BPOL2016-015378-495 CALLE TAMPICO D �� VOICE (760).777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/17/2016
Application Number: BPOL2016-0153 Owner:
Property Address: 81275 THUNDER GULCH WY LENNAR HOMES
nH APN: 767790071 81275 THUNDER GULCHApplication Description: LENNAR / POOL SPA FIRE PIT AND BBQ LA QUINTA, CA 92253Property Zoning: Application Valuation: $30,000.00 Applicant: Contractor: TESERRA TESERRA P 0 BOX 1280 P 0 BOX 1280
COACHELLA, CA 92236 COACHELLA, CA 92236
----------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C-8 C10 C29 C53 C27 D12 License No.: 656128----7 f o k for which this permit is issued.
Abat/ I have and will maintain workers' compensation insurance, as required by
e: ` Contractor ` i 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:
OWNER -BUILDER DECLA ON Carrier: STARSTONE NATIONAL INSURANCE COMPANY Polity Number:
I hereby affirm under penalty of perjury that I am a mpt from the Contractor's State T10160317
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the 4
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Date;% Applicant r
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSAT COVERAGE IS UNLAWFUL,
() 1, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors 1: Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.). employees for any act or omission related to the work being performed under or
( I I am exempt under Sec. . B.&P.C. for this reason 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.
(760)389-9222
Llc. No.: 656128
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:
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.
Date: Signature (Applicant or Age
Application. Number:
BPOL2016-0153
Property Address:
81275 THUNDER GULCH WY
APN:
767790071
Application Description:
LENNAR / POOL SPA FIRE PIT AND PBQ
Property Zoning:
Application Valuation:
$30,000.00
Owner:
LENNAR HOMES
81275 THUNDER GULCH
LA QUINTA, CA 92253
Date: 10/17/2016
Applicant: Contractor:
TESERRA TESERRA
P 0 BOX 1280 P 0 BOX 1280
COACHELLA, CA 92236 COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
Detail: POOL, SPA, FIRE PIT, AND BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS
REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013 CALIFORNIA BUILDING CODE.
FINANCIAL +
DESCRIPTION' ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 174 OUTLETS
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC:
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
Qin #owl
M_)b
Permit #
Project Address:
Qty of La Quint
'a
SZ• Safety Division .
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address: ^ 01?
Legal Description:
City, ST, Zip:
Contractor:
Telephone•
::r:4 %x/,.•'353:.
Address:
Project Description:
City, ST, Zip: '
i ,
Telephone:
State Lie. #:
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic_ #:
ConstructionT e: YP Occupancy: .
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
to
Sq. Ft.:
#Stories:
# Units: -
Telephone #,of Contact Person: _
Estimated Value of Project:
tt Submittal
APPLICANT: DO NOT WRITE BELOW THIS LINE
Req'd Recd TRACMG 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 Cates.
Plans picked up
Construction
Flood plain plan
:Plans resubmitted
Mechanical
Grading plan
.Z°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
TN HOUSE:-
' Review, ready for correctionsrissue
Developer Impact Fee.
Planning Approval
Called Contact Person
AJ.P,P.
Pub. Wks. Appr
Date of permit issue
School Fees
v YZ nyya�.
Total Permit hPST
V
...
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CITY OF LA OUINTA
COMMUNITY DEVELOPMENT