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BPOL2015-0008`� 78-495 CALLE TAMPICO, Tay, 4 „�L Qabt% VOICE (760) 777-7125 LA 4UIIVTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/9/2015 Application Number: BPOL2015-0008 Owner: Property Address: 81455 THUNDER GULCH WY IOTA GRIFFIN APN: 767790036 4675 MACARTHUR CT NO 1550 Application Description: POOL, SPA, BBC(, AND FIRE PIT AT REAR YARD NEWPORT BEACH, CA 0 Property Zoning: Application Valuation: $35,000.00 Applicant: Contractor: TESERRA TESERRA PO BOX 1280 N 0 9 2015 [r,OMUNTIT' PO BOX 1280 COACHELLA, CA 92236 COACHELLA, CA 92236 ITYOF LA pUINTA (760)398-9222YDEVELOPMENTDEpgRTMENT LIC. 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.: 656128 i ,/Date: Contractor: 2R)A 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 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: . (_J 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. 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: 11 1 S Applicant: �!//D/fE'7 /(!9� //e( -- 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): Z A/1.4 `-z1%G it i a• ti. DESCRIPTION ANCIAL •• • 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 forELECTRICAL: $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:•0 Permit Details PERMIT NUMBER ;T City of la Quinta BPOL-20115'0008 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: 767790036 Site Address: 81455 THUNDER GULCH WY LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 197 Issued: Lot Sq Ft: 0 Building Scl 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 11:26:29 AM 1 of 3 CRWSYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE . COMPLETION DATE NOTES'sf 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 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 IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH CA 0 Printed: Friday, January 09, 2015 11:26:29 AM 1 of 3 CRWSYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL"• FINANCIAL INFORMATION CL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID 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 UEViCES, 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:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL"• Printed: Friday, January 09, 2015 11:26:29 AM 2 of 3 RW SYSTEMS Printed: Friday, January 09, 2015 11:26:29 AM 3 of 3 RW.IYsreMS Din # Permit # PPP-10.4-6c� Project Address: A. P. Number: f Legal Description: Contractor: Address: O � l0� City, ST, Zip: Telephone: State Lie. # :.,e; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: ,tea Telephone #,of Contact Person: it Submittal Plan Sets Structural Calcs. Truss-Cales. Title 24 Cales. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval M KOUSE:- Planning Approval Pub. Wks. Appr Scholl Fees A!!#1 VE Z coty®f is ulnta -� Building K Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Applicati®n and Tracking ,sheet %U E cv `V Owner's Name: N Address: 0s 37 %NDE Lic. #; 34� City, ST, Zip: Z-.%+ OVIA rn Project Description: �0 0 ZZ S-3 >X*a': , : �. ,&:� r Construction Type= Occupancy: <'; Project type (circle one)• New Add'n Alter Repair Demo �p� 2FZ • Sq. Ft.: 6 3 G # Stories: 4 Units: Z 5-6 ' /%�/ Estimated Value of Project: 3S • D GU APPLICANT: DONOTWRITE BELOW THIS LINE Recd TRACKING PERMIT FEES Plan Check submitted f' Item Amount Reviewed, ready for eerrecttm gVs-V ✓ 8 Plan Check Deposit Called Contact Person V Plan Check Balance. Plans picked up Construction Plans resubmitted Mechanical 2°" Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading 7rd Reylew, ready for correctionsrssue Developer Impact Fee Called Contact Person A.I.P.P. Total Permit Fees