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BPOL2015-016178-495 CALLE TAMPICO Ci 0 D "i " �iNllA�il/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPOL2015-0161 Owner: Property Address: 59475 SEVILLE BRATTANRESIDENCE APN: 764710003 59475 SEVILLE Application Description: POOL SPA BBQ (3) FIREBOWLS LA QUINTA, CA 0 Property Zoning: Application Valuation: $39,000.00 Applicant: TESERRA OUTSIDE CITY LIMITS 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: License No.: :LIC -0000355 Date: '% , 22 Contractof���cx✓e%4 V ` 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 Name: Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: TESERRA OUTSIDE CITY LIMITS (760)398-9220 Llc. No.: :LIC -0000355 Date: 7/21/2015 y iJ LM CD z cV : w C9 C O 0 w � W 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 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. n� Date: 7 r Applicant: "Volft 1. .fr4u4tee—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. p Date: �2 �J Signature (Applicant or Agent): 1-r L f KAA1tgC—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 for BUILDING 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:00 Description: POOL SPA BBQ (3) FIREBOWLS Type: POOL ' Subtype: Status: APPROVED Applied: 7/20/2015 PJU Approved: Parcel No: 764710003 Site Address: 59475 SEVILLE LA QUINTA CA 92253 Subdivision: TR 31681-3 Block: Lot: 177 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $39,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. finites: 0 CHRONOLOGY Details: POOL, SPA, FIRE PIT, BBQ, AND (3) FIRE BOWLS EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION2013 CALIFORNIA BUILDING CODE Printed: Tuesday, July 21, 2015 5:14:50 PM 1 of 3 N?WSYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE PHILIP JUAREZ 7/21/2015 sent back to philip 7/21/15 PLAN CHECK SUBMITTAL RECEIVED PHILIP JUAREZ 7/20/2015 7/20/2015 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSS CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA OUTSIDE CITY LIMITS CONTRACTOR TESERRA OUTSIDE CITY LIMITS OWNER BRATTANRESIDENCE 59475 SEVILLE LA QUINTA CA 0 Printed: Tuesday, July 21, 2015 5:14:50 PM 1 of 3 N?WSYSTEMS Printed: Tuesday, July 21, 2015 5:14:50 PM 2 of 3 CRWYSTEMs 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 $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 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:00 Printed: Tuesday, July 21, 2015 5:14:50 PM 2 of 3 CRWYSTEMs INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD Printed: Tuesday, July 21, 2015 5:14:50 PM 2 of 3 CRWYSTEMs ATTACHMENTS Printed: Tuesday, July 21, 2015 5:14:50 PM 3 of SAAF 3 SYSTEMS Total Permit Fees Bin Oty'of La Quinta Building a Safety UvIslon Permit # P.O. Box 1504, 78-495 Calle Tampico La QuInta, CA 92253 - (760) 777-7012 Building Permit Application and `racking Sheet Project Address: S9 4-17 -57 S r--v I L L E7 Owner's Name: �RATT-OAI A. P. Number. iCity, Address:5 L-1-7 SE- VILLF Legal Description: ST, Zip: Z4 #1//A/-r,49 Contractor. Telephone: Address: - �6 /00 11 V6- Sy 11 rojectDesc dplion p OL f ter. ST, Zip: ?2 F/ /2 C-- ('0011VT491"Pgry-D 61q< Telephone. 7 22Z State Lic.#: e. �n.A CC Arch, Engr., Designer: Address: City, ST, Tap: Telephone: State Lic. 4: Construction Type: Occupanzy: 0 ed j t Projed type, (circle one): Add'n AN= Repair Demo ��ew) Name of Contact Person: 1,�*11-1)1,S5EJ le 4A -Z CZ_ Sq . FV. Sq. Ft--. 6 6 3 es, #StoTi'--- 9 Units T Telcphogq #,of Contact Persoa: Z—S-e) M Ll Z Estimated Value of Project 3. -IF-1,000 APPLICANT. DO NOT WRITE BELOW THIS LINE N Submittal q'd Reed tRACMG pkp:kw FM Plan Sets Plan Check submitted item I Amount . Structural Cates. Reviewed, ready for corrections Plan Check Deposit TruwCales. Called Contact Person Pfau Check Balance . Title 24 'ClIcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechnaleal Grading plan 2'' Review, ready for corrcctioasftue FA&Aitcal Subcontactor List Called Contact Person Plumbing. Grant Deed Plans OldEcd up S.M.I. --------- - ]FLOXApproval ........... Plans resubmitted Gradimg IN HOUSE:+ Reviews ready for corre ctiouMssue Developer Impact Fee Planning Approval Called Contact Person. Pub. Wks. Appr Date of permit issue Scholl Few Total Permit Fees