BRES2019-015678-495 CALLS TAMPICO c&tit D 4-o Qum&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number: BRES2019-0156
Property Address: 81120 NATIONAL DR
APN: 767600003
Application Description: COSS / INSTALL 43LF OF GAS LINE + 120V CIRCUIT TO BBQ
Property Zoning:
Application Valuation: $1,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
COSS / FAMILY LIVING TRUST
81120 NATIONAL DR
LA QUINTA, CA 92253
Applicant: D
Contractor:
TESERRA lvk
TESERRA
P 0 BOX 1280 P 0 BOX 1280
COACHELLA, CA 92236 MAY U �frygfy COACHELLA, CA 92236
CITY OF LA QUINTA 0 (760)389-9222
DESIGN & DEVELOPIVIENT DEPAR OIENT 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 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: - License No.:
Date Contractor:
OWNER -BUILDER DECLARI�Ff N
I hereby affirm under penalty of perjury that I am ex pt 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 Address:
Date: 5/28/2019
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�hJe or for which this permit is issued.
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 that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code_, I shall forthwith
comply with those provisions.
Dat Appllcar
WARNING: FAILURE TO SECURE WORKERS' COMPS TION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIN ENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 -
mentioned pr perty f inspection purposes.
Date: flgnature(Applicant or
Date: �128/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
BRES2019-0156
81120 NATIONAL DR
767600003
COSS / INSTALL 43LF OF GAS LINE + 120V CIRCUIT TO BBQ
$1,000.00
Owner:
COSS / FAMILY LIVING TRUST
81120 NATIONAL DR
LA QUINTA, CA 92253
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
Detail: COSS / INSTALL 43 LF OF 1 1/2" GAS LINE + 120V CIRCUIT TO BBQ. 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.68
Total Paid for ELECTRICAL: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $80.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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PERMIT#
PLAN LOCATION:
Project Address:
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A4 �1�7) N
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name:
!j. e If n M /77
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_
Address:
- Qzn 0 o
City, ST, Zip:
Telephoner 0,"'7
5�, P
Email: /
Valuation of Project $ I o olr),IX%
Contractor Name:
New SFD Construction:
Address: f% - to v e ��
Conditioned Space SF
City, St, Zip,
Garage SF
Telephone: v
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: �' City Bus Lic:
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: S 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
• NO EXISTING LANDSCAPE LIGHTING IN REAR YARD SUPPLY AND INSTALL WROUGHT. -�
"NO EXISTING OVERHEAD UTILITY LINES IN REAR YARD IRON PROPERTY LINE FENCE AT
• PATIO FURNITURE FOR ILLUSTRATION PURPOSES ONLY +48" (SEE DETAIL)
EXISTING+18" HIGH PONY WALL
SUPPLY AND INSTALL+30'WROUGHT
IRON FENCE (SEE DETAIL)
MW /A1 WROUGHT IRON FENCE
EXISTING MOW
CURB TO REMAIN
ME
GATE.
(3'X3') QUART7JTE
STEPPING PADS
HARD TROWELED AND SEALED SMOOTH COLOR CONCRETE COUNTERTOP.
AT t3W , ALFRESCO W' FULL FEATURED GRILL (ALXE-36), 36' LOW PANTRY
EXISTING
(OLC30-LOW PANTRY), ALFRESCO VERB H POWER BURNER (AXEVP) WITH
TEPANYAKI GRIDDLE (AXEVP-TG), CUSTOM 2 DRAWER STORAGE (6"X24"),
POOL AND SPA
17" X 24"ACCESS DOOR IN THE BACK, STONE VENEER EXTERIOR TO
MATCH EXISTING STONE AROUND SPA STEEL FRAME BY OUTDOOR
LIVING CONCEPTS.
SAW CUT AND REMOVE EXISTING CONCRETE SLOT DRAIN
TO INSTALL NEW NDS 4" CHANNEL DRAIN WITH NEW
: r^
COLORED CONCRETE TO MATCH EXISTING CONCRETE,
_ _ _ _ ._ ___ -
TIE INTO EXISTING LANDSCAPE DRAIN
-
STI
LINE
EXISTINGLANDSCAPETO
ON ET
THAT FLOWS TO THE STREET
STREET
I
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T E N
PPV
(4]-12�"POLYPROPYELEN%EGAS
WumL0l
Clr2CT-
B 980 51A140 DETAIL 9 ..a
ELECTRICAL PANEL
GAS METER
DBD BACK ISLAND DETAIL
INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH
SECTION 114 - MANDATORY REQUIREMENTS
EXIT ALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS
TO THE POOL
POOL HEATERS 1 PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS
ALL DECKING EXPANSION JOINTS FOR REPRESENTAION ONLY,
FIELD LAYOUT WILL. VARY
1
I
I
ESS
I
I
I
RESIDENCE
NATIONAL DRIVE
%EL. FT. CgNCRETE DEMO (BSI
315 FT. N COUNTERTOP EPP
(3'X31 QUARTTJTE
STEPPING PADS
812ES2oiq- 0151,
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE - �o ' BY I
67ks L.,ni6 + Car—'c-nacc*'L
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1 6 CALIFORNIA MECHANICAL CODE I&16EDON5g8 .)
16 0 LIFO
6 CRNIA PLUMBING CODE (2A6EDON3 UPC)—
IALIFOR"
IA ELECTRICAL CODE (6A6ED.N..EC1
1 B CALIFORN IA ENERDY EFFICIENCY STANnAPmm
STRUCTION AUTHORIZATION
SPECIFICATIONS
UGH
.IN.PAAT
6PILLWAYTYPE
SPEGALNOlE9
EXCAVATION / STEEL
rvPE
ELVAT
EEPPEKD FNwn
DEENDPANP
LwE BEAT
CDNCflETE PENOVAL
11- COSS RESIDENCE
I KC. I. LHRGR.. 14
REVISIONS'
SELECTIONS
RCTIC ICE. STACKED STONE 6" X