BPOL2015-00041 D -` . VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760)'777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
6P01-2015-0004
Owner:
L
,
Property Address:
81700 MACBETH ST
LENNAR HOMES OF CALIF
APN:
767800058
391 N MAIN ST STE 300
0
Application Description:
POOL SPA BBQ & FIREPIT AT REAR YARDCORONA,
CA 0
N
Property Zoning:
cp
5
Application Valuation:
$35,000.00
0
Q Z
0�
Applicant:
Contractor:
Q
TESERRA
TESERRA
rQ
PO BOX 1280
PO BOX 1280
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)398-9222
Llc. No.: 656128
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. C27, C10, C29, C53 License No.: 656128
Date: / hs _ Contractor: CEJ EIZ s2 I9
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 cwner-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, arc 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 Name
Lender's Address:
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.
/tam 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 -Fie 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.
Date:/ Applicant: /y10/f f '11,
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 restrictiois 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 Signature (Applicant or Agent)/c�z
i
DESCRIPTION
FINANCIAL •• •
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 _ .
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
" METHOD
RECEIPT.#
CHECK#.
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID...
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
-.PAID 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
DESCRIPTION
..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
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•
Description: POOL SPA BBQ & FIREPIT AT REAR YARD
Type: POOL Subtype: Status: APPROVED
Applied: 1/7/2015 PJU
Approved: 1/8/2015 JFU
Parcel No: 767800058 Site Address: 81700 MACBETH ST LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 133
Issued:
Lot Sq Ft: 0 . Building Sq Ft: 0' Zoning:
Finaled:
Valuation: $35,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD [DOUGLAS FERRELL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
Printed: Thursday, January 08, 2015 2:59:55 PM 1 of 3 C srSrEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGYTYPE';
STAFF NAME
ACTION DAT E
COMPLETION DATE NOTES
PLAN CHECK SUBMITTAL
PHILIP JUAREZ
1/7/2015
1/7/2015
GIVEN TO JAKE FUSON FOR APPROVAL.
RECEIVED
NOTIFIED MOISES W/ TESERRA PLANS WERE APPROVED AND
TELEPHONE CALL
JAKE FUSON
1/8/2015
.1/8/2015
PERMIT READY TO ISSUE.
CONDITIONS
CONTACTS
NAME TYPE '`'
;NAME
ADDRESSi
CITY ;.:
STATE
ZIP PHONE . " "FAX EMAIL;-,,
APPLICANT
TESERRA
PO BOX 1280
COACHELLA
CA
92236
CONTRACTOR
TESERRA
PO BOX 1280
COACHELLA
CA
92236
OWNER
LENNAR HOMES OF CALIF
391 N MAIN ST STE 300
CORONA
CA
0
FINANCIAL INFORMATION
Printed: Thursday, January 08, 2015 2:59:55 PM 1 of 3 C srSrEMS
PARENT PROJECTS 1
REVIEWS
RETURNED STATUS REMARKS
.._.REVIEWTYPE REVIEWER SENT DATE DUE DATE NOTES
DATE
NON-STRUCTURAL JAKE FUSON 1/7/2015 1/14/2015 1/8/2015 APPROVED
BOND INFORMATION
Printed: Thursday, January 08, 2015 2:59:55 PM 2 of 3 CR SYSTEM$
CLTD
DESCRIPTION
ACCOUNT.
AMOUNT
PAID _.
PAID DATE
RECEIPT #
CHECK #
METHOD .
PAID BY
,QTY
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
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $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 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR _ SCHEDULED COMPLETED rRESULT . REMARKS NOTES
DATE DATE
FINAL"
PARENT PROJECTS 1
REVIEWS
RETURNED STATUS REMARKS
.._.REVIEWTYPE REVIEWER SENT DATE DUE DATE NOTES
DATE
NON-STRUCTURAL JAKE FUSON 1/7/2015 1/14/2015 1/8/2015 APPROVED
BOND INFORMATION
Printed: Thursday, January 08, 2015 2:59:55 PM 2 of 3 CR SYSTEM$
Printed: Thursday, January 08, 2015 2:59:55 PM 3 of 3 CR
SYSTEMS