BPOL2017-017878-495 CALLE TAMPICO
4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
POOL/PRIVATE
Application Number:
BPOL2017-0178
Property Address:
54820 DAMASCUS DR
APN:
767790050
Application Description:
GRIFFIN RANCH / POOL SPA FIRE PIT AND BBQ
Property Zoning:
Application Valuation:
$80,000.00
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
NOV 03 2017
CITY OF LA QUINTA
COMMUNffYDEVELOPMENTOEP
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 D;2 License No.: 656128
Dater _ s CR��o�ntracto
OWN -BUILDER DECLARATIO
I hereby affirm under penalty of perjury that I am exem 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:
CONSTO CTION LENDING ENCY
I hereby affirm under penalty of perjury that theres 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: 10/27/2017
Owner:
GRIFFIN RANCH - LENNAR HOMES
980 MONTECITC DR STE 300
CORONA, CA 92079
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Lic. No.: 656128
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one cf the following declarations:
I have and will maintain a certifica-e of consent to self -insure for workers'
compensation, as provided for by Section 370 of the Labor Code, for the performance
ofthrwork for which this permit is issued.
0_ I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perfo -mance of the work for which this permit
is issued. My workers' compensation insuran =e 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 sc 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 thole provisions. �f
WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION 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 ACKNOIINLEDGEMENT
IMPORTANT: Application is hereby made to Me Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this appl cation 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 tie 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 ofiissuance of such permit, or cessation of
work for 180 days will subject permit to cancelation.
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 representztives of this city to enter upon the
above-mengonek property for inspection purposes.
Application Number:
BPOL2017-0178
Property Address:
54820 DAMASCUS DR
APN:
767790050
Application Description:
GRIFFIN RANCH / POOL SPA'FIRE PIT AND BBQ
Property Zoning:
(760)389-9222
Application Valuation:
$80,000.00
Date: 10/27/2017
Owner:
GRIFFIN RANCH - LENNAR HOMES.
980 MONTECITC DR STE 300
CORONA, CA 92£:79
Applicant:
Contractor:
TESERRA
TESERRA
P O BOX 1280
P O BOX 1280
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)389-9222
---------------------------------------------------------------------------------------------
LIc. No.: 656128
Detail: POOL,.SPA, BBQ AND FIRE PIT AT REAR YARD [DENISE POELTLER ENGINEERING]
THIS PERMIT DOES NOT INCLUD_ EQUIPMENT ENCLOSURE. ALARMS.
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION.
PER 2016.CALIFORNIA BUILDING CODE.
DESCRIPTION
ACCOUNT I QTY I AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
Total Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
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
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 POOV / 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
L I U I ALb: �1411.1y
Bin#
- I
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking ,sheet
Permit# r
j�1 1
U V
Project Address: •/r
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d, `
Owner's Name:
A.P. Number
2)[AtMcu
S P IL -
Address:
Legal Description:.
City, ST, Zip:
Contractor:
Telephone:
r^
Address:1O JG
Project Description:
City, ST, Zip:
Telephone:
-
State Lic. #:f ` 6` Z ca
City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:.
Telephone:
-
Construction Type:1
Occupancy: �� c
i7
State Lic. #:
_
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:SgFt:
#Stories
#. Units:
Telephone of Contact"7&O
SZe5
Estimated Value of Project: S�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERM;T FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Caeck Deposit:
Truss Cales
Called Contact Person
Plan C'-ieck Balance:
Title 24 Calcs
Plans Picked Up
Constriction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electri:al:
Subcontractor List
Called Contact Person
Plumb:ng:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact Person
A,.1.P.[.
Pub. Wks. Apps
Date of permit issue
School Fees
Total ['ermit Fees