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BPOL2015-019778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2015-0197 "DEVME?Nl ner: Property Address: 59445 SEVILLE DESERT DEV APN: 764710002 70CARBONERAS Application Description: RICHARDS / POOL, SPA, FIRE PIT AND BBQUINTA, CA 0 Property Zoning: Application Valuation: $28,000.00 TMENT Applicant: 'TESERRA P 0 BOX 1280 COACHELLA, CA 92236 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 Date*19 /6 Contractor: -7 / E'f,liF-T RA 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. 70.44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I I 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 (760)389-9222 Llc. No.: 656128 Date: 9/15/2015 VJv 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. /fN_L 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: 9 /S Applicant:/!i%ArFf C14,v.i 2E= Z 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- mentioned property for inspection purposes. Date: '/ /G /S Signature (Applicant orAgent):,14d/%f7 ✓�� ►.(.//2 F-7— Lender's Z 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 PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION, ;' ACCOUNTQTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY i 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:00 M FOP, yr••elr ,,. w ... Description: RICHARDS / POOL, SPA, FIRE PIT AND BBQ Type: POOL Subtype: Status: APPROVED Applied: 9/11/2015 AOR Approved: 9/14/2015 KKI Parcel No: 764710002 Site Address: 59445 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 r Block: Lot: 176 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $28,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: POOL, SPA, FIRE PIT, AND 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. FINANCIAL INFORMATION Printed: Tuesday, September 15, 2015 8:38:28 AM 1 of 2 CRWrsreMS ADDITIONAL CHRONOLOGY TYPE STAFF NAME ACTION DATE 7COMPLETION DATE NOTES NOTE STEPHANIE KHATAMI 9/14/2015 returned to stephanie 9/14/15 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA P O BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA P O BOX 1280 COACHELLA CA 92236 OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 FINANCIAL INFORMATION Printed: Tuesday, September 15, 2015 8:38:28 AM 1 of 2 CRWrsreMS INSPECTIONS PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Tuesday, September 15, 2015 8:38:28 AM 2 of 2 CRWYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $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 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:0• INSPECTIONS PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Tuesday, September 15, 2015 8:38:28 AM 2 of 2 CRWYSTEMS Bin # City ®® LaQuionta Building 8T Safety Dhrlsion Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 �Ipe.1oc�j-otQ'( Building Permit Application and Tracidng Sheet Projed Address: .S9 Owner's Name: A. P. Number: Address: S E V /, �F ,y, Construction Type: Occupancy: type (circle bneCNe Add'n Alter Repair Demo Sq. Ft: —7 1) 3 Legal Description Cih', ST. Zip: / _ V 22 s� !fit Contractor: �I% i2iA- Telephone: 2 $�� . /I y Estimated Value of Project: Address: /00 AVF 5 - Project Description: POOL J/0,} 7303Cz APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd ' Reea1 'IRACMG City, ST, zip: AG LLQ 2 3 (o ' Telephone: - 6 .2 State Lia # : S(/ city Lie. #, Plan Check submitted Arch•a Eap, Designer Item Amount + Telephone: State Lia #:Project Name of Contact Person: 0 ,y, Construction Type: Occupancy: type (circle bneCNe Add'n Alter Repair Demo Sq. Ft: —7 1) 3 # Stories: # Units; Telephone #,of Contact Person: %� O 2 $�� . /I y Estimated Value of Project: D �Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd ' Reea1 'IRACMG PERMIT FEES Plan Sets Plan Check submitted T0149 Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Trvss•Cales. Called Contact Person Plan Check Balance Title 24 Cake. Plans picked up Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for correctioasfissae ElEctiieal Subcontactor List Called Contact Person Plumbing. Grant Deed Plans picked up S.IVLL KO.A: Approval Plans resubmitted Grading ` IN HOUSE-.- 'ie Review, ready for correctiomslissue Developer Impact Fee Planning Approval Called Contact Person. A XX. Pub. Wks. Appr Date of vermIt Issue Scholl Fees Total Permit Fees