14-0471 (RPL)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/23/14
Application Number: 14-00000471 Owner:
Property Address: 81275 STORM CAT CT LENNAR HOMES OF CALIFORNIA INC
APN: 767-320-999-216 -32879 - 980 MONTECITO DR #302
Application description: POOL - RESIDENTIAL CORONA, CA 92879
Property Zoning: LOW DENSITY RESIDENTIAL �� d
Application valuation: 32000
Contractor: A
Applicant: Architect or Engineer: TESERRA
P.O. BOX 1280
fff CITY ()F
LA.
COACHELLA, CA 92236 F1J���;�-
.VA (760) 398-9222
Lic. No.: 656128
------------------------ - ----------------------------------------------------------------------
LICENSED CO CTOR'S DECLARATION
I hereby affirm unde penalty of perjury that I am license oder pro isions of Chapter 9 (commencing with
Section 700 of D' ision 3 of the Business and Profes nals e, and my License is in full force and effect.
License Cla 10, 27, 2 icense No.: 656128
Date: Contractor: -
WNER-BUILDER DECLARATION
I hereby a irm 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 1, 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 iter 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.).
l _ 1 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.l.
( 1 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 Address:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
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 EVEREST NATL IN Policy bar 7600006481141
I certify that, in the performance of the for which this permit is issued, I shall not employ any
person in any manner so as to bey subject to the workers' compensation laws of California,
d a e that, if I should become bject t�oo tha workers' compensation provisions of Section
370 of the Labor Code, I shall rtrt11y�'tft'comply with those provisions.
,Date: d Applicant:
WAR ING: 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 ($1100,000). 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 Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each persori 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, o/ce ionofwork for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above inforiscorrect. I agree to comply with all
city and county rdina ces and state laws relating to building construd hereby authorize representatives
of this county en upon the above-mentioned property for insp tion purposes.
mate: ignature (Applicant or Agent):
Application Number . . . . . 14-00000471
Permit . . . POOL 2013
Additional desc .
Permit Fee 178.75 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 10/20/14
Qty Unit Charge Per
Extension
1.00 178.7500 EA MISC POOL/SPA
----------------------------------------------------------------------------
178.75
Permit PLUMBING 2013
Additional desc BBQ AND FIRE PIT
Permit Fee 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date .10/20/14
Qty Unit Charge Per
Extension
1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS
----------------------------------------------------------------------------
11.92
Permit ELECTRICAL 2013
Additional desc BBQ ONLY
Permit Fee . . . . 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 10/20/14
Qty Unit Charge, Per
Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20
23.83.
----------------------------------------- ----------------------------------
Special Notes and Comments
POOL, SPA, FIRE PIT AND BBQ AT REAR YARD
[DENISE POELTLER ENGINEERING] THIS
PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE OR PATIO COVERS. ALARMS AND
BARRIERS REQUIRED TO BE INSTALLED AT
PRE -PLASTER INSPECTION. 2013 CALIFORNIA
BUILDING CODE.
April 23, 2014 3:18:41"PM-AORTEGA`
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, ELECTRICAL
23.83
PLAN CHECK, POOL
97.24
PLAN CHECK, PLUMBING
23.83
_ Fee summary ..Charged Paid Credited
Due
Permit Fee Total 214.50 .00 .00
214.50
LQPERMIT
Application Number . . . . . 14-00000471
Plan Check Total .00 .00 .00 .00
Other Fee Total 146.90 .00 .00 146.90
Grand Total 361.40 .00 .00 361.40
Bin #
City of La Quinta
Building 8i' Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Permit #
' AV-1Building
Project Address: iZ S
Owner's Name: G�
A. P. Number:
Address: lZ �-SIDTAACA1— v0
Legal Description:
City, ST, Zip:
Contractor :Tele
E7
P hone:
Address: �(� S[�'
ProjectDescription: 6L � SA—Awco_
City, ST, Zip: 22 SC
' c
Tele hone: p
P �� 39$�Z2Z
<:s;::>» ::::>:.'.:::>;»>
S- n/— L C�1✓�
State Lic. # : /
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Constructin TYPe: Occupancy:
•
State Lic. #:
Project type (circle a). New Add'n Alter Repair Demo
Name of Contact Person: e
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:. Q — Z $ O 2 3
Estimated Value of Project: 00 O
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2id Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN I-IOUSE:-
'"` Review, ready for correctio I
Developer Impact Fee
Planning Approval
A
Called Contact Person L7 ®
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
OAA -VA
Iwo t %J&
Total Permit Fees