BPOL2019-019378-495 CALLE TAMPICO D "' P
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: POOL/PRIVATE
Application Number:
BPOL2019-0193
Property Address:
51862 VIA SANTERO
APN:
776220012
Application Description:
BEAZER / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
KEVIN GILLINGHAM - TESERRA
P 0 BOX 1280
COACHELLA, CA 92236 SEP 2 6 2019
CITY OF LA QUINTA 0
DESIGN & 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 Clas epse No_655566128
Date: � _� � _ Contractor; � J J
OWNER -BUILDER DECLA XION
I hereby affirm under penalty of perjury that I am a&mpt 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/26/2019
Owner:
BEAZER HOMES HOLDINGS CORP
1600 E IMPERIAL HWY STE 200
BREA, CA
Contractor:
TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
(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 of the Labor Code, for the performance
of a wo k for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
echo 00 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 wit those provlsions.
Date Applican
WARNING: FAILURE TO SECURE WORKERS' COMPS ION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIN ENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100, ). 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-
mentianed operty Fvr inspection purposes.
Date: Signature (Applicant orAgen e
Date:' 9/26/2019
Application Number:
BPOL2019-0193
Property Address:
51862 VIA SANTERO
APN:
776220012
Application Description:
BEAZER / POOL AND SPA AT REAR YARD
Property Zoning:
Application Valuation:
$20,000.00
Applicant:
KEVIN GILLINGHAM - TESERRA
P 0 BOX 1280
COACHELLA, CA 92236
Owner:
BEAZER HOMES HOLDINGS CORP
1600 E IMPERIAL HWY STE 200
BREA, CA
Contractor:
TESERRA
P 0 BOX 1280
COACH ELLA, CA 92236
(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.
RCAC CR1A71 FFF
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
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
ta Qaigra
PERMIT #
- ur--,Nl DESERT -
PLAN LOCATION:
Project Address:
��
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
7 G
Applicant Name:
Xel J r
/?,7
Address. -
City, ST, Zip:
Telephoner .
75--Zi
Email:
(/�', /'
Valuation of Project $ r
Contractor Name: ze�Sa G
New SFD Construction:
Address: ^� Sr
Ale
Conditioned Space SF
City, St, Zipc
Garage SF
Telephone:
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:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
F
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
* NO EXISTING LANDSCAPE LIGHTING IN REAR YARD
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CONSTRUCTION_ AUTHORIZATION
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INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH -
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SECTION 114-MANDATORY REQUIREMENTS
-
-
SALES
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-
EXITALARMS TO BE INSTALLED ON ALL DOORS WITH DIRECT ACCESS -
-
DIG
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TO THE POOL_ -. _
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RE-GUN1T
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POOL HEATERS / PUMP EQUIPMENT SHALL BE INSTALLED. PER MANU FACTUREWS
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RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS -
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