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BPOL2015-0006M 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 y ��la4,u«rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number -r �BPOL2015-0006 Owner: Property Address: 81415 THUNDER GULCH WY IOTA GRIFFIN APN: 767790046 4675 MACARTHUR CT NO 1550 Application Description: POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD NEWPORT BEACH, CA 0 Property Zoning: Application Valuation: $35,000.00 Applicant: Contractor: TESERRA D L�1 a TESERRA PO BOX 1280 PO BOX 1280 COACHELLA, CA 92236 JAN 0� 9 2015 COACHELLA, CA 92236 CITY OF IA QUINTA (760)398-9222 COMMUNITYOEVELCIPMENTDEPARTMEM 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: C-8, C27, C10, C29, C53 License No.: 65612.3 LDate:i S Contractor: Tl%jEIZ(Z/� 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 ? 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 permitsubjects 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 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.). (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.). ( ) 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: I `l Lender's Address: Date: 1/9/2015 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: /,/-7 //3 —Applicant:,%%//tl 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. //�� jj Date: /�%bS Signature (Applicant or Agent):_zftlb7 1ryoyeee- .r" . FINANCIAL .1, -..DESCRIPTION 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 TOTALS:00 Description: POOL, SPA, BBQ AND FIRE PIT AT REAR YARD Type: POOL Subtype: Status: APPROVED Applied: 1/8/2015 SKH Approved: 1/8/2015 JFU Parcel No: 767790046 Site Address: 81415 THUNDER GULCH WY LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 207 Issued: Lot Scl 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 Details: POOL, SPA, BBQ, AND FIRE PIT 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. Printed: Friday, January 09, 2015 11:20:10 AM 1 of 3 RWYS TEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL RECEIVED STEPHANIE KHATAMI 1/8/2015 1/8/2015 TELEPHONE CALL JAKE FUSON 1/8/2015 1/8/2015 NOTIFIED MOISES W/ TESERRA PLAN REVIEW WAS COMPLETE AND PERMIT READY TO ISSUE. CONDITIONS CONTACTS 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 Printed: Friday, January 09, 2015 11:20:10 AM 1 of 3 RWYS TEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL** PARENT PROJECTS Printed: Friday, January 09, 2015 11:20:10 AM 2 of 3 RW YSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT Q AMOUNT PAID LTD PAID DATE RECEIPT # CHECK # METHOD PAID BY C BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING 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 Tom Paid forELECi-RiCAL: $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:• 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL** PARENT PROJECTS Printed: Friday, January 09, 2015 11:20:10 AM 2 of 3 RW YSTEMS BOND INFORMATION 0 Printed: Friday, January 09, 2015 11:20:10 AM 3 of 3 CRWsrsrEMS Lain # Permit # J>TO -DODt p Project Address: V Qty of La Quint 1 Building 8r Safety Division P.O. Box 1504, 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet NL�Tc: Gv4e* XyAtj Owner's Name: � IVA A. P. Number: Address: 15-- 2 U C 6 d A// Legal Description: 4 City, ST, Zip:GjZs-3 i+ &AIIIA Contractor: �>cf Fp— (z/4 __4 Telephone: cj , #v:i >' >x" •,'' c'. Address: 6,616o Project Description: ppQL City, ST, Zip: GnIcFC ELL W /'►' 2234 PIZ— Telephone: � �� yfi.;:: �,S �3.:'s:•:t:`.{.rys•'t�:-r:i;�;:•S•i�b b�Y S': {,aS .d3.yjir.•(:n.:,2.. i:.Y.. •;z CYCf x��;��•,-v{}:<w.,�;<�.}yx::%.;;:Y;< . ' State Lic. #: (p E / City Lii;. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: �" �% F?,.ri>_ ;.rw:rr:•: • • 5.6.. fi.%,t.:... C} ;ij•iiwn: �.'i�vr %{j.t > �}Yh >4. •..:�wv..1"-{.:.%}..•..: ,. i{,,fin.: mft r:%>; r`.:r.;..: i <: <' ?• t sj" <;.'>.~< ° " Construction Type: Occupancy: Project a circle one) Ne Add'n Alter Repair Demo State Lic. # Name of Contact Person: _(F Z . 1-9 Sq. Ft. ; � 3 # Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: -35—,000 # Submittal APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Recd 'TRACMG PERMIT FEES Plan Sets Plan Check submitted I Item Amount Structural Calcs. Reviewed, ready for eorrectivrts /ji;f 8 Plan Check Deposit Truss'Calcs. Called Contact Person 1 Plan Check Balance • Title 24 Calcs.Pla s picked up Construction Flood plain plan Plahis resubmitted Mechanical Grading plan 2'd )2eview, ready for corrections/issue Electrical Subcontactor List I Caped Contact Person Plumbing Grant Deed Plaiis picked up S.M.L H.O.A: Approval Plaits resubmitted Grading IN HOUSE: '"' Preview, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person..A.I.P.P. Pub. Wks. Appr Date of permit issue _ School Fees Total Permit Tees C14r 126 9yy