BPOL2020-003078-495 CALLE TAMPICO C 0 D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/24/2020
Permit Type/Subtype: POOL/PRIVATE Owner:
Application Number: BPOL2020-0030 BEAZER HOMES HOLDINGS CORP
Property Address: 51799 VIA SANTERO 1600 E IMPERIAL HWY STE 200
APN: 776220012 BREA, CA
Application Description: BEAZER / POOL,SPA AND BBQ AT REAR YARD
Property Zoning:
Application Valuation: $20,000.00
Applicant: Contractor:
KEVIN GILLINGHAM -TESERRA TESERRA
P O BOX 1280 D P O BOX 1280
COACHELLA, CA 92236 FEB 2 4 2020 COACHELLA, CA 92236
-9222
CITY OF LAQUINTA Llc. N .: 65612
Llc. No.: 656128
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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C--8 C10 r219 27 D en a No.: 656129
Date: L7G/s�`7 0 Contractor.
OWNER -BUILDER DECLARAJjhl
I hereby affirm under penalty of perjury that I am exernfrom 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 Na
Lender's
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
WI
for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
0 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: STARSTONE NATIONAL INSURANCE COMPANY Policy Number:
T10200999
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 tho7,1
roviyslons.
Date fI Appllcant r
WARNING: FAILURE TO SECURE WORKERS' COMPENSAT COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P LTIES 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
Folfawing 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 loned roperlyfor inspection purposes.
Dater Signature (Applicant or Agent
Date: 2/24/2020
Application Number:
BPOL2020-0030
Property Address:
51799 VIA SANTERO
APN:
776220012
Application Description:
BEAZER / POOL,SPA AND BBQ 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
COACHELLA, CA 92236
(760)389-9222
Llc. No.: 656128
Detail: POOL,SPA AND [1] GAS OUTLET 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. PER 2019 CALIFORNIA BUILDING CODE.
FINANCIAL INFORMATION
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
SWIMMING POOL/SPA
101-0000-42404
0
$201.25
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SWIMMING POOL/SPA PC
101-0000-42600
0
$109.48
Total Paid for POOL / SPA 2019: $310.73
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
PERMIT # 6?()LZ0U — 00 -3c)
—(ill."I d, DFtiSFK-I
Project Address: i
APN #:
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
i
Applicant Name: ,
Address:
City, ST, Zip:
Telephone:7 V - ' ,5f—
Email: L! _ " _ /— . — �-, , n r , ,- _ Valuation of Project $
Contractor Name: New SFD Construction:
Address: f _ J0.0 e— Sr Conditioned Space SF
City, St, Zip Garage SF
Telephone: 7&0Y Patio/Porch SF
Email: Fire Sprinklers SF
State Lic:/Q �� jp ' City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
City Bus Lic:
Construction Type:
Grading:
Occupancv:
Bedrooms: Stories: �#Un�ifttsr.E
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA C,IUINTA, CA 92253
760-777-7000
--
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"INSTALLATION OF POOL SYSTEMS AND EQUIPMENT WILL COMPLY WITH - CONSTRUCTION AUTFIORIZATI❑.N
SECTION '114- MANDATORY REQUIREMENTS -
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" PRE-GUNIT
" POOL HEATERS! PUMP EQUIPMENT SHALL BE INSTALLED PER MANU FACTURER'S -" - -
"
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"
RECOMMENDATIONS AND IN ACCORDANCE WITH LOCAL REGULATIONS -" "- - "" - _ - UNDERGROUND
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