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BPOL2019-005778-495 CALLE TAMPICO " p U VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/19/2019 Permit Type/Subtype: POOL/PRIVATE Owner: Application Number: BPOL2019-0057 PRESIDIO FD CITRUS, LLC Property Address: 50706 CEREZA 50706 CEREZA APN: 776340010 LA QUINTA, CA 92253 Application Description: PRESIDIO FD CITRUS, LLC / POOL AND SPA AT COURTYARD Property Zoning: Application Valuation: $20,000.00 Applicant: Contractor: TESERRA - KEVIN GILLINGHAM D TESERRA P 0 BOX 1280 P 0 BOX 1280 COACHELLA, CA 92236 MAR 19 2019 COACHELLA, CA 92236 CITY OF LAQUiNTA (760)389-9222 DESIGN & DEVELOPMENT DEPARTMENT LIB. No.: 656128 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 Business and Professions Code, and my License is in full force and effect. License Class: C-8, C10, C29. C53. C27. D12 _--Dcense Nh.: 696128 I Date: OWNER-BUI LDER,OECLARATION I hereby affirm under penalty of perjury kVI 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 Name: Lender's Ad 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. `/+CT 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: CST5014959 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 th I should become subject to the workers' compensation provisionsfCRtMINAL ❑f th Lab ❑ e, I sha Forthwith comply with hose revisions. Date: App WARNING: FAILURE TO SECURE WPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYEPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA,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 A4 laws relating tv uilding construction, and hereby authorize representatives ❑f is c' to t upo h above-mengQnel property for inspection purposes Date: 1 I f 'T Signature (Applicant Date: 3/19/2019 Application Number: BPOL2019-0057 Property Address: 50706 CEREZA APN: 776340010 Application Description: PRESIDIO FD CITRUS, LLC / POOL AND SPA AT COURTYARD Property Zoning: Application Valuation: $20,000.00 Applicant: TESERRA - KEVIN GILLINGHAM P O BOX 1280 COACHELLA, CA 92236 Owner: PRESIDIO FD CITRUS, LLC 50706 CEREZA LA QUINTA, CA 92253 Contractor: TESERRA P 0 BOX 1280 COACHELLA, CA 92236 (760)389-9222 Llc. No.: 656128 Detail: POOL, AND SPA AT FRONT YARD [DOUGLAS FERREL 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 CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT SWIMMING POOL/SPA 101-0000-42404 0 $200.12 DESCRIPTION ACCOUNT CITY AMOUNT SWIMMING POOL/SPA PC 101-0000-42600 0 $108.87 Total Paid for POOL / SPA: $308.99 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: S10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ta Qua -- GF&I o/?h, DF,V R-1' — Project Address: �Or ?n� Cc-f6z11- APN #: Applicant Name: Address: City, ST, Zip: Telephone:? Email: Contractor Name: ' Address: d!�^, 5� City, St, Zip Telephone: 7 /_ 1 `2 ■ r n ra n r Email: State Lic:' 5 fp &�eCity Bus Lic: PERMIT # �— zoi O oS PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech LeW P6OL, AN6 5%A PL(xb��i n Valuation of Project Sp New SFD Construction: Conditioned Space Garage Patio/Porch Fire Sprinklers SF SF SF Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: 'fVL<- I'T)l C-rrJCJS, LLc— New Commercial / Tenant Improvements: Address: ©— 7tG Geftq�Zo- Total Building SF City, ST, Zip CA ��C a Construction Type: Occupancy: Telephone: Email: J t ('W gktps, 4tiv, 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 SPECIWIGATIONS RE y I -rc m a m :AOFPOOL ONLY C11AFT 9 P ..WIJ4 r , DEPTH M --4 MAz gplgwm ATa Ft/BBW Ff aw Qp, am, IFICATIONS ea Ps 31_u+PT ,. q. TILE Gua9n ix Qa. ali. o i and. NPi WW. i �.'. 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