BRES2015-0008VOICE (760) 777-7125-
78-495 CALLE TAMPC 0 ; ,'D ,-.s
FAX (760) 777-7011.
LA QUINTA, CALIFORNIA 92253, + ^ ,' 1
COMMUNITY DEVELOPMENT DEPARTMENT , 'I INSPECTIONS (760) 777-7153
BUILDING PERMIT y
e.4,r + ,r Date: 1/14/2015 ? .
Application Number. _ BRES2015-0008 ° f, x' ";•Owner: "
�5 . .
Property Address: 80801 VISTA LAZO t , �` r .. SMITH _
e APN: 762250017 > > 80801 VISTA rLAZO
Application Description: BBQ ADDITION AT REAR YARD " , * 'a, .` LA'QUINTA, CA 92253 "
Property Zoning: - w
Application} Valuation: $3,500.00.
~''Applicant: Contractor:
TESERRA JAN'•It4 2015 TESERRA' F
0 OUTSIDE CITY.LIMITS F . • 0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253., ' CITYOF�QUINTA }' LA QUINTA, CA 92253 '
}� r , .'• COMMUNITYDEyEIppMEMOEPA F �,'
RTMENT `" .(760)398-9220' '
,. " .. x° 4 •a' ' n, Llc. No.: :LIC-0000355
-- -------------- --- ------------------ �------ ------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self-insure for workers'
and my License is in full force and effect. ' ^ compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: _ License No.: :LIC-0000355 of the work for which this permit is issued.
i. e ' r I have and will maintain workers' compensation insurance, as required by „
r�''
Date: � / /S - Contractor: fE%Z2k1' - • Section 3700 of the Labor Code, for the performance of the work for which this permit'
is issued. My workers' compensation insurance carrier and polity number are:
OWNER-BUILDER DECLARATION r••�. Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am,exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I '
License Law for the following reason (Sec: 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a L, workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that heor she is licensed pursuant to the provisions of the' comply with those provisions.
t Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
-
ofthe Business and Professions Code) or that he or she is exempt therefrom and the ate: y / y 2 r Applicant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for
permit subjects the applicant to a civil penalty of not more than five hundred dollar WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended,or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. i
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 r 'APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner-builder will have the burden of proving that . the conditions and restrictions set forth on this application.'
he or she did not build or improve for the purpose of sale.). - 1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves , ' shall defend; indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). st ' , following issuance of this permit. ,
(_) I am exempt under Sec. B.&P.C. for this reason . s 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.
Date: Owner:4 "
I certify that I have read this application and state that the above Information is correct:
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building ,
.t' 1 hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this city to enter upon the above•
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mentioned property for inspection purposes.
Lender's Name:F , t ate: / H S Signature (Applicant or Agent )y d/fG % �64y�
. lender's Address:
,
t
•
FINANCIAL ••
pax. Y � �
DESCRIPTION
c y '� 4 �?
AMOUNTxyN, PAID.,
'C`
DATE.
�s,q* ,i`�A000UNTy p r�x�,Ik�
QTY y`•s r�
.PAID
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
' +„§PAID�•BY '"`
�' in.METHOD'-,,z '
�t RECEIPT,#
& CHECK # '
CLTD
r
t .«""3 'i.,r` i 7.
'�i. -zyai S,%"S
"._ .r -• S`
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPT.ION u '
-"ACCOUNT
?QTY
AMOUNT
_.,;PAIf);•.k' '
:PAID DATE`-
y ,` .`;,'...
�,,,„
�, s�
K�
DEVICES, FIRST 20
101-0000-42403
0
$24.17
-$0.00
BY a
i "METHODx,9..w `
'i
CHECK•#
CLTD
.j'PAD r,t rry
,
.x«.',RECEIPTS#'�- r
+ ..' .. .
< tF 'DESCRIPT.I,ON,.ACCOUNT
z, : "
QTY`
s aAMOUNT
�� ' 1,PAID, "
PAID:DATE.
_-w.�a' ..• . , ._ k ' ./
! 4. - _ .'... 1! :. «:"t .A
t.e s.:. .. <
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
{ ,
AIDtBY`
r+ ;METHODru. i `�4
y
� i"RECEIPT#,�
OHECK#y
CLT
,:
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION,:`ACCOUNT
`” nrCITY
',{AMOUNT,
��:., PAID,"rte;
DATE
.
+ �
r
:? ^xt
9
-PAID
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID
z; s
RECEIPT#; i't
v3
a
,'CHECK#t
,CLTDAY''
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
+
ACCOUNT i
QTYv
kAMOUNT'i
.`<PAID;`n
ePAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
METHOD '
} ' RECEIPT ,#" `
"AzCHECK #
°CLTD"BYE'
`DESCRIPTION
F w•�t-y :ACCOUNT
QTY"
�.4"KAMOUNT, `
;PAID DATE
..'? .. 1 .
F .,
GAS SYSTEM, 1-4 OUTLETS PC
• 101-0000-42600
0
$24.17
$0.00
�j i. -PAID BY ::
«
t;
'u w.
RECEIPT #as;CHECK:#ra
„
i
CLTD"BY
c- "•,tea_. ., y .•
.METHOD x n.r :.r
r
Total Paid for PLUMBING FEES: $36.26 $0.00
` s F DESCRIPTION"' �`
!'j<,y
'ACCOUNT'
TY
Q.
"t�AMOUNT
z PAID:`< r
4
PAID DATE'
.+ :
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
$0.00
n , x�PAID BY L`
r z** �3 METHOD r `
k RECEIPT# °' +
' n, jCHECK:#y' 4,,
> CLTD BYrt
9
„ u1
,'
Total Paid forSTRONG MOTION INSTRUMENTATION SMI $0.50 $0.00
TOTALS:$0.00
t
Description: BBQ ADDITION AT REAR YARD
JAKE FUSON
Type: BUILDING, RESIDENTIAL
Subtype: REMODEL Status: APPROVED
Applied: 1/12/2015 KHE
Approved: 1/12/20151FU. .
Parcel No: 762250017. Site Address: 80801 VISTA LAZO LA QUINTA,CA 92253
Subdivision: TR 28034
Block: ' Lot: 17,
Issued: _
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:-
Finaled:
Valuation: $3,500.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: BBQ ADDITION AT REAR YARD. 2013 CALIFORNIA PLUMBING CODE... {
• _ � f •,�., J APPlied to Approved �� �, •'� '
_ - Vi`��+a''•''' ... .n av f .�:.: Kxr .r.�c - tU .. ` �,:
w�
ADDITIONAL
•)K41EXCI
• _. _-N - PTI �'�'^WH�rt::: _ f ..-�..-. .. -
r,. ., .�-'„ki*. f.,.ry�j'�"+'i•3�?}.._� T;.,^a2iN .l:Y_-ic-....-'Es4'ti...ryr�.-.; . ray � - �., !`tea ._.. =.Vile&c•iwms
HRONOLOGYcTYPE y� STAFF: NAME FF ACTIQN DATE.. ter' -� -COMP.LETION DATE, ' ^1J1�' , -.;NOTES' ..• `il
=.,::.w` ;'+6. s.z .:.�,. += r:_. m�-:A a -..r �«. � 4�'"• .�'r �..:.n.::+, =�3.ts sS�`:4 ..•era _ `...�3.. t:Ct:-F�h F.':i•:.. §``� 1 st �:s.32K�^�` a<.i z.: r•.;.a..::,.cF - . -: ✓ -
CONDITIONS
......:.:T-.;.,-=- . .._ ,.-_ ,:r:.-' .... -: ,.i:�'•r - F fix.
" - . „�-'. , .x,:r K. !. ,.., 5 y ; : r ,� �..F s.. ; `.. xF w ,
NAME:TYPE J�- NAME- ,� -•ADDRESS _ZIP k PHONE., y a; FAX
ru.�s�Tt r��a: ;47'14. ;' :�%r`re'�' a;>',a:s:;t .a ,`:�,F-7';m- "r,+ -n--- «' .a•". -..S:.. '?,;. ;i4 ;,.r: :.a.,4tii,ai ,.+ . hri._:n'=x-. x• .-.. .+._ xr� s?i.r 7 �r +a� .-s;.+i i^,,. a .: • F, ,d=�,a^s"' s
" TELEPHONE CALL
JAKE FUSON
1/12/2015
1/12/2015
SPOKE TO KEVIN W/ TESERRA NOTIFYING HIM PLANS WERE
APPROVED AND PERMIT READY TO ISSUE.
FINANCIAL INFORMATION wi
Printed: Wednesday, January 14, 2015 10:33:27 AM 1 of 3 s SYSTEMS ; • 'f - '
N
w
-PARENT
PROJECTS
REVIEWS
LT
ts6i PTI ON
ACCOU
DATEDAT
!,..-".-AMOUNT
PAID -t",
PAID DATE
BY
-NON-STRUCTURAL JAKE FUSON
1/12/2015 1/19/2015
1/12/2015
APPROVED
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
6
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
'PERMIT ISSUANCE
101-0000-42404
0
$91.8S
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $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 forPLUMBING FEES: $36.26 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
_$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00
TOTALS: $177.95 $0.00
N
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'
� '
Printed: Wednesday, January 1�ZO151O:33�of 7A� 2 3 . ' - � .,orow
' '
-PARENT
PROJECTS
REVIEWS
,DAfF
DATEDAT
-NON-STRUCTURAL JAKE FUSON
1/12/2015 1/19/2015
1/12/2015
APPROVED
`
`
-
. .
'
� '
Printed: Wednesday, January 1�ZO151O:33�of 7A� 2 3 . ' - � .,orow
' '
Telephone #,of Contact Person: _ Estimated Value of Project: 3 -5-Q O Q ia
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACIGNG PERMIT FEES
Plan Sets
Plan Check submitted
Item
- ; Qin #i
Cityof uinta
-Building- 8L Safety Division
Permit #1�
Plan Check Deposit
P.O. Box 1504, 78-495 Calle Tampico
Truss Cates.
La Quinta, CA 92253 - (760) 777-7012
i
Called Contact Person
Building Permit Applicati®n and Tracking Sheet
Project Address:
D
Owner's Name:
Title 24 Cates.
'Plans picked up
Construction
A. P. Number:
Address: 0019,-fol/v
Legal Description:
City, ST, Zip: G oZ�J
Contractor:
Mechanical
Telephone:;>...,;.;r.;..::::>:...::;<`<,r..a•
Address:
Grading plan
Project Description:
City, ST, Zip:
2°" Review, ready for corrections/issue
Telephone:
Subcontactor List
State Lie. # :
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
S.M.L
Telephone:
•JY.;jr•+. f�yv tii;":-�M1Si'ii+i::�'.:%iiJ iw{
Construction Type: Occupancy:
}:y �b .�i:•ty'F+G°:i:44-.;;��4•:.cnv,.J. Vii.:'•%C: '
State Lie. #:
l,..�•
fv f>?xY]X,z:::,;,:i �:. S$$:: -'}J'io-:J�:.v'}•i:�:�'H:
t;:<w.s li:•;+.,.r i.:. ,f<.J:.. ,
•: s S�:s'.4> os > #:a. <?;<z<? Project type (circle one): New Add n Alter Repair Demo
Name of Contact Person: Koo t ; %'� ��G �,, So. Ft.- #Stories /1'T Tn;".
Telephone #,of Contact Person: _ Estimated Value of Project: 3 -5-Q O Q ia
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACIGNG PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for eerfeetieas I s'SV
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance • '
Title 24 Cates.
'Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" 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 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 Fees
BLOCK CONSTRUCTED BBQ ISLANDCI
AT +3(r VVtT}1STONECOUNTERTOPAND q q q q q q q
STUCCO AND PAINTED FACE, -i5C -tsc -t5c -tsc -tsG -t _tom _ x _ C t� -tx q }1 a 0
30'ALFRESCOGRILL NTH 30* ACCESS -tx _t _tom _tom
DooRs BELOW.PROP RTY LI E: 130' "
G --A t cli
end
C man -L �Oia��on
polyl okle
s �
RR
DEN
BERMUDA
Sm
INSTALL 100-5 GALLON
SHRUBS IN BACKYARD
SKIN ALL FAN PALMS
3/8"
GRAVEL WITHI
FILTER FABRIC
HYBRID BERMUDA
SOD
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Ot
PCH
VISTA LAZO
INSTALL 55-75GLLON SHRUBS
IN FRONT YARD
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Builders a/, Exceptional Outdoor Living
POOLS I SPAS I LANDSCAPE I MASONRY
88-100 Ave. 54 Coachella CA92236
Tel. 780.398.9222 Fax 780.398.9255
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BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE4 IZ Za/SBY
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RESIDENTIAL LANDSCAPE PLAN F(
SMITH R91SIDENCE
80801 VISTA LAZO
LA QUINTA CA. 92253
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DATE4 IZ Za/SBY
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APPROVED
FOR CONSTRUCTION
DATE4 IZ Za/SBY
—af-
RESIDENTIAL LANDSCAPE PLAN F(
SMITH R91SIDENCE
80801 VISTA LAZO
LA QUINTA CA. 92253
PARCEL NO.
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