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BPLB2015-001478-495 CALUTAMPICO LA QUINTA, CALIFORNIA 92253 T4'it 4 4 Qumr(v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0014 Property Address: 53780 AVENIDA CARRANZA APN: 774161004 Application Description: DRY SANDS PARTNERS/ABANDON SEPTIC, CONNECTTO SEWER Property Zoning: 53780 AVENIDA CARRANZA Application Valuation: $10,000.00 Applicant: ALVAREZ PLUMBING SERVICES P 0 BOX 6966 LA QUINTA, CA 92248 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: C36 License No.: 999695 Date: at: ' 1 ' 2-1�1_ 1`� Contractor:: 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).: (_) 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 Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS(760)777-71S3 Date: 1/28/2015 Owner: DRY SANDS PARTNERS LLC C 53780 AVENIDA CARRANZA LA QUINTA, CA 92253 �n D m A Contractor: ALVAREZ PLUMBING SERVICES G P 0 BOX 6966 y LA QUINTA, CA 92248 CC (951)757-4654 Llc. No.: 999695 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 work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Secticr 33790,ofthe Labor Code, for the performance of the work for which this permit is issued- My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: 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. Date Z - (�� Applicant WARNING: FAILURE TO SECURE WORKERS' COMPNSATION COVERAGE IS N FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 Ld 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 cithe above- mentioned property for inspection purposes. Date ,, Signature (Applicant or Agent),: 11 FINANCIAL • • • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY -AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $24.18 $0.00 TOTALS:00 Description: DRY SANDS PARTNERS/ABANDON SEPTIC, CONNECT TO SEWER Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 1/28/2015 SKH Approved: Parcel No: 774163004 Site Address: 53780 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 235 Lot: 21 Issued: UNIT 22 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $10,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: PLUMBING -ABANDON SEPTIC, CONNECTTO SEWER. 2013 CALIFORNIA BUILDING CODES. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ALVAREZ PLUMBING SERVICES P O BOX 6966 LA QUINTA CA 92248 CONTRACTOR ALVAREZ PLUMBING SERVICES P O BOX 6966 LA QUINTA CA 92248 OWNER DRY SANDS PARTNERS LLC 53780 AVENIDA CARRANZA LA QUINTA CA 92253 DESCRIPTION ACCOUNT QTY AMOUNT PAID . PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTb BY PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 Total Paid for PLUMBING FEES: $24.18 $0.00 TOTALS:i 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" Printed: Wednesday, January 28, 2015 10:20:54 AM 2 of 2 CR11!/ SY.CTFMC DESCRIPTION • QTY PAID PermitTRAK $117.03 BPLB2015-0014 Address: 53780 AVENIDA CARRANZA Apn: 774161004 $117.03 BUILDING STANDARDS ADMINISTRATION BSA $1.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 PERMIT ISSUANCE $91.85 PERMIT ISSUANCE 101-0000-42404 0 $91.85 PLUMBING FEES $24.18 BUILDING SEWER PC 101-0000-426000 $12.09 BUILDING SEWER TOTAL' 101-0000-42401 0 $12.09 1 Date Paid: Wednesday, January 28, 2015 Paid By: ALVAREZ PLUMBING SERVICES Cashier: SKH Pay Method: CHECK 1265 A��WMi 13if, # City of La Q urn to . Building 8r Safety Division P.O. Box 1504, 78-495 Calfe Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 3 iz Owner's Name: _0Lz(4 D s A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: :'><>`:'<><•.`•.`: `<'»" Address: Project Description:. City, ST, Zip: L.. Q17; ? Telephone: �� S bs-q t ij State Lic. # : City Lic. #; , Arch., Engr., Designer: Address: City., ST, Zip: kA Telephone: P ::iF!�:ii)'::i:QiiJii:;::�::':'�i`i.s,':: ii:ii::�)}ilii{'.� ,..:•.-::>..:;.,::..:.>;>:;::::.:.>:>;:. <:;::;::�::»:;:>::;•:»i:.>>.:>::ir•.>;•:i:.::•;::•.. ..................................................... Construction Type: Occupancy: y Lic. #. n �rirStoto Project type (circle one): Add, Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone #,of Contact Person: Estimated Value of Project: - APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. , Called Contact Person Cy Plan Check -Balance ' Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical - Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading ' IN If OUSE:- 'rd Reyiew, ready for corrcctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees a , _ % . Total Permit Fees t)%6 el I y ac� NCIV cs%`� f� all i------------------------------------------------------------I ( I um� 67L- S rl 4keNVWr A k '7- WS 7 -co- 4- soy iso" �ib '-I.'-,r- CLJOPA4g*� EQA.JO .IA U/A �tAF� COACHELLA VALLEY WATER DISTRICT I ��sro�t P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 1/23/2015 SUBJECT: SANTA CARMELITA, 53780 AVENIDA CARRANZA, LA QUINTA, LOT 21, LID 689090 "SCC FEE ONLY" DRY SAND Project: 15-6074 1014 S. PACIFIC COAST HIGHWAY, Project Date: 1/23/2015 STE. 105 Amount Due: $4,851.00 REDONDO BEACH, CA 90277 GEO: 06-06-12-4 Planner: RUBEN MONTIEL TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK 1.00 FF SCC -COLLECTION $2,415.00 $2,415.00 1.00 FJ SCC -TREATMENT $2,436.00 $2,436.00 PAID $ $4,851.00 '�, R 5) � Ck�# �D� 1 Development Services Department JAN 2.8 2015 Coachella Valley Water District 75-515 Hovley Lane East Palm Desert, CA 92211 SUBJECT:SANTA CARMELITA, 53780 AVENIDA CARRANZA, LA QUINTA, LOT 21, LID 689090 "SCC FEE ONLY" COACHELLA VALLEY WATER DISTRICT P.O. BOX 10.58, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel