BPOL2017-0105Ir Q
78-495 CALLE TAMPICO C� 0 D Q*roj
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/25/2017
Application Number: BPOL2017-0105 Owner:
Property Address: 54865 APOLLO CT LF_NNAR HOMES OF CALIFORNIA INC
APN: 767790032 °+ 1 ENTaRPf!0 E
Application Description: LENNAR HOMES/ POOL, SPA, AND FIREPIT AT B C 1A Al N GOPI N MUELLER
Property Zoning: ALI50 1 O C 92656
Application Valuation: $50,000.00 JUL 25 2o17
Applicant: 'ITY
P o sox 12so ESI GNAFLA
ND DE� QU1NTATES Box 1280
COACHELLA, CA 92236 �NTDrCO'Ar' t% CA 92236
(760)389-9222
Llc. 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 S0, C29, C53, C27, D12 License No.: 656128
Date:- :5 .'Coractor: _V:�_S�V
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 far 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 al
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.).
(_) 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
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: STARSTONE NATIONAL INSURANCE COMPANY Policy Number:
T10170317
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.
at,
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-menToned property for'inspection purposes.
Date: Signature pplicant or Agent):
< <a
Application Number: BPOL2017-0105
Property Address: 54865 APOLLO CT
APN: 767790032
Application Description: LENNAR HOMES/ POOL, SPA, AND FIREPIT AT BACKYARD
Property Zoning:
Application Valuation: $50,000.00
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
Date: 7/25/2017
Owner: ,
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ATTN GOREEN MUELLER
ALISO VIEJO, CA 92656
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
---------------------------------------------------------------------------------------------
Detail: •POOL,SPA, AND FIRE PIT AT REAR YARD [DOUGLAS R. FERRELL ENGINEERING] THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
R
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY' AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
.'$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1.4 OUTLETS PC
101-0000-42600
0
$25.33
Total Paid for PLUMBING FEES: $38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
.101-0000-42404
0
$190.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$103.36
Total Paid for POOL / SPA: $293.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin # ;
City Of La
Building 8i' Safety Division
78-495 Calle Tampico
La Quinta, CA 92253.- (760) 777-7012
Building Permit'Application and Tracking Sheet
Permit #
996L
Project Address: 5ff
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: t= �S •
le h ne:
TeP0
Address:
Project Description:
City, ST,.Zip'
y
e
Tlehn•
P o e.
State Lic. # :
City Lic. #--
Arch., Engr., Designer.
Address:
City, . ST, Zip:.
'
i
TelePh
one:
Construction Type: Occupancy:
1 5=
State ic. #
le one) Project tYPa circAddn Alter Repair Demo
n�•
Name of Contact Person:lme Q�
S Ft:
# Stories:
# Units:.
Telephone # of Contact Person:
Estimated Value of Project:]
APPLICANT: DO NOT WRITE BELOW THIS LINE . t-
#
Submittal
Req 'd
Recd
TRACEING ; "t
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs
Review ed, ready for corrections
Pian Check Deposit
Truss talcs.
Called Contact Person
Pian Check Balance
Title 24 Calcs.
Plans picked up
}
Construction
Flood plain plan
Plans resubmitted µ
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
Pians resubmitted
Grading
IN HOUSE:
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees