BPOL2016-003839
78-495 CALLE TAMPICO D �� 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: BPOL2016-0038 Owner:
Property Address: 59625 SEVILLE T D DESERT a
APN: 764710008 81570 CAR
Application Description: ANDALUSIA/POOL, SPA, BBQ, AND FIRE PIT AT REAR YARD LA QUINT 0
Property Zoning: e Q
Application Valuation: $35,000.00
ContrCITYOFLA QUINTA
Applicant: TESER ct OMMUNIiyDEVELOPMENTOEPAATMEM
TESERRA TESERRA
P 0 BOX 1280 P O BOX 1280
COACHELLA, CA 92236 COACHELLA, CA 92236
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 C 0 C29 C53 C27 D12 License No.: 656128
Date;, 3� Con�t�""ra�ctor: ��Tzae
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 for a
permit subjects the applicant to a civil penalty of riot 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 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:
(760)389-9222
Lic. No.: 656128
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.
Da 3 30 6
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.
3 � •Signature(Applicant_ o_'Agent):/q.ra/sQEZ-
A NANCIALI N FORMATION
xION p T
WWI -PAID'DATE1-
juPAID .r
BSAS SB1473 FEE 101-0000-20306
0
.$2.00 $0.00
MIN; ODes ,"WT
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.60 $0:00
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�.DESCRIPTJON�
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PAID DATE
40� Nb",.Wn
�7
DEVICES, FIRST 20
101=0000-02403
24.17
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PAID BYEtQ
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DEVICES, FIRST 10 PC
0170000-42600
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$�4.17'
$0.60
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Jo tal Paid for ELECTRICAL: $48.34 .00.
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GAS SYSTEM,1-4 OUTLETS
x 101-0000-42401
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GAS SYSTEM, 1-4 OUTLETS PC
101-4000-42600
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Total Paid for PLUMBNG"FEES�: $36.26 $0'60,
DESCRIPTION,,-,�! �,-MQiffi��,
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PAID DATE
tow
SWIMMINGPOOL/SPA,
:101-0060-42404
$181.219 -
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PAID- BY--'�`�
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SWIMMING POOL/SPA PC
101-0000-42600
0
$98.62
$000
-PAID,
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RECEIPT/#FNO
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Total Paid for POOL SPA: $279.91 $0.00
TALS'.
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Description: ANDALUSIA/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: 764710008 Site Address: 59625 SEVILLE LA QUINTA,CA 92253
Subdivision: TR 31681-3 Block: Lot: 182
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.
ADDITIONAL SITES
FINANCIAL INFORMATION
Printed: Wednesday, March 30, 2016 10:18:35 AM 1 of 2 C§?
SYS7Fti1S
CHRONOLOGY
CHRONOLOGY TYPE
"'', "" STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK SUBMITTAL
RAMSES SEVILLA
3/28/2016
3/28/2016
RECEIVED .
NOTIFIED MOISES RAMIREZ W/ TESERRA THAT PLANS WERE
TELEPHONE CALL
JAKE FUSON
3/29/2016
3/29/2016
APPROVED AND PERMIT WAS READY TO ISSUE.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRES51
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT
TESERRA
P O BOX 1280
COACHELLA CA
92236
CONTRACTOR
TESERRA
P 0 BOX 1280
COACHELLA CA
92236
OWNER T D DESERT DEV
81570 CARBONERAS
LA QUINTA CA
0
FINANCIAL INFORMATION
Printed: Wednesday, March 30, 2016 10:18:35 AM 1 of 2 C§?
SYS7Fti1S
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
-
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 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES
DATE
1ST BLDG NS (1 BUILDING 3/28/2016 3/29/2016 3/29/2016 APPROVED
DAY) BUCKET
BOND
INFORMATION
ATTACHMENTS
Printed: Wednesday, March 30, 2016 10:18:35 AM 2 of 2
• SYSTEMS
Bin # City of La Qufnta
Building 8t Safety Division
Permit P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Z,p p Building Permit Applicati®n and Tracking Sheet
Project Address: s Z� Sal//L L Owner's Name: ' og-kS Co vs i i2U oN
A. P. Number:
Address: (p S SCV/SLC
Legal Description:
City, ST, Zip: G'p— 772573-
72s3-Contractor:
Contractor:�ES E/2 %Lig
Telephone: n£<$:°w>^r;`+'+.'•:.;::
Address: M
Project Description: ppt %3
City, ST, Zip: Vc} q2 6T
Telephone:
Vii,.<:.•00%
:af r,. Nz } t.;x:..t;:xy>';: z•> .}
State Lic. # : $—(� %Z�
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
'
Telephone:
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t �C%•,soo,.�:fa;.r y:;..;:.;;Y,ic•>;,.':t,'�f:�^.
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Construction Type: Occupancy:
yP
Add'n Alter Repair Demo
State Lie. #:
Name of Contact Person: D/J"EI f�sa,44//LFZ
Sq. Ft.: ?) 2
#Stories:
# Units:
Telephone #,of Contact Person: 76 D .5-0 • /9
Estimated Value of Project: 3 S, 0,00
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req Id Recd TRACIGNG PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss'Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
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.I.
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 ofpermit Issue
School Fees
Total Permit Fees