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BPOL2017-010778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 DESIGN & DEVELOPMENT DEPARTMENT Application Number: BIPOL2017-0107 Property Address: 81240 PEARY PL APN: 767680033 Application Description: DOAN / POOL AND SPA AT REAR YARD Property Zoning: Application Valuation: $50,000.00 Applicant: TESERRA P O BOX 1280 COACHELLA, CA 92236 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BU. -EDJ G PE�iT�� Date: 7/25/2017 EL O er: " JUL 2 5 2017 RICHIA l�PAN P.O1 B. I 011 RANCFT0 SANTA FIE, CA 92067 CITY OF LA QUINTA . DESIGN AND 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 7000) of Division 3 of the Business and Professions Code, and my License is in'full force and effect. License Class- C-8 CSO C29 C53 C27 D12 License No.: 656128 DAateY� -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).: (_) 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 contractors) 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 Contractor: TESERRA P O BOX 1280 COACHELLA, CA 9<236 (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 af 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: I certify that in the performance of tete work for which this permit is issued, I shall not employ any person in any manner so a; 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 complywith those provisions. Date: S `y 'sApplicant:' WARNING: FAILURE TO SECURE WORKERS' COIV-PENSATION 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 EN 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 Cly 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 applic6foon 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 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 representati+es of this city to enter upon the above -men 'oned /opperty for inspection purposes. Dat ` C Signature (Applicant or Agen r Application Number: BPOL2017-0107 Owner: Property Address: 81240 PEARY PL RICHARD DOAN APN: 767680033 P.O. BOX 8011 Application Description: DOAN / POOL AND SPA AT REAR YARD RANCHO SANTA F=, CA 92067 Property Zoning: Application Valuation: $50,000.00 Date: 7/25/2017 Applicant: Contractor: TESERRA TESERRA P 0 BOX 1280 P 0 BOX 1280 COACHELLA, CA 92236 COACHELLA, CA 9a 236 (760)389-9222 Llc. No.: 656128 --------------------------------------------------------------------------------------------- Detail: POOL AND SPA 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. DESCRIPTION ACCOUNT I CITY I 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 t SPA: $293.36 DESCRIPTION ACCOUNT -QTY AMOUNT :,TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Birt # City of La Quinta Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: °� l ,� Owner's Name: .A. P. Number: Address: Legal Description: City, ST, Zip: Contract r` r o. SL i� v\ Telephone: Address: t..t Project Description: City, ST, Zip:G©� TeleP h n q� 2'2 o . e. D c�� L State Lic. # : City Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: :f. Construction Type: Occupancy: Lic. #: DemoStoto circ a one):ew dd'n Alter r Repair Project t ty Pa Name of Contact Person: l�?C Sq. FL: O #Stories: T# Units: Telephone # of Contact Person: �p0 • �� �T S� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE -- Submittal Req'd Rec'.d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections- Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanica? 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 Plans resubmitted Grading - IN HOUSE:- '"' Review, ready for correctionstissue Developer'=mpact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. 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