BPLB2018-002778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:.
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PLUMBING/
BPLB2018-0027
54250 CANANERO CIR CIR
767780072
AHEARN/ 15LF OF POLY GAS LINE FIRE PIT
$1,000.00
A
MAR 01 2018
CITY OF LA QUINTA. I
COMMUMTY DEVEWPMEW DEPAFTMENT
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. C30, C29, C53. C27, D12 License No/:656128
Date: --, /) / �� Contractor:
OWNER -BUILDER DECLA,ATION
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 not more than five hundred dollars ($500).:
(-1 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.).
( 11, 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.Date: 3/1/2018
Owner:
AHEARN
Contractor:
TESERRA
-P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Uc. No.: 65618
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 3:00 of the Labor Code, for the performance
of.t k for which this permit is issued.
1 have and will maintain workers"compensation insurance, as required by
ection 3700 of the Labor Code, for the perbrmance ofthe work for which this permit is
issued. My workers' compensation insurance carrier and polity number are:
Carrier: BENCHMARK INSURANCE COMPANK Polity Number: CST5011868
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner :o as to become subject to the workers'
compensation laws of California, and agree that, if I sho0ld become subject to the
workers' compensation provisions of Sectioli 3700 of the Labor Code, I shall forthwith
comply with those provisions. .
Date: — Applicant: i
WARNING: FAILURE TO SECURE WORKERS' COMPENS ' N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL Al TIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100e000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED BOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT '
IMPORTANT: Application is hereby made tc the Building Official for a permit subject to
the conditions and restrictions set forth on' r'his.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, aed the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Ciy of La Quinta, its officers, agents, and
employees for any act or omission related t) 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 isuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application anc 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 represe itatives of this city to enter upon the above-
mentioned p operty for inspection purpose:.
Date: ) Signature (Applica it or Agen
J
Dater 3/1/2018 ..
Application Number.
BPLB2018-0027
Owner:
Property Address:
54250.CANANERO CIR CIR
AHEARN
APN:
767780072
Application Description:
AHEARN/ 15LF OF POLY GAS LINE FIRE PIT
Property Zoning:
_
Application Valuation:
$1,000:00
+
Applicant:
Contractor:
TESERRA
TESERRA
P 0 BOX 1280
P 0 BOX 1280 -
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)389-9222
--------------------------------------------------------------------------------------------
Llc: No.: 656128
Detail: FIRE PIT AND15 LF OF1.5" POLY GAS LINE. REMOVAL OF LOW VOLTAGE LIGHT.PER 2016 CALIFORIA BUILDING CODES.
J
m. •• . •
°x .DESCRIPTION ACCOUNT QTY AMOUNT
ACCOUNT
BSAS SB1473 FEE
101-0000-20306 0$1.00
TECHNOLOGY ENHANCEMENT FEE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
0
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION .
ACCOUNT
QTY
AMOUNT .
GAS SYSTEM, 1-4 OUTLETS
1011-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.01
Total Paid for PLUMBING FEES: $39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
I
t
'
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PERMIT
PLAN LOCATION:
Project Address: — �f
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech .
APN #:
Garage SF
Telephone:
Patio/Porch SF
Applicant Name:
Fire Sprinklers SF
Address: ez,—� rU� Ve
City, ST, Zip: G�C,1 a 3&.
Telephone: 0 _ cR ,
LEm'ail:
Valuation of Project CAQ
Contractor Name:
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: ?City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy: .
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:.
New Commercial / Tenant Improveir_ents:
Address: I
Total Building SF
City, ST, Zip tio2
Construction Type: Occupancy:
Telephone: �—
Email:
78495 CALLE TAMPICO
LA-QUINTA, CA 92253.
760-777-7000
t . AYE•
OFFICE USE ONLY
#
Submittal
r,
-Rec'd
Plan Sets
Structural Calcs
'
#
Submittal
Req'd
-Rec'd
Plan Sets
Structural Calcs
'
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan .
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
1
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OWNER RESPONSIBILITIES'
,•
OWNER TO-
•
,_ �. ,• •. ._ - - • , - , • _ i _ t _ .. , .
(1) DETERMINE THE APPROXIMATE ELEVATION OF.POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION
TICE THAT POOL AND EQIPMENT LOTIONS ARE SUBJECT ACCEPTANCE OF
(Z) TAKE NO
ISSUANCE OF PERMITTO
I
LOCAL BUILDING DEPARTMENT ATu7HE TIME OF
T T GE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED..
3 WE DOWN CONCRETE SHELL LEAS TWICE
!
,. - - , :. - ,i •. .. •- • • • ' . -
"F
4 'AGREE THAT TESERRA IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS, OR OBJECTS.
( )
" f1 s
eun ew nesAerC m ruRlzc cInFWAI Kc nRIVEwAYS 1 AWNS' OR ETHER ITEMS IN THE ACCESS AREA-