BPOL2016-015278-495 CALLE TAMPICO
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Ct D 4aNCl/
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX
FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT
(760) 777-7153
BUILDING PERMIT
Date: 10/17/2016
Application Number:
BPOL2016-0152
Owner:
Property Address:
81355 THUNDER GULCH WY
GENTILE
APN:
767790062
81355 THUNDER GULCH
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Application Description:
GENTILE / POOL SPA FIRE: PIT
AND BBQ
LA QUINTA, CA 92253
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Property Zoning:
t
n O
Application Valuation:
$30,000.00
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Trn - ~ �C
0
Applicant:
Contractor:
A 6
TESERRA
TESERRA
S
P O BOX 1280
P O BOX 1280
v V
COACHELLA, CA 92236
COACHELLA, CA 92236
_o
C73
(760)389-9222
—'
Llc. No.: 656128"—
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: -8 C10 C29 C53 C27 D12 L' nse No.: 656128_
c
Da� ) Contractor
uf/
OWNER -BUILDER DECex�
I hereby affirm under penalty of perjury that I arr from the Contractor's State
License Law for the following reason (Sec. 7031.5,, 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.).
(__j 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
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 nthe rk for which this permit is issued.
a4 I have and will maintain workers' compensation insurance, as required by
io 700 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: STARSTONE NATIONAL INSURANCE COMPANY 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. 1
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENH ES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN DITION 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.
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 Agent): e
Date: 10/17/2016
Application Number: BPOL2016-0152 Owner:
Property Address: 81355 THUNDER GULCH WY GENTILE
APN: 767790062 81355 THUNDER GULCH
Application Description: GENTILE/ POOL SPA FIRE PIT AND BBQ LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $30,000.00
Applicant: Contractor:
TESERRA TESERRA
P O 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 INFORMATION
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, 1-4 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 # Qty Of QuinLa ---
Building 8L Safety Division
Permit # P.O. Box 1504, 78-4.95 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
But/drug Permit Annlic;Wnn an(f Trirkima cher
Project Address: /)F
Owner's Name: `
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
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Address:
Project Description:'/000 x.2 OL—/ Q
City, ST, Zip:
Item Amount
Telephone: —- L7 ® 0
•}ff r{:. SYY:.,.t: fC i..iii :dF,+�;iii �<{+::
State Lic. # :
City Lie. #;
Reviewed, ready for corrections
Arch., Engr., Designer:
Plan Check Deposit
Address:
Truss Calcs.
City., ST, Zip:
Construction Type: Occupancy: .
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tc..:.yS:..".••:^::: it ,i'::£t:`'iY:: •.. r::`•::::
Telephone:
i.�I.CC}jivv :tifJiri:r .YYY:i;:}.::i �.•.Yv
State Lie. #:,,,•;>T,Y.,:<;�;,•�:-fY��.s,.rt,;:,.:.::�,:;:r:.:.
,.•# .» ;^Y:i :: ;v;,,,•,;<: ;;.;s:;�H;
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: P,
Sq. Ft.:
# Stories:
#Units:
Telephone #,of Contact Person:1&42—
=Estimalue of Project: Z!2 Q 061112
APPLICANT- DO NOT W[tITr- nGI rtear -nice i imp
t✓
Submittal
Req'd
Recd
T'RACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
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°d Review, ready for corrections/issue
Electrical
Subcontactor List
Cailed Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person.
A.I.P,P,
Pub. Wks_Appr
;_ _
_Date of permit issue
as I
Schodl Fees
T
tal Perm'
CITY OF LA QUIN!TA
COMMUNITY DEVELOPMENT