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BPOL2016-006078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPOL2016-0060 Property Address: 59535 SEVILLE APN: 764710005 Application Description: SPARKS CONST / POOL Property Zoning: Application Valuation: $38,000.00 Applicant: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 T4tr 4 lw Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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 Rate' S G Contractc �� 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,vill 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 hot apply to an owner of property who builds or irhproves thereon, and who does the work himself or herself through his of 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 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 Address: Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 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 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. �vr�C 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 hose rovisions. Date: 'S G 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 -menti ned property for inspection purposes. n Date: S 116 Signature (Applicant or Agent): i1// r cr /2rf,K�'Z Date: 5//66/201 C-3 c z C:) rte-. C 1M �t r� c -D c===3y iM o, 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. �vr�C 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 hose rovisions. Date: 'S G 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 -menti ned property for inspection purposes. n Date: S 116 Signature (Applicant or Agent): i1// r cr /2rf,K�'Z .(y>,:<' r4;3.:: ?e `^ti.�+"b s.: r: x rEr�z -as. r•3�. i..S!E-{as.<s €;DESCRIPTION.; a ` re",,.:i .. '`, a°P;rssa< t;'; r. ;>-'.' : Rx,�,"x ''t; `ACCO,UNT'Kg 2­1 x TY *.sPAIU' - t r t �;.ri F.w,:r,ribe, hpEa,� : AMOUNT r . mY. �d <' iQ�,.f _:� SEE PAID DATE F.,.a� ..r ,r - ..... < ,Y. .,d ri � n �k . �• :.: : BSAS SB1473 FEE 101-0000-20306 0 $2.00 .` $0.00 �' �'..:1 9^�•'- y .a CYyA_.{... METHODRECEIRT 4y4"'E' rP. # y HECK #CLTD BY �.. Total Paid for$UILDING STANDARDS ADMINISTRATION.BSA:. '. .$2.00 $0.00' T..g•X'a'xrr{.,,•' i -d°i.. r<-i P'''. �'. F'.y"•✓F,1 Y Ya4,-.+w`'•"5.,.: .ACCOUNT' "-L N: TYr°€PAID :4^'h tH »'S�Y.•rx+i< •Sf.�St Y '• f5'3•:..' +R 'i..lxCe-'�.FFF•x'. ..DESCRIPTION r a P,AIDrD ATE DEVICES, FIRST 20 101 0000-42403 0$24.17.. $0.00 rK:, e,F{svgj'- �. ;p x y •'�y"<;..sa*;i LV<z' � %?.' i r� 'x i& �PAIDiBYME,TIIOD <kR >,, ?K R f y, •a. -- 3.. a«�`3+.rw"f Y . k < `^i 'ti`Y 1.x :: '� 5' "k�'S ft f.' a. .'s mn::T s'F - mcf. , , 6 ' .3'3�,�., . W" ' C -:.. � £ "es` OM1..". : a,h Mj og� A-# "X€ (y, u? ', "p9<. iD. zdD ��� N..,,.aYrG K. k+,.,: a;''r"�s3 .<. :.d5hd4• .3. .. _.;s{ P, .e, s.. Ar..v�.TNT1 ,PAI_111R DEVICES; FIRST 20`PC ' '. 101-0000-42600 0.. $24.17 ' $0.00 ";,xx, • ,a a METHOD k �s..;;s.<._4�'....41.,::.�3 � RECEIPT# CHECK #"� zt=CLTD _p.PAIDBY` .. :;?R�lsE.,ex,Cvf�'�i<se.-.!i?eb; �,. m?3?,$xif;3r.., v.r...��,s'�._3'�4n.N�"v�''fiissV�'�:':€"y!£s S. ��i •M-'-.afv.- xrW744�.,...�;.. 3f�FWM .`is-,'�.if�.<,:rr "?'.. .,. ag:$ BY Total Paid for ELECTRICAL. $48.34 .$0.00.. ,.'.`z, E DESCRIPTIONi+ k4 `43''sy d-�,... ,R k I coAOl1NTr x -v..E s"fi TY q_, :..: "a'Td^. A AMOUNTp ' ;E .-.... P ROME D DATE .aa: � H � GAS SYSTEM; 1-4 OUTLETS 101-0000-42401 0 $12.09 • ` .$0.00. Sx' 1Yx h'[S i'Pv`r-i I .:taC k ,� -€ ,',-;";r a'-zap. r - r S ..v' #�{.v r4 4t r�., v 011 . METHODxs.,` `:..._.. .. €#nRECEI#..CHEEK#�s CLTD BY ::5i r'.,ks,is'3s rXrk. i_':: {k ., i'R �•....:rFLi 3�Fz SX,'.:.` XEvCF'{7S? ��< DESCRIPTION.€ EFi`e ,x} 'her' Lam' Fx9 Lr"e=: i•"<6' x :'.k ACCOUNTS`QTY y£y� F'T E ::3'K';r`^- <.q .� t�. - ? P� AMUUNT�s-g'PAID`> . {:�f ,, 4e S h'SCx.3s.�'G:.. i P7n:•G f.[;:. x x,...`»:':. <.'.�W.r_sx P,AIDDATE W:. GAS: SYSTEM; 1-4 OUTLETS PC .101-0000-42600 0 . $24:17 $0.00 ... <_" fix' n-k.'A` e ,;> tc'4is 3 �a-SY4�n• PAID:BY ����. .r }, -f i:P•ei METHOD�x r Y v4&. .ir+rt-ff,�"':'.v� r: >,: �� az v)r-s :s... rS >. �Y�S $ e�. f kk,, �A nr.Le .a..YR .i<.r. .. .a...,.'W_wrt', e.+if.aYn Y< .. .Y ...<..._ a RECEIPT # ._Ca..Ya '.- d.-<•iAjC>.�.Z, .v...,., _.._ >3� CHECKS#.(�+CLTDrBY -v. rr,".Y ].u..(?..........k{S$...x..e .<: :.,o°F' lS xX,.e.r_tF.,`. ...m',,a ',.'Total Paid for PLUMBING FEES: .. $36.26$0.00 '' #DESCRIPTIONS?{� ACCOUNT+ EPA�ID NIN { QTY<AMOUNT�tPAID ,*r,� DATE' SWIMMING''POOL/SPA a 101-000042404 0 . '$181.i9 . 4. '.,s`s•r:?"-PAIDnBY `��..,. �X4.y_ E,^ "'-�Er ? .0. ....-�° RECEI _, ,CHECK #CLTD BY; a... ..' ' aES.<Y4-k^4i:' f§ i"' s X...3'.2,'�.x'.`.�i. 'S.: .x',?�q Si iZ 'y'sP}., 4¢i is X k�s"DESCRIPTION�-OUNT n acF-»i ,''sem•= a<. c,<„n',i�'�"k, v.•k....xIN 'y - ';aQ ..r z` ,,st2:.'sda 1.r+.'"E.'ht , AINIOUNT'< € PAID .s.-. �.a. r'R-._if r.,,:k` ... i, •,!-., :.P r. "Q TY'` r ..', ,.. ..r f. n, _i'T a. €: _.,.. ,r$P` 'S. .,uZ, 3r,. .5:2:. PAID E� DAT $A .. by .br>i.9S,.'.°5.", SWIMMING POOL/SpA PC 101-0000-42600'. 0 $98 62 .:.• $0:00: .' a a-3` . awl xz -,3 : �. $' z-* k .: F P - t � PAIDMY u , � a�`i.-.:diw. it ... S:' r ;p -.. ' MET,t10D E cr'. _ .' �z °RECEIPT # `k 3�.;.5%� �,.r F .>f c - - $frt ', 4x ,. CHECK #, ”" `E..s- M. L$TD I) < -r,—v sma- .-. Aja, \�:: S. a° Ys s�C 'B� w5y..wxll..I Ss'e i'S �. , X' iDESCRIPTION {" �i"ly .,kn 4.- S 'E {`.�y, r< ,5 i>' >y '<S;j .ys,j§ 5s` .w U� �` A Pi41DDATE R �� §ACCOUNT . n x...,, .�4�AMOUNT� TYr s PAID •. WATER FEATURE` 101-0000-42404 ' 0 $181.29 $0.00 • ns a�`- r- > r .[< �,i, PAID BY x y"s.4.E. `J,"K METHOD t z i� ai• .z' Y ter- FRE E T :-� tz y '^,'"a_`x. ., c - CHECK # X •vr>S -{£ CLTD BY A. <«V`f-t "o`.zY4%K Y4 .' row' ! Y ;`Y!DESCRIPTIONn� '` 4< Y ',r+, a,A000.UNT�> QTY ,..,�" h«�� Y x - , , :.� .rir aAMOUNT� PAID PAID D$ E ` :WATER FEATURE PC' SOS-0000 42600 0 $98.62 $0.00 . >rz y5 -`' s..,V. xx�z �� PAID 6Y��� r � METHOD � ,,.. r , dam,. s r > ., m �� y:.: �- .'::_ x : RECEIPTx#F CHECK # < CLTD BSY, Total Paid for POOL SPA': $559.82$ . 0.00 Description: SPARKS CONST / POOL Type: POOL Subtype: Status: APPROVED Applied: 5/4/2016 RSE Approved: 5/5/2016 BHA Parcel No: 764710005 Site Address: 59535 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 179 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $38,000.00 Occupancy Type: Construction .Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 TELEPHONE CALL Details: POOL W/ TANNING SHELF AND SPA, COURTYARD WATER FEATURE, 2 FIRE BOWLS, FIREPIT AND BBQ. 236 L.F. 2" dia POLYPROPYLENE GAS LINE [DOUGLAS R. 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: Friday, May 06, 2016 1:22:08 PM 1 of 3 C srsiEMs ADDITIONAL CHRONOLOGYTYPE, ,, ...... 'STAFF NAME CHRONOLOGY .... It' ACTION DATE COMPLETION DAT..._ E .NOTES TELEPHONE CALL BURT HANADA 5/5/2016 5/5/2016 LEFT VOICEMAIL FOR MOISES TO NOTIFY HIME THAT PERMIT IS READY TO ISSUE. CONDITioNs CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL ' APPLICANT TESERRA P O BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA P 0 BOX 1280 COACHELLA CA 92236 OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 FINANCIAL INFORMATION Printed: Friday, May 06, 2016 1:22:08 PM 1 of 3 C srsiEMs Gt3 INSPECTIONS PARENT PROJECTS Printed: Friday, May 06, 2016 1:22:08 PM 2 of 3 SYSTEMS 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 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 ' WATER FEATURE 101-0000-42404 0 $181.29. $0.00 WATER FEATURE PC 101-0000-42600 0 $98.62 $0.00 Total Paid for POOL / SPA: $559.82 $0.00 .4. 00 INSPECTIONS PARENT PROJECTS Printed: Friday, May 06, 2016 1:22:08 PM 2 of 3 SYSTEMS Printed: Friday, May 06, 2016 1:22:08 PM 3 of 3. CB?WYSTEMS Bin #f Permit # L �(, Project Address: 5-153 S SFVtLL Qty Of La Quin Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Z- Owner's Name: K S NS A. P. Number: Address: 5-15--3 5- 5 V L,L Legal Description: City, ST, Zip: L fq- U)Ui Contractor: S � ;',•vs}. A }i•; }k{A:. Telephone: c?,�a,�.��r?';N' ���:•.<;,;ft;,.,•:.�. Y,:?a:?•:aNirjY.; �;S:;fr';# Address: �� /UD VE sU City, ST, Zip: CU1qC LLQ ZZ3G/,eC <'�•r141i' Project Description: PUU L SPS 13 ! % Telephone: 7(0� 3 19' ZZ Z '< �#: •• � .y�q3 pyf o-..f�'•iii;-'iS.i•;/'u>a:ti•>i��ii':<•:%{ti�l�: is N State Lie. #: City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lie. #: Name of Contact Person:/1�0�sCs ::ora✓��.rrojc-. Gar.• „c,: ,-..: prA. - o:x 4 ,•� �.�3:��=^�•���:��:w� �> e y2t EZ Construction Type: Project type (circle one): CNew Add'n Alter Repair Demo Sq. Ft.: ! �� #Stories: # Units: Telephone #,of Contact Person: .7 (, Q -YF6) .Estimated Value of Project: 3 85, D 0!U APPLICANT: DO NOT. WRITE BELOW THIS LINE N Submittal Req'd Recd TRACIUNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/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: 'rd Review, ready for correctiomrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks_APPr _ _ Date o_perm It Issue School Fees Total Permit Fees .