BPOL2018-0027t
R 1
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78-49S CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
JULIO RAMIREZ
P 0 BOX 1280
COACHELLA, CA 92236
c&, 4 4 a9mro.
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
POOL/PRIVATE
BPOL2018-0027
50623 CEREZA
776340017
CITRUS LOT 17 / POOL,SPA, EQUIPMENT WALL
A
FEB 2 6 2018
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I. am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Busin and Professions Code, and
my License is in full force and effect.
License Class: -8 C1 C29 C53 C2 D12 Lic n No.: 656128
Date: Contractor:
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 not more than five hundred dollars ($500).:
(_) I, as owner of the property, o� 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 Address:
VOICE (760) 777-7125
.FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/20/2018
Owner:
CITRUS EL DORADO
1157 N RED GUM ST
ANAHEIM, CA 92253
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. 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: BENCHMARK INSURANCE COMPANY Policy 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 so as to become subject to the workers'
compensation laws of California, and agree that, if l sho d become subject to the
workers' compensation provisions of Section 3700 o e Labor Code, I shall forthwith
comply with thos prov'Sions.
Date: Z i Applicant:
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 lating to building
construction, and hereby authorize representatives of this city to � er upon the above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 2/20/2018
Application Number: BPOL2018-0027
Owner:
Property Address:'. :50623 CEREZA
CITRUS EL DORADO
APN: 776340017'
1157 N RED GUM -ST
Application Description: CITRUS LOT 17 / POOL,SPA, EQUIPMENT WALL
ANAHEIM, CA 92253 .
Property Zoning:
Application Valuation:
Applicant:
Contractor:
JULIO RAMIREZ
TESERRA
P 0 BOX.1280
P 0 BOX 1280
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)389-9222 .
LIC. No.: 656128
Detail: POOL, SPA, AT REAR YARD [DOUGLAS FERRELL ENGINEERING] 20LF OF 4' GARDEN WALL CITY STANDARD. AND 108LF OF POLY 1.5" GAS.LINE.
ALARMS AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016
CALIFORNIA BUILDING CODE.
r
NCIAL •• •
DESCRIPTION
FINA
ACCOUNT QTYAMOUNT
WALL/FENCE - FIRST 100 LF
.101-0000-42404 0. $52.01•
DESCRIPTION
ACCOUNT QTY AMOUNT.
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0 $65.02
Total Paid for BLOCK WALL: $117.03
DESCRIPTION ,
ACCOUNT
QTY
AMOUNT
SWIMMING,POOL/SPA
101-0000-42404
0
$195.05.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0 •
$106.11
Total Paid. for POOL/ SPA: $301.16
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
$433.19
2
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.
PERMIT #tem
PLAN LOCATION:
Project Address: SD 67-3 2 ;
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:s4a
Telephone:6 O �%8 97- 2
20't—r— 0 /%:�, cy
Email:
VA -f D
Applicant Name:
PP AA ,
OR O oL ,t/E G��lGL
Address:& 100 Ad�_ S -Y.
City, ST, Zip: CA Z ,6
Telephone: SO / rg
Email:
o art>002 . Ga,w
Valuation of Project $ 291000
Contractor Name: , �-�,2
New SFD Construction:
Address: 9C100J� . y
Conditioned Space SF
City, St, ZipC4— 927-3
Garage SF
Telephone:6 O �%8 97- 2
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic:6/ Z City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy: .
Address:
Grading:
City, St, Zip
aJ
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic:. City Bus Lic:
Property Owner's Name: ��� Zrx;�- .
New Commercial /Tenant Improvements:
Address:
Total Building SF
City, ST, Zip (�v� �A - %ZZS
Construction Type:. Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
. LA QU I NTA, CA 92253
760-777-7000
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