BPOL2015-0002I�
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
V
c&t�p 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/8/2015
Application Number: + _ BPOL2015-0002 Owner:
Property Address: 81435 THUNDER GULCH WY LENNAR HOMES OF CALIF INC
APN: 767790045 980 MONTECITO DR STE 302
Application Description: POOL SPA BBQ & FIREPIT AT REAR YARD CORONA, CA 0
Property Zoning:
Application Valuation: $35,000.00
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 Nig.: 656128
Date:' /S ContractoJ:�w/ESE;%Z/2✓-F'
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 t6'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
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.). }
(_) 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:
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.
,,Id& 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: / 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):jFi Z&L1 119?EZ
Applicant:
Contractor:
0 N
TESERRA
TESERRA
PO BOX 1280
PO BOX 1280
O.
COACHELLA, CA 92236
COACHELLA, CA 92236
Z
v
(760)398-9222
'
Llc. No.: 656128
Q
---------------------------------------------------------------------------------------------
f
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 Nig.: 656128
Date:' /S ContractoJ:�w/ESE;%Z/2✓-F'
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 t6'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
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.). }
(_) 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:
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.
,,Id& 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: / 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):jFi Z&L1 119?EZ
FINANCIAL INFORMATION
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
i
- Permit Details PERMIT NUMBER {
City of La Quinta BPOLw201Mal
5=0002
Description: POOL SPA BBQ & FIREPIT AT REAR YARD
Type: POOL Subtype: Status: APPROVED
Applied: 1/7/2015 PJU
Approved: 1/8/20151FU
Parcel No: 767790045 Site Address: 81435 THUNDER GULCH WY LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 206
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
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.
Applied to Approved;
Printed: Thursday, January 08, 2015 3:05:12 PM 1 of 3 CR?SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
PLAN CHECK SUBMITTAL
RECEIVED
PHILIP JUAREZ
1/7/2015
1/8/2015
GIVEN TO JAKE FUSON FOR REVIEW.
TELEPHONE CALL
JAKE FUSON
1/8/2015
1/8/2015
NOTIFIED MOISES W/ TESERRA PLANS WERE APPROVED 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
LENNAR HOMES OF CALIF INC
980 MONTECITO DR
STE 302
CORONA
CA
0
Printed: Thursday, January 08, 2015 3:05:12 PM 1 of 3 CR?SYSTEMS
a
F y
tea'
CF'y OP.Tt1694`J
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT QTY
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 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 1
$181.29
$0.00
SWIMMING POOL/SPA
PC
101-0000-42600
0
$98.62
$0.00
Total Paid for POOL/ SPA:
$279.91
$0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL"*
PARENT PROJECTS
Printed: Thursday, January 08, 2015 3:05:12 PM 2 of 3 Cj92"W-srsrE,us
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, January 08, 2015 3:05:12 PM 3 of 3 CRIff-lrsTEMs
Bin # ' Qty ®f La Quinta
Building SZ' Safety Division
' Permit # P.O. Box 1504, 78-495 CaOe Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: L 35- _ u v Owner's Name: I- A4
A. P. Number:
Address:
Legal Description:
City, ST, Zip: l/�,Tbr ,22 S3
Contractor:-eE
Telephone:
s•-• s„..:;:.
��;{�;.�;.:::}:>:.<.;,s<..'}>::,..>.<}<;:;r•:,:f::
J.:?iiv'i?^:{L!:4:%^i:.i}:•Y :SL Vii: i::ii}}}}
Address:
Project Description:
City, ST, Zip: Z! Z 36
175 W-C Pi 7—
76 6
Telephone: '72
:w.+'«.<}:..?.>`:ss<r•::>,<r;v4
State Lie. # : 5-6 Zr
City Lie. #;
Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone:�•,%-----:s•{{-r>>•SY:{: a;:: ',.;:.
h: iii v.f ff>> }in:i{{S'}J:f?i•4,,r{:i''}Y ”'{: k:%:4:
State Lie.
•'`>:'`<::r%i<:;<.>:>.:s;;;;
Construction Type: Occupancy:
Project type (circle one) :C_E� Add'n Alter Repair Demo
Name of Contact Person: 0 �S �2 L.
Sq. Ft.:Say
# Stories:
#Units:
Telephone #,of Contact Person: -7C6) zS6 9 Estimated Value of Project: 3S' U 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd 'TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
I
Item
Amount
Structural Calcs.
Reviewed, ready for eeaa®etiem / 55VE
I �'j
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A?Approval
Plans resubmitted
Grading
IN HOUSE:
''d Review, ready for correctlons6ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
—
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees