEES: $36.26 $0.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT..
PAID,
PAID,DATE
SWIMMING POOL/SPA
101-0000-42404
0
$181.29
$0.00
'PAIDtY 5
:. ` ' METHOD
RECEIPT # :'
`CHECK # ..
CLTD BY .
DESCRIPTION
=ACCOUNT
QTY.
AMOUNITc
PAID
PAID DATE
SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$0.00
PAID•BX
METHODRECEIPT
#
CHECK # .:
..CLTD-BY
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS:$0.00
Description: POOL, SPA, BBQ AND FIRE PIT AT REAR YARD
Type: POOL Subtype: Status: APPROVED
Applied: 1/12/2015 MFA
Approved: 1/13/2015 JFU
Parcel No: 767800065 Site Address: 81675 MACBETH ST LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 140
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $35,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, FIRE PIT, AND BBQ WITH 4 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL]
THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER
SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING
CODE.
Printed: Thursday, January 15, 20151:22:11 PM 1 of 3 CR SY.STFAA.S
ADDITIONAL
CHRONOLOGY
.,
y CHRONOLOGYTYPE . ,.;STAFF.NAME:, * :•''"ACTIONsDATE'-
COMPLETION DATE= r•
k'` 'NOTES,,t }" it
S
PUBLIC COUNTER VISIT
MARY FASANO
1/12/2015
1/12/2015
PLANS SUBMITTED. ROUTED TO JAKE
NOTIFIED MOISES W/ TESERRA PLANS WERE APPROVED AND
TELEPHONE CALL
JAKE FUSON
1/13/2015
1/13/2015
PERMIT READY TO ISSUE.
CONDITIONS
CONTACTS
NAME T,1(PE=°
- NAME '
ADDRESSl
CITY "'
STATE •
ZIP
' PHONE
FAX
y
r
.
„.EMAIL
APPLICANT
TESERRA
PO BOX 1280
COACHELLA
CA
92236
(760)398-9222
CONTRACTOR
TESERRA
PO BOX 1280
COACHELLA
CA
92236
(760)398-9222
OWNER
IOTA GRIFFIN
4675 MACARTHUR CT
NEWPORT
CA
0
(760)398-9222
NO 1550
BEACH
Printed: Thursday, January 15, 20151:22:11 PM 1 of 3 CR SY.STFAA.S
- - .. . I -
DESCRIPTION
- 11 .; - I---..,-- ..
ACCOUNT
11 - .
QTY
AMOUNT
PAID
PAID DATE
. RECEIPT #
CHECK #
-
METHOD:t
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for.BUILDING STANDARDS ADMINISTRATION
$2,00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-02403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-02600
0
$24.17
$0.00
Total Paid forELECTRICAL: $48.34 $0.00
GAS SYSTEM, 1-0
OUTLETS
101-0000-02401
0
$12.09
$0.00
GAS SYSTEM, 1-0
OUTLETS PC
101-0000-02600
0
$24.17
$0.00
Total Paid forPLUMBING FEES: $36.26 $0.00
SWIMMING POOL/SPA
101-0000-02404
0
$181.29
$0.00
SWIMMING POOL/SPA
PC
101-0000-02600
0
$98.62
$0.00
Total Paid for POOL/ SPA: $279.91 $0.00
TOTALS: $366.Sl 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED. ' RESULT. REMARKS - NOTES
DATE DATE
FINAL"
BOND INFORMATION
Printed: Thursday, January 15, 2015 1:22:11 PM 2 of 3pGyCTFM.c
Printed: Thursday, January 15, 2015 1:22:11 PM 3 of 3 R
SY.C7F M.S
PERMIT INSPECTION HISTORY REPORT (BPOL2015-0011)
FOR CITY OF LA QUINTA
Pool 01/12/2015Application Date:Permit Type:767800065Parcel
Pool Construction (Private)01/13/2015Work Class:Issue Date:81675 MACBETH ST
LA QUINTA, CA 92253
Address:
Finaled Expiration Date:Status:Description:POOL, SPA, BBQ AND FIRE PIT AT
REAR YARD *** POOL, SPA, FIRE
PIT, AND BBQ WITH 4 FOOT HIGH
EQUIPMENT WALL [2 INCH GAS
PIPING/#8 AWG IN 1 INCH CONDUIT
ELECTRICAL] THIS PERMIT DOES NOT
INCLUDE ELECTRICAL AT BBQ.
EQUIPMENT SHALL BE INSTALLED IN
ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS.
ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE-PLASTER
INSPECTION. 2010 CALIFORNIA
BUILDING CODE.
Owner:Contractor:Applicant:IOTA GRIFFIN TESERRA TESERRA TESERRA TESERRA
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection
Required?CompleteActual
Start Date
01/23/2015 Pre-Gunite KKI:150123015858
1742
Approved Kirk Kirkland No Complete
Underground
Electrical
KKI:150123015858
1743
Approved Kirk Kirkland No Complete
Underground Gas KKI:150123015858
1744
Approved Kirk Kirkland No Complete
Underground
Plumbing
KKI:150123015859
1745
Approved Kirk Kirkland No Complete
02/06/2015 Deck Bond KKI:150206024425
1762
Approved Kirk Kirkland No Complete
03/31/2015 Pre-Plaster JFU:150331075746
0133
Approved Kirk Kirkland No Complete
04/17/2015 Final Building MFA:15011211280
81003
Approved Kirk Kirkland No Complete
78-495 Calle Tampico Page 1 of 1October 10, 2024