14-0472 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tjbt 4 ei Q"
Application Number: 14-00000472
Property Address: 81335 STORM CAT CT
APN: 767-320-999-218 -32879 -
Application description: POOL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 30000
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED TRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am I' a sed under provisions of Chapter 9 (commencing with
Section 7000) o ivi ' n 3 of the Business and Pr essionals Code, and my License is in full force and effect.
License Class: 8 0, 27, 2 License No.: 656128
[Date: Contractor:
�� 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 yea., of Completion, the owner -boder will have the burden of proving that ite ur site did not buiid or
improve for the purpose of sale.).
(_ 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.).
1 _ 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:
LQPER.MIT
Owner:
LENNAR HOMES OF
980 MONTECITO DR
CORONA, CA 92879
CALIFORNIA
# 302
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/23/14
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
/co.by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ed.andwill maintain workers' compensation insurance, as required by Section 3700 of the Labor
de, for the performance of the work for which this permit is issued. My workerscompensation
insurance carrier and policy number are:
Carrier EVEREST NATL IN Poli Number 7600006481141
I certify that, in the performance of th ork for which this permit is issued, I shall not employ any
person in any manner so as to be a subject to the workers' compensation laws of California,
Wee that, if I should beco subject to the workers' compensation provisions of Section
fthe Labor Code, I sh fo mply with those provisions.
Date:pplicant:
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 Director of Building and Safety 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/cstruction,
or ssation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state thrmation is correct. I agree to comply with all
city and county rdina s and state laws relating tuction, and hereby authorize representatives
of this county ant upon the above-mentioned pction purposes.
,(Date: a Signature (Applicant or Agent):
Application Number 14-00000472
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 CheckFee
.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
r-----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, FIRE PIT AND BBQ AT REAR YARD,
(DOUGLAS FERRELL ENGINEERING.] THIS
PERMIT DOES NOT INCLUDE EQUIPMENT
ENCLOSURE. ALARMS AND BARRIERS REQUIRED
TO BE INSTALLED AT PRE -PLASTER
INSPECTION. 2013 CALIFORNIA BUILDING
CODE.
April 23, 2014 3:56:04 PM AORTEGA
--------------------- 7 -------------- -
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
• 4
Application Number . . . . . 14-00000472
Plan Check Total .00 .00 .00 .00
Other Fee -Total 146.90 .00 .00 146.90
Grand Total 361.40 .00 .00 361.40
LQPERMIT
• C
Bin #
City of La Quinta
Building 81: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Address:013STO gAA « %ej.'
Owner's Name:
A. P. Number:
Address: 8133 sT� CA -1' J Or
Legal Description:
City, ST, Zip: L.�k � ► nrfA- 3
Contractor:
Telephone:
. .............
Address: �%G �0O 4 ✓C— SY.
Project Description:
City, ST, Zip:
Telephone:0 - r
C 3 ,92
zz
a � �
State Lic. # : S Z
City 1'.ie. #c
Arch., Engr., Designer:
Address:
City, ST, Zip:
Tele hone:
.P
Construction Type: Occupancy:
State'Lic. #:
Projecta circle one New Add'n Alter
typ ( Repair Demo
Name of Contact Person:U4 C,M, SEL
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: t) Z U
Estimated Value of Project: 3 570 OD
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 Cala.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
flans picked up
Construction
Flood plain plan
flans resubmitted
Mechanical
Grading plan
2" Review, ready for correct ions/iss a
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
flans picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, ready for correctios issu
Developer Impact Fee
Planning Approval
Called Contact PersonL'�
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
LlTotal
Permit Fees
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