BPOL2015-005778-495 CALLE TAMPICO
I
4 4v
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
Contractor:
BUILDING PERMIT
Application Number:
BPOL2015-0057 Owner:
Property Address:
59145 SEVILLE T D DESERT DEV
APN:
764700001 81570 CARBONERAS
Application Description:
POOL, SPA, BBQ & FIREPIT AT REAR YARD LA QUINTA, CA 0
Property Zoning:
CA 92236
Application Valuation:
$35,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/25/2015
Applicant:
Contractor:
TESERRA
TESERRA
PO BOX 1280'
PO BOX 1280
CYICOACHELLA,
CA 92236
COACHELLA, CA 92236(760)398-9222Llc.
L
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.\,3 h Contract;�%'i /2/4-
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
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.
/y+X 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 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: /S 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 enter upon the above-
mentione y
prope y for inspection purposes.
Date:3 2 S— / S— Signature (Applicant or Agent);ef99�D/fC_f yveEz
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101-0000-42401
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G�AS.SYSTEM, 1-4 OUTLETS PC ' , 'E
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$24.17
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PAID DATES
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SWIMMING POOL/SPA"
.101-000042404
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.$181.29
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hie_!?ve.•»:shtA, cot
-SWIMMING'POOL/SPA PC ' " .,
101-0000-42600 "
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$98.62
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Total Paid 'foe POOL/ SPA: $279.91 $0.00
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Description: POOL, SPA, BBQ & FIREPIT AT REAR YARD
Type: POOL Subtype: Status: APPROVED
Applied: 3/25/2015 JFU
Approved: 3/25/2015 JFU
Parcel No: 764700001 Site Address: 59145 SEVILLE LA QUINTA,CA 92253
Subdivision: TR 31681-3 Block: Lot: 166
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
STAFF NAME
Details: POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD [DENISE POELTLER 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: Wednesday, March 25, 2015 4:20:52 PM 1 of 3_
SYS7EtitS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTIFIED MOISES W/ TESERRA PLANS WERE APPROVED AND
TELEPHONE CALL
JAKE FUSON
3/25/2015
3/25/2015
PERMIT WAS 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
T D DESERT DEV 81570 CARBONERAS
LA QUINTA CA
0
FINANCIAL INFORMATION
Printed: Wednesday, March 25, 2015 4:20:52 PM 1 of 3_
SYS7EtitS
INSPECTIONS
SEQID. INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL*" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID _.
PAID DATE
RECEIPT
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
1 $0.00
Total Paid forBUILDING 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 forELECTRICAL: $48.34 $0.00
GAS SYSTEM, 14
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 forPLUMBING 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:0•
INSPECTIONS
SEQID. INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL*" BLD
Printed: Wednesday, March 25, 2015 4:20:52 PM 2 of 3
SYSTEMS
BOND INFORMATION
Printed: Wednesday, March 25, 2015 4:20:52 PM 3 of 3
SYSTFti1S
C•
Din # Oty Of La Qurnta
Building 8t' Safety Division
Permit # is P.O. Box 1504, 78-495 Cafle Tampico
!a Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 5 / S 1F/ Owner's Name: C �Pg9A—� e 0/V,5 7720 C7—M
A. P. Number:
Address: S Ms -
S -Legal
Legal Description:
City, ST, Zip: Z,; -q- U /U-rA 9 ZZ S 3
Contractor:-TUS t✓ P-
�•s f .
Telephone: a{. • i s s �;
Address: 160 ewe s -y
Project Description: L K-�
City, ST, Zip: ht� — L(.� 2Z
P17- -72? /3
Telephone: 6 6 3 I6
State Lic. # : S6 �• Z City Lie. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
Ne
Project type (circle one) Add'n Alter Repair Demo
State Lic. #: f
Name of Contact Person: f& -f If?�Sq.
Ft:: (�8
#Stories:
4 Units:
Telephone #,of Contact Person:
ZSR i I 1-j
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H Submittal Req'd Recd TRACIGNG PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Hood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correction issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A.'Approval
Pians resubmitted
Grading
IN HOUSE:-
Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person.
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
_.
_�... .
School Fees
Total Permit Fees