BPOL2017-001978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPOL2017-0019
78980 CITRUS
776110001
PATZNER / POOL, SPA, AND EQIMPMENT WALL
$28,000.00
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 C10 C29 C53 C27 D12 License No.: 656128
rDate:' 1_34Z Contractor:' 7�7t`TLR r�)
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, 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/28/2017
Owner:
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PATRICIA PATeNER
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78980 CITRUS
LA QUINTA, CA 92253
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Contractor:
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TESERRA®
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P O.BOX 1280
COACHELLA, CA 92236
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(760)389-9222
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LIc. No.: 656123
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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 37 )0 of the Labor Code, for the performance
of the work for which this permit is issued.
/! I have and will maintain workers' @ ompensation insurance, as required by
Section 3700 of the Labor Code, for the perfc rmance of the work for which this permit is
issued. My workers' compensation insuranc-^ carrier and policy number are:
Carrier: STARSTONE NATIONAL INSURANCE COMPANY Policy Number:
_ I certify that in the performance o= the work for which this permit is issued, I
shall not employ any person in any manner sa as to become subject to the workers'
compensation laws of California, and agree t-iat, if I should become subject to the
workers'.compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. �f y
Date: 2 11-7 Applicant:
WARNING: FAILURE TO SECURE WORKERS' C7MPENSATION 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 appiication 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 appl;cation 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 -tate that the above information is correct.
I agree to comply with all city and county ord nances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes. ��,11
Date: 2 Signature (ApplicantlorAgent):/��4w
Date: 2/28/2017
Application Number:
BPOL2017-0019
Owner:
Property Address:
78980 CITRUS
PATRICIA PATZNER
APN:
776110001
78980 CITRUS
Application Description:
PATZNER / POOL, SPA, AND EQIMPMENT WALL
LA QUINTA; CA 92253
Property Zoning:
Application Valuation:
$28,000.00
Applicant:
Contractor:
TESERRA
TESERRA
P 0 BOX 1280
P 0 BOX 1280
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)389-9222
--------------------------------------------------------------------------------------------
Lic. No.: 656128
Detail: POOL AND SPA AT REAR YARD WITH CITY STANDARD5 LF EQUIPMENT WALL AT
4' IN HEIGHT. [DOUGLAS FERRELL ENGINEERING] ALARMS AND
BARRIERS REQUIRED TO
BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
WALL/FENCE - FIRST 100 LF .101-0000-42404 0 $50.67
DESCRIPTION ACCOUNT QTY AMOUNT
WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $63.33
Total Paid for BLOCK WALL: $114.00
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
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
Permit ##
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Qty ®f La Quanta
Building Si: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking ,sheet
Project Address: 7S B() - G /
US
Owner's Name-
A. P. Number:
Address:
.
Legal Description:
Contractor: S ER /zit
City, ST, Zip: !-e-tG<+ y2253
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Telephone: al,
Address:
Address: L36 166 NiF S
Project Description: 10:5pdL
City, ST, Zip: OPKft
Tele (,
Phone -7 D 222
State Lie. M: 65-61
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tff xr:. s:}•:.�nir;+! �•+ia:. •.
City Lie. #;
.
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lie. #:
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Construction Type: C►ccupancy.
a circle one New Add h Alter Repair Demo
Name of Contact Person: S
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Sq. Ft.: 3 3 0
# Stories:
4 Units:
Telephone #,of Contact Person: ?(, fj
2 $ 0 9
Estimated Value of Project: Z$ , 00 U - c -o
APPLICANT:
N Submittal Req'd Rec'd
DO NOT WRITE BELOW THIS LIME
TRAC ONG PERMIT PEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan CheckDeposit
Truss'Calcs.
Called Contact Person
Plan CheckBalance.
Title 24 Calcs.
Pians picked up
Construction
Flood plain pian
Plans resubmitted
Mechanical
Grading plan
2d Reviews readyfor 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 ROUSE:
'rd Reyiew; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Perm:( Tees