BPOL2016-0013i iiii�i 11111 1111 1111
55
78-495 CALLE TAMPICO TIE4 O.�i D 4 Q" VOICE (760) 777-7125
0
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/24/2016
Application Number:
BPOL2016-0013
Owner:
r�
Property Address:
81495 THUNDER GULCH WY
LENNAR HOMES OF CALIFORNI
`-
APN:
767790034
25 ENTERPRISE
co
Application Description:
POOL SPA BBQ FIRE PIT/ LENNAR
ALISO VIEJO, CA 92656
os``
G
1
Property Zoning:
NI
k
Application Valuation:
$28,000.00
Applicant:
0 tb
w
! 0
Contractor:
LLi
; c�F=
TESERRA
TESERRA
P O BOX 1280
P O BOX 1280
t- .�
zi
COACHELLA, CA 92236
COACHELLA, CA 92236---=
L)
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. CSO, C29, C53, C27, D12 License No.: 656128
s
Date: Z 2 / Contractor: �iE2 i2J4
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 70315 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 i's 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.).
(_J 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 contractors) 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:
(760)389-9222
Llc. No.: 656128
WORKER'S COMPENSATION -DECLARATION
Ihereb affirm under penalty of perjury one of the following declarations:
;v 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 polity 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: 2 Z-1 )b Applicant: zW_J4f r 9/1,•,"AE7 L
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 PROVIDEDTOR 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):,,1W//l Er /?^ A -1 IZ tZ
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 for BUILDING 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, 1-0 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTIONACCOUNT
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
Description: POOL SPA BBQ FIRE PIT / LENNAR
Type: POOL Subtype: Status: APPROVED
Applied: 2/22/2016 RSE
Approved: 2/23/2016 JFU
Parcel No: 767.790034 Site Address: 81495 THUNDER GULCH WY LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 195
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $28,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NOTES'
Details: POOL, SPA, FIRE PIT, AND BBQ WITH 12LF AT 4 FOOT HIGH EQUIPMENT WALL [2 INCH GAS PIPING/#8 AWG IN 1 INCH CONDUIT
ELECTRICAL] THIS PERMIT DOES NOT INCLUDE ELECTRICAL AT BBQ. EQUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH
MANUFACTURER SPECIFICATIONS. ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2013
CALIFORNIA BUILDING CODE.
Printed:_ Wednesday, February 24, 2016 7:27:21 AM 1 of 2 c9r
SYSTEMS
ADDITIONAL
CHRONOLOGY TYPE
STAFF NAME
CHRONOLOGY
ACTION DATE
COMPLETION DATE
NOTES'
PLAN CHECK SUBMITTAL
RECEIVED
RAMSES SEVILLA
2/22/2016
2/22/2016
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY STATE
ZIP
PHONE FAX EMAIL
APPLICANT
TESERRA
P O BOX 1280
COACHELLA CA
92236
(949)349-8269
CONTRACTOR
TESERRA
P O BOX 1280
COACHELLA CA
92236
(949)349-8269
OWNER LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO CA
92656.
(949)349-8269 lennar@lennar.com
Printed:_ Wednesday, February 24, 2016 7:27:21 AM 1 of 2 c9r
SYSTEMS
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
• 00
INSPECTIONS .
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, February 24, 2016 7:27:21 AM 2 of 2
SYSTEnAS