BPOL2019-0071LICENSED 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.
Licensee Class,- C-8. C10 9 C53 C27, D12 License No.: 656128
Date: I lrf ' Contractor: ),a
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).:
(_ 11, 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.).
(1 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 I 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:
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
R
k for which this permit is issued.
01
01 have and will maintain workers' compensation insurance, as required by
1
'Oft
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: CSTS014959
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 I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply witht ose provisions.
Date: „Applican • c
WARNING: FAILURE TO SECURE WORKERS' COMPENS N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES 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 relating to building
construction, and hereby authorize representatives of this city to enter upon the
above -men .oned property for inspection purposes.
c
Date: Signature (Applicant or Ag
Ceit�t
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/8/2019
Permit Type/Subtype:
POOL/PRIVATE
Owner:
Application Number:
BPOL2019-0071
LENNAR HOMES OF CALIFORNIA INQ7
Property Address:
81690 WAR ADMIRAL
25 ENTERPRISE
T`
APN:
767800034
ATTN KIMBERLY CURTIS
G3 I�Jf
Z
Application Description.
GRIFFIN RANCH / POOL
AND ASPA AT FRONT YARD
ALISO VIEJO, CA 92656
90
Property Zoning:
C_.) D
Application Valuation:
$20,000.00
Z7
O �i
o p
M
Applicant:
Contractor:
p co
TESERRA
TESERRA
c C
P O BOX 1280
P O BOX 12801
y ca O
COACHELLA, CA 92236
COACHELLA, CA 92236
—I
(760)389-9222
Llc. 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.
Licensee Class,- C-8. C10 9 C53 C27, D12 License No.: 656128
Date: I lrf ' Contractor: ),a
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).:
(_ 11, 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.).
(1 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 I 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:
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
R
k for which this permit is issued.
01
01 have and will maintain workers' compensation insurance, as required by
1
'Oft
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: CSTS014959
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 I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply witht ose provisions.
Date: „Applican • c
WARNING: FAILURE TO SECURE WORKERS' COMPENS N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES 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 relating to building
construction, and hereby authorize representatives of this city to enter upon the
above -men .oned property for inspection purposes.
c
Date: Signature (Applicant or Ag
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant: ;
TESFRRA
P 0 BOX 1280 . .
COACH.ELLA, CA 9?, 236
BPOL2019-0071
81690 WAR ADMIRAL
767800034
GRIFFIN RANCH / POOL AND ASPA AT FRONT YARD
$20,000.00
Date: 4/8/2019
Owner:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ATTN KIMBERLY CURTIS
ALISO VIEJO, CA 92656
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
1760 389-n222
l
�i
Llc. No.: 656128
3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
•-Detail: POOL, SPA, BBQ, AND FIRE PIT AT FRONT YARD. THIS PERMIT DOES NOT INCLUDE EQUIPMENT WALL [DOUGLAS FERRELL ENGINEERING]. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. 2016 CALIFORNIA BUILDING CODE.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
DESCRIPTION
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
GAS SYSTEM, 1-4 OUTLETS PC
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
DESCRIPTION
101-0000-42403
0
$26.68
!
DESCRIPTION
101-0000-42404
ACCOUNT
QTY
AMOUNT s
DEVICES, FIRST 20 PC
QTY
101-0000-42600
0
$26.68
I Total Paid for ELECTRICAL: $53.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA
101-0000-42404
0
$200.12
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$108.87
Total Paid for POOL / SPA: $308.99
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
TOTALS:
Contractor Name:
tev Qaiwra
— cF.,�a „fd.nrtekr —
Address:^�
PERMIT # ft' "
PLAN LOCATION:
Project Address:
Telephone: 7/ 2Patio/Porch
SF
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
State Lie:/,�� �' City Bus Lie:
State Lie: City Bus Lie:
4K `
v
zf-
Applicant Name:
f�
/Y)
Address:
JI
City, ST, Zip:
Telephoner 0 -
Email'
/
Valuation of Project $ r120 D00 fx—)
Contractor Name:
New SFD Construction:
Address:^�
Conditioned Space SF
City, St, Zip C"
Garage SF
Telephone: 7/ 2Patio/Porch
SF
Email:
Fire Sprinklers SF
State Lie:/,�� �' City Bus Lie:
State Lie: City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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PERMIT INSPECTION HISTORY REPORT (BPOL2019-0071)
FOR CITY OF LA QUINTA
Pool 04/03/2019Application Date:Permit Type:767800034Parcel
Pool Construction (Private)04/08/2019Work Class:Issue Date:81690 WAR ADMIRAL
LA QUINTA, CA 92253
Address:
Expired 01/06/2020Expiration Date:Status:Description:GRIFFIN RANCH / POOL AND ASPA
AT FRONT YARD *** POOL, SPA,
BBQ, AND FIRE PIT AT FRONT YARD.
THIS PERMIT DOES NOT INCLUDE
EQUIPMENT WALL [DOUGLAS
FERRELL ENGINEERING]. ALARMS
AND BARRIERS REQUIRED TO BE
INSTALLED AT PRE-PLASTER
INSPECTION. 2016 CALIFORNIA
BUILDING CODE.
Owner:Contractor:Applicant:LENNAR HOMES OF CALIFORNIA INC TESERRA TESERRA TESERRA TESERRA
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection
Required?CompleteActual
Start Date
04/18/2019 Pre-Gunite JAN:190417045815
3226
Approved Duane Clayton No Complete
04/26/2019 Deck Bond JAN:190426074804
0034
Approved Jake Fuson No Complete
05/15/2019 Underground
Electrical
DCL:190515064938
0012
Approved Duane Clayton No Complete
NOTES Created By TEXT Created Date
Duane Clayton - SOUTHEAST CORNER OF GARAGE TO
EQUIPMENT LOCATION. FULL APPROVAL.
05/15/2019
Duane Clayton - SOUTHEAST CORNER OF GARAGE TO
EQUIPMENT LOCATION. FULL APPROVAL.
05/15/2019
Underground Gas DCL:190515064939
0013
Approved Duane Clayton No Complete
NOTES Created By TEXT Created Date
Duane Clayton - SOUTHEAST CORNER OF GARAGE TO
EQUIPMENT LOCATION. FULL APPROVAL.
05/15/2019
Duane Clayton - SOUTHEAST CORNER OF GARAGE TO
EQUIPMENT LOCATION. FULL APPROVAL.
05/15/2019
Underground
Plumbing
DCL:190515064939
0014
Approved Duane Clayton No Complete
NOTES Created By TEXT Created Date
Duane Clayton - SOUTHEAST CORNER OF GARAGE TO
EQUIPMENT LOCATION. FULL APPROVAL.
05/15/2019
Duane Clayton - SOUTHEAST CORNER OF GARAGE TO
EQUIPMENT LOCATION. FULL APPROVAL.
05/15/2019
07/10/2019 Pre-Plaster DCL:190709045750
2527
Approved Duane Clayton No Complete
78-495 Calle Tampico Page 1 of 2October 10, 2024
PERMIT INSPECTION HISTORY REPORT (BPOL2019-0071)
Pool 04/03/2019Application Date:Permit Type:767800034Parcel
Pool Construction (Private)04/08/2019Work Class:Issue Date:81690 WAR ADMIRAL
LA QUINTA, CA 92253
Address:
Expired 01/06/2020Expiration Date:Status:Description:GRIFFIN RANCH / POOL AND ASPA
AT FRONT YARD *** POOL, SPA,
BBQ, AND FIRE PIT AT FRONT YARD.
THIS PERMIT DOES NOT INCLUDE
EQUIPMENT WALL [DOUGLAS
FERRELL ENGINEERING]. ALARMS
AND BARRIERS REQUIRED TO BE
INSTALLED AT PRE-PLASTER
INSPECTION. 2016 CALIFORNIA
BUILDING CODE.
Owner:Contractor:Applicant:LENNAR HOMES OF CALIFORNIA INC TESERRA TESERRA TESERRA TESERRA
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection
Required?CompleteActual
Start Date
78-495 Calle Tampico Page 2 of 2October 10, 2024