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BPOL2015-0012�1 78-495 CALLE TAMPICO LA QUINTA, CALIFO,`?922k3 y COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT I Application Number: BPOL2015-0012 Property Address: 81375 THUNDER GULCH WY APN: 767790061 Application Description: POO Property Zoning: Application Valuation: $35, Applicant: ITL JAN 14 2015 lJ� TESERRA PO BOX 1280 ME:NT CITY OF jAO�JINTA COACHELLA, CA 92236 NITYDEVELOPDEPARTMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/14/2015 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 YARD NEWPORT BEACH, CA 0 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, C27, C10, C29, C13 License No,: 656121 Date: / S Contractor:x•2t4 OWNER -BUILDER DECLARATIO14 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 Divisio 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 fo a permit subjects the applicant to a civil penalty of not more than five hundred dolla s ($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.). ( ) I am exempt under Sec. . BAP.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: Contractor: TESERRA PO BOX 1280 COACHELLA, CA 92236 (760)398-9222 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. 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 those provisions. Date: / N S' 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- mentioned property for inspection purposes. Date: / Signature (Applicant or Agent): 4�,a DESCRIPTION FINANCIAL • • 1 ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # . CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DEVICES, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA 101-0000-42404 0 $181.29 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SWIMMING POOL/SPA PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for POOL / SPA: $279.91 $0.00 • 1 0• Description: POOL, SPA, FIRE PIT AND BBQ AT REAR YARD Type: POOL Subtype: Status: APPROVED Applied: 1/12/2015 MFA Approved: 1/13/2015 JFU Parcel No: 767790061 Site Address: 81375 THUNDER GULCH WY LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 222 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $35,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 1/12/2015 Details: POOL, SPA, FIRE PIT, AND BBQ WITH 4 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2010 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION Printed: Wednesday, January 14, 2015 10:46:47 AM 1 of 3 CRWsrsTEMS CHRONOLOGY TYPE STAFF NAME ADDITIONAL CHRONOLOGY ACTION DATE COMPLETION DATE NOTES PUBLIC COUNTER VISIT MARY FASANO 1/12/2015 1/12/2015 TELEPHONE CALL JAKE FUSON 1/13/2015 1/13/2015 NOTIFIED MOISES W/ TESERRA PLANS WERE APPROVED AND PERMIT READY TO ISSUE. CONDITIONS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT TESERRA PO BOX 1280 COACHELLA CA 92236 CONTRACTOR TESERRA PO BOX 1280 COACHELLA CA 92236 OWNER IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH CA 0 FINANCIAL INFORMATION Printed: Wednesday, January 14, 2015 10:46:47 AM 1 of 3 CRWsrsTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS .NOTES DATE DATE FINAL** PARENT PROJECTS :• • INFORMATION Printed: Wednesday, January 14, 2015 10:46:47 AM 2 of 3 CRW YSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY a' 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 Total Paid for POOL / SPA: $279.91 $0.00 TOTALS:•• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS .NOTES DATE DATE FINAL** PARENT PROJECTS :• • INFORMATION Printed: Wednesday, January 14, 2015 10:46:47 AM 2 of 3 CRW YSTEMS Permit Details PERMIT NUMBER City of La Quinta BPOL-2015 00 - 91 ATTACHMENTS) r Printed: Wednesday, January 14, 2015 10:46:47 AM 3 of 3 CRWYsrEMS 0 Aco, Din # $f oL201,J� Qty of La u!nta Building 8t Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and -Tracking Sheet . . Project Address: 3Z l (_t } w Owner's Name: Z-> /V/V�ap A. P. Number: Address: 913-29- 137 Legal Legal Description: Contractor: �.� �'jZ-� 1� City, ST, Zip:9Z7-s Telephone: '' ,:?:h;.?:r:;<::>'";: •.•: s: f�W<}' •�:• :.r,;:•>;;::,�::�": Address: �6 ' DE S� Project Description: City, ST, Zip: �cGlt E (�Ioc , Z736 7— Telephone: -?6 p 3,1d' 17- ?--z g State Lie. # : 5 (0 2� City Lie. #; ------------ Arch., Engr., Designer: Address: City., ST, Zip: Telephone: F;?,:::.N:s<,,..k;s';;;::; :>:=• ,,:.✓:.;�.<'>>...:..v?: �;:::� :.>xs<: � hT:</+,>>vl':'.�ifvL•S.:tv'£<."•.';v'n.iti;•r.:.{'f::�i Construction Type: Occupancy: • State Lie. #: Project type circle one): LgeDw Add, n Alter Repair Demo Name of Contact Person:,0/ t f -.Z Sq. Ft.: S7Z #Stories: #Units: Telephone #,of Contact Person: '% 6 b ":�� /�/�/ Estimated Value of Project: TS, 6 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*erfastiaos tSSv9 1 3 Plan Check Deposit Truss-Calcs. Caned Contact Person j3 Plan Check Balance. Title 24 Calcs. Plans picked up Construction _.._ --Flood-plain.plan . -- •--- _..._- _ ._..— _-_-- -Plans-resubmitted -- _- Grading plan 2'a 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 IN HOUSE:- Review, ready for correctionsrssue Dcveloper Impact Fee Planning Approval Called Contact Person • A,I.P•P, Pub. Wks. Appr —_ Date of permit issue School Fees Total Permit Fees