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