BPOL2019-018178-495 CALLE TAMPICO Twy/ D w4'P Quif& VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/22/2019
Permit Type/Subtype: POOL/PRIVATE Owner:
Application Number: BPOL2019-0181 BRANDON A. ALEXANDER
Property Address: 78770 IRWIN CIR 78770 IRWIN CIRCLE
APN: 604232018 LA QUINTA, CA 92253
Application Description: ALEXANDER / NEW POOL & SPA AT REAR YARD
Property Zoning:
Application Valuation: $20,000.00
Applicant: Contractor:
JOHN HARDWICK- TESERRA q TESERRA
W
P O BOX 1280 D P O BOX 1280
COACHELLA, CA 92236 DCOACHELLA, CA 92236
AUG 2 2 2019 (760)389-9222
Llc. No.: 656128
CITY OF LA QUINTA
-------------------------- MIMDEVELOPMERTWARTiIR£-1'Pf-----__-__---------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect. p r�
License Class: C-.$,.GJ0, G29, C53, C27, D12 I nse Nab 656i,28f i n
Date:
OWNER -BUILDER ECLARATION
I hereby affirm under penalty of perjury [ at am exempt from the Contractor's State
License Law for the following reason (Sec. 7 31.5, Business and Professions Code: Any
city or county that requires a permit to co struct, 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
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
of the ❑rk 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: 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 agr hat f I should become subject to the
workers' compensation provisions o ectlon 0 of a bor C I hall forth ' h
complywith hose provisions.
Date: Ap
WARNING: FAILURE TO SECURE VYORRS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOY R P CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOL ($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 abov information is correct.
I agree to comply with all city and county ordinances and aws relating to b n8
construction, and hereby authorize representatives of is c I er ypon '
above-menjionep property for inspection purposes r�,
Date: Q 16,U L_,I,. Signature (Applicant
Date: 8/22/2019
Application Number: BPOL2019-0181
Property Address: 78770 IRWIN CIR
APN: 604232018
Application Description ALEXANDER / NEW POOL & SPA AT REAR YARD
Property Zoning:
Application Valuation: $20,000.00
Applicant:
JOHN HARDWICK- TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
Owner:
BRANDON A. ALEXANDER
78770 IRWIN CIRCLE
LA QUINTA, CA 92253
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
Detail: POOL AND SPA AT REAR YARD [DOUGLAS R. FERRELL ENGINEERING.] NEW EQUIPMENT MUST BE LOCATED IN AN APPROVED LOCATION EITHER
WITHIN THE REAR YARD SETBACK OR 5' MINIMUM FROM THE SIDE P/L--FIELD VERIFY. THIS PERMIT DOES NOT INCLUDE EQUIPMENT ENCLOSURE. ALARMS
AND BARRIERS REQUIRED TO BE INSTALLED AT PRE -PLASTER INSPECTION. SPECIAL INSPECTION REPORT AND STRENGTH REPORT REQUIRED AT PRE
PLASTER. 2016 CALIFORNIA BUILDING CODE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY 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
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:
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CALIFORNIA
Project Address: ty- ?ITw(u
APN #:
Applicant Name: .
Address: P ��
City, ST, Zip: ObA4
Telephone: �760--,
Email: �fr�ti.I11
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Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
ZPbL-2o 19 , p (8
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Project Description:
Valuation of Project $
Construction
Grading:
Bedrooms: 1 Stories:
sn
Occupancy:
# Units:
Property Owner's Name: ° 5""
New Commercial / Tenant Improvements:
Address: i0
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
R34Vb CALLL IAMNICU
LA QUINTA, CA 92253
760-777-7000