BPOL2016-003738
78-495 CALLE TAMPICO U VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date:. 3/30/2016
Application Number: BPOL2016-0037 Owner:
Property Address:54875 DONNERAIL CT IOTA GRIFFIN
APN: 767800071 4675 IVACARTHUR CT NO 1550
Application Description: LENNAR/POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD NEWPORT BEACH, CA 0
Property Zoning:
Application Valuation: $28,000.00
Applicant: Col•I
Q
TESERRA TE
P O BOX 1280 P80
COACHELLA, CA 92236 CO(A, CA�9223f� U 17C'.6
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, C10, C29, C53, C27, D12 License No.: 656128
.,Rajt: 3 3 v G Cbn' traacc-tor: 7ETF7— 94 -4 -
OWNER -BUILD ER
414
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 c'
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).:
( ) 1, 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.).
L__J 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 Add
No.: 656128,ITY OF LA QUINTA
6OMMUNITY DEVELOPMENT DEPARTMENT
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. ✓�
D_
ate? 0 / 6Applicant:
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. ,j
Date:T3 36 6G- Signature-(Appliean o AgeM): -WP/rt /C
r dkiK
IN IAL'INF•RIVIATI•W:
T ANC0 0
OUNTfflAMOUNT
,PAIDrMn
a,ACCOUNT 9 . . . . . .
9SAS SB1473 FEE 101-0000-20306
0 $2.00 $0.00
i.�ayintUL: gvi� Dgg4gg�w
PAID'�BYJMK g
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,,RECEIPT�
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:, $2.00 $6.00
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DESCRIPTIONS
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DEVICES, FIRST.20
101-000042403
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DEVICES, FIRST 20 PC
101-0000-142.600.
0.
$24.17
$0.00
PAID BYg.7
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Total Paid for ELECTRICAL: $48.34 .$0.00
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GAS, SYSTEM, 1-4 OUTLETS•
1011-0000-424011
0.
$12.09
$6.00
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:DESCRIPTION-ACCOUN,
PAID
-iPAID
.,IOUNT
GAS SYSTEM, 1-4 OUTLETS PC
161-0000-42600,
'0
$24.17
$0.00
61
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1451
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Total Paid for.PILUMBING FEES: $46.26 ..$0.00
SCRIPTIONf,��,V.,-' ilR
4�N P.6
i N"Ir
�AIVDATEn
SWIMMING POOL/SPA-
.101-'0000-42404 •
0
$181.29
$0.00.
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"DESCRIPTIONJain,
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ACCOUNT 'W'
A
wl
-
�i!?All) DATE
SWIMMING POOL/SPA PC
101-0000-42600
0-
$98.62
.$0.06
PAID - Mig
METHOD,
T�
'm'vi:�-�RECEI !TjJ
CHECK, 1i
A
D'iBY,-
421
A K,4�
-PT4 g& -i'
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Total Paid for POOL /,SPA:', $271.91' $0.100
TOTAL �'�$M6.5 i i�
Description: LENNAR/POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD
Type: POOL Subtype: Status: APPROVED
Applied: 3/28/2016 RSE
Approved: 3/29/2016 JFU
Parcel No: 767800071 Site Address: 54875 DONNERAIL CT LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 146
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $28,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
RAMSES SEVILLA
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, Wednesday, March 30, 2016 10:28:31 AM 1 of 3 Cir
SYSTEMS
ADDITIONAL
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK SUBMITTAL
RECEIVED
RAMSES SEVILLA
3/28/2016
3/28/2016
TELEPHONE CALL
JAKE FUSON
3/29/2016
3/29/2016
NOTIFIED MOISES RAMIREZ W/ TESERRA THAT PLANS WERE
APPROVED AND PERMIT WAS READY TO ISSUE.
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
TESERRA
P 0 BOX 1280
COACHELLA
CA
92236
CONTRACTOR
TESERRA
P 0 BOX 1280
COACHELLA
CA
92236
OWNER
IOTA GRIFFIN
4675 MACARTHUR CT
NO 1550
NEWPORT
BEACH
CA
0
Printed, Wednesday, March 30, 2016 10:28:31 AM 1 of 3 Cir
SYSTEMS
FINANCIAL ,•
t.
DESCRIPTION ACCOUNT CITY AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CL
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 $0.00
TOTALS:0•
INSPECTIONS
PARENT PROJECTS
Printed: Wednesday, March 30, 2016 10:28:31 AM 2 of 3
SYSTEiviS,
Permit Details PERMIT NUMBER.
d1r' City of La Quinta BPOU2016 8037`
�
Printed: Wednesday, March 30, 2016 10:28:31 AM 3 of 3
CBFWIYSTrms
Bin #i City of La uibita
Building 8i Safety Division
Permit ## P.O. Box 1504, 78-495 Calle Tampico
1;3 nrrint3 rA 099 S7 _ /7XnI 777-7019
ffOL, 2O. 6-0 3`7
Project Address: 11'�S
Building Permit Application and Tracking Sheet
�ONAlE L G�t:RT. Owner's Name:7NJVA-{Z
A. P. Number:
Address: S W 7 S DONN 67 F 14- GDU 'r
Legal Description:
City, ST, Zip: 44 AIIA17 It 9ZZ S3
T �j
Contractor.
Telephone:
�'f�0'fry''• Si$iit . • �� %•' U ffu Y.
;;.�;�rh;
Address: O bIP19
Project Description: /0001, 0/3
City, ST, Zip: �0l4Cf�EL-G!9
Cp- 9Z2 3 �o
P
Telephone::?.
:<9 < ;..
a } �.
n.
State Lic. # : 6 Zap
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
Project type (circle one) New Add'n Alter Repair Demo
State Lic- #:
,, A,:<#�!'? ` t2'
Name of Contact Person:
Sq. Ft.: L1�
# Stories:
#Units:
Telephone #,of Contact Person:
Estimated Value of Project: UUP
# Submittal Req'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACMG PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Z,d Review, ready for corrections/issue
Electrical
SubcontactorList
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Reyiew, ready for correctioneissue
Dcveloper Impact Fee
Planning Approval
Called Contact Person.
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Scholl Fees
Total Permit Fees